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2020-09-22Zeitschriftenartikel
Human Immunodeficiency Virus Continuum of Care in 11 European Union Countries at the End of 2016 Overall and by Key Population: Have We Made Progress?
dc.contributor.authorVourli, Goergia
dc.contributor.authorNoori, Teymur
dc.contributor.authorPharris, Anastasia
dc.contributor.authorPorter, Kholoud
dc.contributor.authorAxelsson, Maria
dc.contributor.authorBegovac, Josip
dc.contributor.authorCazein, Francoise
dc.contributor.authorCostagliola, Dominique
dc.contributor.authorCowan, Susan
dc.contributor.authorCroxford, Sara
dc.contributor.authord'Arminio Monforte, Antonella
dc.contributor.authorDelpech, Valerie
dc.contributor.authorDíaz, Asunción
dc.contributor.authorGiardi, Enrico
dc.contributor.authorGunsenheimer-Bartmeyer, Barbara
dc.contributor.authorHernando, Victoria
dc.contributor.authorLeierer, Gisela
dc.contributor.authorLot, Florence
dc.contributor.authorNunez, Olivier
dc.contributor.authorObel, Niels
dc.contributor.authorOp de Coul, Eline
dc.contributor.authorParaskeva, Dimitra
dc.contributor.authorPatrinos, Stavros
dc.contributor.authorReiss, Peter
dc.contributor.authorSchmid, Daniela
dc.contributor.authorSonnerborg, Anders
dc.contributor.authorSuligoi, Barbara
dc.contributor.authorSupervie, Virginie
dc.contributor.authorvan Sighem, Ard
dc.contributor.authorZangerle, Robert
dc.contributor.authorTouloumi, Giota
dc.date.accessioned2023-12-12T11:30:44Z
dc.date.available2023-12-12T11:30:44Z
dc.date.issued2020-09-22none
dc.identifier.other10.1093/cid/ciaa696
dc.identifier.urihttp://edoc.rki.de/176904/11412
dc.description.abstractBackground. High uptake of antiretroviral treatment (ART) is essential to reduce human immunodeficiency virus (HIV) trans- mission and related mortality; however, gaps in care exist. We aimed to construct the continuum of HIV care (CoC) in 2016 in 11 European Union (EU) countries, overall and by key population and sex. To estimate progress toward the Joint United Nations Programme on HIV/AIDS (UNAIDS) 90-90-90 target, we compared 2016 to 2013 estimates for the same countries, representing 73% of the population in the region. Methods. A CoC with the following 4 stages was constructed: number of people living with HIV (PLHIV); proportion of PLHIV diagnosed; proportion of those diagnosed who ever initiated ART; and proportion of those ever treated who achieved viral suppres- sion at their last visit. Results. We estimated that 87% of PLHIV were diagnosed; 92% of those diagnosed had ever initiated ART; and 91% of those ever on ART, or 73% of all PLHIV, were virally suppressed. Corresponding figures for men having sex with men were: 86%, 93%, 93%, 74%; for people who inject drugs: 94%, 88%, 85%, 70%; and for heterosexuals: 86%, 92%, 91%, 72%. The proportion suppressed of all PLHIV ranged from 59% to 86% across countries. Conclusions. The EU is close to the 90-90-90 target and achieved the UNAIDS target of 73% of all PLHIV virally suppressed, significant progress since 2013 when 60% of all PLHIV were virally suppressed. Strengthening of testing programs and treatment support, along with prevention interventions, are needed to achieve HIV epidemic control.eng
dc.language.isoengnone
dc.publisherRobert Koch-Institut
dc.rights(CC BY-NC-ND 3.0 DE) Namensnennung - Nicht-kommerziell - Keine Bearbeitung 3.0 Deutschlandger
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/de/
dc.subjectHIV infectioneng
dc.subjectcontinuum of careeng
dc.subjectsexeng
dc.subjectkey populationeng
dc.subjectEuropeeng
dc.subject.ddc610 Medizin und Gesundheitnone
dc.titleHuman Immunodeficiency Virus Continuum of Care in 11 European Union Countries at the End of 2016 Overall and by Key Population: Have We Made Progress?none
dc.typearticle
dc.identifier.urnurn:nbn:de:0257-176904/11412-2
dc.type.versionpublishedVersionnone
local.edoc.container-titleClinical Infectious Diseasesnone
local.edoc.container-issn1537-6591none
local.edoc.pages12none
local.edoc.type-nameZeitschriftenartikel
local.edoc.container-typeperiodical
local.edoc.container-type-nameZeitschrift
local.edoc.container-urlhttps://academic.oup.com/cidnone
local.edoc.container-publisher-nameOxford University Pressnone
local.edoc.container-volume71none
local.edoc.container-issue11none
local.edoc.container-reportyear2020none
local.edoc.container-firstpage2905none
local.edoc.container-lastpage2916none
dc.description.versionPeer Reviewednone

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