Siushansian, Jennifer A.; Nguyen, Mai; Archibald, Chris P.
December 2000
Canadian Journal of Human Sexuality;2000, Vol. 9 Issue 4, p219
Academic Journal
Available data suggest that there was an increase in HIV infections among men who have sex with men (MSM) in 1999-2000 compared to preceding years, at least in some parts of Canada. This finding is substantiated by data on ongoing sexual risk behaviour among MSM, as well as data showing increases in rectal gonorrhea or outbreaks of other sexually transmitted infections (STIs) among MSM in several large urban centres across the country. Recent national situation have shown similar increases in rates of STIs in the general population as well. Canadian situation in relation to MSM is discussed in the context of recent data that are emerging on the extent of HIV, STIs, and associated risk behaviours among MSM internationally. Increases in HIV incidence have been observed in San Francisco and Madrid. An upswing in HIV-associated risk behaviours and/or STIs has also been observed among MSM in major cities in the US, the Netherlands, England, and Australia. Possible explanations for these trends are discussed, and specific recommendations are made to revitalize HIV prevention efforts among MSM, to conduct more research on gay men's health and wellness, and to improve surveillance of HIV and sexual risk behaviours.


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