Recently acquired HIV infection in men who have sex with men (MSM) in France, 2003-2008

Abstract

An increase in the number of new HIV diagnoses among men who have sex with men (MSM) was observed in several countries in the early 2000s. In this article, we explore the trends among MSM in France between 2003 and 2008. To estimate the number of MSM newly diagnosed with HIV, we take into account the reporting delay, underreporting and missing data for HIV case notification. To identify recent infections (RI) (acquired an average of six months before diagnosis), we used an enzyme immunoassay for recent HIV-1 infections (EIA-RI) which has been performed routinely for new HIV diagnoses since 2003. Multivariate analysis was used to identify factors associated with RI. We estimate that between 1,900 and 2,400 MSM have been newly diagnosed with HIV every year: the proportion of MSM among all newly diagnosed with HIV cases has increased from 25.2% (95% confidence interval ( . The risk of RI decreased with age. The HIV situation among MSM living in France is a cause of concern, despite the prevention campaigns dedicated to this highly educated sub-population.

Emergence of clusters of CRF02_AG and B human immunodeficiency viral strains among men having sex with men exhibiting HIV primary infection in southeastern France

“…This increase in the incidence of HIV seroconversions among men having sex with men is observed at the national scale in France [Semaille et al, ; Le Vu et al, ], in Europe [Likatavicius et al, ] and worldwide [Beyrer et al, ]. This high and increasing incidence is maintained despite the effects of antiretroviral therapy to decrease transmission at the population level [Montaner et al, ], due to multifactorial reasons: a higher transmission risk related to anal receptive intercourse (approximately 18 times higher than by vaginal intercourse) [Baggaley et al, ], high rates of partner changes, increase in unprotected anal sex and number of sexual partners, increase in HIV transmission in case of another concurrent sexually transmitted infections [Bouyssou et al, ], and missed opportunities for HIV testing [Champenois et al, ].…”

MSM: resurgent epidemics

“…These high rates are accompanied by rising incidence rates of HIV among MSM, as seen in the USA and France despite little change in overall population incidence [6•,7,8•,9]. A review of HIV incidence among MSM in the USA demonstrated an increase from 1.8 per 100 person-years in 1995 to 2.5 per 100 person-years in 2006 [10].…”

Una aproximación a las tipologías en la investigación sociológica a partir de los estilos de vida de homosexuales masculinos en Lima

“…Parten de una perspectiva etic, en tanto se privilegian las nociones del observador por sobre las de los observados. Si bien muchos de estos incluyen métodos cualitativos e incluso enfoques etnográficos, por lo general se trata de trabajos que privilegian una mirada objetivista sobre la sexualidad, lo cual se refleja en la denominación que alude a hombres homo/bisexuales y que ha servido de piedra de toque en sus investigaciones: "hombres que tienen sexo con hombres" (HSH) (Cáceres 2004;Fernández-Dávila et al 2008;Klavs et al 2009;Semaille 2009). Según Cáceres (2004: 40) este concepto "(1) correctamente alude a que es su conducta homosexual, y no su identidad sexual u otra asignación externa de «naturaleza homosexual» esencial, la que sirve para definir al grupo desde el punto de vista de la salud pública, en principio; (2) resulta un término inclusivo para muchos tipos de 'HSH' con distintas experiencias personales; y (3) se posiciona como una denominación técnica totalmente asimilable por los programas gubernamentales de lucha contra el SIDA".…”