Overcoming biological, behavioral, and structural vulnerabilities: new directions in research to decrease HIV transmission in men who have sex with men

Detalhes bibliográficos
Autor(a) principal: Mayer, Kenneth H.
Data de Publicação: 2013
Outros Autores: Wheeler, Darrell P., Bekker, Linda-Gail, Grinsztejn, Beatriz, Remien, Robert H., Sandfort, Theodorus G. M., Beyrer, Chris
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/29789
Resumo: Harvard Medical School. Infectious Disease Attending./ Fenway Health. Beth Israel Deaconess Medical Center. HIV Prevention Research. Boston, MA, USA.
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spelling Mayer, Kenneth H.Wheeler, Darrell P.Bekker, Linda-GailGrinsztejn, BeatrizRemien, Robert H.Sandfort, Theodorus G. M.Beyrer, Chris2018-10-29T16:48:46Z2018-10-29T16:48:46Z2013MAYER, K. H. et al. Overcoming biological, behavioral, and structural vulnerabilities: new directions in research to decrease HIV transmission in men who have sex with men. Journal of Acquired Immune Deficiency Syndromes, v. 63, Suppl 2, p. 161-167, 2013.1525-4135https://www.arca.fiocruz.br/handle/icict/2978910.1097/QAI.0b013e318298700eengOvercoming biological, behavioral, and structural vulnerabilities: new directions in research to decrease HIV transmission in men who have sex with meninfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleHarvard Medical School. Infectious Disease Attending./ Fenway Health. Beth Israel Deaconess Medical Center. HIV Prevention Research. Boston, MA, USA.Loyola University Chicago. School of Social Work. Chicago, Il, USA.University of Cape Town. IIDMM and Dept of Medicine. The Desmond Tutu HIV Centre. South Africa.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.College of Physicians and Surgeons. Department of Psychiatry./ NY State Psychiatric Institute. HIV Center for Clinical and Behavioral Studies./ Columbia University Medical Center. USA.Columbia University. Department of Psychiatry. New York State Psychiatric Institute. Division of Gender, Sexuality, and Health. USA.The Johns Hopkins Bloomberg School of Public Health. Center for Public Health and Human Rights. USA.Men who have sex with men, including transgender women, comprise a heterogeneous group of individuals, whose sexual behaviors and gender identities may varying widely between cultures and among individuals. Their sources of increased vulnerability to HIV are diverse, including the increased efficiency of HIV transmission via unprotected anal intercourse, sexual role versatility, asymptomatic sexually transmitted infections, as well as behavioral factors that may be associated with condomless sex with multiple partners. Societal stigmatization of homosexual behavior and gender non-conformity may result in internalized negative feelings that lead to depression, other affective disorders, and substance use, which in turn are associated with increased risk taking behaviors. Social stigma and punitive civil environments may lead to delays in seeking HIV and STD screening, and later initiation of antiretroviral therapy. The iPrEX study demonstrated that chemoprophylaxis can decrease HIV acquisition in MSM, and the HPTN 052 study established the biological plausibility that earlier initiation of HAART can decrease HIV transmission to uninfected partners. Despite these advances, MSM remain among the most significantly HIV-affected population in resource rich and limited settings. New studies will integrate enhanced understanding of the biology of enhanced rectal transmission of HIV and the focused use of antiretrovirals for prevention with culturally-tailored approaches that address the potentiating social and behavioral factors associated with enhanced HIV spread among MSM.Men who have sex with menTransgender womenHIV preventionHIV transmissioninfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83099https://www.arca.fiocruz.br/bitstream/icict/29789/1/license.txt586c046dcfeef936e32f0323bb9a47c0MD51ORIGINALOvercoming biological, behavioral_Beatriz_Grinsztejn_INI_LapClin-AIDS_2013.pdfOvercoming biological, 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dc.title.pt_BR.fl_str_mv Overcoming biological, behavioral, and structural vulnerabilities: new directions in research to decrease HIV transmission in men who have sex with men
title Overcoming biological, behavioral, and structural vulnerabilities: new directions in research to decrease HIV transmission in men who have sex with men
spellingShingle Overcoming biological, behavioral, and structural vulnerabilities: new directions in research to decrease HIV transmission in men who have sex with men
Mayer, Kenneth H.
Men who have sex with men
Transgender women
HIV prevention
HIV transmission
title_short Overcoming biological, behavioral, and structural vulnerabilities: new directions in research to decrease HIV transmission in men who have sex with men
title_full Overcoming biological, behavioral, and structural vulnerabilities: new directions in research to decrease HIV transmission in men who have sex with men
title_fullStr Overcoming biological, behavioral, and structural vulnerabilities: new directions in research to decrease HIV transmission in men who have sex with men
title_full_unstemmed Overcoming biological, behavioral, and structural vulnerabilities: new directions in research to decrease HIV transmission in men who have sex with men
title_sort Overcoming biological, behavioral, and structural vulnerabilities: new directions in research to decrease HIV transmission in men who have sex with men
author Mayer, Kenneth H.
author_facet Mayer, Kenneth H.
Wheeler, Darrell P.
Bekker, Linda-Gail
Grinsztejn, Beatriz
Remien, Robert H.
Sandfort, Theodorus G. M.
Beyrer, Chris
author_role author
author2 Wheeler, Darrell P.
Bekker, Linda-Gail
Grinsztejn, Beatriz
Remien, Robert H.
Sandfort, Theodorus G. M.
Beyrer, Chris
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Mayer, Kenneth H.
Wheeler, Darrell P.
Bekker, Linda-Gail
Grinsztejn, Beatriz
Remien, Robert H.
Sandfort, Theodorus G. M.
Beyrer, Chris
dc.subject.en.pt_BR.fl_str_mv Men who have sex with men
Transgender women
HIV prevention
HIV transmission
topic Men who have sex with men
Transgender women
HIV prevention
HIV transmission
description Harvard Medical School. Infectious Disease Attending./ Fenway Health. Beth Israel Deaconess Medical Center. HIV Prevention Research. Boston, MA, USA.
publishDate 2013
dc.date.issued.fl_str_mv 2013
dc.date.accessioned.fl_str_mv 2018-10-29T16:48:46Z
dc.date.available.fl_str_mv 2018-10-29T16:48:46Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.citation.fl_str_mv MAYER, K. H. et al. Overcoming biological, behavioral, and structural vulnerabilities: new directions in research to decrease HIV transmission in men who have sex with men. Journal of Acquired Immune Deficiency Syndromes, v. 63, Suppl 2, p. 161-167, 2013.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/29789
dc.identifier.issn.pt_BR.fl_str_mv 1525-4135
dc.identifier.doi.none.fl_str_mv 10.1097/QAI.0b013e318298700e
identifier_str_mv MAYER, K. H. et al. Overcoming biological, behavioral, and structural vulnerabilities: new directions in research to decrease HIV transmission in men who have sex with men. Journal of Acquired Immune Deficiency Syndromes, v. 63, Suppl 2, p. 161-167, 2013.
1525-4135
10.1097/QAI.0b013e318298700e
url https://www.arca.fiocruz.br/handle/icict/29789
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
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instacron:FIOCRUZ
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reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
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