Health, Sexual Health, and Syndemics: Toward a Better Approach to STI and HIV Preventive Interventions for Men Who Have Sex with Men (MSM) in the United States

  • Thomas E. Guadamuz
  • Mark S. Friedman
  • Michael P. Marshal
  • Amy L. Herrick
  • Sin How Lim
  • Chongyi Wei
  • Ron Stall


HIV was first discovered in the United States 30 years ago. Since then, one characteristic of the epidemic has remained constant: gay men (or men who have sex with men (MSM) have been among the most severely impacted of any social group in the nation. While MSM account for less than 5% of all men in most behavioral surveys, they currently account for nearly 60% of all new HIV infections in the United States [1]. A recent CDC analysis calculated that MSM are 60 and 61 times more likely to be infected with HIV and syphilis, respectively, than heterosexual men and are 54 and 93 times more likely to be infected with HIV and syphilis, respectively, than women [2].


Sexually Transmitted Infection Unprotected Anal Intercourse Sexual Minority Youth Heterosexual Youth Sexually Transmitted Infection Infection 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Thomas E. Guadamuz
    • 1
  • Mark S. Friedman
    • 1
  • Michael P. Marshal
    • 2
  • Amy L. Herrick
    • 1
  • Sin How Lim
    • 3
  • Chongyi Wei
    • 1
  • Ron Stall
    • 1
  1. 1.Department of Behavioral and Community Health SciencesUniversity of Pittsburgh Graduate School of Public HealthPittsburghUSA
  2. 2.Department of PsychiatryUniversity of Pittsburgh School of MedicinePittsburghUSA
  3. 3.Centre of Excellence for Research in AIDS (CERiA), Faculty of MedicineUniversity of MalayaKuala LumpurMalaysia

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