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November 26, 2007PLoS MedicineOpen Access

Elevated Risk for HIV Infection among Men Who Have Sex with Men in Low- and Middle-Income Countries 2000–2006: A Systematic Review

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Authors

SBStefan BaralJohns Hopkins UniversityFSFrangiscos SifakisCenters for Disease Control and PreventionFCFarley CleghornFutures Group (United States)

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Overview

Systematic review reveals disproportionately elevated HIV infection risk among men who have sex with men in low- and middle-income nations, highlighting an urgent need for targeted care.

Key Points

  • To evaluate the global HIV epidemic among men who have sex with men (MSM) in low- and middle-income countries and determine their infection risk relative to the general adult population.
  • Conducted a systematic review and meta-analysis of studies published between 2000 and 2006 reporting HIV prevalence among MSM in low- and middle-income countries.
  • Calculated pooled odds ratios (ORs) comparing MSM with general reproductive-age adult populations, stratified by national prevalence tier, epidemic level, geographic region, and presence of injection drug use transmission.
  • Pooled ORs for HIV infection among MSM were 58.4 (95% CI: 56.3–60.6) in very low-prevalence countries, 14.4 (95% CI: 13.8–14.9) in low-prevalence countries, and 9.6 (95% CI: 9.0–10.2) in medium-to-high prevalence countries.
  • HIV infection odds among MSM were OR 7.8 (95% CI: 7.2–8.4) in low-income countries and OR 23.4 (95% CI: 22.8–24.0) in middle-income countries.
  • By region, HIV infection odds among MSM were OR 33.3 (95% CI: 32.3–34.2) in the Americas, OR 18.7 (95% CI: 17.7–19.7) in Asia, OR 3.8 (95% CI: 3.3–4.3) in Africa, and OR 1.3 (95% CI: 1.1–1.6) in low- and middle-income European countries.

Cite This Study

Baral et al. (2007) studied this question.

synapsesocial.com/papers/6a2003dbf35583189204d3cfhttps://doi.org/10.1371/journal.pmed.0040339
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Epidemiology of HIV among black and minority ethnic men who have sex with men in England and Wales2005 · 46 citations
  2. 2Global overview of injecting drug use and HIV infection among injecting drug users2004 · 447 citations
  3. 3HIV Epidemiology Update and Transmission Factors: Risks and Risk Contexts--16th International AIDS Conference Epidemiology Plenary2007 · 174 citations
  4. 4Estimating the number of men who have sex with men in low and middle income countries2006 · 138 citations