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Abstract

In 2022–2024, 14,153 of 28,521 (49.6%) new HIV diagnoses in 23 European Union and Economic Area (EU/EEA) countries were late. In adjusted analyses, older age and migrant status increased late diagnosis risk. The proportion of late diagnoses was 2.6-fold higher among migrants with pre-migration HIV acquisition than post-migration. Late-diagnosed migrants with likely post-migration HIV acquisition were often women, ≥ 50-year-olds, heterosexuals, people who inject drugs, or from South and South-East Asia. The 2025 target of < 20% late diagnosis was unachieved.

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/content/10.2807/1560-7917.ES.2025.30.47.2500855
2025-11-27
2026-04-18
/content/10.2807/1560-7917.ES.2025.30.47.2500855
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References

  1. World Health Organization Regional Office for Europe (WHO/Europe). Regional action plans for ending AIDS and the epidemics of viral hepatitis and sexually transmitted infections, 2022-2030. Copenhagen: WHO/Europe; 2023. Available from: https://www.who.int/europe/publications/i/item/9789289058957
  2. Croxford S, Stengaard AR, Brännström J, Combs L, Dedes N, Girardi E, et al. , EuroTEST HIV Late Diagnosis Definition Working Group. Late diagnosis of HIV: An updated consensus definition. HIV Med. 2022;23(11):1202-8.  https://doi.org/10.1111/hiv.13425  PMID: 36347523 
  3. Burns DN, DeGruttola V, Pilcher CD, Kretzschmar M, Gordon CM, Flanagan EH, et al. Toward an endgame: finding and engaging people unaware of their HIV-1 infection in treatment and prevention. AIDS Res Hum Retroviruses. 2014;30(3):217-24.  https://doi.org/10.1089/aid.2013.0274  PMID: 24410300 
  4. Rampaul M, Edun B, Gaskin M, Albrecht H, Weissman S. Cost-Effectiveness Analysis of Early vs Late Diagnosis of HIV-Infected Patients in South Carolina. South Med J. 2018;111(6):355-8.  https://doi.org/10.14423/SMJ.0000000000000819  PMID: 29863227 
  5. Popping S, Versteegh L, Nichols BE, van de Vijver DAMC, van Sighem A, Reiss P, et al. , ATHENA observational cohort. Characteristics and short- and long-term direct medical costs among adults with timely and delayed presentation for HIV care in the Netherlands. PLoS One. 2023;18(2):e0280877.  https://doi.org/10.1371/journal.pone.0280877  PMID: 36753495 
  6. Yin Z, Brown AE, Rice BD, Marrone G, Sönnerborg A, Suligoi B, et al. Post-migration acquisition of HIV: Estimates from four European countries, 2007 to 2016. Euro Surveill. 2021;26(33):2000161.  https://doi.org/10.2807/1560-7917.ES.2021.26.33.2000161  PMID: 34414881 
  7. Owusu MW, Krankowska DC, Lourida P, Weis N. Late HIV diagnosis among migrant women living in Europe - a systematic review of barriers to HIV testing. IJID Reg. 2023;7:206-15.  https://doi.org/10.1016/j.ijregi.2023.03.006  PMID: 37128290 
  8. Whittaker R. Using linked national registry data and the ECDC HIV modelling tool to estimate HIV incidence and the proportion diagnosed in Norway up to 2023. BMC Infect Dis. 2025;25(1):1115.  https://doi.org/10.1186/s12879-025-11541-x  PMID: 40988016 
  9. Lundgren E, Locke M, Romero-Severson E, Dimitrijevic M, Axelsson M, Andersson E, et al. Sweden surpasses the UNAIDS 95-95-95 target: estimating HIV-1 incidence, 2003 to 2022. Euro Surveill. 2024;29(42):2400058.  https://doi.org/10.2807/1560-7917.ES.2024.29.42.2400058  PMID: 39421951 
  10. Pantazis N, Thomadakis C, Del Amo J, Alvarez-Del Arco D, Burns FM, Fakoya I, et al. Determining the likely place of HIV acquisition for migrants in Europe combining subject-specific information and biomarkers data. Stat Methods Med Res. 2019;28(7):1979-97.  https://doi.org/10.1177/0962280217746437  PMID: 29233073 
  11. Miranda MNS, Pingarilho M, Pimentel V, Martins MDRO, Vandamme AM, Bobkova M, et al. Determinants of HIV-1 Late Presentation in Patients Followed in Europe. Pathogens. 2021;10(7):835.  https://doi.org/10.3390/pathogens10070835  PMID: 34357985 
  12. Bedert M, Davidovich U, de Bree G, van Bilsen W, van Sighem A, Zuilhof W, et al. Understanding Reasons for HIV Late Diagnosis: A Qualitative Study Among HIV-Positive Individuals in Amsterdam, The Netherlands. AIDS Behav. 2021;25(9):2898-906.  https://doi.org/10.1007/s10461-021-03239-3  PMID: 33788120 
  13. Boesecke C, Schellberg S, Schneider J, Schuettfort G, Stocker H. Prevalence, characteristics and challenges of late HIV diagnosis in Germany: an expert narrative review. Infection. 2023;51(5):1223-39.  https://doi.org/10.1007/s15010-023-02064-1  PMID: 37470977 
  14. Deblonde J, Van Beckhoven D, Loos J, Boffin N, Sasse A, Nöstlinger C, et al. , HERMETIC Study Group. HIV testing within general practices in Europe: a mixed-methods systematic review. BMC Public Health. 2018;18(1):1191.  https://doi.org/10.1186/s12889-018-6107-0  PMID: 30348140 
  15. Isosomppi S, Mutru M, Ollgren J, Brummer-Korvenkontio H, Liitsola K, Sutinen J, et al. Use of healthcare services preceding HIV diagnosis - missed opportunities for earlier diagnosis, Finland, 1996 to 2019. Euro Surveill. 2025;30(18):2400610.  https://doi.org/10.2807/1560-7917.ES.2025.30.18.2400610  PMID: 40341103 
  16. European Centre for Disease Prevention and Control. Public health guidance on HIV, hepatitis B and C testing in the EU/EEA – An integrated approach. 2018. Available at: https://www.ecdc.europa.eu/en/publications-data/public-health-guidance-hiv-hepatitis-b-and-c-testing-eueea
  17. Kirwan P, Stengaard A, Brännström J, Van Beckhoven D, Van Sighem A, Op de Coul E, et al. EuroTEST Steering Committee. O2.3 Impact of a revised late HIV diagnosis definition on late HIV estimates in Europe: a multi-country pilot study. Abstracts of the 20th European AIDS conference 2025, October 15-18, 2025, Paris, France. HIV Med. 2025;26 Suppl 4(S4):5-701.
  18. Mann S, Mougammadou Z, Wohlfahrt J, Elmahdi R. Post-migration HIV acquisition: A systematic review and meta-analysis. Epidemiol Infect. 2024;152:e49.  https://doi.org/10.1017/S0950268824000372  PMID: 38425215 
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