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?

May 16, 2023

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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?

Publicated to: Clinical Infectious Diseases. 71 (11): 2905-2916 - 2020-12-01 71(11), DOI: 10.1093/cid/ciaa696

Authors:

Vourli, Georgia; Noori, Teymur; Pharris, Anastasia; Porter, Kholoud; Axelsson, Maria; Begovac, Josip; Cazein, Francoise; Costagliola, Dominique; Cowan, Susan; Croxford, Sara; Monforte, Antonella d'Arminio; Delpech, Valerie; Diaz, Asuncion; Girardi, Enrico; Gunsenheimer-Bartmeyer, Barbara; Hernando, Victoria; Leierer, Gisela; Lot, Florence; Nunez, Olivier; Obel, Niels; de Coul, Eline Op; Paraskeva, Dimitra; Patrinos, Stavros; Reiss, Peter; Schmid, Daniela; Sonnerborg, Anders; Suligoi, Barbara; Supervie, Virginie; van Sighem, Ard; Zangerle, Robert; Touloumi, Giota

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Affiliations

ASST Santi Paolo & Carlo Univ Hosp, Milan, Italy - Author

Austrian Agcy Hlth & Food Safety, Vienna, Austria - Author

European Ctr Dis Prevent & Control, Solna, Sweden - Author

French Natl Publ Hlth Agcy, Sante Publ France, St Maurice, France - Author

Hellen Ctr Dis Control & Prevent, Amarousio, Greece - Author

Inst Salud Carlos III, Ctr Nacl Epidemiol, Madrid, Spain - Author

Ist Nazl Malattie Infett Spallanzani, Rome, Italy - Author

Ist Super Sanita, Natl AIDS Unit, Rome, Italy - Author

Karolinska Inst, Stockholm, Sweden - Author

Karolinska Univ Hosp, Stockholm, Sweden - Author

Med Univ Innsbruck, Innsbruck, Austria - Author

Natl & Kapodistrian Univ Athens, Med Sch, Athens, Greece - Author

Natl Inst Publ Hlth & Environm, Bilthoven, Netherlands - Author

Publ Hlth Agcy Sweden, Solna, Sweden - Author

Publ Hlth England, London, England - Author

Robert Koch Inst, Berlin, Germany - Author

Sorbonne Univ, Inst Pierre Louis Epidemiol & Sante Publ, INSERM, Paris, France - Author

Statens Serum Inst, Copenhagen, Denmark - Author

Stichting HIV Monitoring, Amsterdam, Netherlands - Author

UCL, London, England - Author

Univ Amsterdam, Med Ctr, Amsterdam, Netherlands - Author

Univ Copenhagen, Rigshosp, Copenhagen, Denmark - Author

Univ Zagreb, Sch Med, Dept Infect Dis, Zagreb, Croatia - Author

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.

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Keywords

continuum of careeuropehiv infectionkey populationAntiretroviral therapyCascadeContinuum of careEuropeHiv careHiv infectionInfectionInitiationInject drugsKey populationPeoplePreventionSexTransmissionWomen

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal CLINICAL INFECTIOUS DISEASES due to its progression and the good impact it has achieved in recent years, according to the agency WoS (JCR), it has become a reference in its field. In the year of publication of the work, 2020, it was in position 3/93, thus managing to position itself as a Q1 (Primer Cuartil), in the category Infectious Diseases. Notably, the journal is positioned above the 90th percentile.

Independientemente del impacto esperado determinado por el canal de difusión, es importante destacar el impacto real observado de la propia aportación.

Según las diferentes agencias de indexación, el número de citas acumuladas por esta publicación hasta la fecha 2026-04-04:

WoS: 21
Scopus: 22

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Leadership analysis of institutional authors

This work has been carried out with international collaboration, specifically with researchers from: Austria; Croatia; Denmark; France; Germany; Greece; Italy; Martinique; Netherlands; Sweden; United Kingdom.

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Awards linked to the item

This work was supported by the European Centre for Disease Prevention and Control through a framework contract (ECDC/2016/028).

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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?

Affiliations

Abstract

Keywords

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

Leadership analysis of institutional authors

Awards linked to the item

Indexed in

License and Use

Citations

Altmetrics

Analysis of institutional authors

Share

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?

Affiliations

Abstract

Keywords

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

Impact and social visibility

Leadership analysis of institutional authors

Awards linked to the item