Men who have sex wh men (MSM) prise at least 4% of mal the Uned Stat. MSM may scribe themselv as gay, bisexual, or heterosexual. Bee current medil practice do not always facilate discsn of sexual behavrs, this group of men may face barriers to receivg culturally petent, prehensive health re, cludg preventive servic. Barriers clu a lack of a welg clil environment, lack of aquate health surance, and sexual mory strs. Health issu that have a disproportnate impact on MSM clu mental health and behavral problems, smokg and illic substance e, and sexually transmted fectns (STIs). Fay physicians mt be prepared to ask explic qutns about sexual activi to terme risk levels for STIs. MSM should receive the same immunizatns routely remend for other patients, as well as for hepatis A and B vis. Although anal Papanilaou ttg is available to screen for cytologic abnormali, there are no nsistent guil about s effectivens. Preexposure prophylaxis is an optn for MSM who are at very high risk of human immunoficiency vis (HIV) fectn. For MSM who are not takg preexposure prophylaxis and report a recent high-risk exposure to HIV, postexposure prophylaxis should be offered immediately, preferably wh 72 hours of exposure. Bee STIs are monly asymptomatic, screeng should be based on risk rather than symptoms. Screeng for hepatis C vis fectn is remend for HIV-posive MSM at least annually and more often for high-risk dividuals.
Contents:
GAY, BISEXUAL AND OTHER MEN WHO HAVE SEX WH MEN (MSM)
STDs Gay, Bisexual and Other Men Who Have Sex Wh Men * gay vs msm *
Shigella Infectns among Gay & Bisexual Men — CDC fact sheet that provis general rmatn and preventn tips for MSM about the diarrheal disease, Shigellosis. What Gay, Bisexual and Men Who Have Sex wh Men Need to Know About Sexually Transmted Diseas – CDC fact sheet. Doxy-PEP as an STI Preventn Strategy: Consiratns for dividuals and healthre provirs of gay or bisexual men or transgenr women.
However, they are problematic bee they obscure social dimensns of sexualy; unrme the self-labelg of lbian, gay, and bisexual people; and do not sufficiently scribe variatns sexual and WSW often imply a lack of lbian or gay inty and an absence of muny, works, and relatnships which same-genr pairgs mean more than merely sexual behavr.
In part bee the terms held the promise of rcg AIDS stigma, which has been irratnally attached to gay men and lbians, we, the thors, helped to promulgate the now-faiar acronyms. Acrdgly, MSM was troduced to reflect the ia that behavrs, not inti, place dividuals at risk for HIV fectn, a particularly important distctn given that scientific and medil experts had ially intified gay inty as a risk for HIV/AIDS, a characterizatn that stigmatized lbian, gay, and bisexual (LGB) populatns and nfound efforts to prevent HIV fectn. While the epimlogil perspective aimed to rce gay and lbian to what is thought of as their necsary re—sexual behavrs that place dividuals at risk—the social nstctnist crique, wh s orig gay and lbian studi and femist and queer theory, seeks to do the oppose: seeks more textured unrstandgs of sexualy that do not assume alignments among inty, behavr, and sire.