“Getting to Zero” Among Men Who Have Sex with Men in China: a Review of the HIV Care Continuum

Tiarney D. Ritchwood, Jiayu He, M. Kumi Smith, Weiming Tang, Jason J. Ong, Asantewa Oduro, Noluthando Ntlapo, Joseph D. Tucker

Research output: Contribution to journalReview articlepeer-review

Abstract

Purpose of Review: To review the literature on progress towards UNAIDS 90-90-90 targets for HIV prevention and treatment among men who have sex with men (MSM) in China. Recent Findings: China has made progress towards UNAIDS 90-90-90 targets among MSM. However, socio-structural barriers, including HIV-related stigma and homophobia, persist at each stage of the HIV care continuum, leading to substantial levels of attrition and high risk of forward HIV transmission. Moreover, access to key prevention tools, such as pre-exposure prophylaxis, is still limited. Multilevel interventions, many using digital intervention, have been shown effective in pragmatic randomized controlled trials in China. Summary: Multilevel interventions incorporating digital health have led to significant improvement in engagement of Chinese MSM in the HIV care continuum. However, interventions that address socio-structural determinants, including HIV-related stigma and discrimination, towards Chinese MSM are needed.

Original languageEnglish (US)
Pages (from-to)431-438
Number of pages8
JournalCurrent HIV/AIDS Reports
Volume16
Issue number6
DOIs
StatePublished - Dec 1 2019

Bibliographical note

Publisher Copyright:
© 2019, Springer Science+Business Media, LLC, part of Springer Nature.

Keywords

  • China
  • HIV
  • MSM
  • Prevention
  • Review
  • Treatment

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