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Comprehensive Prevention with HIV Positive Gay Men

  • Michael J. StirrattEmail author
  • Cynthia I. Grossman
Chapter

Abstract

HIV positive gay men have always been powerful advocates for HIV prevention and care. Renewed efforts to strengthen prevention with this group may benefit from the touchstone concepts of combination prevention and sexual health promotion. These concepts suggest that comprehensive HIV prevention should holistically promote the physical and mental health of HIV positive gay men, and must additionally extend to wider relationship, community, and policy contexts. We therefore chart a multicomponent prevention strategy with HIV positive gay men across four domains: improving HIV diagnosis and care continuum participation; enhancing risk reduction through counseling and treatment of comorbidities; engaging partner-related strategies; and mobilizing communities and structural interventions. Like a table with four legs, efforts to address prevention with HIV positive gay men will be unsteady without one or more of these components. Substantial gaps in the research evidence base for such an approach remain, and must be addressed.

Keywords

Combination prevention Sexual health Linkage to care Retention in care Adherence The Denver Principles National HIV/AIDS Strategy Social marginalization Treatment as prevention Social determinants of health Racism Homophobia HIV stigma Serosorting HIV disclosure Health care utilization Mental health Trauma Depression PrEP (Pre-Exposure Prophylaxis) ACT UP (AIDS Coalition to Unleash Power) Legal Policy Gay couples Resiliency Rectal microbicide Culturally competent health care Affordable Care Act Structural interventions, HIV criminalization Food insecurity Syndemics 

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© Springer Science+Business Media LLC 2017

Authors and Affiliations

  1. 1.Division of AIDS ResearchNational Institute of Mental Health (NIH/NIMH)BethesdaUSA
  2. 2.FasterCures, a center of the Milken InstituteWashington, DCUSA

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