Display Settings:

Format

Send to:

Choose Destination
See comment in PubMed Commons below
Lancet. 2012 Jul 28;380(9839):388-99. doi: 10.1016/S0140-6736(12)60955-6. Epub 2012 Jul 20.

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

Author information

  • 1Rollins School of Public Health, Emory University, Atlanta 30322, GA, USA. patrick.sullivan@emory.edu

Erratum in

  • Lancet. 2012 Jul 28;380(9839):340.

Abstract

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.

Copyright © 2012 Elsevier Ltd. All rights reserved.

PMID:
22819659
[PubMed - indexed for MEDLINE]
PMCID:
PMC3670988
Free PMC Article

Images from this publication.See all images (4)Free text

Figure 1
Figure 2
Figure 3
Figure 4
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Icon for Elsevier Science Icon for PubMed Central
    Loading ...
    Write to the Help Desk