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Abstract

In 2019, only 14 European and Central Asian countries provided reimbursed HIV pre-exposure prophylaxis (PrEP). Using EMIS-2017 data, we present the difference between self-reported use and expressed need for PrEP in individual countries and the European Union (EU). We estimate that 500,000 men who have sex with men in the EU cannot access PrEP, although they would be very likely to use it. PrEP’s potential to eliminate HIV is currently unrealised by national healthcare systems.

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A corrected article has been published for this content:
Erratum for Euro Surveill. 2019;24(41)
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/content/10.2807/1560-7917.ES.2019.24.41.1900598
2019-10-10
2024-12-26
/content/10.2807/1560-7917.ES.2019.24.41.1900598
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References

  1. Grant RM, Lama JR, Anderson PL, McMahan V, Liu AY, Vargas L, et al. Preexposure chemoprophylaxis for HIV prevention in men who have sex with men. N Engl J Med. 2010;363(27):2587-99.  https://doi.org/10.1056/NEJMoa1011205  PMID: 21091279 
  2. McCormack S, Dunn DT, Desai M, Dolling DI, Gafos M, Gilson R, et al. Pre-exposure prophylaxis to prevent the acquisition of HIV-1 infection (PROUD): effectiveness results from the pilot phase of a pragmatic open-label randomised trial. Lancet. 2016;387(10013):53-60.  https://doi.org/10.1016/S0140-6736(15)00056-2  PMID: 26364263 
  3. Molina J-M, Capitant C, Spire B, Pialoux G, Cotte L, Charreau I, et al. On-demand pre-exposure prophylaxis in men at high risk for HIV-1 Infection. N Engl J Med. 2015;373(23):2237-46.  https://doi.org/10.1056/NEJMoa1506273  PMID: 26624850 
  4. Grulich AE, Guy R, Amin J, Jin F, Selvey C, Holden J, et al. Population-level effectiveness of rapid, targeted, high-coverage roll-out of HIV pre-exposure prophylaxis in men who have sex with men: the EPIC-NSW prospective cohort study. Lancet HIV. 2018;5(11):e629-37.  https://doi.org/10.1016/S2352-3018(18)30215-7  PMID: 30343026 
  5. Joint United Nations Programme on HIV/AIDS (UNAIDS). UNAIDS Strategy 2016-2021. Geneva, UNAIDS; Switzerland; 2015.
  6. European Centre for Disease Prevention and Control (ECDC). Pre-exposure prophylaxis to prevent HIV among MSM in Europe. Stockholm: ECDC; 2015. Available from: https://www.ecdc.europa.eu/en/news-events/pre-exposure-prophylaxis-prevent-hiv-among-msm-europe
  7. World Health Organization (WHO). WHO expands recommendation on oral pre-exposure prophylaxis of HIV infection (PrEP). Copenhagen: WHO; 2015. Available from: https://www.who.int/hiv/pub/prep/policy-brief-prep-2015/en/
  8. Bradshaw J. A taxonomy of social need. In: Problems and progress in medical care. McLachlan G, editor. London: Oxford University Press; 1972.
  9. European Centre for Disease Prevention and Control (ECDC). Dublin Declaration monitoring- 2018 progress. Stockholm: ECDC; 2018. Available from: https://www.ecdc.europa.eu/en/all-topics/hiv-infection-and-aids/prevention/monitoring-implementation-dublin-2018
  10. The EMIS Network. EMIS-2017 – The European Men-Who-Have-Sex-With-Men Internet Survey. Key findings from 50 countries. Stockholm: European Centre for Disease Prevention and Control; 2019.Available from: https://www.ecdc.europa.eu/en/publications-data/emis-2017-european-men-who-have-sex-men-internet-survey
  11. Weatherburn P, Hickson F, Reid DS, Marcus U, Schmidt AJ, et al. The European Men-Who-Have-Sex-With-Men Internet Survey (EMIS-2017): design and methods. Sex Res Soc Policy. Forthcoming. https://doi.org/10.1007/s13178-013-0119-4 
  12. European Centre for Disease Prevention and Control (ECDC). Evidence brief: Pre-exposure prophylaxis for HIV prevention in Europe. Stockholm: ECDC; 2016. Available from: https://www.ecdc.europa.eu/en/publications-data/ecdc-evidence-brief-pre-exposure-prophylaxis-hiv-prevention-europe
  13. Bourne A, Alba B, Garner A, Spiteri G, Pharris A, Noori T. Use of, and likelihood of using, HIV pre-exposure prophylaxis among men who have sex with men in Europe and Central Asia: findings from a 2017 large geosocial networking application survey. Sex Transm Infect. 2019;95(3):187-92.  https://doi.org/10.1136/sextrans-2018-053705  PMID: 30612107 
  14. Mercer CH, Tanton C, Prah P, Erens B, Sonnenberg P, Clifton S, et al. Changes in sexual attitudes and lifestyles in Britain through the life course and over time: findings from the National Surveys of Sexual Attitudes and Lifestyles (Natsal). Lancet. 2013;382(9907):1781-94.  https://doi.org/10.1016/S0140-6736(13)62035-8  PMID: 24286784 
  15. Marcus U, Hickson F, Weatherburn P, Schmidt AJEMIS Network. Estimating the size of the MSM populations for 38 European countries by calculating the survey-surveillance discrepancies (SSD) between self-reported new HIV diagnoses from the European MSM internet survey (EMIS) and surveillance-reported HIV diagnoses among MSM in 2009. BMC Public Health. 2013;13(1):919.  https://doi.org/10.1186/1471-2458-13-919  PMID: 24088198 
  16. European Centre for Disease Prevention and Control and World Health Organization Regional Office for Europe (WHO/Europe). HIV/AIDS surveillance in Europe 2018 – 2017 data. Copenhagen: WHO/Europe; 2018. Available from: https://www.ecdc.europa.eu/en/publications-data/hivaids-surveillance-europe-2018-2017-data
Estimating the ‘PrEP Gap’: how implementation and access to PrEP differ between countries in Europe and Central Asia in 2019
<p class="citation"> <span>Citation style for this article:</span> <span class="meta-value authors"> <a href="/search?value1=Rosalie+Hayes&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Hayes Rosalie</a>, <a href="/search?value1=Axel+J+Schmidt&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Schmidt Axel J</a>, <a href="/search?value1=Anastasia+Pharris&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Pharris Anastasia</a>, <a href="/search?value1=Yusef+Azad&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Azad Yusef</a>, <a href="/search?value1=Alison+E+Brown&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Brown Alison E</a>, <a href="/search?value1=Peter+Weatherburn&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Weatherburn Peter</a>, <a href="/search?value1=Ford+Hickson&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Hickson Ford</a>, <a href="/search?value1=Valerie+Delpech&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Delpech Valerie</a>, <a href="/search?value1=Teymur+Noori&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Noori Teymur</a>, <a href="/search?value1=the+ECDC+Dublin+Declaration+Monitoring+Network&option1=author&noRedirect=true" class="nonDisambigAuthorLink">the ECDC Dublin Declaration Monitoring Network</a></span>. Estimating the ‘PrEP Gap’: how implementation and access to PrEP differ between countries in Europe and Central Asia in 2019. <a href="/content/ecdc">Euro Surveill.</a> 2019;24(41):pii=1900598. <a href="https://doi.org/10.2807/1560-7917.ES.2019.24.41.1900598" title="doi link" target="_blank">https://doi.org/10.2807/1560-7917.ES.2019.24.41.1900598</a> <span class="ES_Article_citation"> <span class="generated">Received</span>: 26 Sept 2019;&nbsp;&nbsp; <span class="generated">Accepted</span>: 09 Oct 2019 </span> </p>
/content/10.2807/1560-7917.ES.2019.24.41.1900598
/content/10.2807/1560-7917.ES.2019.24.41.1900598
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