HIV in Indian MSM: reasons for a concentrated epidemic & strategies for prevention.
Men who have sex with men (MSM) in India are disproportionately likely to be HIV-infected, and face distinct psychosocial challenges. Understanding the unique socio-cultural issues of MSM in India and how they relate to HIV risk could maximize the utility of future prevention efforts. This review discusses: (i) the importance of addressing co-occurring mental health issues, such as depression, which may interfere with MSM's ability to benefit from traditional risk reduction counselling, (ii) reducing HIV-related stigma among health providers, policymakers and the lay public, and (iii) the role for non-governmental organizations that work with the community to play in providing culturally relevant HIV prevention programmes for MSM.
National Institute for Research in Tuberculosis, No.1 Satyamoorthy Road, Chetpet, Chennai, India. beenaelli09@gmail.com
Beena
B
Thomas
Matthew J
MJ
Mimiaga
Senthil
S
Kumar
Soumya
S
Swaminathan
Steven A
SA
Safren
Kenneth H
KH
Mayer
D001291:Attitude of Health Personnel; D003376:Counseling / Q000379:methods; D003469:Culture; D003863:Depression / Q000503:physiopathology; D006078:Government Programs / Q000379:methods*; D015658:HIV Infections / Q000453:epidemiology* / Q000517:prevention & control*; D018451:Homosexuality, Male; D006801:Humans; D007194:India / Q000453:epidemiology; D008297:Male; D015995:Prevalence; D015980:Public Health Practice; D040242:Risk Reduction Behavior; D057545:Social Stigma