Assessing the Diverse Factors that Influence the Behaviors and Experiences of Gay Men and Other Men Who Have Sex with Men (MSM) Living with HIV in the United States: Implications for Prevention and Improved Health



This chapter provides an historical overview of the HIV epidemic and its impact on the health and lives of gay men and other men who have sex with men (MSM) in the USA. It explores the wide range of factors that influence the behaviors and experiences of MSM living with HIV infection in the USA at the individual, interpersonal, organizational, community, and broader societal level with implications and recommendations for prevention and improved health. An emphasis is placed on sexual risk and protective behaviors; psychosocial issues; access to antiretroviral therapies and adherence; behavioral, biomedical, and structural interventions; identifying, linking, and retaining MSM in care; and policy and structural approaches to HIV prevention, care, and treatment.


Gay-related immune deficiency (GRID)/Gay compromise syndrome Hemophiliacs Haitians Stigma Discrimination President Barack Obama Injection drug users Harm reduction approaches Abstinence Serosorting Seropositioning HIV superinfection Mutual disclosure Highly active antiretroviral therapy (HAART) Therapeutic optimism HIV prevention fatigue Barebacking Syndemics Commercial sex environments Unstable housing Homelessness Structural-level HIV prevention interventions Group-level prevention interventions Individual-level prevention interventions Community-level prevention interventions Social support Adherence HIV serodiscordant Biomedical prevention interventions Treatment cascade Mistrust Tuskegee Syphilis Experiment Medical Monitoring Program (MMP) Health insurance Patient health navigation model Barriers to HIV care Case management interventions HIV mobile vans HIV testing and treatment Social marketing campaigns Policy HIV confidentiality and disability laws HIV-related stigma HIV travel ban Employment Non-Discrimination Act (ENDA) Ryan White Program Medicaid Medicare Affordable Care Act Institutional racism Homophobia 


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Copyright information

© Springer Science+Business Media LLC 2017

Authors and Affiliations

  1. 1.Louisiana Public Health InstituteNew OrleansUSA
  2. 2.Harvard Medical SchoolBostonUSA
  3. 3.Department of Global Health and PopulationHarvard T. H. Chan School of Public HealthBostonUSA
  4. 4.Beth Israel Deaconess Medical CenterBostonUSA
  5. 5.The Fenway Institute, Fenway HealthBostonUSA

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