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A call to action for comprehensive HIV services for men who have sex with men

Identifieur interne : 000F02 ( Ncbi/Merge ); précédent : 000F01; suivant : 000F03

A call to action for comprehensive HIV services for men who have sex with men

Auteurs : Chris Beyrer ; Patrick S. Sullivan ; Jorge Sanchez ; David Dowdy ; Dennis Altman ; Gift Trapence ; Chris Collins ; Elly Katabira ; Michel Kazatchkine ; Michel Sidibe ; Kenneth H. Mayer

Source :

Lancet [ 0140-6736 ] ; 2012.

RBID : PMC:3805059

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.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3805059

DOI: 10.1016/S0140-6736(12)61022-8
PubMed: 22819663
PubMed Central: 3805059

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Le document en format XML

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<front><div type="abstract" xml:lang="en"><p id="P1">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.</p>
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<title-group><article-title>A call to action for comprehensive HIV services for men who have sex with men</article-title>
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<contrib-group><contrib contrib-type="author"><name><surname>Beyrer</surname>
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<prefix>Prof.</prefix>
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<contrib contrib-type="author"><name><surname>Sullivan</surname>
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<degrees>PhD</degrees>
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<contrib contrib-type="author"><name><surname>Sanchez</surname>
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<aff id="A3">Asociación Civil Impacta Salud y Educación (IMPACTA), Lima, Peru</aff>
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<contrib contrib-type="author"><name><surname>Dowdy</surname>
<given-names>David</given-names>
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<degrees>MD</degrees>
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<contrib contrib-type="author"><name><surname>Trapence</surname>
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<aff id="A7">amfAR, The Foundation for AIDS Research, Washington, DC, USA</aff>
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<contrib contrib-type="author"><name><surname>Katabira</surname>
<given-names>Elly</given-names>
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<degrees>MD</degrees>
<aff id="A8">Makerere University, Kampala, Uganda, and the International AIDS Society, Geneva, Switzerland</aff>
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<contrib contrib-type="author"><name><surname>Kazatchkine</surname>
<given-names>Michel</given-names>
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<degrees>MD</degrees>
<aff id="A9">University René Descartes, Paris, France</aff>
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<contrib contrib-type="author"><name><surname>Sidibe</surname>
<given-names>Michel</given-names>
</name>
<degrees>PhD</degrees>
<aff id="A10">UNAIDS, Geneva, Switzerland</aff>
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<contrib contrib-type="author"><name><surname>Mayer</surname>
<given-names>Kenneth H.</given-names>
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<degrees>MD</degrees>
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<author-notes><corresp id="FN1">Correspondence to: Prof Chris Beyrer, Center for Public Health and Human Rights, Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA <email>cbeyrer@jhsph.edu</email>
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<volume>380</volume>
<issue>9839</issue>
<fpage>424</fpage>
<lpage>438</lpage>
<abstract><p id="P1">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.</p>
</abstract>
<funding-group><award-group><funding-source country="United States">National Institute of Allergy and Infectious Diseases Extramural Activities : NIAID</funding-source>
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<name sortKey="Mayer, Kenneth H" sort="Mayer, Kenneth H" uniqKey="Mayer K" first="Kenneth H." last="Mayer">Kenneth H. Mayer</name>
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A call to action for comprehensive HIV services for men who have sex with men

A call to action for comprehensive HIV services for men who have sex with men

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Abstract

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