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2017-06-15Zeitschriftenartikel DOI: 10.1093/cid/cix212
The Human Immunodeficiency Virus Continuum of Care in European Union Countries in 2013: Data and Challenges
dc.contributor.authorGourlay, Annabelle
dc.contributor.authorNoori, Teymur
dc.contributor.authorPharris, Anastasia
dc.contributor.authorAxelsson, Maria
dc.contributor.authorCostagliola, Dominique
dc.contributor.authorCowan, Susan
dc.contributor.authorCroxford, Sara
dc.contributor.authorMonforte, Antonella d’Arminio
dc.contributor.authorAmo, Julia del
dc.contributor.authorDelpech, Valerie
dc.contributor.authorDíaz, Asunción
dc.contributor.authorGirardi, Enrico
dc.contributor.authorGunsenheimer-Bartmeyer, Barbara
dc.contributor.authorHernando, Victoria
dc.contributor.authorJose, Sophie
dc.contributor.authorLeierer, Gisela
dc.contributor.authorNikolopoulos, Georgios
dc.contributor.authorObel, Niels
dc.contributor.authorCoul, Eline Op de
dc.contributor.authorParaskeva, Dimitra
dc.contributor.authorReiss, Peter
dc.contributor.authorSabin, Caroline
dc.contributor.authorSasse, André
dc.contributor.authorSchmid, Daniela
dc.contributor.authorSonnerborg, Anders
dc.date.accessioned2018-05-07T20:11:06Z
dc.date.available2018-05-07T20:11:06Z
dc.date.created2017-07-03
dc.date.issued2017-06-15none
dc.identifier.otherhttp://edoc.rki.de/oa/articles/reTH4MqvYFRtA/PDF/22RUJcBi5vLQ.pdf
dc.identifier.urihttp://edoc.rki.de/176904/2693
dc.description.abstractBackground: The Joint United Nations Programme on HIV/AIDS (UNAIDS) has set a "90-90-90" target to curb the human immunodeficiency virus (HIV) epidemic by 2020, but methods used to assess whether countries have reached this target are not standardized, hindering comparisons. Methods: Through a collaboration formed by the European Centre for Disease Prevention and Control (ECDC) with European HIV cohorts and surveillance agencies, we constructed a standardized, 4-stage continuum of HIV care for 11 European Union countries for 2013. Stages were defined as (1) number of people living with HIV in the country by end of 2013; (2) proportion of stage 1 ever diagnosed; (3) proportion of stage 2 that ever initiated ART; and (4) proportion of stage 3 who became virally suppressed (≤200 copies/mL). Case surveillance data were used primarily to derive stages 1 (using back-calculation models) and 2, and cohort data for stages 3 and 4. Results: In 2013, 674500 people in the 11 countries were estimated to be living with HIV, ranging from 5500 to 153400 in each country. Overall HIV prevalence was 0.22% (range, 0.09%-0.36%). Overall proportions of each previous stage were 84% diagnosed, 84% on ART, and 85% virally suppressed (60% of people living with HIV). Two countries achieved ≥90% for all stages, and more than half had reached ≥90% for at least 1 stage. Conclusions: European Union countries are nearing the 90-90-90 target. Reducing the proportion undiagnosed remains the greatest barrier to achieving this target, suggesting that further efforts are needed to improve HIV testing rates. Standardizing methods to derive comparable continuums of care remains a challenge.eng
dc.language.isoeng
dc.publisherRobert Koch-Institut, Infektionskrankheiten / Erreger
dc.subjectsurveillanceeng
dc.subjectHIV infectioneng
dc.subjectantiretroviral therapy.eng
dc.subjectcohort analysiseng
dc.subjectcontinuum of careeng
dc.subject.ddc610 Medizin
dc.titleThe Human Immunodeficiency Virus Continuum of Care in European Union Countries in 2013: Data and Challenges
dc.typeperiodicalPart
dc.identifier.urnurn:nbn:de:0257-10053225
dc.identifier.doi10.1093/cid/cix212
dc.identifier.doihttp://dx.doi.org/10.25646/2618
local.edoc.container-titleClinical Infectious Diseases
local.edoc.fp-subtypeArtikel
local.edoc.type-nameZeitschriftenartikel
local.edoc.container-typeperiodical
local.edoc.container-type-nameZeitschrift
local.edoc.container-urlhttps://academic.oup.com/cid/article-lookup/doi/10.1093/cid/cix212
local.edoc.container-publisher-nameOxford University Press
local.edoc.container-volume64
local.edoc.container-issue12
local.edoc.container-year2017

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