{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T12:57:42Z","timestamp":1790686662421,"version":"4.1.0"},"reference-count":39,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:00:00Z","timestamp":1790640000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:00:00Z","timestamp":1790640000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100017183","name":"Janssen Scientific Affairs","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100017183","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100005205","name":"Janssen Research and Development","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100005205","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100002491","name":"Bristol-Myers Squibb","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100002491","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009947","name":"Merck Sharp and Dohme United Kingdom","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009947","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100005564","name":"Gilead Sciences","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100005564","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001711","name":"Schweizerischer Nationalfonds zur F\u00f6rderung der Wissenschaftlichen Forschung","doi-asserted-by":"publisher","award":["148522"],"award-info":[{"award-number":["148522"]}],"id":[{"id":"10.13039\/501100001711","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001732","name":"Danmarks Grundforskningsfond","doi-asserted-by":"publisher","award":["DNRF126"],"award-info":[{"award-number":["DNRF126"]}],"id":[{"id":"10.13039\/501100001732","id-type":"DOI","asserted-by":"publisher"}]}],"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>Background<\/jats:title>\n                    <jats:p>Prior to the COVID\u201019 pandemic, antiretroviral therapy (ART) coverage and viral suppression were improving across Europe; however, the impact of the pandemic on HIV care remains uncertain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In\u2010person visits, ART coverage and viral suppression among those on ART were described in the EuroSIDA cohort for each calendar year from 2016 to 2022 and compared across five European regions. Multivariable logistic regression was used to assess factors associated with having an in\u2010person visit and with viral suppression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 6740 participants, 71.9% were men, 34.9% were MSM, and the median age was 50\u2009years (IQR: 42\u201356) at baseline (2016). The proportion of in\u2010person visits dropped from 75.0% in 2019 to 67.8% in 2020, increased to 74.5% in 2021 and was 72.3% in 2022. We observed a consistent increase in ART uptake over the years and a slight increase in missing HIV\u2010RNA data in 2020. The odds of attending clinic in person were lower in 2020 compared with 2016 (aOR: 0.81, 95% CI 0.75\u20130.87) but not in 2021 or 2022, while viral suppression increased over calendar time (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.0001). Compared to Central\u2010Western Europe, the other regions had lower odds of in\u2010person visits (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.0001, most prominently for Southern Europe, aOR: 0.18) and viral suppression (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.0001, most prominently for Eastern Europe, aOR: 0.07).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our study confirmed the resilience of HIV care across Europe during the COVID\u201019 pandemic, whereas the regional and country differences in clinic attendance and viral suppression highlighted the need to address persisting gaps in HIV care on a national level.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hiv.70305","type":"journal-article","created":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T12:18:13Z","timestamp":1790684293000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Stability of the\n                    <scp>HIV<\/scp>\n                    cascade of care throughout the\n                    <scp>COVID<\/scp>\n                    \u201019 pandemic in Europe: Results from the multinational\n                    <scp>EuroSIDA<\/scp>\n                    cohort study (2016\u20132022)"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1596-9880","authenticated-orcid":false,"given":"Olga","family":"Fursa","sequence":"first","affiliation":[{"name":"Department of Child &amp; Adolescent Psychiatry Institute of Psychiatry, Psychology &amp; Neuroscience, King's College London  London UK"},{"name":"Centre of Excellence for Health, Immunity and Infections (CHIP), Rigshospitalet  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4780-3364","authenticated-orcid":false,"given":"Wendy","family":"Bannister","sequence":"additional","affiliation":[{"name":"Centre of Excellence for Health, Immunity and Infections (CHIP), Rigshospitalet  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5724-3914","authenticated-orcid":false,"given":"Giovanni","family":"Guaraldi","sequence":"additional","affiliation":[{"name":"Modena HIV Cohort Universit\u00e0 degli Studi di Modena  Modena Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justyna","family":"Kowalska","sequence":"additional","affiliation":[{"name":"Infectious Diseases Observational Research Unit Medical University of Warsaw  Warsaw Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8057-7755","authenticated-orcid":false,"given":"Jose M.","family":"Miro","sequence":"additional","affiliation":[{"name":"Infectious Diseases Service Hospital Cl\u00ednic\u2010IDIBAPS, University of Barcelona  Barcelona Spain"},{"name":"CIBERINFEC, Instituto de Salud Carlos III  Madrid Spain"},{"name":"Reial Academia de Medicina de Catalunya  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5375-7299","authenticated-orcid":false,"given":"Robert","family":"Zangerle","sequence":"additional","affiliation":[{"name":"Medical University Innsbruck  Innsbruck Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Jilich","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases, First Faculty of Medicine Charles University, University Hospital Bulovka  Prague 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Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1138-5770","authenticated-orcid":false,"given":"Pere","family":"Domingo","sequence":"additional","affiliation":[{"name":"Hospital de la Santa Creu i Sant Pau  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire","family":"Mackintosh","sequence":"additional","affiliation":[{"name":"Clinical Infection Research Group, Western General Hospital  Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonella","family":"Castagna","sequence":"additional","affiliation":[{"name":"Vita\u2010Salute San Raffaele University  Milan Italy"},{"name":"Infectious Diseases IRCCS San Raffaele Scientific Institute  Milan Italy"},{"name":"Ospedale San Raffaele  Milan 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