{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T21:37:52Z","timestamp":1792618672992,"version":"4.5.0"},"reference-count":24,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T00:00:00Z","timestamp":1778025600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T00:00:00Z","timestamp":1778025600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000805","name":"European Centre for Disease Prevention and Control","doi-asserted-by":"publisher","award":["ECDC\/2023\/029"],"award-info":[{"award-number":["ECDC\/2023\/029"]}],"id":[{"id":"10.13039\/501100000805","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000805","name":"European Centre for Disease Prevention and Control","doi-asserted-by":"publisher","award":["RS\/2024\/DPR\/26784\/839"],"award-info":[{"award-number":["RS\/2024\/DPR\/26784\/839"]}],"id":[{"id":"10.13039\/501100000805","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["HIV Medicine"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This paper aims to present available data on national responses to HIV for trans populations related to national policies, legal environments and prevention programmes, as reported by European and Central Asian countries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Between February and April 2024, the European Centre for Disease Prevention and Control disseminated an online questionnaire to nominated National HIV Focal Points in Europe and Central Asia to monitor implementation of the Dublin Declaration on partnership to fight HIV\/AIDS. This included questions on national HIV policies, legal environments, prevention programmes, the continuum of HIV care and avoidance of healthcare.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twenty\u2010three of 50 countries involve trans people in the content and development of national HIV strategies and policies related to their health. Two of 47 countries enact punitive legislation against trans people, and there is some evidence of healthcare seeking avoidance among trans people due to stigma in healthcare settings. In half of reporting countries (23\/46), trans people have free (no cost) access to sexually transmitted infection testing and treatment. Limited availability and quality of national HIV data on the number of trans people diagnosed, treated and virally suppressed prevent the accurate measurement of progress towards global HIV targets for this key population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Trans people are to a lesser extent than other key populations addressed in national HIV policies and strategies, and the data available from countries suggest lower levels of access to services because of costs, unsupportive legal environments and avoidance of seeking healthcare services. Without comprehensive and trans\u2010inclusive data collection, national and regional HIV responses may risk neglecting the specific needs of trans people in HIV prevention.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hiv.70250","type":"journal-article","created":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T01:59:21Z","timestamp":1778119161000},"page":"1358-1366","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Monitoring the\n                    <scp>HIV<\/scp>\n                    response for trans people in Europe and Central Asia"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1780-6927","authenticated-orcid":false,"given":"S.","family":"North","sequence":"first","affiliation":[{"name":"Rigshospitalet Centre of Excellence for Health, Immunity and Infections (CHIP)  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P. A.","family":"Calderon\u2010Cifuentes","sequence":"additional","affiliation":[{"name":"Trans Europe and Central Asia (TGEU)  Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Raben","sequence":"additional","affiliation":[{"name":"Rigshospitalet Centre of Excellence for Health, Immunity and Infections (CHIP)  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Bivol","sequence":"additional","affiliation":[{"name":"World Health Organization (WHO) Regional Office for Europe  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9576-7487","authenticated-orcid":false,"given":"A.","family":"Rinder Stengaard","sequence":"additional","affiliation":[{"name":"Rigshospitalet Centre of Excellence for Health, Immunity and Infections (CHIP)  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Noori","sequence":"additional","affiliation":[{"name":"European Centre for Disease Prevention and Control (ECDC)  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,6]]},"reference":[{"key":"e_1_2_12_2_1","volume-title":"HIV and Transgender People: 2024 Global AIDS Update \u2013 Thematic Briefing Note","author":"Joint United Nations Programme on HIV\/AIDS (UNAIDS)","year":"2024"},{"key":"e_1_2_12_3_1","volume-title":"Trans discrimination in Europe \u2013 A TGEU Analysis of the FRA LGBTI Survey 2019","author":"Calderon\u2010Cifuentes PA","year":"2021"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0260063"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.2807\/1560-7917.ES.2021.26.47.2100044"},{"key":"e_1_2_12_6_1","unstructured":"Joint United Nations Programme on HIV\/AIDS (UNAIDS).UNAIDS Key Population Atlas.2025https:\/\/kpatlas.unaids.org\/dashboard"},{"key":"e_1_2_12_7_1","volume-title":"HIV\/AIDS surveillance in Europe 2024\u20132023 Data","author":"WHO Regional Office for Europe and the European Centre for Disease Prevention and Control","year":"2024"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.2807\/1560-7917.ES.2024.29.48.2400778"},{"key":"e_1_2_12_9_1","volume-title":"Political Declaration on HIV and AIDS: Ending Inequalities and Getting on Track to End AIDS by 2030","author":"The Joint United Nations Programme on HIV\/AIDS (UNAIDS)","year":"2021"},{"key":"e_1_2_12_10_1","unstructured":"European Centre for Disease Prevention and Control (ECDC).Monitoring implementation of the Dublin Declaration [online].https:\/\/www.ecdc.europa.eu\/en\/infectious\u2010disease\u2010topics\/hiv\u2010infection\u2010and\u2010aids\/surveillance\u2010and\u2010updates\u2010hiv\u2010and\u2010aids#monitoring\u2010implementation\u2010of\u2010the\u2010dublin\u2010declaration"},{"key":"e_1_2_12_11_1","unstructured":"Joint United Nations Programme on HIV\/AIDS (UNAIDS).Indicator registry: global AIDS monitoring guidelines.2026https:\/\/indicatorregistry.unaids.org\/content\/additional-resources"},{"key":"e_1_2_12_12_1","unstructured":"Office of the United Nations High Commissioner for Human Rights (OHCHR).Transgender people: OHCHR.https:\/\/www.ohchr.org\/en\/sexual\u2010orientation\u2010and\u2010gender\u2010identity\/transgender\u2010people"},{"key":"e_1_2_12_13_1","unstructured":"Trans Europe and Central Asia (TGEU).Trans Health Map 2024: as WHO guidelines approach healthcare for trans people in the EU still hindered by stigma and long delays.https:\/\/tgeu.org\/trans\u2010health\u2010map\u20102024\u2010as\u2010who\u2010guidelines\u2010approach\u2010healthcare\u2010for\u2010trans\u2010people\u2010in\u2010the\u2010eu\u2010still\u2010hindered\u2010by\u2010stigma\u2010and\u2010long\u2010delays\/"},{"key":"e_1_2_12_14_1","unstructured":"Trans Europe and Central Asia (TGEU).Trans Rights Index & Map 2025: the new trans tipping point and Europe's struggle for self\u2010determination.https:\/\/tgeu.org\/trans-rights-index-map-2025\/"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)00684-X"},{"key":"e_1_2_12_16_1","volume-title":"The State of Trans\u2010Specific Healthcare in the EU Looking Beyond the Trans Health Map 2022","author":"Adams N","year":"2023"},{"key":"e_1_2_12_17_1","volume-title":"Key Populations' Values and Preferences for HIV, Hepatitis, and STI Services: A Qualitative Study","author":"Appenroth M","year":"2022"},{"key":"e_1_2_12_18_1","volume-title":"Anti\u2010Trans Violence in Eastern Europe and Central Asia (TGEU Report)","author":"Solovey V","year":"2025"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-023-15856-9"},{"key":"e_1_2_12_20_1","volume-title":"Injustice at Every Turn: A Report of the National Transgender Discrimination Survey","author":"Grant J","year":"2011"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2015.11.010"},{"key":"e_1_2_12_22_1","volume-title":"HIV Stigma in the Healthcare Setting. 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