Cited by 167LGBTQ Health, Identity, and PolicyHIV/AIDS Research and InterventionsHIV, Drug Use, Sexual Risk

Comprehensive clinical care for men who have sex with men: an integrated approach.

Open access
Mayer, Kenneth H, Bekker, Linda-Gail, Stall, Ron, Grulich, Andrew E, Colfax, Grant, Lama, Javier R·2012·The Lancet

Abstract

Men who have sex with men (MSM) have unique health-care needs, not only because of biological factors such as an increased susceptibility to infection with HIV and sexually transmitted infections associated with their sexual behaviour, but also because of internalisation of societal stigma related to homosexuality and gender non-conformity, resulting in depression, anxiety, substance use, and other adverse outcomes. Successful responses to the global HIV/AIDS epidemic will require the development of culturally sensitive clinical care programmes for MSM that address these health disparities and root causes of maladaptive behaviour (eg, societal homophobia). Health-care providers need to become familiar with local outreach agencies, hotlines, and media that can connect MSM with positive role models and social opportunities. Research is needed to understand how many MSM lead resilient and productive lives in the face of discrimination to develop assets-based interventions that build on community support. Optimum clinical care for sexual and gender minorities is a fundamental human right. MSM deserve to be treated with respect, and health-care providers need to interact with them in ways that promote disclosure of actionable health information.

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  • MSM comprise a diverse group in terms of behaviors, identities, and health care needs.

    “MSM comprise a diverse group in terms of behaviors, identities, and health care needs (179).”

    From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [179]

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Research works printed but not linked: 3

  1. [3]Wolitski RJ Fenton KA Sexual health, HIV, sexually transmitted infections among gay, bisexual, and other men who have sex with men in the United States AIDS Behav 2011 15 Suppl 1 S9 17 21331797
  2. [8]Ramafedi G Male Homosexuality: The Adolescents Perspective Paediatrics 1987 79 3 326 330 3822631
  3. [114]Makadon H Mayer KH Potter J Goldhammer H The Fenway Guide to Lesbian, Gay, Bisexual and Transgender Health American College of Physicians Press 2008 1 526

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Authors
Mayer, K. H., Bekker, L.-G., Stall, R., Grulich, A. E., Colfax, G., & Lama, J. R.
Affiliations
  • Beth Israel Deaconess Medical Center (US)
  • Desmond Tutu HIV Foundation (ZA)
  • University of Pittsburgh (US)
  • UNSW Sydney (AU)
  • San Francisco Department of Public Health (US)
Corresponding author
Mayer, Kenneth H
Venue
The Lancet
Publisher
Elsevier BV
Published
2012-07
Volume
380
Issue
9839
Pages
378-387
ISSN
  • 0099-5355 (ISSN-L)
  • 0140-6736
OpenAlex
W2167272428
Cited by
167
References
118
Citations by year
2026: 2 · 2025: 3 · 2024: 4 · 2023: 4 · 2022: 6 · 2021: 13 · 2020: 9 · 2019: 11 · 2018: 13 · 2017: 18 · 2016: 21 · 2015: 13 · 2014: 24 · 2013: 18 · 2012: 7
FWCI
2.78
Type
journal article
Language
en
Open access
Locations
  • The Lancet (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • D-Scholarship@Pitt (University of Pittsburgh) (acceptedVersion)
Funders
  • National Institute of Allergy and Infectious Diseases (UM1AI069480, P30AI06354, P30AI060354)
  • National Institute on Minority Health and Health Disparities
Topics
  • Social Sciences › Psychology › Social Psychology › LGBTQ Health, Identity, and Policy
  • Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
  • Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
Keywords
men who have sex with men, HIV, sexually transmitted infections, health disparities, homophobia, stigma, depression, substance use, culturally sensitive care, sexual and gender minorities, healthcare provider-patient communication, discrimination, community support
MeSH terms
Comprehensive Health Care, Health Services Needs and Demand, Humans, Male, Sexual Behavior, Sexually Transmitted Diseases, HIV Infections, Homosexuality, Male, Social Stigma

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