||Recent Advances in HIV Prevention for Men Who Have Sex with Men
Oral Abstract Session : Track C Prevention Science
||Session Room 1
||01.07.2013, 11:00 - 12:30
Carlos F. Caceres, Peru
Iskandar Azwa, Malaysia
|Differing identities, but comparable risks and HIV/STI burden, in married and unmarried men who have sex with men (MSM) in Mumbai|
K.H. Mayer1,2,3, R. Gangakhedkar4, M. Mimiaga5,6,7, M. Sivasubramian8, K. Biello1,6, N. Abuelezam6, S. Mane8, V. Anand8, S. Safren1,2,7
1Fenway Health, The Fenway Institute, Boston, United States, 2Harvard Medical School, Boston, United States, 3Beth Israel Deaconess Medical Center, Medicine, Boston, United States, 4National AIDS Research Institute, Pune, India, 5The Fenway institute//Harvard Medical School, Infectious Diseases, Boston, United States, 6Harvard School of Public Health, Epidemiology, Boston, United States, 7Massachusetts General Hospital, Psychiatry, Boston, United States, 8The Humsafar Trust, Mumbai, United States
|Recent experience of intimate partner violence reduces self-reported condom negotiation efficacy among gay and bisexual men|
C. Finneran, R. Stephenson
Emory University Rollins School of Public Health, Hubert Department of Global Health, Atlanta, United States
|Factors associated with acute HIV infection diagnosis in MSM, ANRS-Opportunity study|
K. Champenois1, S. Le Vu2, L. Cuzin3, C. Semaille2, Y. Yazdanpanah1,4,5
1Inserm U738, ATIP/AVENIR, Paris, France, 2Institut de Veille Sanitaire, Saint-Maurice, France, 3CHU de Toulouse, Service des Maladies Infectieuses et Tropicales, Toulouse, France, 4Hôpital Bichat-Claude Bernard, Service des Maladies Infectieuses et Tropicales, Paris, France, 5Université Denis Diderot, Paris, France
|Being unaware of being HIV-infected is associated with alcohol use disorders and high-risk sexual behaviours among men who have sex with men in Peru|
P. Vagenas1, K. Ludford1, P. Gonzales2, J. Peinado2, C. Cabezas3, F. Gonzales4, J. Lama2, J. Sanchez2, F. Altice1
1Yale University, AIDS Program, New Haven, United States, 2Associacion Civil Impacta Salud y Educacion, Lima, Peru, 3Instituto Nacional de Salud, Lima, Peru, 4Ministerio de Salud del Peru, Lima, Peru
|The feasibility of implementing and evaluating combination HIV prevention interventions for high-risk populations in stigmatized settings: the case of men who have sex with men in Malawi|
S. Baral1, A. Wirtz1, V. Jumbe2, S. Ketende1, D. Kamba3, C. Beyrer1, E. Umar2, S. Stromdahl1, G. Trapence3
1Center for Public Health and Human Rights, JHSPH, Epidemiology, Baltimore, United States, 2Malawi College of Medicine, Blantyre, Malawi, 3Center for Development of People, Lilongwe, Malawi
|Recent experience of intimate partner violence reduces self-reported condom negotiation efficacy among gay and bisexual men - Catherine Finneran|
|Factors associated with acute HIV infection diagnosis in men who have sex with men, ANRS-Opportunity study - Karen Champenois|
|Being unaware of being HIV-infected is associated with alcohol use disorders and high risk sexual behaviours among men who have sex with men in Peru - Panagiotis Vagenas|
|The feasibility of implementing and evaluating combination HIV prevention interventions for high risk populations in stigmatized settings: the case of men who have sex with men in Malawi - Stefan Baral|
Track C report by Ann Green
The session covered a range of risk factors related with transmission of
HIV among men who have sex with men.
1. K.H. Mayer
reported on sexual
mixing patterns of Indian men whom have sex with men (MSM), revealing that HIV
and STI prevalence was high among all MSM in Mumbai, and this, along with
frequency of unprotected sex, did not differ significantly between married MSM
(mMSM) and unmarried MSM (uMSM). A key difference lies in different personal
identities, which suggests a need for prevention strategies tailored toward
- More research is needed to determine level of
community awareness and risk of female partners.
- Organizations involved in the study are
currently trying to find tools to help men navigate partner discussions.
2. C. Finneran reported recent experience of different forms of Intimate Partner Violence (IPV) was
associated with reduced self-reported condom negotiation efficacy
of gay and bisexual men (GBM),
which may be a pathway to increase risk of acquiring HIV. Gay, bisexual, and other men whom have sex
with men (MSM) should be screened for IPV during routine HIV counseling and
testing, and tools to increase condom negotiation skills are needed.
- The included definitions of violence
may be too broad.
- Risk related to recipient vs. insertive
role should be considered in future studies.
3. K. Champenois reported
factors associated with acute HIV infection (AHI) diagnosis in MSM, important
for early treatment initiation. Findings showed MSM diagnosed at AHI were more likely
to have a recent history of HIV testing, and the test revealing HIV infection was more likely
initiated by physicians, suggesting care providers need to remain alert
about acute phase signs to detect HIV infected MSM early.
- Self-testing for HIV may help improve
- Being an open MSM was related to having
more and recent HIV testing.
4. P. Vagenas
reported that 89.8% of 5,148 MSM in Peru were unaware of their HIV status. Unprotected anal intercourse at last
encounter and alcohol use disorder were independent associated factors with
newly diagnosed HIV infection. Unknown HIV status and alcohol use disorders
should be considered in therapy interventions.
- Alcohol Use Disorders are complex to
define in such studies. The AUDIT scale is a known approach for measuring
levels of dependency, but it is not ideal.
- Transgender women were enrolled in the
study; results did not find this to be a
5. S. Baral reported
increased utilization of HIV services and high intervention retention rate among
MSM in Malawi, which demonstrates the feasibility for implementing and
evaluating community based HIV prevention strategies.
A salient comment about the whole session was that the presentations were largely descriptive and the audience members longed for interventions, to which Dr. Mayer responded that this work was the backbone of future interventions.
- RDS is a limited, often biased,
approach but is considered the best feasible option in certain circumstances.
- A 2-step screening method was used to
weed out non-MSM participants attempting to take advantage of incentives.
- The peer educator strategy employed may
not be feasible in resource-limited settings.