The continuing HIV epidemic among men who have sex with men and transgender women in the ASEAN region: implications for HIV policy and service programming
| Autor: | Patrick Castillo Eustaquio, Iskandar Azwa, Laurent Ferradini, Nittaya Phanuphak, Vanessa Veronese, Stephen Wignall, Jan van Wijngaarden, Stephen Mills, Frits van Griensven |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Male
Philippines media_common.quotation_subject Stigma (botany) HIV Infections Southeast asian Transgender Persons Transgender women Men who have sex with men Sexual and Gender Minorities 03 medical and health sciences 0302 clinical medicine Acquired immunodeficiency syndrome (AIDS) Environmental health Prevalence Humans Mass Screening Medicine 030212 general & internal medicine Homosexuality Male media_common 030505 public health business.industry Incidence (epidemiology) Public Health Environmental and Occupational Health virus diseases Thailand medicine.disease Metropolitan area Policy Infectious Diseases Service (economics) Female 0305 other medical science business |
| Zdroj: | Sexual Health. 18:21 |
| ISSN: | 1448-5028 |
| Popis: | Men who have sex with men (MSM) in Western urban areas have seen substantive decreases in new diagnoses of HIV infection. This paper explores whether such declines are present among MSM and transgender women (TGW) in Southeast Asia and discusses implications for HIV policies and programming. A scoping review was conducted of scientific publications and selected documents regarding the spread of HIV infection among MSM and TGW in major urban centres of the Association of Southeast Asian Nations (ASEAN) region. Continued high HIV prevalence and incidence among MSM are found in integrated behavioural and biological surveillance (IBBS) and research studies. HIV prevalence among MSM under IBBS decreased only in Bangkok from 28.6% in 2014 to 10.3% in 2018, whereas it was increasing in Kuala Lumpur, Ho Chi Minh City, Vientiane, and Phnom Penh. HIV/AIDS case reports regarding new HIV infection diagnoses among MSM have started to decrease in Singapore since 2011 and have been plateauing in Metropolitan Manila since 2017. Where data were available, it was found that HIV prevalence among TGW was high and if IBBS was conducted, it was increasing. HIV prevalence among TGW under IBBS in Jakarta had risen to 34.0% (2015) and 14.0% (2019) in Phnom Penh. These findings suggest that most ASEAN member states have so far failed to effectively implement and scale-up scientifically proven biomedical HIV prevention measures and counter stigma and discrimination that impedes access to appropriate HIV prevention and treatment services for MSM and TGW. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|