title: A call to action for comprehensive HIV services for men who have sex with men.
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.
authors: Center for Public Health and Human Rights, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA. cbeyrer@jhsph.edu
authors: Chris
authors: C
authors: Beyrer
authors: Patrick S
authors: PS
authors: Sullivan
authors: Jorge
authors: J
authors: Sanchez
authors: David
authors: D
authors: Dowdy
authors: Dennis
authors: D
authors: Altman
authors: Gift
authors: G
authors: Trapence
authors: Chris
authors: C
authors: Collins
authors: Elly
authors: E
authors: Katabira
authors: Michel
authors: M
authors: Kazatchkine
authors: Michel
authors: M
authors: Sidibe
authors: Kenneth H
authors: KH
authors: Mayer
mesh_terms: D044966:Anti-Retroviral Agents / Q000627:therapeutic use; D017280:Condoms; D003695:Delivery of Health Care; D015658:HIV Infections / Q000191:economics / Q000517:prevention & control / Q000628:therapy*; D018451:Homosexuality, Male; D006806:Human Rights; D006801:Humans; D054327:Lubricants; D008297:Male; D011634:Public Health; D012307:Risk Factors; D012309:Risk-Taking; D012725:Sexual Behavior
chemical_list: D044966:Anti-Retroviral Agents; D054327:Lubricants