Forskning
Udskriv Udskriv
Switch language
Region Hovedstaden - en del af Københavns Universitetshospital
Udgivet

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?

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Harvard

APA

CBE

MLA

Vancouver

Author

Bibtex

@article{6ca5ee0288f6482fb65750edbfb32333,
title = "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?",
abstract = "BACKGROUND: High uptake of antiretroviral treatment (ART) is essential to reduce human immunodeficiency virus (HIV) transmission 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 suppression 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.",
author = "{European HIV Continuum of Care Working Group} and Niels Obel and Georgia Vourli and Teymur Noori and Anastasia Pharris and Kholoud Porter and Maria Axelsson and Josip Begovac and Francoise Cazein and Dominique Costagliola and Susan Cowan and Sara Croxford and {d'Arminio Monforte}, Antonella and Valerie Delpech and Asunci{\'o}n D{\'i}az and Enrico Girardi and Barbara Gunsenheimer-Bartmeyer and Victoria Hernando and Gisela Leierer and Florence Lot and Olivier Nunez and {Op de Coul}, Eline and Dimitra Paraskeva and Stavros Patrinos and Peter Reiss and Daniela Schmid and Anders Sonnerborg and Barbara Suligoi and Virginie Supervie and {van Sighem}, Ard and Robert Zangerle and Giota Touloumi",
note = "{\textcopyright} The Author(s) 2020. Published by Oxford University Press for the Infectious Diseases Society of America.",
year = "2020",
month = dec,
day = "31",
doi = "10.1093/cid/ciaa696",
language = "English",
volume = "71",
pages = "2905--2916",
journal = "Clinical Infectious Diseases",
issn = "1058-4838",
publisher = "University of Chicago Press",
number = "11",

}

RIS

TY - JOUR

T1 - Human Immunodeficiency Virus Continuum of Care in 11 European Union Countries at the End of 2016 Overall and by Key Population

T2 - Have We Made Progress?

AU - European HIV Continuum of Care Working Group

AU - Vourli, Georgia

AU - Noori, Teymur

AU - Pharris, Anastasia

AU - Porter, Kholoud

AU - Axelsson, Maria

AU - Begovac, Josip

AU - Cazein, Francoise

AU - Costagliola, Dominique

AU - Cowan, Susan

AU - Croxford, Sara

AU - d'Arminio Monforte, Antonella

AU - Delpech, Valerie

AU - Díaz, Asunción

AU - Girardi, Enrico

AU - Gunsenheimer-Bartmeyer, Barbara

AU - Hernando, Victoria

AU - Leierer, Gisela

AU - Lot, Florence

AU - Nunez, Olivier

AU - Op de Coul, Eline

AU - Paraskeva, Dimitra

AU - Patrinos, Stavros

AU - Reiss, Peter

AU - Schmid, Daniela

AU - Sonnerborg, Anders

AU - Suligoi, Barbara

AU - Supervie, Virginie

AU - van Sighem, Ard

AU - Zangerle, Robert

AU - Touloumi, Giota

A2 - Obel, Niels

N1 - © The Author(s) 2020. Published by Oxford University Press for the Infectious Diseases Society of America.

PY - 2020/12/31

Y1 - 2020/12/31

N2 - BACKGROUND: High uptake of antiretroviral treatment (ART) is essential to reduce human immunodeficiency virus (HIV) transmission 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 suppression 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.

AB - BACKGROUND: High uptake of antiretroviral treatment (ART) is essential to reduce human immunodeficiency virus (HIV) transmission 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 suppression 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.

U2 - 10.1093/cid/ciaa696

DO - 10.1093/cid/ciaa696

M3 - Journal article

C2 - 32960957

VL - 71

SP - 2905

EP - 2916

JO - Clinical Infectious Diseases

JF - Clinical Infectious Diseases

SN - 1058-4838

IS - 11

ER -

ID: 62273282