HIV in Indian MSM: reasons for a concentrated epidemic & strategies for prevention.

HIV in Indian MSM: reasons for a concentrated epidemic & strategies for prevention.
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DOI:
10.4103/0971-5916.92637
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发表时间:
2011-12
期刊:
The Indian journal of medical research
影响因子:
--
通讯作者:
Mayer KH
Mayer KH
中科院分区:
其他
文献类型:
--
作者:
Thomas B;Mimiaga MJ;Kumar S;Swaminathan S;Safren SA;Mayer KH

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在印度,男男性行为者(MSM)感染艾滋病毒的可能性极高,并面临独特的心理社会挑战。了解印度男男性接触者独特的社会文化问题以及它们与艾滋病毒风险的关系,可以最大限度地发挥未来预防工作的效用。本审查讨论:(i)必须解决同时发生的心理健康问题,如抑郁症,因为这可能会干扰男男性行为者从传统的减少风险咨询中受益的能力,(ii)减少卫生服务提供者、决策者和非专业公众对艾滋病毒的污名化,(iii)与社区合作的非政府组织在为男男性行为者提供文化上相关的艾滋病毒预防方案方面发挥的作用。
Men who have sex with men (MSM) in India are disproportionately likely to be HIV-infected, and face distinct psychosocial challenges. Understanding the unique socio-cultural issues of MSM in India and how they relate to HIV risk could maximize the utility of future prevention efforts. This review discusses: (i) the importance of addressing co-occurring mental health issues, such as depression, which may interfere with MSM's ability to benefit from traditional risk reduction counselling, (ii) reducing HIV-related stigma among health providers, policymakers and the lay public, and (iii) the role for non-governmental organizations that work with the community to play in providing culturally relevant HIV prevention programmes for MSM.
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