HIV incidence among gay men and other men who have sex with men in 2020: where is the epidemic heading?

摘要: The goal to effectively prevent new HIV infections among gay, bisexual, and other men who have sex with (MSM) is more challenging now than ever before. Despite declines in the late 1990s early 2000s, incidence MSM increasing many low- high-income settings including US, young, adolescent, racial/ethnic minority being those at highest risk. Potentiating risks across all are individual-, network-, structural-level factors such as stigma lack of access pre-exposure prophylaxis (PrEP) antiretroviral treatment prevention. To make a sustained impact on epidemic, concerted effort must integrate evidence-based interventions that will most proximally decrease acquisition transmission risks, together structural support improved coverage retention care. Universal treatment, increased testing, daily oral PrEP emerged integral prevention transmission, efforts should be immediately expanded for populations disproportionately affected by HIV. Respect human rights combat improve services needed change trajectory pandemic MSM.