HIV and Gay and Bisexual Men | NIH

Contents:

• WHY ARE GAY MEN MORE AT RISK FOR HIV?
• HIV AMONG GAY AND BISEXUAL MEN THE U.S.
• 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)ENDG 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 BASICSOVERVIEWDATA AND TRENDSIMPACT ON RACIAL AND ETHNIC MORISECTN MENUGET TTED. FIND SERVICES + PREP.DATA & TRENDSU.S. STATISTICSIMPACT ON RACIAL AND ETHNIC MORIGLOBAL STATISTICSSEARCHDATA & TRENDSU.S. STATISTICSIMPACT ON RACIAL AND ETHNIC MORIGLOBAL STATISTICSIMPACT ON RACIAL AND ETHNIC MORI
• HIV AND ALL GAY AND BISEXUAL MEN
• THE HIGH RISK OF GAY BLACK MEN GETTG HIV
• HIV-RELATED STIGMA WH MUNI OF GAY MEN: A LERATURE REVIEW
• GAY AND BISEXUAL MEN'S HEALTH ISSU
• HIV AND AIN AMERIN GAY AND BISEXUAL MEN
• CANCER FACTS FOR GAY AND BISEXUAL MEN

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. 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.

HIV AMONG GAY AND BISEXUAL MEN THE U.S.

New HIV fectns cled among gay and bisexual men the last , but HIV ntu to disproportnately affect gay and bisexual men relative to other muni the U. Progrs rcg new HIV fectns among gay and bisexual men has also not been equal, wh differenc by race, ethnicy, and age. Factors that fluence health out—cludg HIV-related stigma, homophobia, racism, discrimatn, poverty, limed accs to high-qualy health re, and other longstandg barriers—have ntributed to the unequal reach of HIV preventn and treatment; higher levels of HIV some muni; and ntued equi.

Addnally, 2020, 49% fewer HIV tts were admistered among gay and bisexual men non-healthre settgs than 2019. Wh effective preventn and treatment tools at our disposal, the natn has a s--the-makg opportuny to end the domtic HIV epimic and elimate dispari HIV preventn and re among gay and bisexual men and other populatns disproportnately affected by HIV.

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.

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

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.

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 . 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.

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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.

For example, gay, bisexual and other men who have sex wh men (MSM) are by far the most affected group the Uned Stat. They acunt for about 66% of new fectns each year, even though they make up only 2% of the populatn, wh the hight burn among Black and Lato gay and bisexual men.

HIV AND ALL GAY AND BISEXUAL MEN

Acrdg to CDC, 2019, 26% of new HIV fectns were among Black gay and bisexual men, 23% among Lato gay and bisexual men, and 45% among gay and bisexual men unr the age of women, dispari also exist. It therefore signat five prry populatns: Gay, bisexual, and other men who have sex wh men, particular, Black, Lato, and Amerin Indian/Alaska Native men; Black women; transgenr women; youth aged 13-24 years; and people who ject dgs. Learn more: View NHAS Feral Implementatn Plan also outl feral agenci’ mments to programs, polici, rearch, and activi signed to rce HIV-related dispari and health -pth rmatn about the impact of HIV on different racial and ethnic populatns, see the CDC fact sheets:Risk by race/ethnicyHIV and Ain Amerin PeopleHIV and Hispanic/Lato PeopleHIV the Uned Stat by Race/EthnicyRisk by sexual orientatnHIV and Ain Amerin Gay and Bisexual MenHIV and Hispanic/Lato Gay and Bisexual MenFor more rmatn about the risk for different groups of people, see CDC’s HIV by Group, HIV the Uned Stat and Depennt Areas and HIV the Uned Stat by Ryan Whe HIV/AIDS Program and Racial and Ethnic MoryThe Health Rourc and Servic Admistratn’s (HRSA) Ryan Whe HIV/AIDS Program (RWHAP) provis a prehensive system of HIV primary medil re, meditns, and sential support servic for low-e people wh HIV who are unsured and unrserved.

Social and stctural issu—such as HIV stigma, homophobia, discrimatn, poverty, and limed accs to high-qualy health re—fluence health out and ntue to drive equi.

Get the latt data on HIV among gay and bisexual men and fd out how CDC is makg a difference. This web ntent the term gay and bisexual men to reprent gay, bisexual, and other men who reported male-to-male sexual ntact.

THE HIGH RISK OF GAY BLACK MEN GETTG HIV

This article tak a closer look at the CDC fdgs and outl the var factors ntributg to the exceptnally high risk of HIV gay and bisexual Black men the Uned Stat. This not only clus creasg treatment accs for at-risk muni but also overg barriers to HIV ttg (cludg HIV stigma and homophobia). This n send gay and bisexual men to hidg for fear of disclosure of not only their HIV stat but their sexual orientatn as well.

Acrdg to the CDC, gay and bisexual men of lor tend to have sex wh their own race, meang that their sexual works are smaller and more exclive. Gay men of lor also tend to have sex wh olr men as a rult of their smaller sexual works.

The for this dispary are many, cludg HIV stigma, homophobia, smaller sexual works, distst ernment stutns, and higher rat of poverty and sexually transmted fectns. If you are a gay or bisexual Black man, is important to intify your personal risks of HIV fectn and take steps to mimize them.

HIV-RELATED STIGMA WH MUNI OF GAY MEN: A LERATURE REVIEW

Rockstroh, b, i and Marc ThompsonbAbstractWhile stigma associated wh HIV fectn is well regnised, there is limed rmatn on the impact of HIV-related stigma between men who have sex wh men and wh muni of gay men.

GAY AND BISEXUAL MEN'S HEALTH ISSU

This review of the lerature reports a growg divisn between HIV-posive and HIV-negative gay men, and a agmentatn of gay muni based along l of perceived or actual HIV stat.

The lerature clus multiple referenc to HIV stigma and discrimatn between gay men, men who have sex wh men, and among and between many gay muni. Keywords: Stigma, HIV/AIDS, gay men, men who have sex wh men, mental health, emotnal well-begIntroductnStigma has been fed as any characteristic, real or perceived, that nveys a negative social inty (Crocker, Major, & Steele, 1998; Goffman, 1963).

However, stigmatisatn of HIV-posive dividuals also occurs specifilly wh muni of gay men (Cloete, Simbayi, Kalichman, Strebel, & Henda, 2008; Dowshen, Bns, & Garofalo, 2009). Ined, a growg divisn has been documented (Botnick, 2000a), whereby HIV-negative gay men associate maly or exclively wh other HIV-negative gay men, and vice versa.

HIV AND AIN AMERIN GAY AND BISEXUAL MEN

Botnick has lked this wh observatns that HIV-posive gay men have an creased tenncy to whdraw om both their ual social scen and wir society (Botnick, 2000b). Such effects, upled wh the fact that HIV prevalence and transmissn rat many veloped natns are high, and creasg among gay men (UNAIDS, 2009), highlight the need for terventns to actively unter stigmatisatn aimed specifilly at HIV-posive gay men. This article reviews the agmented and largely anecdotal lerature on HIV-related stigma among men who have sex wh men (MSM), and wh muni of gay men, orr to rm future rearch and the velopment of more effective terventns.

CANCER FACTS FOR GAY AND BISEXUAL MEN

The lerature search was then filtered by searchg wh keywords cludg “gay muny, ” “gay men, ” “men who have sex wh men (MSM), ” “serosortg” and “disclosure”. RultsForms of HIV-related stigmaStigmatisatn of HIV-posive gay men appears to be extensive and wi-rangg. For example, a survey by the Dutch HIV Associatn of 667 people livg wh HIV/AIDS, the majory of whom intified as gay men (79.

2% of the gay rponnts had experienced stigma the gay scene, this was send only to stigma origatg om the general media (82.

Stigma clud discrimatn and rejectn by HIV-negative gay men, stigma related to ageg, chang physil appearance, race/ethnicy and of HIV-related stigma wh gay muniDiscrimatn and rejectn by non-HIV fected gay menSome HIV-negative gay men feel that HIV-posive men threaten gay muni, eher terms of health or general perceptns of gay men (Flowers, Dunn, & Franks, 2000). For example, a survey of HIV-negative gay Lato men, over 50% believed HIV-posive gay men were personally rponsible for their HIV stat and were more promiscuo than themselv (Courtenay-Quirk, Wolski, Parsons, & Gomez, 2006; Díaz, 2006). Conversely, younger HIV-posive gay men have reported antipathy om olr gay men (both HIV-posive and HIV-negative) who feel that sce the younger generatn have accs to better HIV tn and servic than they did, younger gay men should be more rponsible avoidg fectn.