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dc.contributor.authorPons, M
dc.contributor.authorTen, A
dc.contributor.authorMarcos, H
dc.contributor.authorGutierrez, G
dc.contributor.authorMoreno, S
dc.contributor.authorGonzalez-Garcia, J
dc.contributor.authorBarrios, Am
dc.contributor.authorArponen, S
dc.contributor.authorGarcia, Mt
dc.contributor.authorRoyo, Mc
dc.contributor.authorToledo, J
dc.contributor.authorGonzalez, G
dc.contributor.authorAranguren, R
dc.contributor.authorIzquierdo, A
dc.contributor.authorViloria, Lj
dc.contributor.authorElizalde, L
dc.contributor.authorMartinez, E
dc.contributor.authorCastrillejo, D
dc.contributor.authorLopez, I
dc.contributor.authorRedondo, C
dc.contributor.authorCano, A
dc.contributor.authorHospital Survey Study Group
dc.contributor.authorDiez Ruiz-Navarro, Mercedes 
dc.contributor.authorDiaz Franco, Asuncion 
dc.contributor.authorGarriga, Cesar
dc.identifier.citationEuro Surveill . 2014 May 22;19(20):20805.es_ES
dc.description.abstractA second-generation surveillance system of people infected with human immunodeficiency virus (HIV) has been implemented in Spain. Behavioural and clinical data were collected between 2002 and 2011 through an annual one-day, cross-sectional survey in public hospitals, including all in- and outpatients receiving HIVrelated care on the survey day. Mean age increased over time (from 38.7 years in 2002 to 43.8 years in 2011) and 68.4% of the 7,205 subjects were male. The proportion of migrants increased from 6.1% to 15.9%, while people who inject or used to inject drugs (PWID and Ex-PWID) decreased and men who have sex with men (MSM) and heterosexuals increased. Unprotected intercourse at last sex increased among MSM and PWID/Ex-PWID. Patients receiving antiretroviral treatment increased significantly from 76.0% to 88.2% as did those with CD4 T-cell counts ≥350 (from 48.2% to 66.9%) and viral copies <200 (from 47.0% to 85.2%). HIV-infected people with hepatitis C virus RNA decreased from 36.0% in 2004 to 29.9% in 2011, while those with HBsAg remained stable at around 4.4%. Implementation of a low-cost, sustainable system for second-generation surveillance in people living with HIV is feasible. In Spain, the information obtained has helped to define and refine public health policy and document treatment effectiveness.es_ES
dc.description.sponsorshipThe authors are grateful to all patients and clinical staff who have participated in the survey, for their kind collaboration, to Anastasia Pharris for critical review of the manuscript, and to Kathy Fitch for the English reviewes_ES
dc.publisherEuropean Centre for Disease Prevention and Control (ECDC) es_ES
dc.subject.meshHealth Behavior es_ES
dc.subject.meshSexual Behavior es_ES
dc.subject.meshAdult es_ES
dc.subject.meshAnti-Retroviral Agents es_ES
dc.subject.meshCD4 Lymphocyte Count es_ES
dc.subject.meshCross-Sectional Studies es_ES
dc.subject.meshFemale es_ES
dc.subject.meshHIV Infections es_ES
dc.subject.meshHealth Surveys es_ES
dc.subject.meshHepatitis C es_ES
dc.subject.meshHeterosexuality es_ES
dc.subject.meshHomosexuality, Male es_ES
dc.subject.meshHospitals, Public es_ES
dc.subject.meshHumans es_ES
dc.subject.meshMale es_ES
dc.subject.meshMiddle Aged es_ES
dc.subject.meshPopulation Surveillance es_ES
dc.subject.meshSocioeconomic Factors es_ES
dc.subject.meshSpain es_ES
dc.subject.meshSubstance Abuse, Intravenouses_ES
dc.titleA low-cost, sustainable, second generation system for surveillance of people living with HIV in Spain: 10-year trends in behavioural and clinical indicators, 2002 to 2011.es_ES
dc.typejournal articlees_ES
dc.rights.licenseAtribución-NoComercial-CompartirIgual 4.0 Internacional*
dc.identifier.journalEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletines_ES
dc.repisalud.centroISCIII::Centro Nacional de Epidemiologíaes_ES
dc.rights.accessRightsopen accesses_ES

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Atribución-NoComercial-CompartirIgual 4.0 Internacional
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