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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Sexual diversity, social inclusion and HIV/AIDS</title><author><name sortKey="Caceres, Carlos F" sort="Caceres, Carlos F" uniqKey="Caceres C" first="Carlos F." last="Cáceres">Carlos F. Cáceres</name><affiliation><nlm:aff id="A1">Unit of Health, Sexuality and Human Development, Cayetano Heredia University School of Public Health, Lima, Peru</nlm:aff></affiliation></author><author><name sortKey="Aggleton, Peter" sort="Aggleton, Peter" uniqKey="Aggleton P" first="Peter" last="Aggleton">Peter Aggleton</name><affiliation><nlm:aff id="A2">Thomas Coram Research Unit, Institute of Education, University of London, London, UK</nlm:aff></affiliation></author><author><name sortKey="Galea, Jerome T" sort="Galea, Jerome T" uniqKey="Galea J" first="Jerome T." last="Galea">Jerome T. Galea</name><affiliation><nlm:aff id="A3">Program in Global Health, David Geffen School of Medicine, University of California, Los Angeles, California, USA</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">18641469</idno><idno type="pmc">3329729</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3329729</idno><idno type="RBID">PMC:3329729</idno><idno type="doi">10.1097/01.aids.0000327436.36161.80</idno><date when="2008">2008</date><idno type="wicri:Area/Pmc/Corpus">001D35</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001D35</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Sexual diversity, social inclusion and HIV/AIDS</title><author><name sortKey="Caceres, Carlos F" sort="Caceres, Carlos F" uniqKey="Caceres C" first="Carlos F." last="Cáceres">Carlos F. Cáceres</name><affiliation><nlm:aff id="A1">Unit of Health, Sexuality and Human Development, Cayetano Heredia University School of Public Health, Lima, Peru</nlm:aff></affiliation></author><author><name sortKey="Aggleton, Peter" sort="Aggleton, Peter" uniqKey="Aggleton P" first="Peter" last="Aggleton">Peter Aggleton</name><affiliation><nlm:aff id="A2">Thomas Coram Research Unit, Institute of Education, University of London, London, UK</nlm:aff></affiliation></author><author><name sortKey="Galea, Jerome T" sort="Galea, Jerome T" uniqKey="Galea J" first="Jerome T." last="Galea">Jerome T. Galea</name><affiliation><nlm:aff id="A3">Program in Global Health, David Geffen School of Medicine, University of California, Los Angeles, California, USA</nlm:aff></affiliation></author></analytic><series><title level="j">AIDS (London, England)</title><idno type="ISSN">0269-9370</idno><idno type="eISSN">1473-5571</idno><imprint><date when="2008">2008</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p id="P1">Despite a number of programmes to prevent HIV among men who have sex with men (MSM) and, more generally, sexually diverse populations, gay and other homosexually active men continue to be at heightened risk of HIV and its consequences. This paper analyses some of the reasons for this situation and offers policy and programmatic recommendations to contribute to a solution. The social exclusion of MSM and transgender individuals is an overwhelming reality in the majority of countries worldwide. Although progress has been achieved in some countries, in most of the world the situation remains problematic. Present challenges to equality and to the realization of health, include the membership of groups or subcultures with high HIV prevalence, lower quality and coverage of services and programmes and the impact of higher-level influences such as laws, public policies, social norms and culture, which together configure an environment that is hostile to the integration and needs of certain groups. A social inclusion perspective on HIV prevention and AIDS-related care implies the adoption of strategies to understand and confront social vulnerability. Sexual exclusion intensifies the burden of HIV transmission and morbidity. As part of a comprehensive response there is an urgent need to: (i) improve our understanding of the characteristics and HIV burden among sexually diverse populations; (ii) creatively confront legal, social and cultural factors enhancing sexual exclusion; (iii) ensure the provision of broad-based and effective HIV prevention; (iv) offer adequate care and treatment; and (v) confront special challenges that characterize work with these populations in lower and middle-income countries.</p></div></front></TEI><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>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">8710219</journal-id><journal-id journal-id-type="pubmed-jr-id">1493</journal-id><journal-id journal-id-type="nlm-ta">AIDS</journal-id><journal-id journal-id-type="iso-abbrev">AIDS</journal-id><journal-title-group><journal-title>AIDS (London, England)</journal-title></journal-title-group><issn pub-type="ppub">0269-9370</issn><issn pub-type="epub">1473-5571</issn></journal-meta><article-meta><article-id pub-id-type="pmid">18641469</article-id><article-id pub-id-type="pmc">3329729</article-id><article-id pub-id-type="doi">10.1097/01.aids.0000327436.36161.80</article-id><article-id pub-id-type="manuscript">NIHMS313885</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Sexual diversity, social inclusion and HIV/AIDS</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Cáceres</surname><given-names>Carlos F.</given-names></name><xref ref-type="aff" rid="A1">a</xref></contrib><contrib contrib-type="author"><name><surname>Aggleton</surname><given-names>Peter</given-names></name><xref ref-type="aff" rid="A2">b</xref></contrib><contrib contrib-type="author"><name><surname>Galea</surname><given-names>Jerome T.</given-names></name><xref ref-type="aff" rid="A3">c</xref></contrib></contrib-group><aff id="A1"><label>a</label>Unit of Health, Sexuality and Human Development, Cayetano Heredia University School of Public Health, Lima, Peru</aff><aff id="A2"><label>b</label>Thomas Coram Research Unit, Institute of Education, University of London, London, UK</aff><aff id="A3"><label>c</label>Program in Global Health, David Geffen School of Medicine, University of California, Los Angeles, California, USA</aff><author-notes><corresp id="FN1">Correspondence to Professor Carlos F. Cáceres, MD, PhD, Unit of Health, Sexuality and Human Development, Cayetano Heredia University School of Public Health. Av. Armendariz 445, Lima 18, Peru. <email>ccaceres@upch.edu.pe</email></corresp></author-notes><pub-date pub-type="nihms-submitted"><day>26</day><month>3</month><year>2012</year></pub-date><pub-date pub-type="ppub"><month>8</month><year>2008</year></pub-date><pub-date pub-type="pmc-release"><day>19</day><month>4</month><year>2012</year></pub-date><volume>22</volume><issue>Suppl 2</issue><fpage>S45</fpage><lpage>S55</lpage><permissions><copyright-statement>© 2008 Wolters Kluwer Health | Lippincott Williams & Wilkins</copyright-statement><copyright-year>2008</copyright-year></permissions><abstract><p id="P1">Despite a number of programmes to prevent HIV among men who have sex with men (MSM) and, more generally, sexually diverse populations, gay and other homosexually active men continue to be at heightened risk of HIV and its consequences. This paper analyses some of the reasons for this situation and offers policy and programmatic recommendations to contribute to a solution. The social exclusion of MSM and transgender individuals is an overwhelming reality in the majority of countries worldwide. Although progress has been achieved in some countries, in most of the world the situation remains problematic. Present challenges to equality and to the realization of health, include the membership of groups or subcultures with high HIV prevalence, lower quality and coverage of services and programmes and the impact of higher-level influences such as laws, public policies, social norms and culture, which together configure an environment that is hostile to the integration and needs of certain groups. A social inclusion perspective on HIV prevention and AIDS-related care implies the adoption of strategies to understand and confront social vulnerability. Sexual exclusion intensifies the burden of HIV transmission and morbidity. As part of a comprehensive response there is an urgent need to: (i) improve our understanding of the characteristics and HIV burden among sexually diverse populations; (ii) creatively confront legal, social and cultural factors enhancing sexual exclusion; (iii) ensure the provision of broad-based and effective HIV prevention; (iv) offer adequate care and treatment; and (v) confront special challenges that characterize work with these populations in lower and middle-income countries.</p></abstract><kwd-group><kwd>care</kwd><kwd>HIV/AIDS</kwd><kwd>men who have sex with men</kwd><kwd>prevention</kwd><kwd>sexual minorities</kwd><kwd>social exclusion</kwd><kwd>transgender</kwd></kwd-group><funding-group><award-group><funding-source country="United States">National Institute of Mental Health : NIMH</funding-source><award-id>P30 MH058107-11 || MH</award-id></award-group><award-group><funding-source country="United States">National Institute of Mental Health : NIMH</funding-source><award-id>P30 MH043520-15A1 || MH</award-id></award-group><award-group><funding-source country="United States">National Institute of Allergy and Infectious Diseases Extramural Activities : NIAID</funding-source><award-id>P30 AI028697-19 || AI</award-id></award-group></funding-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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