Quantifying unmet prevention needs among MSM in Europe through a multi-site bio-behavioural survey

Massimo Mirandola, Lorenzo Gios, Nigel Sherriff, U. Marcus, Igor Toskin, M. Rosinska, Susanne Schink, Sharon Kühlmann-Berenzon, Barbara Suligoi, C. Folch, Christiana Nöstlinger, Sonia Dias, Danica Stanekova, Irena Klavs, Saulius Caplinskas, Alexandru Rafila, Carolina Marin, Ivailo Alexiev, Lev Zohrabyan, Teymur Noori & 1 others Cinthia Menel-Lemos

Research output: Contribution to journalArticleResearchpeer-review

Abstract

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 multicentre
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.
Original languageEnglish
JournalEurosurveillance
Volume23
Issue number49
DOIs
Publication statusPublished - 6 Dec 2018

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Mirandola, Massimo ; Gios, Lorenzo ; Sherriff, Nigel ; Marcus, U. ; Toskin, Igor ; Rosinska, M. ; Schink, Susanne ; Kühlmann-Berenzon, Sharon ; Suligoi, Barbara ; Folch, C. ; Nöstlinger, Christiana ; Dias, Sonia ; Stanekova, Danica ; Klavs, Irena ; Caplinskas, Saulius ; Rafila, Alexandru ; Marin, Carolina ; Alexiev, Ivailo ; Zohrabyan, Lev ; Noori, Teymur ; Menel-Lemos, Cinthia. / Quantifying unmet prevention needs among MSM in Europe through a multi-site bio-behavioural survey. In: Eurosurveillance. 2018 ; Vol. 23, No. 49.
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title = "Quantifying unmet prevention needs among MSM in Europe through a multi-site bio-behavioural survey",
abstract = "Introduction: The HIV epidemic represents an importantpublic health issue in Europe particularly amongmen who have sex with men (MSM). Global AIDSMonitoring indicators (GAM) have been widely andjointly promoted as a set of crucial standardised itemsto be adopted for monitoring and responding to theepidemic. Methods: The Sialon II study, implementedin 13 European cities (2013-14), was a complex multicentreintegrated bio-behavioural cross-sectionalsurvey targeted at MSM, with a concomitant collectionof behavioural and biological (oral fluid or bloodspecimens) data. Rigorous sampling approaches forhard-to-reach populations were used (time-locationsampling and respondent-driven sampling) and GAMindicators were calculated; sampling frames wereadapted to allow weighted estimates of GAM indicators.Results: 4,901 MSM were enrolled. HIV prevalenceestimates ranged from 2.4{\%} in Stockholm to18.0{\%} in Bucharest. When exploring city-level correlationsbetween GAM indicators, prevention campaignssignificantly correlated with levels of condom useand level of HIV testing among MSM. Conclusion: TheSialon II project has made an important contributionto the monitoring and evaluation of the HIV epidemicacross Europe, integrating the use of GAM indicatorswithin a second generation HIV surveillance systemsapproach and in participatory collaboration withMSM communities. It influenced the harmonisation ofEuropean data collection procedures and indicatorsvia GAM country reporting and contributed essentialknowledge informing the development and implementationof strategic, evidence-based HIV preventioncampaigns for MSM.",
author = "Massimo Mirandola and Lorenzo Gios and Nigel Sherriff and U. Marcus and Igor Toskin and M. Rosinska and Susanne Schink and Sharon K{\"u}hlmann-Berenzon and Barbara Suligoi and C. Folch and Christiana N{\"o}stlinger and Sonia Dias and Danica Stanekova and Irena Klavs and Saulius Caplinskas and Alexandru Rafila and Carolina Marin and Ivailo Alexiev and Lev Zohrabyan and Teymur Noori and Cinthia Menel-Lemos",
year = "2018",
month = "12",
day = "6",
doi = "10.2807/1560-7917.ES.2018.23.49.1800097",
language = "English",
volume = "23",
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Mirandola, M, Gios, L, Sherriff, N, Marcus, U, Toskin, I, Rosinska, M, Schink, S, Kühlmann-Berenzon, S, Suligoi, B, Folch, C, Nöstlinger, C, Dias, S, Stanekova, D, Klavs, I, Caplinskas, S, Rafila, A, Marin, C, Alexiev, I, Zohrabyan, L, Noori, T & Menel-Lemos, C 2018, 'Quantifying unmet prevention needs among MSM in Europe through a multi-site bio-behavioural survey', Eurosurveillance, vol. 23, no. 49. https://doi.org/10.2807/1560-7917.ES.2018.23.49.1800097

Quantifying unmet prevention needs among MSM in Europe through a multi-site bio-behavioural survey. / Mirandola, Massimo; Gios, Lorenzo; Sherriff, Nigel; Marcus, U.; Toskin, Igor; Rosinska, M.; Schink, Susanne; Kühlmann-Berenzon, Sharon; Suligoi, Barbara; Folch, C.; Nöstlinger, Christiana; Dias, Sonia; Stanekova, Danica; Klavs, Irena; Caplinskas, Saulius; Rafila, Alexandru; Marin, Carolina; Alexiev, Ivailo ; Zohrabyan, Lev; Noori, Teymur; Menel-Lemos, Cinthia.

In: Eurosurveillance, Vol. 23, No. 49, 06.12.2018.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Quantifying unmet prevention needs among MSM in Europe through a multi-site bio-behavioural survey

AU - Mirandola, Massimo

AU - Gios, Lorenzo

AU - Sherriff, Nigel

AU - Marcus, U.

AU - Toskin, Igor

AU - Rosinska, M.

AU - Schink, Susanne

AU - Kühlmann-Berenzon, Sharon

AU - Suligoi, Barbara

AU - Folch, C.

AU - Nöstlinger, Christiana

AU - Dias, Sonia

AU - Stanekova, Danica

AU - Klavs, Irena

AU - Caplinskas, Saulius

AU - Rafila, Alexandru

AU - Marin, Carolina

AU - Alexiev, Ivailo

AU - Zohrabyan, Lev

AU - Noori, Teymur

AU - Menel-Lemos, Cinthia

PY - 2018/12/6

Y1 - 2018/12/6

N2 - Introduction: The HIV epidemic represents an importantpublic health issue in Europe particularly amongmen who have sex with men (MSM). Global AIDSMonitoring indicators (GAM) have been widely andjointly promoted as a set of crucial standardised itemsto be adopted for monitoring and responding to theepidemic. Methods: The Sialon II study, implementedin 13 European cities (2013-14), was a complex multicentreintegrated bio-behavioural cross-sectionalsurvey targeted at MSM, with a concomitant collectionof behavioural and biological (oral fluid or bloodspecimens) data. Rigorous sampling approaches forhard-to-reach populations were used (time-locationsampling and respondent-driven sampling) and GAMindicators were calculated; sampling frames wereadapted to allow weighted estimates of GAM indicators.Results: 4,901 MSM were enrolled. HIV prevalenceestimates ranged from 2.4% in Stockholm to18.0% in Bucharest. When exploring city-level correlationsbetween GAM indicators, prevention campaignssignificantly correlated with levels of condom useand level of HIV testing among MSM. Conclusion: TheSialon II project has made an important contributionto the monitoring and evaluation of the HIV epidemicacross Europe, integrating the use of GAM indicatorswithin a second generation HIV surveillance systemsapproach and in participatory collaboration withMSM communities. It influenced the harmonisation ofEuropean data collection procedures and indicatorsvia GAM country reporting and contributed essentialknowledge informing the development and implementationof strategic, evidence-based HIV preventioncampaigns for MSM.

AB - Introduction: The HIV epidemic represents an importantpublic health issue in Europe particularly amongmen who have sex with men (MSM). Global AIDSMonitoring indicators (GAM) have been widely andjointly promoted as a set of crucial standardised itemsto be adopted for monitoring and responding to theepidemic. Methods: The Sialon II study, implementedin 13 European cities (2013-14), was a complex multicentreintegrated bio-behavioural cross-sectionalsurvey targeted at MSM, with a concomitant collectionof behavioural and biological (oral fluid or bloodspecimens) data. Rigorous sampling approaches forhard-to-reach populations were used (time-locationsampling and respondent-driven sampling) and GAMindicators were calculated; sampling frames wereadapted to allow weighted estimates of GAM indicators.Results: 4,901 MSM were enrolled. HIV prevalenceestimates ranged from 2.4% in Stockholm to18.0% in Bucharest. When exploring city-level correlationsbetween GAM indicators, prevention campaignssignificantly correlated with levels of condom useand level of HIV testing among MSM. Conclusion: TheSialon II project has made an important contributionto the monitoring and evaluation of the HIV epidemicacross Europe, integrating the use of GAM indicatorswithin a second generation HIV surveillance systemsapproach and in participatory collaboration withMSM communities. It influenced the harmonisation ofEuropean data collection procedures and indicatorsvia GAM country reporting and contributed essentialknowledge informing the development and implementationof strategic, evidence-based HIV preventioncampaigns for MSM.

U2 - 10.2807/1560-7917.ES.2018.23.49.1800097

DO - 10.2807/1560-7917.ES.2018.23.49.1800097

M3 - Article

VL - 23

JO - Eurosurveillance

JF - Eurosurveillance

SN - 1560-7917

IS - 49

ER -