2026-04-26T23:28:56Zhttps://repisalud.isciii.es/rest/oai/request

oai:repisalud.isciii.es:20.500.12105/112902025-05-08T15:20:08Zcom_20.500.12105_2052com_20.500.12105_2051col_20.500.12105_19608

00925njm 22002777a 4500 dc Vourli, Georgia author Noori, Teymur author Pharris, Anastasia author Porter, Kholoud author Axelsson, Maria author Begovac, Josip author Cazein, Francoise author Costagliola, Dominique author Cowan, Susan author Croxford, Sara author d'Arminio Monforte, Antonella author Delpech, Valerie author Diaz Franco, Asuncion author Girardi, Enrico author Gunsenheimer-Bartmeyer, Barbara author Hernando Sebastian, Victoria author Leierer, Gisela author Lot, Florence author Nuñez, Olivier author Obel, Niels author Op de Coul, Eline author Paraskeva, Dimitra author Patrinos, Stavros author Reiss, Peter author Schmid, Daniela author Sönnerborg, Anders author Suligoi, Barbara author Supervie, Virginie author van Sighem, Ard author Zangerle, Robert author Touloumi, Giota author 2020-09-22 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. Clin Infect Dis . 2020 Sep 22;ciaa696. 1058-4838 http://hdl.handle.net/20.500.12105/11290 32960957 10.1093/cid/ciaa696 1537-6591 Clinical infectious diseases : an official publication of the Infectious Diseases Society of America 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?