Using the provisions of the International Classification of Functioning in the assessment of disability in people with HIV infection aged 18 years and older

To date in Russia continues the spread of HIV/AIDS. At the stage of secondary lesions in HIV infection, the patient has persistent violations of the functions of various organs and systems of the body, which reduce the quality of life, lead to a restriction of human life, which requires assistance from society and the state. The Russian Federation has established a system of economic, legal, and social measures to support disabled people, as well as all citizens with HIV infection. The establishment of a disability group, its causes, timing, time of onset, and the needs of a disabled person in various types of social assistance is assigned to federal institutions of medical and social expertise.

A retrospective analysis of 100 protocols of medical and social examination of citizens with HIV infection was carried out by random sampling/AIDS in federal state institutions of medical and social expertise of St. Petersburg and other regions of Russia in the period from 2017 to 2020. The purpose of our study was the possibility of including the provisions of the International Classification of Functioning, disability and Health in the assessment of categories of disability in people with HIV-AIDS. The frequency and severity of disability, designated in the form of domains of the international classification of functioning “Activity and participation” in the group of patients under consideration, were studied, while the most striking or generalizing domain was taken from each section, characterizing the restriction of each category of vital activity established in a disabled person with HIV infection (d599 unspecified Self-care; d450 Walking; d230 Daily routine; d350 Conversation; d710 Basic interpersonal interactions; d859 Work and Employment, other specified and unspecified).

According to the results obtained, the most common functional disorders lead to restrictions in daily activity (self-care and everyday life) and in the main areas of life (education, work and employment). Violations of physical and cognitive functions as the process progresses have a significant impact on the ability to work of AIDS patients, limiting their choice of occupations and leading to termination of employment.

The International Classification of Functioning, Disability and health is a convenient tool that reflects the level of functioning of an individual at various stages of the disease.