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dc.contributor.authorVourli, Georgia
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.authorDiaz Franco, Asuncion 
dc.contributor.authorGirardi, Enrico
dc.contributor.authorGunsenheimer-Bartmeyer, Barbara
dc.contributor.authorHernando Sebastian, Victoria 
dc.contributor.authorLeierer, Gisela
dc.contributor.authorLot, Florence
dc.contributor.authorNuñez, 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.identifier.citationClin Infect Dis . 2020 Sep 22;ciaa696.es_ES
dc.description.abstractHigh 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. 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. 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. 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.es_ES
dc.description.sponsorshipThis work was supported by the European Centre for Disease Prevention and Control through a framework contract (ECDC/2016/028).es_ES
dc.publisherOxford University Press es_ES
dc.subject.meshHIV infectiones_ES
dc.subject.meshcontinuum of carees_ES
dc.subject.meshkey populationes_ES
dc.subject.meshSex es_ES
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?es_ES
dc.typejournal articlees_ES
dc.rights.licenseAttribution-NonCommercial-NoDerivatives 4.0 Internacional*
dc.contributor.funderEuropean Centre for Disease Prevention and Control (ECDC)
dc.identifier.journalClinical infectious diseases : an official publication of the Infectious Diseases Society of Americaes_ES
dc.repisalud.centroISCIII::Centro Nacional de Epidemologíaes_ES
dc.rights.accessRightsopen accesses_ES

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Attribution-NonCommercial-NoDerivatives 4.0 Internacional
This item is licensed under a: Attribution-NonCommercial-NoDerivatives 4.0 Internacional