Successes and challenges of HIV prevention in men who have sex with men
Men who have sex with men (MSM) have been substantially aff ected by HIV epidemics worldwide. Epidemics in MSM are re-emerging in many high-income countries and gaining greater recognition in many low-income and middle-income countries. Better HIV prevention strategies are urgently needed. Our revie...
| Main Authors: | , , , , , , , , |
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| Format: | Journal article |
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Elsevier
2012
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| _version_ | 1797085392592175104 |
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| author | Sullivan, P Carballo-Diéguez, A Coates, T Goodreau, S McGowan, I Sanders, E Smith, A Goswami, P Sanchez, J |
| author_facet | Sullivan, P Carballo-Diéguez, A Coates, T Goodreau, S McGowan, I Sanders, E Smith, A Goswami, P Sanchez, J |
| author_sort | Sullivan, P |
| collection | OXFORD |
| description | Men who have sex with men (MSM) have been substantially aff ected by HIV epidemics worldwide. Epidemics in MSM are re-emerging in many high-income countries and gaining greater recognition in many low-income and middle-income countries. Better HIV prevention strategies are urgently needed. Our review of HIV prevention strategies for MSM identifi ed several important themes. At the beginning of the epidemic, stand-alone behavioural interventions mostly aimed to reduce unprotected anal intercourse, which, although somewhat effi cacious, did not reduce HIV transmission. Biomedical prevention strategies reduce the incidence of HIV infection. Delivery of barrier and biomedical interventions with coordinated behavioural and structural strategies could optimise the effectiveness of prevention. Modelling suggests that, with suffi cient coverage, available interventions are suffi cient to avert at least a quarter of new HIV infections in MSM in diverse countries. Scale-up of HIV prevention programmes for MSM is difficult because of homophobia and bias, suboptimum access to HIV testing and care, and financial constraints. |
| first_indexed | 2024-03-07T02:08:21Z |
| format | Journal article |
| id | oxford-uuid:9fc14f29-07b5-41d8-8921-92b02a7b78db |
| institution | University of Oxford |
| last_indexed | 2024-03-07T02:08:21Z |
| publishDate | 2012 |
| publisher | Elsevier |
| record_format | dspace |
| spelling | oxford-uuid:9fc14f29-07b5-41d8-8921-92b02a7b78db2022-03-27T02:00:16ZSuccesses and challenges of HIV prevention in men who have sex with menJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:9fc14f29-07b5-41d8-8921-92b02a7b78dbSymplectic Elements at OxfordElsevier2012Sullivan, PCarballo-Diéguez, ACoates, TGoodreau, SMcGowan, ISanders, ESmith, AGoswami, PSanchez, JMen who have sex with men (MSM) have been substantially aff ected by HIV epidemics worldwide. Epidemics in MSM are re-emerging in many high-income countries and gaining greater recognition in many low-income and middle-income countries. Better HIV prevention strategies are urgently needed. Our review of HIV prevention strategies for MSM identifi ed several important themes. At the beginning of the epidemic, stand-alone behavioural interventions mostly aimed to reduce unprotected anal intercourse, which, although somewhat effi cacious, did not reduce HIV transmission. Biomedical prevention strategies reduce the incidence of HIV infection. Delivery of barrier and biomedical interventions with coordinated behavioural and structural strategies could optimise the effectiveness of prevention. Modelling suggests that, with suffi cient coverage, available interventions are suffi cient to avert at least a quarter of new HIV infections in MSM in diverse countries. Scale-up of HIV prevention programmes for MSM is difficult because of homophobia and bias, suboptimum access to HIV testing and care, and financial constraints. |
| spellingShingle | Sullivan, P Carballo-Diéguez, A Coates, T Goodreau, S McGowan, I Sanders, E Smith, A Goswami, P Sanchez, J Successes and challenges of HIV prevention in men who have sex with men |
| title | Successes and challenges of HIV prevention in men who have sex with men |
| title_full | Successes and challenges of HIV prevention in men who have sex with men |
| title_fullStr | Successes and challenges of HIV prevention in men who have sex with men |
| title_full_unstemmed | Successes and challenges of HIV prevention in men who have sex with men |
| title_short | Successes and challenges of HIV prevention in men who have sex with men |
| title_sort | successes and challenges of hiv prevention in men who have sex with men |
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