Athens
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MethodologyIn Greece, all HIV-positive individuals receive income support. Each municipality keeps records of the number of people receiving income support as well as the reason for which they receive it. Based on these data (personal communication with Dr Maria Stratigaki, vice-mayor for social policy) 2459 individuals living in the municipality of Athens receive the specific income support for being HIV-positive. Thus, we assume that 2459 individuals living in the municipality of Athens have been diagnosed as HIV-positive. The Hellenic Center for Disease Control and Prevention (HCDCP) does not keep detailed data on the exact address of the HIV-positive individuals. It only keeps data on the greater region (e.g metropolitan Athens area which consist of several municipalities) at which HIV-positive individuals have been diagnosed. However, the percentage of undiagnosed individuals by region has not been estimated. Thus, for now, we assume that the percentage of undiagnosed individuals living in the municipality of Athens is the same as for all PLHIV in Greece. This estimate maybe slightly higher than the true one, if we assume that testing opportunities are slightly higher in the Athens metropolitan area than in the rest of Greece. However, we have not data to support this hypothesis. The percentage of those diagnosed ever treated and the percentage of those who are virally suppressed among treated individuals were estimated based on the AMACS (an ongoing seroprevalent cohort study initiated in 1996 that currently covers the largest 13 out of the 18 HIV clinics in Greece). For the estimates for the Athens municipality, we only used data from clinics based on the greater Athens region. To further restrict AMACS data to clinics based on the Athens municipality would lead to less stable estimates. In addition, a person living in the Athens municipality could easily be followed in a clinic based in the greater Athens region and not just to one of the clinics based on the Athens municipality. So, we believe that this hypothesis, is not far from the truth. For the percentage of ever treated and for those virally suppressed three estimates, the minimum, the maximum and the midpoint between these two, were generated by either including those who were lost to follow-up (thus not retained in care) but considering them as not supressed or by excluding them from the analysis.
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IAPAC Quality of Life Survey Outcomes
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