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“Getting to Zero” Among Men Who Have Sex with Men in China: a Review of the HIV Care Continuum

  • Tiarney D. RitchwoodEmail author
  • Jiayu He
  • M. Kumi Smith
  • Weiming Tang
  • Jason J. Ong
  • Asantewa Oduro
  • Noluthando Ntlapo
  • Joseph D. Tucker
The Global Epidemic (SH Vermund, Section Editor)
  • 34 Downloads
Part of the following topical collections:
  1. Topical Collection on The Global Epidemic

Abstract

Purpose of Review

To review the literature on progress towards UNAIDS 90-90-90 targets for HIV prevention and treatment among men who have sex with men (MSM) in China.

Recent Findings

China has made progress towards UNAIDS 90-90-90 targets among MSM. However, socio-structural barriers, including HIV-related stigma and homophobia, persist at each stage of the HIV care continuum, leading to substantial levels of attrition and high risk of forward HIV transmission. Moreover, access to key prevention tools, such as pre-exposure prophylaxis, is still limited. Multilevel interventions, many using digital intervention, have been shown effective in pragmatic randomized controlled trials in China.

Summary

Multilevel interventions incorporating digital health have led to significant improvement in engagement of Chinese MSM in the HIV care continuum. However, interventions that address socio-structural determinants, including HIV-related stigma and discrimination, towards Chinese MSM are needed.

Keywords

HIV MSM China Review Treatment Prevention 

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflicts of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Tiarney D. Ritchwood
    • 1
    Email author
  • Jiayu He
    • 2
  • M. Kumi Smith
    • 3
  • Weiming Tang
    • 2
    • 4
    • 5
  • Jason J. Ong
    • 6
    • 7
  • Asantewa Oduro
    • 9
  • Noluthando Ntlapo
    • 9
  • Joseph D. Tucker
    • 2
    • 4
    • 7
    • 8
  1. 1.Department of Family Medicine and Community HealthDuke University School of MedicineDurhamUSA
  2. 2.Social Entrepreneurship to Spur Health (SESH)GuangzhouChina
  3. 3.Division of Epidemiology and Community HealthUniversity of Minnesota Twin CitiesMinneapolisUSA
  4. 4.University of North Carolina Project-ChinaGuangzhouChina
  5. 5.Dermatology HospitalSouthern Medical UniversityGuangzhouChina
  6. 6.Central Clinical SchoolMonash UniversityMelbourneAustralia
  7. 7.Faculty of Infectious and Tropical DiseasesLondon School of Hygiene and Tropical MedicineLondonUK
  8. 8.Institute of Global Health and Infectious DiseasesUniversity of North Carolina at Chapel HillChapel HillUSA
  9. 9.Desmond Tutu HIV CentreUniversity of Cape TownCape TownSouth Africa

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