Structural factors news
Structural factors
Children Exposed to Drugs, Violence Experience Higher Incidence of HIV as Adults
Evidence suggests that exposure to certain types of mental and physical stress in adolescence may make it more likely that as adults they will practice behaviors that increase the risk of HIV infection.
MD Mag
Heterosexual men
Why is HIV prevention among young women and girls not working? We have forgotten the men
Urgent action is needed on two fronts. The first is challenging and transforming harmful gender and social norms that discourage men from seeking health services and behaviours that increase the likelihood of HIV transmission to women and girls. The second is to ensure that health systems in general, and health service delivery specifically, are designed in a way that will meet men where they are with HIV-related services.
Daily Maverick
To better target HIV prevention, identify people whose social contacts have high viral loads
Rather than relying on assessment of an individual's sexual behaviour or of 'community viral load', targeting of pre-exposure prophylaxis (PrEP) and other prevention interventions could in part
Roger Pebody
HIV/AIDS in the US: the importance of local perspectives
Some recent studies have sought to demonstrate the importance of spatial location as a determinant of STI prevalence in its own right. However, the most striking outcome reported in a Philadelphia study are findings concerning the relationship of race and sex to the mode of HIV transmission.
BMJ Group blogs
Treatment outcomes and life expectancy
New York City finds gaps in the HIV cascade of care linked to reduced survival
60% of HIV-positive people in New York City who died had not been virally suppressed through treatment. Rates of viral suppression lowest among women, young people, black and Hispanic people, as well as people in low-income neighbourhoods.
PrEP activists warn new NHS trial will fail if black gay men don't take part
Sexual health campaigners are warning a newly launched trial in the UK will fail if not enough people of color take part, Gay Star News can reveal. The experts are estimating the overwhelming majority of the patients in the NHS trial will be white gay men. This could provide an unbalanced study with most of the evidence from just one group who could benefit from access to PrEP.
Gay Star News
US: Report highlights challenges of HIV care in rural deep South
In rural areas, fewer HIV/AIDS services and a compromised continuum of care mean patients are less likely to achieve viral suppression than those living in New Orleans or Baton Rouge, explained Monica Johnson, director and founder of the nonprofit group HEROES.
How to Reverse Implicit Bias in HIV Care: 6 Steps to Take Today
Health care providers need to be rigorously trained and their progress monitored in order to remove the effects of implicit racial biases on their medical practice. The health system is just one area of society where implicit bias is made manifest, but it is the area in which health care and service providers have power to make change, one individual -- and care team, and clinic and organization -- at a time.
The Body Pro
HIV prevention policy
Reconsidering Primary Prevention: a Call To Action For The Global HIV Response
"The [HIV] prevention toolbox is getting bigger, but the application of the tools is getting smaller. For...prevention to stand a chance, the silence, denial, negativity, and moralism surrounding sex and drug use must end. Policy makers and donors, including governments, must shed their reluctance to openly and positively address sex and drug use in their public health discourse and responses to HIV."
MSMGF
Chemsex Has Always Been With Us
Not before time, the gay press in London, realising we have a dangerous drugs-and-sex scene here that is killing gay men, has finally started to cover it in an analytic, compassionate and sober way (pun intended). I'm pleased about this, and pleased by this powerfully written piece by David Stuart (see https://www.gaystarnews.com/article/chemsex-will-defines-period-gay-history/#gs.3r47mag). No one has done more to help and rescue gay Londoners who have got lost in the maze of chemsex, and help them achieve self-respect and structure in their lives. And yet I disagree that Chemsex is anything new. We gay men have been always been furtive about the sex we sex we want and do, and have always sought private, intoxicated spaces to do it in.
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Undetectable viral load and treatment as prevention
The biology of HIV transmission
Sexual transmission
Medical procedures and other blood-borne exposure
Low and theoretical transmission risks
Condoms and lubricant
Behaviour change interventions
The search for an HIV prevention vaccine