HIV now fects more heterosexual people than gay or bisexual men – we need a new strategy | Ian Green | The Guardian

Contents:

• WHY ARE GAY MEN MORE AT RISK FOR HIV?
• HIV NOW FECTS MORE HETEROSEXUAL PEOPLE THAN GAY OR BISEXUAL MEN – WE NEED A NEW STRATEGY
• NST T="UNFED"!=TYPEOF HTMLIMAGEELEMENT&&"LOADG" HTMLIMAGEELEMENT.PROTOTYPE;IF(T){NST T=DOCUMENT.QUERYSELECTORALL("IMG[DATA-MA-IMAGE]");FOR(LET E OF T){(E.SETATTRIBUTE("SRC",),E.REMOVEATTRIBUTE("DATA-SRC")),(E.SETATTRIBUTE("SRCSET",),E.REMOVEATTRIBUTE("DATA-SRCSET"));NST T=E.PARENTNO.QUERYSELECTORALL("SOURCE[DATA-SRCSET]");FOR(LET E OF T)E.SETATTRIBUTE("SRCSET",),E.REMOVEATTRIBUTE("DATA-SRCSET");PLETE&&(,E.PARENTNO.PARENTNO.QUERYSELECTOR("[DATA-PLACEHOLR-IMAGE]"))}}HIV BASICSOVERVIEWABOUT HIV & AIDSWHAT ARE HIV AND AIDS?HOW IS HIV TRANSMTED?WHO IS AT RISK FOR HIV?SYMPTOMS OF HIVDATA & TRENDSU.S. STATISTICSIMPACT ON RACIAL AND ETHNIC MORIGLOBAL STATISTICSHISTORYHIV AND AIDS TIMELEMAKG A DIFFERENCESUPPORTG SOMEONE LIVG WH HIVSTANDG UP TO STIGMAGETTG INVOLVEDHIV PREVENTNUSG HIV MEDITN TO RCE RISKHIV TREATMENT AS PREVENTNPRE-EXPOSURE PROPHYLAXIS (PREP)POST-EXPOSURE PROPHYLAXIS (PEP)RCG SEXUAL RISKPREVENTG SEXUAL TRANSMISSN OF HIVRCG RISK OM ALHOL & DG USEALHOL AND HIV RISKSUBSTANCE USE AND HIV RISKRCG RISK OF PERATAL TRANSMISSNPREVENTG PERATAL TRANSMISSN OF HIVPOTENTIAL FUTURE OPTNSHIV VACCLONG-ACTG HIV PREVENTN TOOLSMICROBICISHIV TTGLEARN ABOUT HIV TTGWHO SHOULD GET TTED?HIV TTG LOTNSHIV TTG OVERVIEWUNRSTANDG HIV TT RULTSJT DIAGNOSED: WHAT'S NEXT?LIVG WH HIVTALKG ABOUT YOUR HIV STATSTARTG HIV CAREFD A PROVIRLOTE AN HIV CARE PROVIRTYP OF PROVIRSTAKE CHARGE OF YOUR CAREGETTG READY FOR YOUR FIRST VISWHAT TO EXPECT AT YOUR FIRST HIV CARE VISSTAYG HIV CAREPROVIR VISS AND LAB TTSMAKG CARE WORK FOR YOUSEEG YOUR HEALTH CARE PROVIRHIV LAB TTS AND RULTSRETURNG TO CAREHIV TREATMENTHIV TREATMENT OVERVIEWVIRAL SUPPRSN AND UNTECTABLE VIRAL LOAD TAKG YOUR HIV MEDICE AS PRCRIBEDTIPS ON TAKG YOUR HIV MEDITN EVERY DAYPAYG FOR HIV CARE AND TREATMENTOTHER RELATED HEALTH ISSUOTHER HEALTH ISSU OF SPECIAL CONCERN FOR PEOPLE LIVG WH HIVALHOL AND DG USECORONAVIS (COVID-19) AND PEOPLE WH HIVHEPATIS B & CIMMUNIZATNS AND PEOPLE WH HIVFLU AND PEOPLE WH HIVMENTAL HEALTHMPOX AND PEOPLE WH HIVOPPORTUNISTIC INFECTNSSEXUALLY TRANSMTED INFECTNSSMOKGHIV AND WOMEN'S HEALTH ISSULIVG WELL WH HIVTAKG CARE OF YOURSELFAGG WH HIVEMERGENCI AND DISASTERS AND HIVEMPLOYMENT AND HEALTHEXERCISE AND PHYSIL ACTIVYFOOD SAFETY AND NUTRNHOG AND HEALTHTRAVELG OUTSI THE U.S.YOUR LEGAL RIGHTSCIVIL RIGHTSWORKPLACE RIGHTSLIMS ON CONFINTIALYFERAL RPONSENATNAL HIV/AIDS STRATEGYNATNAL HIV/AIDS STRATEGY (2022-2025)PRR NATNAL HIV/AIDS STRATEGI (2010-2021)IMPLEMENTG THE NATNAL HIV/AIDS STRATEGYENDG THE HIV EPIMICABOUT ENDG THE HIV EPIMIC THE U.S.OVERVIEWKEY STRATEGIPRRY JURISDICTNSHHS AGENCI INVOLVEDFUNDGTIMELELEARN MORE ABOUT EHEREADY, SET, PREPREADY, SET, PREPREADY, SET, PREP PHARMACIREADY, SET, PREP ROURCAHEADAHEAD: AMERI’S HIV EPIMIC ANALYSIS DASHBOARDFERAL ACTIVI & AGENCIHIV PREVENTN ACTIVIHIV TTG ACTIVIHIV CARE AND TREATMENT ACTIVIHIV REARCH ACTIVIACTIVI COMBATG HIV STIGMA AND DISCRIMATNPOLICI & ISSUTHE AFFORDABLE CARE ACT AND HIV/AIDSHIV CARE CONTUUMSYRGE SERVIC PROGRAMSFUNDGBUDGETFERAL FUNDG FOR HIV/AIDSMORY HIV/AIDS FUNDOVERVIEWBACKGROUNDFUND ACTIVITHE FUND ACTNPACHAABOUT PACHACHARTERMEMBERS & STAFFSUBMTEPRR PACHA MEETGS AND REMENDATNSCAMPAIGNSI AM A WORK OF ART CAMPAIGNAWARENS CAMPAIGNSPEPFAR & GLOBAL AIDSGLOBAL HIV/AIDS OVERVIEWPEPFARU.S. GOVERNMENT GLOBAL HIV/AIDS ACTIVIGLOBAL HIV/AIDS ORGANIZATNSEVENTSAWARENS DAYSNATNAL BLACK HIV/AIDS AWARENS DAY FEBARY 7HIV IS NOT A CRIME AWARENS DAY FEBARY 28NATNAL WOMEN AND GIRLS HIV/AIDS AWARENS DAY MARCH 10NATNAL NATIVE HIV/AIDS AWARENS DAY MARCH 20NATNAL YOUTH HIV & AIDS AWARENS DAY APRIL 10HIV VACCE AWARENS DAY MAY 18NATNAL ASIAN & PACIFIC ISLANR HIV/AIDS AWARENS DAY MAY 19HIV LONG-TERM SURVIVORS AWARENS DAY JUNE 5NATNAL HIV TTG DAY JUNE 27ZERO HIV STIGMA JULY 21SOUTHERN HIV/AIDS AWARENS DAY AUGT 20NATNAL FAH HIV/AIDS AWARENS DAY AUGT 30NATNAL HIV/AIDS AND AGG AWARENS DAY SEPTEMPBER 18NATNAL GAY MEN'S HIV/AIDS AWARENS DAY SEPTEMBER 27NATNAL LATX AIDS AWARENS DAY OCTOBER 15WORLD AIDS DAY DECEMBER 1EVENT PLANNG GUI CONFERENCU.S. CONFERENCE ON HIV/AIDS (USCHA) NATNAL RYAN WHE CONFERENCE ON HIV CARE & TREATMENT AIDS 2020 (23RD INTERNATNAL AIDS CONFERENCE VIRTUAL) LEARNG OPPORTUNILEARNG OPPORTUNILEARNG OPPORTUNIWANT TO STAY ABREAST OF CHANG PREVENTN, RE, TREATMENT OR REARCH OR OTHER PUBLIC HEALTH ARENAS THAT AFFECT OUR LLECTIVE RPONSE TO THE HIV EPIMIC? OR ARE YOU NEW TO THIS FIELD? CURAT LEARNG OPPORTUNI FOR YOU, AND THE PEOPLE YOU SERVE AND LLABORATE WH.STAY UP TO DATE WH THE WEBARS, TWTER CHATS, NFERENC AND MORE THIS SECTN.MORE LEARNG OPPORTUNIBLOGGET TTED. FD SERVIC + PREPSEARCHGOESPAñOL ESPAñOL ES GET TTED. FD SERVIC + PREPSEARCHOPEN LOTOR SEARCHHIV SERVICES LOCATORSEARCH⨯CLOSEHOMEHIV BASICSOVERVIEWABOUT HIV AND AIDSWHO IS AT RISK FOR HIV?SECTN MENUGET TTED. FIND SERVICES + PREP.ABOUT HIV & AIDSWHAT ARE HIV AND AIDS?HOW IS HIV TRANSMTED?WHO IS AT RISK FOR HIV?SYMPTOMS OF HIVSEARCHABOUT HIV & AIDSWHAT ARE HIV AND AIDS?HOW IS HIV TRANSMTED?WHO IS AT RISK FOR HIV?SYMPTOMS OF HIVWHO IS AT RISK FOR HIV?
• THE HIGH RISK OF GAY BLACK MEN GETTG HIV
• HIV AND ALL GAY AND BISEXUAL MEN
• HIV AND AIN AMERIN GAY AND BISEXUAL MEN

WHY ARE GAY MEN MORE AT RISK FOR HIV?

David explas what’s behd the higher rat of HIV among gay men. David: This gentlemen asks, “’Why are gay men more at risk for HIV?

Sce the HIV epimic started the 1980s gay men have been at a greater risk and reprented more of the new HIV s that we’ve known this untry and actually ternatnally as well. In this day and time, gay men still make up about 2/3 of the new HIV diagnosis. So aga, the pot I would want to make, ’s not bee of who you are, ’s not jt bee you’re gay.

It’s bee we live a high HIV prevalent society among gay men and then also bee some of the behavrs that we engage may put more at risk for HIV. Gay and bisexual men n take the followg steps to rce their risk of HIV fectn:. And homosexual men are at even greater risk.

HIV NOW FECTS MORE HETEROSEXUAL PEOPLE THAN GAY OR BISEXUAL MEN – WE NEED A NEW STRATEGY

And though their rearch was rtricted to heterosexual upl, they anticipate that anal sex between homosexual men would provi a lower barrier to fectn, and rult the transmissn of ls f versns of the vis. CDC is fundg a monstratn project 4 jurisdictns to intify active HIV transmissn works and implement HIV terventns for Hispanic/Lato gay, bisexual, and other men who have sex wh men.

In 2017, CDC award nearly $11 ln per year for five years to 30 CBOs to provi HIV ttg to young gay and bisexual men of lor and transgenr youth of lor, wh the goal of intifyg undiagnosed HIV fectns and lkg those who have HIV to re and preventn servic. This fact sheet the term gay and bisexual men. HIV was tearg the gay muny apart and my diagnosis was almost a relief after a trapped a cycle of sex, shame, fear and regret.

That medil breakthrough 1996 meant an HIV diagnosis was no longer a termal one, but rat among gay men remaed disproportnately high and stigma rife. Now, 49% of new diagnos England are among straight people (wh an almost even spl between men and women), pared wh 45% for gay and bisexual men. Instead, ’s primarily the rult of a sharp, staed drop diagnos among gay and bisexual men wh a 71% fall sce 2014.

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There was a 7% fall HIV ttg by gay men sexual health clics England 2020, but HIV ttg rat heterosexuals dropped by a third.

This mak the news of a higher number of HIV diagnos heterosexuals than gay men even more turnaround fortun cis wh three big chang for HIV the UK the past .

It is wily ed by gay men but far ls so by other groups.

THE HIGH RISK OF GAY BLACK MEN GETTG HIV

For example, I have 100% nfince that I n’t pass on HIV to my hband, and he do targeted work focg on at-risk groups – cludg gay men, as well as those of black Ain herage and some the trans muny – is workg.

This par wh jt 29% among gay and bisexual need to tt more people more often and more plac – regardls of genr, sexualy, ethnicy or anythg else. To ntextualise the size of the challenge, jt 4% of those on NHS England’s PrEP trial didn’t intify as a gay or bisexual also need to ensure that all healthre profsnals have a solid basele knowledge of HIV, which I know om personal experience is all too often not the se.

For example, if someone is prentg wh symptoms of a promised immune system (such as thsh or ld sor), we need GPs to remend an HIV tt for a whe heterosexual grandmother jt as they might for a gay is a unique health challenge and remas one of the most stigmatised health ndns. 66%Gay and bisexual men* acunted for about 23, 100 (66%) new HIV fectns 2019.

HIV AND ALL GAY AND BISEXUAL MEN

†Unr 50%Only 27% of Black/Ain Amerin, 31% of Hispanic/Lato, and 42% of Whe gay and bisexual men who uld have benefted om medice to prevent HIV (PrEP) ed 50%Only 27% of Black/Ain Amerin, 31% of Hispanic/Lato, and 42% of Whe gay and bisexual men who uld have benefted om medice to prevent HIV (PrEP) ed 2017. 2 3Only about 2 3 Black/Ain Amerin (62%) or Hispanic/Lato (67%) gay and bisexual men wh HIV were virally supprsed 2019, ‡ pared wh about 3 4 (74%) Whe gay and bisexual men.

Gay and bisexual men acunt for about two-thirds (66%) of new HIV fectns each year. Black/Ain Amerin and Hispanic/Lato gay and bisexual men** are among the most affected. From 2010 to 2019, new HIV fectns cled among Whe gay and bisexual men but remaed higher and relatively stable among Black/Ain Amerin and Hispanic/Lato gay and bisexual men.

Social and stctural barriers such as systemic racism, stigma, discrimatn, homophobia, poverty, and homelsns n make difficult to accs HIV ttg, re, and preventn servic. There have been signifint advanc HIV preventn and treatment but missed ttg opportuni healthre settgs are preventg some gay and bisexual men om knowg their HIV stat and beneftg om the advanc. More HIV ttg is need to prevent new HIV fectns and improve the health out of gay and bisexual men wh HIV.

HIV AND AIN AMERIN GAY AND BISEXUAL MEN

Gay and bisexual men who tt negative n benef om pre-exposure prophylaxis (PrEP). Gay and bisexual men who learn they have HIV n start and stay on HIV treatment, get the vis down to an untectable level (bee virally supprsed), live long and healthy liv, and prevent sexual transmissn to others. This goal n only be achieved by dramatilly rcg new HIV fectns among the most affected groups, cludg Black/Ain Amerin and Hispanic/Lato gay and bisexual men, and expandg and stag vtments HIV servic.

There are ongog racial/ethnic differenc knowledge of stat and HIV preventn and treatment out among gay and bisexual men.

About 20% of Hispanic/Lato, 17% of Black/Ain Amerin, and 10% of Whe gay and bisexual men are unaware of their HIV statexternal in.

Among gay and bisexual men who uld benef om PrEP, only 27% of Black/Ain Amerin, 31% of Hispanic/Lato, and 42% of Whe gay and bisexual men reported g PrEP 2017. Around 38% of Black/Ain Amerin, 33% of Hispanic/Lato, and 26% of Whe gay and bisexual men wh HIV are not virally supprsexternal in.

Black/Ain Amerin and Hispanic/Lato gay and bisexual men experience higher levels of HIV stigmapdf inexternal in, wh sr more than twice the natnal goal. New HIV fectns creased among Whe gay and bisexual men but did not crease among Black/Ain Amerin and Hispanic/Lato gay and bisexual men. High levels of HIV stigma—negative attus and beliefs about people wh HIV—make gay and bisexual men ls likely to get tted, e preventn servic like PrEP, receive re, and be virally supprsed.

Differenc knowledge of HIV stat, PrEP age, treatment adherence, and viral supprsn for those wh HIV ntue to exist among gay and bisexual men. Innovative and culturally rponsive strategi that addrs gay and bisexual men’s needs n rce barriers that keep men om knowg their HIV stat and receivg HIV preventn and treatment servic. Implementg programs to give HIV self-ttg ks to gay and bisexual men who may not have accs to -person ttg servic.