Tiarney D Ritchwood1, Jiayu He2, M Kumi Smith3, Weiming Tang2,4,5, Jason J Ong6,7, Asantewa Oduro8, Noluthando Ntlapo8, Joseph D Tucker2,4,7,9. 1. Department of Family Medicine and Community Health, Duke University School of Medicine, 2200 W Main St, Durham, NC, USA. tiarney.ritchwood@duke.edu. 2. Social Entrepreneurship to Spur Health (SESH), Guangzhou, China. 3. Division of Epidemiology and Community Health, University of Minnesota Twin Cities, Minneapolis, MN, USA. 4. University of North Carolina Project-China, Guangzhou, China. 5. Dermatology Hospital, Southern Medical University, Guangzhou, China. 6. Central Clinical School, Monash University, Melbourne, Australia. 7. Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, UK. 8. Desmond Tutu HIV Centre, University of Cape Town, Cape Town, South Africa. 9. Institute of Global Health and Infectious Diseases, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
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. 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.
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. 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.
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