Scientific Journal "Sociology: Theory, Methods, Marketing"
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Factors determining behavioral models of vulnerable population groups in situation of wide spread of socially dangerous diseases (according to expert survey results)
stmm. 2023 (1): 140-168
DOI https://doi.org/10.15407/sociology2023.01.140
Full Text: http://stmm.in.ua/archive/ukr/2023-1/11.pdf
GULBARSHYN CHEPURKO, Doctor of Sciences in Sociology, Head of the Department of Social Expertise, Institute of Sociology, National Academy of Sciences of Ukraine (12, Shovkovychna St., Kyiv, 01021)
gichepurko@ukr.net
https://orcid.org/0000-0001-7540-5174
The article presents expert survey analysis results and defines major behavior models for main population groups in TB, HIV, hepatitis, STD infection risk zone (risk groups) in situation of wide spread of socially dangerous diseases. The correlation was detected between risk groups behavior models/types and their formation factors, including value-motivation, socio-economic, financial, medical, cognitive and social factors, as well as stigmatization and self-stigmatization. The research shows that it is impossible to relate risk groups behavior to only one or two factors. All influential factors should be considered in connection to each other. The article determines most effective interventions changing risk groups behavior from passive to health-preserving one, such as information and communication campaign on safe behavior; expanding state funding on HIV, TB, hepatitis, STDs services; legal framework improvement for services in field of HIV infection, TB, hepatitis, STDs for various risk groups; expanding NGOs’ access to risk groups interventions. The article emphasizes the fact that preventive work against spreading HIV/AIDS epidemic involves behavioral interventions at individual and social level. It is proposed to consider the problem of socially dangerous diseases resistance not as a part of medical system only, but also as a part of political, managerial, economic, social, humanitarian and cultural problem that cannot be solved by branch medical management or medical means only.
Keywords: socially dangerous diseases, risk groups, risky behavior, passive behavior, health-preserving behavior, health motivation, interventions, behavioral interventions
References
Are hepatitis B/C treatment courses available in Sumy Oblast? (2021). Sumy Regional Military Administration (2021, August 13). [In Ukrainian]. Retrieved from: http://sm.gov.ua/uk/arkhiv1/26047-chy-dostupni-kursy-likuvannya-hepatytiv-vs-na-sumshchyni.html. [= Чи доступні 2001]
Barriers to tuberculosis treatment in Ukraine: research results (2020). Center for Public Health of the Ministry of Health of Ukraine. [In Ukrainian]. Retrieved from: https://phc.org.ua/sites/default/files/users/user90/Bariery_likuvannia_TB_report.pdf. [= Бар’єри 2020]
Behavioral data collection for national HIV/AIDS and Sexually transmitted infections (STI) prevention programs (2002). IMPACT/FHI/UNAIDS joint seminar: report and conclusions of year 1998. [In Russian]. Retrieved from: https://www.unaids.org/sites/default/files/media_asset/meetingbehavdata_ru_0.pdf. [= Сбор 2002]
Behavioural and Cultural Factors (2022). The Behavioural and Cultural Insights (BCI) Hub. World Health Organization Regional Office for Europe. Retrieved from: www.bci-hub.org
Demchenko, I., Skokova, L., Bulyhga, N. (2020). Stigma index of people living with HIV. Socioconsulting & Ukrainian network of people living with HIV/AIDS. [In Ukrainian]. Retrieved from: https://network.org.ua/wp-content/uploads/2021/02/INDEKS-STYGMY-LYUDEJ-YAKI-ZHYVUT-Z-VIL-2.0-1-1.pdf. [= Демченко 2020]
Free medicaments for viral hepatitis B and C are available to residents of the Dnipropetrovsk region (2021). Dnipropetrovsk Regional Medical Center for Socially Significant Diseases (2021, February 12). [In Ukrainian]. Retrieved from: https://www.facebook.com/dnepr.center/photos/a.572176229655561/1492819030924605/?type=3. [= Безкоштовні ліки 2021]
Gandelman, A.A., Vogan, S.A., Dolcini, M.M. (2005). Assessing HIV prevention provider knowledge of behavior science theory: building on existing intuitive experience. Health Promotion Practice, 6 (3), 299–307.
Giving young people information, skills and knowledge they need (2013). Comprehensive Sexuality Education. United Nations Population Fund (2013, March 11). Retrieved from: http://www.unfpa.org/public/home/adolescents/pid/6483.
Global health sector strategy on HIV/AIDS 2011–2015 (2011). World Health Organization (2011, February 25). Retrieved from: http://whqlibdoc.who.int/publications/2011/9789241501651_eng.pdf.
Global health sector strategy on HIV/AIDS 2011–2015 (2011). World Health Organization (2011, February 25). Retrieved from: http://whqlibdoc.who.int/publications/2011/9789241501651_eng.pdf.
Global health sector strategy on viral hepatitis 2016–2021: Towards ending viral hepatitis (2016). World Health Organization. [In Russian]. Retrieved from: https://apps.who.int/iris/bitstream/handle/10665/250042/WHO-HIV-2016.06-rus.pdf. [= Глобальная стратегия 2016]
Grau, L.E., Krasnoselskikh, T.V., Shaboltas, A.V., Skochilov, R.V., Kozlov, A.P., Abdala, N. (2013). Cultural adaptation of an intervention to reduce sexual risk behaviors among patients attending a STI clinic in St. Petersburg, Russia. Prevention Science, 14 (4), 400–410. DOI: 10.1007/s11121-012-0301-6. Healthier behaviours: incorporating behavioural and cultural insights (2019). World Health Organization. [In Russian]. Retrieved from: https://www.who.int/europe/ru/initiatives/healthier-behaviours-incorporating-behavioural-and-cultural-insights. [= Здоровые модели 2019]
HIV prevention, diagnosis, treatment and care for main population groups. Evidence-based clinical practice (2018). State Expert Center of the Ministry of Health of Ukraine. [In Ukrainian]. Retrieved from: https://www.dec.gov.ua/wp-content/uploads/2019/11/2018_07_kn_profvil.pdf. [= Профілактика 2018]
HIV/AIDS statistics (2022). Center for Public Health of the Ministry of Health of Ukraine. [In Ukrainian]. Retrieved from: https://phc.org.ua/kontrol-zakhvoryuvan/vilsnid/statistika-z-vilsnidu. [= Статистика 2022]
Katz, I.T., Ryu, A.E., Onuegbu, A.G., Psaros, C., Weiser, S.D., Bangsberg, D.R., Tsai, A.C. (2014). Impact of HIV-related stigma on treatment adherence: systematic review and meta-synthesis. Journal of the International AIDS Society, 16 (3/2), 18640. DOI: 10.7448/IAS.16.3.18640.
Monitoring and Evaluation in the field of public health (2016). Public Health Alliance. [In Ukrainian]. Retrieved from: https://profihealth.org.ua/uk/lessons/138. [= МіО 2016]
Public health issues (2020). Vinnytsia Regional Center for Disease Control and Prevention of the Ministry of Health of Ukraine (2020, July 30). [In Ukrainian]. Retrieved from: http://www.cgz.vn.ua/problematika-gromadskogo-zdorovya/problematika-gromadskogo-zdorovya_480.html. [= Проблематика 2020]
Research on treatment possibilities for HIV co-infection and viral hepatitis C in Ukraine (2021). Center for Public Health of the Ministry of Health of Ukraine. [In Ukrainian]. Retrieved from: https://phc.org.ua/news/doslidzhennya-dostupnosti-likuvannya-koinfekcii-vil-ta-virusnogo-gepatitu-s-v-ukraini. [= Дослідження 2021]
Rhodes, F., Wolitski, R. J. (1990). Perceived effectiveness of fear appeals in AIDS education: relationship to ethnicity, gender, age, and group membership. AIDS Education and Prevention, 2 (1), 1–11. Sexually transmitted infections (STIs) (2017). Center for Public Health of the Ministry of Health of Ukraine. [In Ukrainian]. Retrieved from: https://phc.org.ua/kontrol-zakhvoryuvan/inshi-infekciyni-zakhvoryuvannya/infekcii-scho-peredayutsya-statevim-shlyakhom-ipssh. [= Інфекції 2017]
Strategies for changing people’s behavior: the role of health care systems (2008). European regional committee. Fifty-eighth session. Tbilisi, Georgia, September 15–18, 2008. World Health Organization. [In Russian]. Retrieved from: https://www.euro.who.int/__data/assets/pdf_file/0007/70189/RC58_rdoc10.pdf. [= Стратегии 2008]
Tsvetkova, L.A., Hurvych, I.N., Shaboltas, A.V. et al. (2006). Theoretical models of drug usage formation, control and adjustment. [In Russian]. St. Petersburg: Saint Petersburg State University Publisher. [= Цветкова 2006]
UNAIDS Terminology Guidelines (2007). Joint United Nations Programme on HIV/AIDS. Retrieved from: https://documentation.lastradainternational.org/lsidocs/unaids_07_terms_0607.pdf.
Volkoslavskaya, V.N., Gutnev, A.L. (2011). Dynamics of skin pathology and sexually transmitted infections in the population of Ukraine in recent years (2000–2010). [In Russian]. Contemporary issues in dermatovenereology and cosmetology, 15, 23–26. [= Волкославская, Гутнев 2011]
We should remember about tuberculosis even in COVID-19 epidemic time (2020). Gromadskiy Prostir ‘Civil Society Platform’ (2020, September 09). [In Ukrainian]. Retrieved from: https://www.prostir.ua/?news=v-umovah-epidemiji-covid-19-ne-mozhna-zabuvaty-pro-tuberkuloz. [= В умовах 2020]
Received 21.02.2023
Factors determining behavioral models of vulnerable population groups in situation of wide spread of socially dangerous diseases (according to expert survey results)
stmm. 2023 (1): 140-168
DOI https://doi.org/10.15407/sociology2023.01.140
Full Text: http://stmm.in.ua/archive/ukr/2023-1/11.pdf
GULBARSHYN CHEPURKO, Doctor of Sciences in Sociology, Head of the Department of Social Expertise, Institute of Sociology, National Academy of Sciences of Ukraine (12, Shovkovychna St., Kyiv, 01021)
gichepurko@ukr.net
https://orcid.org/0000-0001-7540-5174
The article presents expert survey analysis results and defines major behavior models for main population groups in TB, HIV, hepatitis, STD infection risk zone (risk groups) in situation of wide spread of socially dangerous diseases. The correlation was detected between risk groups behavior models/types and their formation factors, including value-motivation, socio-economic, financial, medical, cognitive and social factors, as well as stigmatization and self-stigmatization. The research shows that it is impossible to relate risk groups behavior to only one or two factors. All influential factors should be considered in connection to each other. The article determines most effective interventions changing risk groups behavior from passive to health-preserving one, such as information and communication campaign on safe behavior; expanding state funding on HIV, TB, hepatitis, STDs services; legal framework improvement for services in field of HIV infection, TB, hepatitis, STDs for various risk groups; expanding NGOs’ access to risk groups interventions. The article emphasizes the fact that preventive work against spreading HIV/AIDS epidemic involves behavioral interventions at individual and social level. It is proposed to consider the problem of socially dangerous diseases resistance not as a part of medical system only, but also as a part of political, managerial, economic, social, humanitarian and cultural problem that cannot be solved by branch medical management or medical means only.
Keywords: socially dangerous diseases, risk groups, risky behavior, passive behavior, health-preserving behavior, health motivation, interventions, behavioral interventions
References
Are hepatitis B/C treatment courses available in Sumy Oblast? (2021). Sumy Regional Military Administration (2021, August 13). [In Ukrainian]. Retrieved from: http://sm.gov.ua/uk/arkhiv1/26047-chy-dostupni-kursy-likuvannya-hepatytiv-vs-na-sumshchyni.html. [= Чи доступні 2001]
Barriers to tuberculosis treatment in Ukraine: research results (2020). Center for Public Health of the Ministry of Health of Ukraine. [In Ukrainian]. Retrieved from: https://phc.org.ua/sites/default/files/users/user90/Bariery_likuvannia_TB_report.pdf. [= Бар’єри 2020]
Behavioral data collection for national HIV/AIDS and Sexually transmitted infections (STI) prevention programs (2002). IMPACT/FHI/UNAIDS joint seminar: report and conclusions of year 1998. [In Russian]. Retrieved from: https://www.unaids.org/sites/default/files/media_asset/meetingbehavdata_ru_0.pdf. [= Сбор 2002]
Behavioural and Cultural Factors (2022). The Behavioural and Cultural Insights (BCI) Hub. World Health Organization Regional Office for Europe. Retrieved from: www.bci-hub.org
Demchenko, I., Skokova, L., Bulyhga, N. (2020). Stigma index of people living with HIV. Socioconsulting & Ukrainian network of people living with HIV/AIDS. [In Ukrainian]. Retrieved from: https://network.org.ua/wp-content/uploads/2021/02/INDEKS-STYGMY-LYUDEJ-YAKI-ZHYVUT-Z-VIL-2.0-1-1.pdf. [= Демченко 2020]
Free medicaments for viral hepatitis B and C are available to residents of the Dnipropetrovsk region (2021). Dnipropetrovsk Regional Medical Center for Socially Significant Diseases (2021, February 12). [In Ukrainian]. Retrieved from: https://www.facebook.com/dnepr.center/photos/a.572176229655561/1492819030924605/?type=3. [= Безкоштовні ліки 2021]
Gandelman, A.A., Vogan, S.A., Dolcini, M.M. (2005). Assessing HIV prevention provider knowledge of behavior science theory: building on existing intuitive experience. Health Promotion Practice, 6 (3), 299–307.
Giving young people information, skills and knowledge they need (2013). Comprehensive Sexuality Education. United Nations Population Fund (2013, March 11). Retrieved from: http://www.unfpa.org/public/home/adolescents/pid/6483.
Global health sector strategy on HIV/AIDS 2011–2015 (2011). World Health Organization (2011, February 25). Retrieved from: http://whqlibdoc.who.int/publications/2011/9789241501651_eng.pdf.
Global health sector strategy on HIV/AIDS 2011–2015 (2011). World Health Organization (2011, February 25). Retrieved from: http://whqlibdoc.who.int/publications/2011/9789241501651_eng.pdf.
Global health sector strategy on viral hepatitis 2016–2021: Towards ending viral hepatitis (2016). World Health Organization. [In Russian]. Retrieved from: https://apps.who.int/iris/bitstream/handle/10665/250042/WHO-HIV-2016.06-rus.pdf. [= Глобальная стратегия 2016]
Grau, L.E., Krasnoselskikh, T.V., Shaboltas, A.V., Skochilov, R.V., Kozlov, A.P., Abdala, N. (2013). Cultural adaptation of an intervention to reduce sexual risk behaviors among patients attending a STI clinic in St. Petersburg, Russia. Prevention Science, 14 (4), 400–410. DOI: 10.1007/s11121-012-0301-6. Healthier behaviours: incorporating behavioural and cultural insights (2019). World Health Organization. [In Russian]. Retrieved from: https://www.who.int/europe/ru/initiatives/healthier-behaviours-incorporating-behavioural-and-cultural-insights. [= Здоровые модели 2019]
HIV prevention, diagnosis, treatment and care for main population groups. Evidence-based clinical practice (2018). State Expert Center of the Ministry of Health of Ukraine. [In Ukrainian]. Retrieved from: https://www.dec.gov.ua/wp-content/uploads/2019/11/2018_07_kn_profvil.pdf. [= Профілактика 2018]
HIV/AIDS statistics (2022). Center for Public Health of the Ministry of Health of Ukraine. [In Ukrainian]. Retrieved from: https://phc.org.ua/kontrol-zakhvoryuvan/vilsnid/statistika-z-vilsnidu. [= Статистика 2022]
Katz, I.T., Ryu, A.E., Onuegbu, A.G., Psaros, C., Weiser, S.D., Bangsberg, D.R., Tsai, A.C. (2014). Impact of HIV-related stigma on treatment adherence: systematic review and meta-synthesis. Journal of the International AIDS Society, 16 (3/2), 18640. DOI: 10.7448/IAS.16.3.18640.
Monitoring and Evaluation in the field of public health (2016). Public Health Alliance. [In Ukrainian]. Retrieved from: https://profihealth.org.ua/uk/lessons/138. [= МіО 2016]
Public health issues (2020). Vinnytsia Regional Center for Disease Control and Prevention of the Ministry of Health of Ukraine (2020, July 30). [In Ukrainian]. Retrieved from: http://www.cgz.vn.ua/problematika-gromadskogo-zdorovya/problematika-gromadskogo-zdorovya_480.html. [= Проблематика 2020]
Research on treatment possibilities for HIV co-infection and viral hepatitis C in Ukraine (2021). Center for Public Health of the Ministry of Health of Ukraine. [In Ukrainian]. Retrieved from: https://phc.org.ua/news/doslidzhennya-dostupnosti-likuvannya-koinfekcii-vil-ta-virusnogo-gepatitu-s-v-ukraini. [= Дослідження 2021]
Rhodes, F., Wolitski, R. J. (1990). Perceived effectiveness of fear appeals in AIDS education: relationship to ethnicity, gender, age, and group membership. AIDS Education and Prevention, 2 (1), 1–11. Sexually transmitted infections (STIs) (2017). Center for Public Health of the Ministry of Health of Ukraine. [In Ukrainian]. Retrieved from: https://phc.org.ua/kontrol-zakhvoryuvan/inshi-infekciyni-zakhvoryuvannya/infekcii-scho-peredayutsya-statevim-shlyakhom-ipssh. [= Інфекції 2017]
Strategies for changing people’s behavior: the role of health care systems (2008). European regional committee. Fifty-eighth session. Tbilisi, Georgia, September 15–18, 2008. World Health Organization. [In Russian]. Retrieved from: https://www.euro.who.int/__data/assets/pdf_file/0007/70189/RC58_rdoc10.pdf. [= Стратегии 2008]
Tsvetkova, L.A., Hurvych, I.N., Shaboltas, A.V. et al. (2006). Theoretical models of drug usage formation, control and adjustment. [In Russian]. St. Petersburg: Saint Petersburg State University Publisher. [= Цветкова 2006]
UNAIDS Terminology Guidelines (2007). Joint United Nations Programme on HIV/AIDS. Retrieved from: https://documentation.lastradainternational.org/lsidocs/unaids_07_terms_0607.pdf.
Volkoslavskaya, V.N., Gutnev, A.L. (2011). Dynamics of skin pathology and sexually transmitted infections in the population of Ukraine in recent years (2000–2010). [In Russian]. Contemporary issues in dermatovenereology and cosmetology, 15, 23–26. [= Волкославская, Гутнев 2011]
We should remember about tuberculosis even in COVID-19 epidemic time (2020). Gromadskiy Prostir ‘Civil Society Platform’ (2020, September 09). [In Ukrainian]. Retrieved from: https://www.prostir.ua/?news=v-umovah-epidemiji-covid-19-ne-mozhna-zabuvaty-pro-tuberkuloz. [= В умовах 2020]
Received 21.02.2023
LATEST PRINTED ISSUE
LATEST FREELY ACCESSIBLE MATERIALS