European men who have sex with men still at risk of HIV infection despite three decades of prevention efforts

Haar, Karin; Amato‐Gauci, Andrew J.

doi:10.2807/1560-7917.es2015.20.14.21087

Cited by 7 publications

(5 citation statements)

References 11 publications

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“…2 Increases in STI diagnoses, particularly of syphilis and gonorrhoea, have been seen among men who have sex with men (MSM), 2 and there have been recent reports of outbreaks of sexually transmitted enteric infections including Shigella and hepatitis A among MSM. 3,4 Rates of HIV diagnosis remain high in this group 2,5 and HIV-positive men are disproportionally affected by STIs. 6 Recent concern has focussed on the potential for chemsexthe use of recreational drugs during sexual activityto increase the risk of infection with blood-borne viruses (BBVs), STIs and other diseases.…”

Section: Introductionmentioning

confidence: 99%

Awareness of and attitudes to sexually transmissible infections among gay men and other men who have sex with men in England: a qualitative study

et al. 2019

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Background Rates of sexually transmissible infections (STIs) have increased over recent years among gay men and other men who have sex with men (MSM) in England and Wales. HIV diagnoses remain high in this group and men with diagnosed HIV are disproportionally affected by STIs. MSM are therefore a priority for health promotion efforts to reduce STIs. Understanding awareness of and attitudes towards STIs is essential in developing health promotion interventions to reduce prevalence. Methods: Eight focus group discussions (FGDs) with a total of 61 MSM in four English cities included a ranking exercise to gauge how ‘scary’ participants thought 11 STIs are. The exercise sought insights into participants’ awareness of, knowledge about and attitudes towards STIs and blood-borne viruses (BBVs). FGDs were audio-recorded, transcribed and data analysed thematically. Results: All groups ranked HIV and Hepatitis C virus (HCV) as the scariest infections, and the majority ranked syphilis and herpes as highly scary. Scabies was ranked as the least scary by most groups. Rankings were dependent on how well informed participants felt about an infection, its transmission mechanisms, health affect and the availability of vaccines and treatment. Personal experience or that of friends influenced perceptions of particular infections, as did their prevalence, treatment options, visibility of symptoms and whether an STI could be cleared from the body. Conclusions: The study findings suggest that, although some MSM are well informed, there is widespread lack of knowledge about the prevalence, modes of transmission, health implications and treatment regimens of particular STIs.

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Section: Introductionmentioning

confidence: 99%

Awareness of and attitudes to sexually transmissible infections among gay men and other men who have sex with men in England: a qualitative study

et al. 2019

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“…Sex between men is the predominant mode of HIV transmission in Europe and other high income settings 3. In the UK, HIV incidence among men having sex with men (MSM) has remained high (around 3,000 new HIV infections in 20144 and 20155,6, although with reports of somewhat lower levels in 20167), despite high levels of antiretroviral treatment (ART) coverage, virological suppression for those on treatment and an expansion in HIV testing 8,9.…”

Section: Introductionmentioning

confidence: 99%

Cost-effectiveness of pre-exposure prophylaxis for HIV prevention in men who have sex with men in the UK: a modelling study and health economic evaluation

Cambiano

Miners

Dunn

et al. 2018

The Lancet Infectious Diseases

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“…Men who have sex with men (MSM) are at high risk of HIV exposure, partly because they frequently lack suitable information and prevention interventions. The rate of new infections in MSM is neither decreasing globally (UNAIDS, 2016a), nor in Europe (European Centre for Disease Prevention and Control, 2013; Haar & Amato-Gauci, 2015). This is especially true in France (Institut de Veille Sanitaire, 2014; Méthy, Velter, Semaille, & Bajos, 2015).…”

mentioning

confidence: 99%

Pleasure and PrEP: Pleasure-Seeking Plays a Role in Prevention Choices and Could Lead to PrEP Initiation

Mabire

Puppo

Morel³

et al. 2019

Am J Mens Health

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Pleasure-seeking plays a role in prevention (means choices and use), and in the sexual quality of life of men who have sex with men (MSM). Since HIV is a major threat to MSM health, new means of prevention, like pre-exposure prophylaxis (PrEP), must meet the needs of MSM to be fully efficient. Using a psychosocial approach, we examined how pleasure-seeking plays a role in participation of MSM in “ANRS-IPERGAY,” a community-based trial on sexual health which included sexual on-demand PrEP. Thirteen semistructured collective interviews were conducted with 45 participants. First, we analyzed participants’ search for new prevention means due to previous failures in condom use. We found that participants perceived condoms as a barrier—both materially and symbolically—to pleasure and desire, causing anxiety and stress considering sexual intercourse. Second, we explored representations and attitudes concerning pleasure within the context of PrEP. We found that PrEP allowed participants to freely choose their desired sexual positions and to better enjoy intimacy. Third, we studied the sexual quality of life for PrEP users in ANRS-IPERGAY and found an improvement. Thanks to the community-based design of the trial, this new prevention tool became a means to develop agency and empowerment for participants, not only in negotiating individual prevention but also in opposing the normative and stigmatizing discourse on sexuality and HIV. In conclusion, pleasure-seeking appears to be an essential element of sexual fulfillment that needs to be integrated as a positive notion in the study of HIV prevention.

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European men who have sex with men still at risk of HIV infection despite three decades of prevention efforts

Abstract: The WHO Regional Office for Europe is responsible for the accuracy of the translation of the Russian summary.

Cited by 7 publications

References 11 publications

Awareness of and attitudes to sexually transmissible infections among gay men and other men who have sex with men in England: a qualitative study

Awareness of and attitudes to sexually transmissible infections among gay men and other men who have sex with men in England: a qualitative study

Cost-effectiveness of pre-exposure prophylaxis for HIV prevention in men who have sex with men in the UK: a modelling study and health economic evaluation

Pleasure and PrEP: Pleasure-Seeking Plays a Role in Prevention Choices and Could Lead to PrEP Initiation

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