{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T04:46:55Z","timestamp":1785732415115,"version":"3.56.0"},"reference-count":31,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,2]],"date-time":"2026-08-02T00:00:00Z","timestamp":1785628800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,8,2]],"date-time":"2026-08-02T00:00:00Z","timestamp":1785628800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["HIV Medicine"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Migrants account for a substantial proportion of people living with HIV in Europe, yet inequalities across the HIV care continuum remain insufficiently characterized. We examined migration\u2010related differences in HIV diagnosis, treatment initiation and retention in care in Greece.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We analyzed data from the Athens Multicenter AIDS Cohort Study (AMACS), including individuals diagnosed with HIV between 1996 and 2024. Participants were classified by region of origin. Markers of HIV diagnosis (CD4 cell count, late presentation, advanced disease and time from seroconversion to diagnosis) and post\u2010diagnosis outcomes (time to antiretroviral therapy [ART] initiation and loss to follow\u2010up [LTFU]) were evaluated using appropriate regression and flexible parametric survival models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 11\u2009467 individuals, 19.3% were migrants. Migrants presented with more advanced disease, including higher rates of late presentation (71.0% among those from Africa vs. 48.9% among Greek\u2010born) and longer diagnostic delays (median 4.8 vs. 3.1\u2009years, respectively). Over time, differences in late presentation narrowed, although advanced disease and diagnostic delay remained higher among some groups. Time to ART initiation decreased substantially with attenuated differences between groups after adjustment for CD4 levels at diagnosis. In contrast, recorded LTFU in AMACS increased over time and remained higher among migrants, reaching 49% within 3\u2009years among individuals from Africa compared with 12% among Greek\u2010born.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Inequalities in HIV care outcomes across region\u2010of\u2010origin groups in Greece persist but have shifted along the care continuum. While timely ART initiation has largely equalized, disparities remain in delayed diagnosis and recorded follow\u2010up. Targeted strategies to mitigate observed inequalities are essential.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hiv.70294","type":"journal-article","created":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T04:37:42Z","timestamp":1785731862000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Migration\u2010related inequalities in\n                    <scp>HIV<\/scp>\n                    diagnosis, treatment initiation and retention in care among migrants in Greece"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4196-5066","authenticated-orcid":false,"given":"Nikos","family":"Pantazis","sequence":"first","affiliation":[{"name":"Department of Preventive Medicine, Epidemiology and Medical Statistics National and Kapodistrian University of Athens, Medical School  Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4081-1890","authenticated-orcid":false,"given":"Varvara","family":"Vasalou","sequence":"additional","affiliation":[{"name":"AIDS Unit, Clinic of Venereologic &amp; Dermatologic Diseases Medical School, National and Kapodistrian University of Athens, Syngros Hospital  Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6503-0284","authenticated-orcid":false,"given":"Olga","family":"Tsachouridou","sequence":"additional","affiliation":[{"name":"1st Internal Medicine Department, Infectious Diseases Unit AHEPA University Hospital, Aristotle University of Thessaloniki  Thessaloniki Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6293-0017","authenticated-orcid":false,"given":"Vasileios","family":"Papastamopoulos","sequence":"additional","affiliation":[{"name":"5th Department of Internal Medicine \u2010 Infectious Diseases Unit Evangelismos General Hospital of Athens  Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5404-746X","authenticated-orcid":false,"given":"Konstantinos","family":"Protopapas","sequence":"additional","affiliation":[{"name":"4th Department of Internal Medicine Medical School, National and Kapodistrian University of Athens, Attikon University General Hospital  Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Myrto","family":"Astriti","sequence":"additional","affiliation":[{"name":"1st Department of Internal Medicine and Infectious Diseases Unit General Hospital of Athens G. Gennimatas  Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4551-3024","authenticated-orcid":false,"given":"Maria","family":"Chini","sequence":"additional","affiliation":[{"name":"3rd Department Of Internal Medicine \u2010 Infectious Diseases Unit Red Cross General Hospital  Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3000-8447","authenticated-orcid":false,"given":"Mina","family":"Psichogiou","sequence":"additional","affiliation":[{"name":"1st Department of Internal Medicine Medical School, National and Kapodistrian University of Athens  Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8272-8446","authenticated-orcid":false,"given":"Georgios","family":"Chrysos","sequence":"additional","affiliation":[{"name":"Infectious Diseases Unit Tzaneion General Hospital of Piraeus  Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6955-3453","authenticated-orcid":false,"given":"Nikolaos V.","family":"Sipsas","sequence":"additional","affiliation":[{"name":"Infectious Diseases Unit, Department of Pathophysiology Laikon Athens General Hospital and National and Kapodistrian University of Athens Medical School  Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8904-076X","authenticated-orcid":false,"given":"Helen","family":"Sambatakou","sequence":"additional","affiliation":[{"name":"HIV Unit, 2nd Department of Internal Medicine National and Kapodistrian University of Athens, Medical School, Hippokration University General Hospital  Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5030-2398","authenticated-orcid":false,"given":"Markos","family":"Marangos","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine &amp; Infectious Diseases Patras University General Hospital  Patras Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7603-2592","authenticated-orcid":false,"given":"Diamantis","family":"Kofteridis","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine University Hospital of Heraklion  Heraklion Crete Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Periklis","family":"Panagopoulos","sequence":"additional","affiliation":[{"name":"Infectious Diseases Unit, 2nd University Department of Internal Medicine University Hospital of Alexandroupolis, Democritus University of Thrace  Alexandroupolis Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5951-0844","authenticated-orcid":false,"given":"Giota","family":"Touloumi","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine, Epidemiology and Medical Statistics National and Kapodistrian University of Athens, Medical School  Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"AMACS","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,2]]},"reference":[{"key":"e_1_2_10_2_1","volume-title":"HIV\/AIDS Surveillance in Europe 2025\u20132024 Data","author":"European Centre for Disease Prevention and Control; W. 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