14.H. Workshop: Ecosystems of HIV risk among key populations in Europe: empirical findings and solutions

Abstract

Abstract Key populations, such as men who have sex with men and persons who inject drugs (PWID) have an increased risk of HIV. These same key populations experience extensive barriers in accessing HIV/AIDS services that are acceptable, accessible, and of high quality. These issues are particularly acute in Eastern Europe where stigma and structural barriers to HIV services are large. This workshop is important because of the rising incidence of HIV in Europe. This is particularly a challenge in Eastern Europe, the only geographical region in the world experiencing rising rates of HIV. Thus, understanding key population's specific HIV risk factors are crucial to address their needs and prevent new infections. This workshop will give examples of studies on the health and HIV situation of key populations in Europe. The workshop will identify the social and structural contexts that create the specific determinants of HIV risks among the population in the region. The workshop will also discuss avenues and interventions to address their HIV risks. Kristefer Stojanovski (USA) will present results on a European analysis regarding the role of policy and laws in shaping HIV risk among MSM. Sladjana Baros (Serbia) will present findings on the barriers that persons living with HIV (PLHIV) in Serbia face, particularly stigma, that limits their access treatment and access to services. Elizabeth King (USA) will present on stigma's role in perpetuating HIV risk among women who inject drugs in Russia, including ways to address the issues. Lastly, Francisco Fernandes (Portugal) will present results from their work over the last 10 years providing community-based HIV and STI testing and counseling in Portugal. After the individual presentations, the audience will be invited to a monitored open discussion on the papers, and how the findings can help inform public health and policy to address HIV in Europe. The situation for HIV and key populations in Europe is worrisome from a public health standpoint, especially as research shows how structural factors can drive HIV risk and infection. Our workshop aims to facilitate a conversation on understanding the structural situation and exploring ways to reduce the disproportionate health burden and risk factors. Given this year's theme of public health for the future of humanity, we believe our workshop asks salient questions to address HIV risk, globally. Key messages Key populations in Europe have an elevated risk of structurally induced stigma, which influences HIV risk. Disproportionate HIV burdens among key populations require urgent attention from public health professionals given the rising rates of HIV in Europe.