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The global epidemic of HIV infection among men who have sex with men

van Griensven, Fritsa,b; de Lind van Wijngaarden, Jan Willemc; Baral, Stefand; Grulich, Andrewe

Current Opinion in HIV & AIDS: July 2009 - Volume 4 - Issue 4 - p 300–307
doi: 10.1097/COH.0b013e32832c3bb3
Epidemiology: Edited by Tim Mastro and Quarraisha Abdool-Karim

Purpose of review: In the last few years, there have been reports of new, newly identified and resurging epidemics of HIV infection among men who have sex with men (MSM). This article reviews and summarizes the global epidemic of HIV infection among MSM.

Recent findings: In the Western world, the increase in notifications of new HIV infections among MSM is continuing. Steep increases in reports of new HIV diagnoses among MSM were also seen in the developed economies of East Asia. In the developing world, epidemiologic studies have now established the presence of MSM populations in Africa, China and Russia and a high HIV prevalence among them. High and increasing HIV prevalence was also reported from South and Southeast Asia, and Latin America and the Caribbean.

Summary: HIV continues to spread among MSM on a global level. Current prevention efforts have been unable to contain or reduce HIV transmission in this population. Additional behavioral and biomedical interventions are urgently needed.

aThailand Ministry of Public Health–US Centers for Disease Control and Prevention Collaboration, Nonthaburi, Thailand

bDivision of HIV/AIDS Prevention, Atlanta, Georgia, USA

cUNESCO, Bangkok, Thailand

dBloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA

eNational Centre in HIV Epidemiology and Clinical Research, University of New South Wales, Sydney, New South Wales, Australia

Correspondence to Dr Frits van Griensven, Thailand Ministry of Public Health–US Centers for Disease Control and Prevention Collaboration, DDC7 Building, Ministry of Public Health, 11000 Nonthaburi, Thailand E-mail: fav1@cdc.gov

© 2009 Lippincott Williams & Wilkins, Inc.