title: HIV bio-behavioural survey among men who have sex with men in Barcelona, Bratislava, Bucharest, Ljubljana, Prague and Verona, 2008-2009.
abstract: Data from 23 European countries show that the annual number of HIV diagnoses in men who have sex with men (MSM) increased by 86% between 2000 and 2006. This paper reports the main preliminary results of a bio-behavioural survey in MSM with a specific focus on HIV prevalence and use of United Nations General Assembly Special Session (UNGASS) indicators in six cities in Southern and Eastern Europe. Time-location sampling (TLS) was used. A total number of 2,356 questionnaires and 2,241 oral fluid samples were collected (invalid samples 4.1%). The data show different socio-demographic patterns across countries regarding age, level of education, living conditions, living area and self-identity. Southern European cities had the highest percentage of people who had tested for HIV and collected the result. More than 50% of respondents in the sample from Barcelona reported having used a condom last time they had anal sex (57.2%), whilst in all other cities this proportion was below 50%. The cities with the highest HIV prevalence in MSM were Barcelona (17.0%) and Verona (11.8%) whilst lower percentages were reported in Bratislava (6.1%), Bucharest (4.6%), Ljubljana (5.1%) and Prague (2.6%). The low prevalence in Eastern European cities is encouraging. However, with the level of high-risk sexual behaviour documented and the lower frequency of HIV test seeking behaviour, there is a clear risk of an increase in HIV transmission.
authors.affiliation: Regional Centre for Health Promotion, ULSS 20 - Veneto Region, Verona, Italy. m.mirandola@crrps.org
authors.forename: M
authors.initials: M
authors.lastname: Mirandola
authors.forename: C
authors.initials: C
authors.lastname: Folch Toda
authors.forename: I
authors.initials: I
authors.lastname: Krampac
authors.forename: I
authors.initials: I
authors.lastname: Nita
authors.forename: D
authors.initials: D
authors.lastname: Stanekova
authors.forename: D
authors.initials: D
authors.lastname: Stehlikova
authors.forename: I
authors.initials: I
authors.lastname: Toskin
authors.forename: L
authors.initials: L
authors.lastname: Gios
authors.forename: J P
authors.initials: JP
authors.lastname: Foschia
authors.forename: M
authors.initials: M
authors.lastname: Breveglieri
authors.forename: M
authors.initials: M
authors.lastname: Furegato
authors.forename: E
authors.initials: E
authors.lastname: Castellani
authors.forename: M G
authors.initials: MG
authors.lastname: Bonavina
mesh_terms: D000328:Adult; D004196:Disease Outbreaks / Q000706:statistics & numerical data*; D005060:Europe / Q000453:epidemiology; D015658:HIV Infections / Q000453:epidemiology*; D018451:Homosexuality, Male / Q000706:statistics & numerical data*; D006801:Humans; D015994:Incidence; D008297:Male; D011159:Population Surveillance; D018570:Risk Assessment; D012307:Risk Factors