TY - JOUR
T1 - A call to action for comprehensive HIV services for men who have sex with men
AU - Beyrer, Chris
AU - Sullivan, Patrick S.
AU - Sanchez, Jorge
AU - Dowdy, David
AU - Altman, Dennis
AU - Trapence, Gift
AU - Collins, Chris
AU - Katabira, Elly
AU - Kazatchkine, Michel
AU - Sidibe, Michel
AU - Mayer, Kenneth H.
N1 - Funding Information:
This paper and the special theme series which it summarises was supported by grants to the Center for Public Health and Human Rights at Johns Hopkins University from amfAR, The Foundation for AIDS Research and from the Bill & Melinda Gates Foundation. The Johns Hopkins Center for AIDS Research ( NIAID, 1P30AI094189-01A1 ) provided partial support to CB. The authors would also like to thank Susan Buchbinder and colleagues for assistance with the modelling, which was based on work done for their Prevention Umbrella for MSM in the Americas, PUMA (NIAID, R01-AI083060.). We would like to thank His Grace Archbishop Emeritus Desmond Tutu for his contribution. For the text box on the Commission on HIV and the Law, the Commissioners wish to acknowledge the contribution of Mandeep Dhaliwal and Jeffrey O'Malley. Stefan D Baral of Johns Hopkins contributed to figure 3 and Andrea Wirtz, faculty member in the Department of Epidemiology at Johns Hopkins, contributed to figure 1 . Emily Clouse, research coordinator for the Center for Public Health and Human Rights, has supported all of the authors in the organisation and management of this effort.
PY - 2012/7
Y1 - 2012/7
N2 - Where surveillance has been done, it has shown that men (MSM) who have sex with men bear a disproportionate burden of HIV. Yet they continue to be excluded, sometimes systematically, from HIV services because of stigma, discrimination, and criminalisation. This situation must change if global control of the HIV epidemic is to be achieved. On both public health and human rights grounds, expansion of HIV prevention, treatment, and care to MSM is an urgent imperative. Effective combination prevention and treatment approaches are feasible, and culturally competent care can be developed, even in rights-challenged environments. Condom and lubricant access for MSM globally is highly cost effective. Antiretroviral-based prevention, and antiretroviral access for MSM globally, would also be cost effective, but would probably require substantial reductions in drug costs in high-income countries to be feasible. To address HIV in MSM will take continued research, political will, structural reform, community engagement, and strategic planning and programming, but it can and must be done.
AB - Where surveillance has been done, it has shown that men (MSM) who have sex with men bear a disproportionate burden of HIV. Yet they continue to be excluded, sometimes systematically, from HIV services because of stigma, discrimination, and criminalisation. This situation must change if global control of the HIV epidemic is to be achieved. On both public health and human rights grounds, expansion of HIV prevention, treatment, and care to MSM is an urgent imperative. Effective combination prevention and treatment approaches are feasible, and culturally competent care can be developed, even in rights-challenged environments. Condom and lubricant access for MSM globally is highly cost effective. Antiretroviral-based prevention, and antiretroviral access for MSM globally, would also be cost effective, but would probably require substantial reductions in drug costs in high-income countries to be feasible. To address HIV in MSM will take continued research, political will, structural reform, community engagement, and strategic planning and programming, but it can and must be done.
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U2 - 10.1016/S0140-6736(12)61022-8
DO - 10.1016/S0140-6736(12)61022-8
M3 - Review article
C2 - 22819663
AN - SCOPUS:84864278160
VL - 380
SP - 424
EP - 438
JO - The Lancet
JF - The Lancet
SN - 0140-6736
IS - 9839
ER -