ArticleBMC infectious diseases2015
Good continuum of HIV care in Belgium despite weaknesses in retention and linkage to care among migrants.
Article in BMC infectious diseases, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.
- Linkage to HIV care following diagnosis in the WHO European Region: A systematic review and meta-analysis, 2006-2017.PloS one · 2018Pooled it
- Dual cross-sectional and longitudinal perspective on the continuum of HIV care to disentangle natural epidemic evolution from real progress, Belgium 2014-2022.HIV medicine · 2025Article
- Profile of Persons Recently Infected with HIV-1 in Belgium: New Insights to Tailor Prevention Efforts.AIDS and behavior · 2024Article
- Statistical methods applied for the assessment of the HIV cascade and continuum of care: a systematic scoping review.BMJ open · 2023Article
- Baseline and Process Factors of Anti-Retroviral Therapy That Predict Loss to Follow-up Among People Living with HIV/AIDS in China: A Retrospective Cohort Study.AIDS and behavior · 2022Article
- Incidence rate, predictors and outcomes of interruption of HIV care: nationwide results from the Belgian HIV cohort.HIV medicine · 2020Article
- The role of mobility in sexual risk behaviour and HIV acquisition among sub-Saharan African migrants residing in two European cities.PloS one · 2020Article
- Exploring HIV-1 Transmission Dynamics by Combining Phylogenetic Analysis and Infection Timing.Viruses · 2019Article
- Estimates of the HIV undiagnosed population in Belgium reveals higher prevalence for MSM with foreign nationality and for geographic areas hosting big cities.Journal of the International AIDS Society · 2019Article
- Earlier Initiation of Antiretroviral Treatment Coincides With an Initial Control of the HIV-1 Sub-Subtype F1 Outbreak Among Men-Having-Sex-With-Men in Flanders, Belgium.Frontiers in microbiology · 2019Article
- Article
- Persistent disparities in antiretroviral treatment (ART) coverage and virological suppression across Europe, 2004 to 2015.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2018Article
- HIV outcomes among migrants from low-income and middle-income countries living in high-income countries: a review of recent evidence.Current opinion in infectious diseases · 2018Review
- The Human Immunodeficiency Virus Continuum of Care in European Union Countries in 2013: Data and Challenges.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2017Article
- Differences between migrants and Spanish-born population through the HIV care cascade, Catalonia: an analysis using multiple data sources.Epidemiology and infection · 2017Article
Corrections and comments
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Authors and funding
12 authors at 8 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe Belgian HIV epidemic is largely concentrated among men who have sex with men and Sub-Saharan Africans. We studied the continuum of HIV care of those diagnosed with HIV living in Belgium and its associated factors.
methodsData on new HIV diagnoses 2007-2010 and HIV-infected patients in care in 2010-2011 were analysed. Proportions were estimated for each sequential stage of the continuum of HIV care and factors associated with attrition at each stage were studied.
resultsOf all HIV diagnosed patients living in Belgium in 2011, an estimated 98.2% were linked to HIV care, 90.8% were retained in care, 83.3% received antiretroviral therapy and 69.5% had an undetectable viral load (<50 copies/ml). After adjustment for sex, age at diagnosis, nationality and mode of transmission, we found lower entry into care in non-Belgians and after preoperative HIV diagnoses; lower retention in non-Belgians and injecting drug users; higher retention in men who have sex with men and among those on ART. Younger patients had lower antiretroviral therapy uptake and less viral suppression; those with longer time from diagnosis had higher ART uptake and more viral suppression; Sub-Saharan Africans on ART had slightly less viral suppression.
conclusionsThe continuum of HIV care in Belgium presents low attrition rates over all stages. The undiagnosed HIV-infected population, although not precisely estimated, but probably close to 20% based on available survey and surveillance results, could be the weakest stage of the continuum of HIV care. Its identification is a priority along with improving the HIV care continuum of migrants.
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