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dc.contributor.authorGourlay, Annabelleen
dc.contributor.authorNoori, T.en
dc.contributor.authorPharris, Anastasiaen
dc.contributor.authorAvdicova, Mariaen
dc.contributor.authorCostagliola, Dominiqueen
dc.contributor.authorCowan, Susanen
dc.contributor.authorCroxford, Saraen
dc.contributor.authorMonforte, A. D'arminioen
dc.contributor.authorAmo, Julia delen
dc.contributor.authorDelpech, Valerieen
dc.contributor.authorDiaz, Alejandroen
dc.contributor.authorGirardi, Enricoen
dc.contributor.authorGunsenheimer-Bartmeyer, Barbaraen
dc.contributor.authorHernando, Victoriaen
dc.contributor.authorJose, Sophieen
dc.contributor.authorLeierer, Giselaen
dc.contributor.authorNikolopoulos, Georgios K.en
dc.contributor.authorObel, N.en
dc.contributor.authorCoul, E. Op Deen
dc.contributor.authorParaskeva, D.en
dc.contributor.authorReiss, P.en
dc.contributor.authorSabin, C.en
dc.contributor.authorSasse, A.en
dc.contributor.authorSchmid, D.en
dc.contributor.authorSonnerborg, A.en
dc.contributor.authorSpina, A.en
dc.contributor.authorSuligoi, B.en
dc.contributor.authorSupervie, V.en
dc.contributor.authorTouloumi, G.en
dc.contributor.authorBeckhoven, D. Vanen
dc.contributor.authorSighem, A. Vanen
dc.contributor.authorVourli, G.en
dc.contributor.authorZangerle, R.en
dc.contributor.authorPorter, K.en
dc.creatorGourlay, Annabelleen
dc.creatorNoori, T.en
dc.creatorPharris, Anastasiaen
dc.creatorAvdicova, Mariaen
dc.creatorCostagliola, Dominiqueen
dc.creatorCowan, Susanen
dc.creatorCroxford, Saraen
dc.creatorMonforte, A. D'arminioen
dc.creatorAmo, Julia delen
dc.creatorDelpech, Valerieen
dc.creatorDiaz, Alejandroen
dc.creatorGirardi, Enricoen
dc.creatorGunsenheimer-Bartmeyer, Barbaraen
dc.creatorHernando, Victoriaen
dc.creatorJose, Sophieen
dc.creatorLeierer, Giselaen
dc.creatorNikolopoulos, Georgios K.en
dc.creatorObel, N.en
dc.creatorCoul, E. Op Deen
dc.creatorParaskeva, D.en
dc.creatorReiss, P.en
dc.creatorSabin, C.en
dc.creatorSasse, A.en
dc.creatorSchmid, D.en
dc.creatorSonnerborg, A.en
dc.creatorSpina, A.en
dc.creatorSuligoi, B.en
dc.creatorSupervie, V.en
dc.creatorTouloumi, G.en
dc.creatorBeckhoven, D. Vanen
dc.creatorSighem, A. Vanen
dc.creatorVourli, G.en
dc.creatorZangerle, R.en
dc.creatorPorter, K.en
dc.description.abstractBackground. The Joint United Nations Programme on HIV/AIDS (UNAIDS) has set a "90-90-90" target to curb the human immunodeficiency virus (HIV) epidemic by 2020, but methods used to assess whether countries have reached this target are not standardized, hindering comparisons. Methods. Through a collaboration formed by the European Centre for Disease Prevention and Control (ECDC) with European HIV cohorts and surveillance agencies, we constructed a standardized, 4-stage continuum of HIV care for 11 European Union countries for 2013. Stages were defined as (1) number of people living with HIV in the country by end of 2013; (2) proportion of stage 1 ever diagnosed; (3) proportion of stage 2 that ever initiated ART; and (4) proportion of stage 3 who became virally suppressed (≤200 copies/mL). Case surveillance data were used primarily to derive stages 1 (using back-calculation models) and 2, and cohort data for stages 3 and 4. Results. In 2013, 674500 people in the 11 countries were estimated to be living with HIV, ranging from 5500 to 153400 in each country. Overall HIV prevalence was 0.22% (range, 0.09%-0.36%). Overall proportions of each previous stage were 84% diagnosed, 84% on ART, and 85% virally suppressed (60% of people living with HIV). Two countries achieved ≥90% for all stages, and more than half had reached ≥90% for at least 1 stage. Conclusions. European Union countries are nearing the 90-90-90 target. Reducing the proportion undiagnosed remains the greatest barrier to achieving this target, suggesting that further efforts are needed to improve HIV testing rates. Standardizing methods to derive comparable continuums of care remains a challenge. © The Author 2017. Published by Oxford University Press for the Infectious Diseases Society of America.en
dc.sourceClinical Infectious Diseasesen
dc.subjectCohort analysisen
dc.subjectAntiretroviral therapy.en
dc.subjectContinuum of careen
dc.subjectHiv infectionen
dc.titleThe human immunodeficiency virus continuum of care in European Union Countries in 2013: Data and Challengesen
dc.description.endingpage1656Ιατρική Σχολή / Medical School
dc.contributor.orcidNikolopoulos, Georgios K.[0000-0002-3307-0246]

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