Many European countries have managed to reduce HIV incidence tremendously over the past decades, yet declines have stalled, or even reversed, in many countries.1 By combining data from national HIV surveillance and population statistics, Jongen et al. provide a unique insight into the structural risk factors for HIV diagnosis in The Netherlands.2 HIV diagnoses were disproportionally found among individuals with a migrant background, and people with economic and mental health vulnerabilities. These data can help design tailored HIV treatment and prevention strategies to reach those at highest risk and ensure trends in incidence revert back to their downward trajectory.