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Successes and challenges of HIV prevention in men who have sex with men

Sullivan, PS and Carballo-Diéguez, A and Coates, T and Goodreau, SM and McGowan, I and Sanders, EJ and Smith, A and Goswami, P and Sanchez, J (2012) Successes and challenges of HIV prevention in men who have sex with men. The Lancet, 380 (9839). 388 - 399. ISSN 0140-6736

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Men who have sex with men (MSM) have been substantially affected 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 identified several important themes. At the beginning of the epidemic, stand-alone behavioural interventions mostly aimed to reduce unprotected anal intercourse, which, although somewhat efficacious, 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 sufficient coverage, available interventions are sufficient 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.


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Item Type: Article
Status: Published
CreatorsEmailPitt UsernameORCID
Sullivan, PS
Carballo-Diéguez, A
Coates, T
Goodreau, SM
McGowan, Iimcgowan@pitt.eduIMCGOWAN
Sanders, EJ
Smith, A
Goswami, P
Sanchez, J
Centers: Other Centers, Institutes, Offices, or Units > Center for LGBT Health Research
Date: 1 January 2012
Date Type: Publication
Journal or Publication Title: The Lancet
Volume: 380
Number: 9839
Page Range: 388 - 399
DOI or Unique Handle: 10.1016/s0140-6736(12)60955-6
Schools and Programs: School of Medicine > Medicine
Refereed: Yes
ISSN: 0140-6736
Article Type: Review
Date Deposited: 12 Jun 2013 21:14
Last Modified: 29 Jan 2019 15:55


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