3 research outputs found
Modeling of the HIV infection epidemic in the Netherlands: A multi-parameter evidence synthesis approach
Multi-parameter evidence synthesis (MPES) is receiving growing attention from
the epidemiological community as a coherent and flexible analytical framework
to accommodate a disparate body of evidence available to inform disease
incidence and prevalence estimation. MPES is the statistical methodology
adopted by the Health Protection Agency in the UK for its annual national
assessment of the HIV epidemic, and is acknowledged by the World Health
Organization and UNAIDS as a valuable technique for the estimation of adult HIV
prevalence from surveillance data. This paper describes the results of
utilizing a Bayesian MPES approach to model HIV prevalence in the Netherlands
at the end of 2007, using an array of field data from different study designs
on various population risk subgroups and with a varying degree of regional
coverage. Auxiliary data and expert opinion were additionally incorporated to
resolve issues arising from biased, insufficient or inconsistent evidence. This
case study offers a demonstration of the ability of MPES to naturally integrate
and critically reconcile disparate and heterogeneous sources of evidence, while
producing reliable estimates of HIV prevalence used to support public health
decision-making.Comment: Published in at http://dx.doi.org/10.1214/11-AOAS488 the Annals of
Applied Statistics (http://www.imstat.org/aoas/) by the Institute of
Mathematical Statistics (http://www.imstat.org
HIV seroprevalence in five key populations in Europe: a systematic literature review, 2009 to 2019
International audienceBackgroundIn Europe, HIV disproportionately affects men who have sex with men (MSM), people who inject drugs (PWID), prisoners, sex workers, and transgender people. Epidemiological data are primarily available from national HIV case surveillance systems that rarely capture information on sex work, gender identity or imprisonment. Surveillance of HIV prevalence in key populations often occurs as independent studies with no established mechanism for collating such information at the European level.AimWe assessed HIV prevalence in MSM, PWID, prisoners, sex workers, and transgender people in the 30 European Union/European Economic Area countries and the United Kingdom.MethodsWe conducted a systematic literature review of peer-reviewed studies published during 2009–19, by searching PubMed, Embase and the Cochrane Library. Data are presented in forest plots by country, as simple prevalence or pooled across multiple studies.ResultsEighty-seven country- and population-specific studies were identified from 23 countries. The highest number of studies, and the largest variation in HIV prevalence, were identified for MSM, ranging from 2.4–29.0% (19 countries) and PWID, from 0.0–59.5% (13 countries). Prevalence ranged from 0.0–15.6% in prisoners (nine countries), 1.1–8.5% in sex workers (five countries) and was 10.9% in transgender people (one country). Individuals belonging to several key population groups had higher prevalence.ConclusionThis review demonstrates that HIV prevalence is highly diverse across population groups and countries. People belonging to multiple key population groups are particularly vulnerable; however, more studies are needed, particularly for sex workers, transgender people and people with multiple risks