Quantifying unmet prevention needs among MSM in Europe through a multi-site bio-behavioural survey
| Autor: | Cinta Folch, Teymur Noori, Susanne Schink, Magdalena Rosińska, Lorenzo Gios, Alexandru Rafila, Danica Staneková, Christiana Nöstlinger, Carolina Marin, Lev Zohrabyan, Igor Toskin, Sónia Dias, Nigel Sherriff, Saulius Caplinskas, Ulrich Marcus, Sharon Kühlmann-Berenzon, Barbara Suligoi, Massimo Mirandola, Ivailo Alexiev, Cinthia Menel-Lemos, Irena Klavs |
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| Přispěvatelé: | Escola Nacional de Saúde Pública (ENSP), Centro de Investigação em Saúde Pública (CISP/PHRC), NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM), Global Health and Tropical Medicine (GHTM) |
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Male
Safe Sex HIV weighted prevalence Epidemiology GAM indicators HIV HIV testing MSM bio-behavioural survey HIV Infections law.invention Men who have sex with men Condoms 0302 clinical medicine law Surveys and Questionnaires Prevalence 030212 general & internal medicine Sampling frame AIDS Serodiagnosis virus diseases Sampling (statistics) Europe Geography Population Surveillance 0305 other medical science Needs Assessment Research Article Adult medicine.medical_specialty Sexual Behavior 03 medical and health sciences SDG 3 - Good Health and Well-being Acquired immunodeficiency syndrome (AIDS) Condom Virology Environmental health medicine Humans ddc:610 Homosexuality Male 030505 public health Data collection Unsafe Sex Public health Public Health Environmental and Occupational Health Monitoring and evaluation medicine.disease Health Surveys Cross-Sectional Studies 610 Medizin und Gesundheit |
| Zdroj: | Repositório Científico de Acesso Aberto de Portugal Repositório Científico de Acesso Aberto de Portugal (RCAAP) instacron:RCAAP Eurosurveillance |
| Popis: | Introduction The 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. Methods The 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. Results 4,901 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. Conclusion The 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. |
| Databáze: | OpenAIRE |
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