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Quantifying unmet prevention needs among MSM in Europe through a multi-site bio-behavioural survey.
- Source :
-
Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin [Euro Surveill] 2018 Dec; Vol. 23 (49). - Publication Year :
- 2018
-
Abstract
- IntroductionThe HIV epidemic represents an important public health issue in Europe particularly among men who have sex with men (MSM). Global AIDS Monitoring indicators (GAM) have been widely and jointly promoted as a set of crucial standardised items to be adopted for monitoring and responding to the epidemic.MethodsThe Sialon II study, implemented in 13 European cities (2013-14), was a complex multi-centre integrated bio-behavioural cross-sectional survey targeted at MSM, with a concomitant collection of behavioural and biological (oral fluid or blood specimens) data. Rigorous sampling approaches for hard-to-reach populations were used (time-location sampling and respondent-driven sampling) and GAM indicators were calculated; sampling frames were adapted to allow weighted estimates of GAM indicators.Results4,901 MSM were enrolled. HIV prevalence estimates ranged from 2.4% in Stockholm to 18.0% in Bucharest. When exploring city-level correlations between GAM indicators, prevention campaigns significantly correlated with levels of condom use and level of HIV testing among MSM.ConclusionThe Sialon II project has made an important contribution to the monitoring and evaluation of the HIV epidemic across Europe, integrating the use of GAM indicators within a second generation HIV surveillance systems approach and in participatory collaboration with MSM communities. It influenced the harmonisation of European data collection procedures and indicators via GAM country reporting and contributed essential knowledge informing the development and implementation of strategic, evidence-based HIV prevention campaigns for MSM.
- Subjects :
- Adult
Condoms statistics & numerical data
Cross-Sectional Studies
Europe epidemiology
HIV Infections epidemiology
Health Surveys
Homosexuality, Male psychology
Humans
Male
Prevalence
Safe Sex
Surveys and Questionnaires
Unsafe Sex
AIDS Serodiagnosis statistics & numerical data
HIV Infections prevention & control
Homosexuality, Male statistics & numerical data
Needs Assessment statistics & numerical data
Population Surveillance methods
Sexual Behavior statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 1560-7917
- Volume :
- 23
- Issue :
- 49
- Database :
- MEDLINE
- Journal :
- Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin
- Publication Type :
- Academic Journal
- Accession number :
- 30621823
- Full Text :
- https://doi.org/10.2807/1560-7917.ES.2018.23.49.1800097