Stigma, gay men and biomedical prevention: the challenges and opportunities of a rapidly changing HIV prevention landscape.

摘要: Improvements in biomedical technologies, combined with changing social attitudes to sexual minorities, provide new opportunities for HIV prevention among gay and other men who have sex (GMSM). The potential of these technologies (biotechnologies) reduce transmission the impact GMSM will depend, part, on degree which they challenge prejudicial attitudes, practices stigma directed against people living (PLHIV). At structural level, regarding can influence scale-up biotechnologies negatively affect GMSM's access use technologies. personal individual men's sense value confidence as negotiate serodiscordant relationships or services. This paper argues that maximising benefits depends reducing at minorities promoting positive changes towards within communities. research, policy programs need invest in: (1) responding institutional stigma; (2) health promotion services recognise work address incorporation biotechnologies; (3) enhanced mobilisation participation PLHIV approaches prevention; (4) expanded research evaluation reduction its relationship prevention. response must become bolder resourcing, designing evaluating interact multiple levels, including structural-level stigma.