STI and HIV prevention in men who have sex with men in Europe
This report gives an overview of the current status of STI and HIV among men who have sex with men (MSM) in EU/EEA countries. It reviews HIV and STI prevention interventions targeted at MSM, and the evaluations of those interventions. Education-based interventions were the most frequent prevention intervention activity followed by counselling and testing.
The report found that although the focus of HIV and STI prevention intervention for MSM may be disease specific, the integration of prevention intervention into a comprehensive approach for disease prevention in the context of sexual health for MSM should be considered.
Across Europe men who have sex with men (MSM) represent one of the key groups affected by HIV and other sexually transmitted infections (STI). At present, MSM account for almost half of all syphilis cases reported in Europe – with some countries reporting almost 80% of all cases in this group. On-going outbreaks and rising trends among MSM suggest the need for reinforced prevention initiatives.
The report STI and HIV prevention in men who have sex with men in Europe identifies many of the needs and challenges with respect to STI and HIV prevention among MSM. Despite the increasing STI and HIV trends, many innovative approaches to prevention among MSM exist.
Sharing these practices between the EU Member States is essential to effectively tackle STI and HIV in the wider context of the sexual health of men who have sex with men in Europe. Divided in three parts, the document offers an updated inventory of STI and HIV trends among MSM in Europe from 1995-2010, a literature review of behavioural and psychosocial STI and HIV prevention interventions among MSM and a review of intervention evaluations
The report recognises that combined prevention interventions are a key to control STI and HIV. Moreover, to improve the quality and effectiveness of prevention interventions, the design of any intervention should be based on epidemiological appraisal and behavioural profile of the specific MSM population. Consistent surveillance systems that support interpretation of trends and dissemination of prevention intervention need to be implemented at national and local level.
ECDC Evidence Brief: Pre-exposure prophylaxis for HIV prevention in Europe and Central Asia
28 Nov 2019 - This evidence brief summarises key issues and priorities for action in Europe and Central Asia on PrEP. It is largely based on data collected in 2018 and 2019 by the European Centre for Disease Prevention and Control (ECDC) to monitor implementation of the 2004 Dublin Declaration. The monitoring questionnaire was disseminated to the 53 countries that are part of the WHO European Region, plus Kosovo and Liechtenstein via an online survey.
HIV testing, Monitoring implementation of the Dublin Declaration on partnership to fight HIV/AIDS in Europe and Central Asia: 2018 progress report
27 Nov 2019 - This report presents the situation of HIV testing in Europe and Central Asia. It summarises data on implementation of national guidelines that shape HIV testing policies, the provision and uptake of HIV testing services in general and among key populations, and efforts being made to widen engagement with HIV testing and reduce late diagnosis.
HIV and people who inject drugs - Monitoring implementation of the Dublin Declaration on partnership to fight HIV/AIDS in Europe and Central Asia: 2018 progress report
9 Oct 2019 - This report summarises key issues related to HIV and people who inject drugs in Europe and Central Asia based on data provided by countries for reporting on the Dublin Declaration in 2018.