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<title xml:lang="en">Male Sex Workers: Practices, Contexts, and Vulnerabilities for HIV acquisition and transmission</title>
<author>
<name sortKey="Baral, Stefan David" sort="Baral, Stefan David" uniqKey="Baral S" first="Stefan David" last="Baral">Stefan David Baral</name>
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<name sortKey="Friedman, M Reuel" sort="Friedman, M Reuel" uniqKey="Friedman M" first="M. Reuel" last="Friedman">M. Reuel Friedman</name>
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<name sortKey="Geibel, Scott" sort="Geibel, Scott" uniqKey="Geibel S" first="Scott" last="Geibel">Scott Geibel</name>
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<name sortKey="Rebe, Kevin" sort="Rebe, Kevin" uniqKey="Rebe K" first="Kevin" last="Rebe">Kevin Rebe</name>
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<name sortKey="Bozhinov, Borche" sort="Bozhinov, Borche" uniqKey="Bozhinov B" first="Borche" last="Bozhinov">Borche Bozhinov</name>
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<name sortKey="Diouf, Daouda" sort="Diouf, Daouda" uniqKey="Diouf D" first="Daouda" last="Diouf">Daouda Diouf</name>
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<name sortKey="Sabin, Keith" sort="Sabin, Keith" uniqKey="Sabin K" first="Keith" last="Sabin">Keith Sabin</name>
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<name sortKey="Holland, Claire E" sort="Holland, Claire E" uniqKey="Holland C" first="Claire E." last="Holland">Claire E. Holland</name>
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<author>
<name sortKey="Chan, Roy" sort="Chan, Roy" uniqKey="Chan R" first="Roy" last="Chan">Roy Chan</name>
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<author>
<name sortKey="Caceres, Carlos" sort="Caceres, Carlos" uniqKey="Caceres C" first="Carlos" last="Caceres">Carlos Caceres</name>
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<idno type="pmid">25059939</idno>
<idno type="pmc">4504188</idno>
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<idno type="doi">10.1016/S0140-6736(14)60801-1</idno>
<date when="2014">2014</date>
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<title xml:lang="en" level="a" type="main">Male Sex Workers: Practices, Contexts, and Vulnerabilities for HIV acquisition and transmission</title>
<author>
<name sortKey="Baral, Stefan David" sort="Baral, Stefan David" uniqKey="Baral S" first="Stefan David" last="Baral">Stefan David Baral</name>
</author>
<author>
<name sortKey="Friedman, M Reuel" sort="Friedman, M Reuel" uniqKey="Friedman M" first="M. Reuel" last="Friedman">M. Reuel Friedman</name>
</author>
<author>
<name sortKey="Geibel, Scott" sort="Geibel, Scott" uniqKey="Geibel S" first="Scott" last="Geibel">Scott Geibel</name>
</author>
<author>
<name sortKey="Rebe, Kevin" sort="Rebe, Kevin" uniqKey="Rebe K" first="Kevin" last="Rebe">Kevin Rebe</name>
</author>
<author>
<name sortKey="Bozhinov, Borche" sort="Bozhinov, Borche" uniqKey="Bozhinov B" first="Borche" last="Bozhinov">Borche Bozhinov</name>
</author>
<author>
<name sortKey="Diouf, Daouda" sort="Diouf, Daouda" uniqKey="Diouf D" first="Daouda" last="Diouf">Daouda Diouf</name>
</author>
<author>
<name sortKey="Sabin, Keith" sort="Sabin, Keith" uniqKey="Sabin K" first="Keith" last="Sabin">Keith Sabin</name>
</author>
<author>
<name sortKey="Holland, Claire E" sort="Holland, Claire E" uniqKey="Holland C" first="Claire E." last="Holland">Claire E. Holland</name>
</author>
<author>
<name sortKey="Chan, Roy" sort="Chan, Roy" uniqKey="Chan R" first="Roy" last="Chan">Roy Chan</name>
</author>
<author>
<name sortKey="Caceres, Carlos" sort="Caceres, Carlos" uniqKey="Caceres C" first="Carlos" last="Caceres">Carlos Caceres</name>
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<series>
<title level="j">Lancet (London, England)</title>
<idno type="ISSN">0140-6736</idno>
<idno type="eISSN">1474-547X</idno>
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<date when="2014">2014</date>
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<div type="abstract" xml:lang="en">
<title>Summary</title>
<p id="P2">Male sex workers (MSW) who sell/exchange sex for money or goods comprise an extremely diverse population across and within countries worldwide. Information characterizing their practices, contexts where they live, and their needs is very limited, as these men are generally included as subsets of larger studies focused on gay men and other men who have sex with men (MSM) or even female sex workers. MSW, regardless of their sexual orientation, mostly offer sex to men, and rarely identify as sex workers, using local or international terms instead. There is growing evidence of a sustained or increasing burden of HIV among some MSW in the context of the slowing global HIV pandemic. There are several synergistic facilitator spotentiating HIV acquisition and transmission among MSW, including biological, behavioural, and structural determinants. The criminalization and intersectional stigmas of same-sex practices, commercial sex, and HIV all increase HIV and STI risk for MSW and decrease their likelihood of accessing essential services. These contexts, taken together with complex sexual networks among MSW, define them as a key population underserved by current HIV prevention, treatment, and care services. Dedicated efforts are needed to make those services available for the sake of both public health and human rights.</p>
</div>
</front>
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<pmc article-type="research-article">
<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
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<journal-meta>
<journal-id journal-id-type="nlm-journal-id">2985213R</journal-id>
<journal-id journal-id-type="pubmed-jr-id">5470</journal-id>
<journal-id journal-id-type="nlm-ta">Lancet</journal-id>
<journal-id journal-id-type="iso-abbrev">Lancet</journal-id>
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<journal-title>Lancet (London, England)</journal-title>
</journal-title-group>
<issn pub-type="ppub">0140-6736</issn>
<issn pub-type="epub">1474-547X</issn>
</journal-meta>
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<article-id pub-id-type="pmid">25059939</article-id>
<article-id pub-id-type="pmc">4504188</article-id>
<article-id pub-id-type="doi">10.1016/S0140-6736(14)60801-1</article-id>
<article-id pub-id-type="manuscript">NIHMS656919</article-id>
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<subject>Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Male Sex Workers: Practices, Contexts, and Vulnerabilities for HIV acquisition and transmission</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Baral</surname>
<given-names>Stefan David</given-names>
</name>
<aff id="A1">Department of Epidemiology, JHSPH</aff>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Friedman</surname>
<given-names>M. Reuel</given-names>
</name>
<aff id="A2">Department of Infectious Diseases and Microbiology, University of Pittsburgh</aff>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Geibel</surname>
<given-names>Scott</given-names>
</name>
<aff id="A3">Population Council, Washington, DC</aff>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Rebe</surname>
<given-names>Kevin</given-names>
</name>
<aff id="A4">Men 4 Health, Cape Town, South Africa ID</aff>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Bozhinov</surname>
<given-names>Borche</given-names>
</name>
<aff id="A5">STAR-STAR, Macedonia</aff>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Diouf</surname>
<given-names>Daouda</given-names>
</name>
<aff id="A6">Enda Santé, Senegal</aff>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Sabin</surname>
<given-names>Keith</given-names>
</name>
<aff id="A7">Epidemiology, UNAIDS, Geneva, Switzerland</aff>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Holland</surname>
<given-names>Claire E.</given-names>
</name>
<aff id="A8">Johns Hopkins School of Public Health, Baltimore</aff>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Chan</surname>
<given-names>Roy</given-names>
<prefix>Professor</prefix>
</name>
<aff id="A9">National Skin Center, Singapore</aff>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Caceres</surname>
<given-names>Carlos</given-names>
<prefix>Professor</prefix>
</name>
<aff id="A10">Cayetano Heredia University, Lima, Peru</aff>
</contrib>
</contrib-group>
<author-notes>
<corresp id="FN1">Corresponding Author: Stefan Baral MD MPH MBA CCFP FRCPC, Director, Key Populations Program, Center for Public Health and Human Rights, Department of Epidemiology, Johns Hopkins School of Public Health, E7146, 615 N. Wolfe Street, Baltimore, MD, USA, 21205</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted">
<day>14</day>
<month>7</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="epub">
<day>22</day>
<month>7</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="ppub">
<day>17</day>
<month>1</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>17</day>
<month>1</month>
<year>2016</year>
</pub-date>
<volume>385</volume>
<issue>9964</issue>
<fpage>260</fpage>
<lpage>273</lpage>
<pmc-comment>elocation-id from pubmed: 10.1016/S0140-6736(14)60801-1</pmc-comment>
<permissions>
<copyright-statement>© 2015 Elsevier Ltd. All rights reserved.</copyright-statement>
<copyright-year>2015</copyright-year>
</permissions>
<abstract>
<title>Summary</title>
<p id="P2">Male sex workers (MSW) who sell/exchange sex for money or goods comprise an extremely diverse population across and within countries worldwide. Information characterizing their practices, contexts where they live, and their needs is very limited, as these men are generally included as subsets of larger studies focused on gay men and other men who have sex with men (MSM) or even female sex workers. MSW, regardless of their sexual orientation, mostly offer sex to men, and rarely identify as sex workers, using local or international terms instead. There is growing evidence of a sustained or increasing burden of HIV among some MSW in the context of the slowing global HIV pandemic. There are several synergistic facilitator spotentiating HIV acquisition and transmission among MSW, including biological, behavioural, and structural determinants. The criminalization and intersectional stigmas of same-sex practices, commercial sex, and HIV all increase HIV and STI risk for MSW and decrease their likelihood of accessing essential services. These contexts, taken together with complex sexual networks among MSW, define them as a key population underserved by current HIV prevention, treatment, and care services. Dedicated efforts are needed to make those services available for the sake of both public health and human rights.</p>
</abstract>
<kwd-group>
<kwd>Sex work</kwd>
<kwd>MSM</kwd>
<kwd>HIV</kwd>
<kwd>criminalization</kwd>
<kwd>epidemiology</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
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