Comprehensive clinical care for men who have sex with men: an integrated approach.
Open accessAbstract
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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Incident Hepatitis C Virus Infection among US HIV-Infected Men Enrolled in Clinical Trials
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“Long-term studies, with data on exposures at different life stages, could provide further support for the “snowball” hypothesis of cascading health risks that has been elaborated in several influential treatises on the subject (Dyer et al. 2012; Egan et al. 2011; Herrick et al. 2013; Mayer et al. 2012; Stall et al., 2…”
Background
- 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
- PMC
- PMC5603076
- 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
- green
- www.ncbi.nlm.nih.gov
- 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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