JHSPH Faculty & Collaborators publish on HIV/AIDS Stigma in Lancet
A JHSPH Press Release highlights a recent study published in the Lancet on the dearth of access to preventive drugs and continual stigma that leads to a disproportional high HIV burden among gay men:
Despite some successes, the failure to get drugs to those most in need and discriminatory laws in countries including Russia, Nigeria and Uganda have contributed to high HIV rates among gay men. “In many countries, these men are just not welcome in health clinics and the fear of discrimination stands in the way of not only treatment, but even just the testing that can go a long way toward stemming the spread of disease,” says lead author Chris Beyrer, president of the International AIDS Society and a professor at the Bloomberg School.
Gay, bisexual, and other men who have sex with men (MSM) continue to have disproportionately high burdens of HIV infection in countries of low, middle, and high income in 2016. 4 years after publication of a Lancet Series on MSM and HIV, progress on reducing HIV incidence, expanding sustained access to treatment, and realising human rights gains for MSM remains markedly uneven and fraught with challenges. Incidence densities in MSM are unacceptably high in countries as diverse as China, Kenya, Thailand, the UK, and the USA, with substantial disparities observed in specific communities of MSM including young and minority populations. Although some settings have achieved sufficient coverage of treatment, pre-exposure prophylaxis (PrEP), and human rights protections for sexual and gender minorities to change the trajectory of the HIV epidemic in MSM, these are exceptions. The roll-out of PrEP has been notably slow and coverage nowhere near what will be required for full use of this new preventive approach. Despite progress on issues such as marriage equality and decriminalisation of same-sex behaviour in some countries, there has been a marked increase in anti-gay legislation in many countries, including Nigeria, Russia, and The Gambia. The global epidemic of HIV in MSM is ongoing, and global efforts to address it remain insufficient. This must change if we are ever to truly achieve an AIDS-free generation.
Learn more about each of the authors and the organizations for which they work:
- Chris Beyrer, MD, Associate Director of the Center for Global Health, Center for Public Health and Human Rights, JHSPH
- Stefan Baral, MD, Center for Public Health and Human Rights, JHSPH
- Chris Collins, MPP, UNAIDS
- Eugene Richardson, MD, Center for Public Health and Human Rights, JHSPH
- Patrick Sullivan, PhD, Rollins School of Public Health, Emory University
- Jorge Sanchez, MD, Asociacion Civil Impacta Salud y Educacion
- Gift Trapence, BA, Centre for Development of People
- Elly Katabira, MD, Makerere University
- Michel Kazatchkine, PhD, United Nations Special Envoy for AIDS in Eastern Europe and Central Asia
- Owen Ryan, MPH, the International AIDS Society
- Andrea Wirtz, PhD, Center for Public Health and Human Rights, JHSPH
- Kenneth Mayer, MD, Fenway Health and Beth Israel Deaconess Medical Center, Harvard Medical School
This recent publication follows up on a call to action published in 2012 - read that article here.