A call to action for comprehensive HIV services for men who have sex with men
Identifieur interne : 005F22 ( Main/Exploration ); précédent : 005F21; suivant : 005F23A call to action for comprehensive HIV services for men who have sex with men
Auteurs : Chris Beyrer [États-Unis] ; Patrick S. Sullivan [États-Unis] ; Jorge Sanchez [Pérou] ; David Dowdy [États-Unis] ; Dennis Altman [Australie] ; Gift Trapence [Malawi] ; Chris Collins [États-Unis] ; Elly Katabira [Ouganda, Suisse] ; Michel Kazatchkine [France] ; Michel Sidibe [Suisse] ; Kenneth H. Mayer [États-Unis]Source :
- Lancet : (British edition) [ 0140-6736 ] ; 2012.
Descripteurs français
- Pascal (Inist)
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English descriptors
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Abstract
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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Sullivan</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Rollins School of Public Health, Emory University</s1><s2>Atlanta, GA</s2><s3>USA</s3><sZ>2 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Atlanta, GA</wicri:noRegion></affiliation></author><author><name sortKey="Sanchez, Jorge" sort="Sanchez, Jorge" uniqKey="Sanchez J" first="Jorge" last="Sanchez">Jorge Sanchez</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Asociación Civil Impacta Salud y Educación (IMPACTA)</s1><s2>Lima</s2><s3>PER</s3><sZ>3 aut.</sZ></inist:fA14><country>Pérou</country><wicri:noRegion>Asociación Civil Impacta Salud y Educación (IMPACTA)</wicri:noRegion></affiliation></author><author><name sortKey="Dowdy, David" sort="Dowdy, David" uniqKey="Dowdy D" first="David" last="Dowdy">David Dowdy</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Center for Public Health and Human Rights, Johns Hopkins Bloomberg School of Public Health</s1><s2>Baltimore, MD</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Baltimore, MD</wicri:noRegion></affiliation></author><author><name sortKey="Altman, Dennis" sort="Altman, Dennis" uniqKey="Altman D" first="Dennis" last="Altman">Dennis Altman</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Faculty of Humanities and Social Sciences, LaTrobe University</s1><s2>Melbourne, VIC</s2><s3>AUS</s3><sZ>5 aut.</sZ></inist:fA14><country>Australie</country><wicri:noRegion>Melbourne, VIC</wicri:noRegion></affiliation></author><author><name sortKey="Trapence, Gift" sort="Trapence, Gift" uniqKey="Trapence G" first="Gift" last="Trapence">Gift Trapence</name><affiliation wicri:level="1"><inist:fA14 i1="05"><s1>Centre for Development of People (CEDEP)</s1><s2>Lilongwe</s2><s3>MWI</s3><sZ>6 aut.</sZ></inist:fA14><country>Malawi</country><wicri:noRegion>Centre for Development of People (CEDEP)</wicri:noRegion></affiliation></author><author><name sortKey="Collins, Chris" sort="Collins, Chris" uniqKey="Collins C" first="Chris" last="Collins">Chris Collins</name><affiliation wicri:level="1"><inist:fA14 i1="06"><s1>Foundation for AIDS Research</s1><s2>Washington, DC</s2><s3>USA</s3><sZ>7 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Foundation for AIDS Research</wicri:noRegion></affiliation></author><author><name sortKey="Katabira, Elly" sort="Katabira, Elly" uniqKey="Katabira E" first="Elly" last="Katabira">Elly Katabira</name><affiliation wicri:level="1"><inist:fA14 i1="07"><s1>Makerere University</s1><s2>Kampala</s2><s3>UGA</s3><sZ>8 aut.</sZ></inist:fA14><country>Ouganda</country><wicri:noRegion>Makerere University</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="08"><s1>International AIDS Society</s1><s2>Geneva</s2><s3>CHE</s3><sZ>8 aut.</sZ></inist:fA14><country>Suisse</country><wicri:noRegion>International AIDS Society</wicri:noRegion></affiliation></author><author><name sortKey="Kazatchkine, Michel" sort="Kazatchkine, Michel" uniqKey="Kazatchkine M" first="Michel" last="Kazatchkine">Michel Kazatchkine</name><affiliation wicri:level="3"><inist:fA14 i1="09"><s1>University Rene Descartes</s1><s2>Paris</s2><s3>FRA</s3><sZ>9 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Sidibe, Michel" sort="Sidibe, Michel" uniqKey="Sidibe M" first="Michel" last="Sidibe">Michel Sidibe</name><affiliation wicri:level="1"><inist:fA14 i1="10"><s1>UNAIDS</s1><s2>Geneva</s2><s3>CHE</s3><sZ>10 aut.</sZ></inist:fA14><country>Suisse</country><wicri:noRegion>UNAIDS</wicri:noRegion></affiliation></author><author><name sortKey="Mayer, Kenneth H" sort="Mayer, Kenneth H" uniqKey="Mayer K" first="Kenneth H." last="Mayer">Kenneth H. Mayer</name><affiliation wicri:level="1"><inist:fA14 i1="11"><s1>Fenway Health, Beth Israel Deaconess Medical Center, Harvard Medical School</s1><s2>Boston, MA</s2><s3>USA</s3><sZ>11 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Boston, MA</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">Lancet : (British edition)</title><title level="j" type="abbreviated">Lancet : (Br. ed.)</title><idno type="ISSN">0140-6736</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Lancet : (British edition)</title><title level="j" type="abbreviated">Lancet : (Br. ed.)</title><idno type="ISSN">0140-6736</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>AIDS</term><term>Homosexuality</term><term>Human</term><term>Human immunodeficiency virus</term><term>Male</term><term>Medicine</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Virus immunodéficience humaine</term><term>SIDA</term><term>Homme</term><term>Homosexualité</term><term>Mâle</term><term>Médecine</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term><term>Médecine</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">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.</div></front></TEI><affiliations><list><country><li>Australie</li><li>France</li><li>Malawi</li><li>Ouganda</li><li>Pérou</li><li>Suisse</li><li>États-Unis</li></country><region><li>Île-de-France</li></region><settlement><li>Paris</li></settlement></list><tree><country name="États-Unis"><noRegion><name sortKey="Beyrer, Chris" sort="Beyrer, Chris" uniqKey="Beyrer C" first="Chris" last="Beyrer">Chris Beyrer</name></noRegion><name sortKey="Collins, Chris" sort="Collins, Chris" uniqKey="Collins C" first="Chris" last="Collins">Chris Collins</name><name sortKey="Dowdy, David" sort="Dowdy, David" uniqKey="Dowdy D" first="David" last="Dowdy">David Dowdy</name><name sortKey="Mayer, Kenneth H" sort="Mayer, Kenneth H" uniqKey="Mayer K" first="Kenneth H." last="Mayer">Kenneth H. Mayer</name><name sortKey="Sullivan, Patrick S" sort="Sullivan, Patrick S" uniqKey="Sullivan P" first="Patrick S." last="Sullivan">Patrick S. Sullivan</name></country><country name="Pérou"><noRegion><name sortKey="Sanchez, Jorge" sort="Sanchez, Jorge" uniqKey="Sanchez J" first="Jorge" last="Sanchez">Jorge Sanchez</name></noRegion></country><country name="Australie"><noRegion><name sortKey="Altman, Dennis" sort="Altman, Dennis" uniqKey="Altman D" first="Dennis" last="Altman">Dennis Altman</name></noRegion></country><country name="Malawi"><noRegion><name sortKey="Trapence, Gift" sort="Trapence, Gift" uniqKey="Trapence G" first="Gift" last="Trapence">Gift Trapence</name></noRegion></country><country name="Ouganda"><noRegion><name sortKey="Katabira, Elly" sort="Katabira, Elly" uniqKey="Katabira E" first="Elly" last="Katabira">Elly Katabira</name></noRegion></country><country name="Suisse"><noRegion><name sortKey="Katabira, Elly" sort="Katabira, Elly" uniqKey="Katabira E" first="Elly" last="Katabira">Elly Katabira</name></noRegion><name sortKey="Sidibe, Michel" sort="Sidibe, Michel" uniqKey="Sidibe M" first="Michel" last="Sidibe">Michel Sidibe</name></country><country name="France"><region name="Île-de-France"><name sortKey="Kazatchkine, Michel" sort="Kazatchkine, Michel" uniqKey="Kazatchkine M" first="Michel" last="Kazatchkine">Michel Kazatchkine</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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