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Review
. 2015 Nov;10(6):420-9.
doi: 10.1097/COH.0000000000000200.

HIV treatment cascade in MSM, people who inject drugs, and sex workers

Affiliations
Review

HIV treatment cascade in MSM, people who inject drugs, and sex workers

Kathryn Risher et al. Curr Opin HIV AIDS. 2015 Nov.

Abstract

Purpose of review: People who inject drugs (PWID), sex workers, and MSM simultaneously bear a high burden of HIV and stigma and discrimination. The purpose of this review was to summarize recent information about the understanding of the HIV care cascade among PWID, sex workers, and MSM populations around the globe.

Recent findings: A review of the published literature relating to the care cascade in these three key populations was conducted. Data on the care cascade among key populations are sparse, particularly for PWID and sex workers. In the 12 countries in which a study or report of the care cascade was available stratified by these populations, all three populations have care cascade outcomes that are far below the 90-90-90 target set by the Joint United Nations Programme on HIV/AIDS (UNAIDS) for 2020. Culturally tailored interventions, including colocation of services and peer navigators, can improve care cascade outcomes among key populations.

Summary: Key populations' care cascade outcomes must be included in international reporting metrics to expand cascade data for these groups. Improving care cascade outcomes in these key populations through culturally tailored interventions should be a priority in the coming years.

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Conflict of interest statement

Conflicts of Interest:

None

References

    1. Patel P, Borkowf CB, Brooks JT, et al. Estimating per-act HIV transmission risk: a systematic review. AIDS. 2014 Jun 19;28(10):1509–1519. - PMC - PubMed
    1. Beyrer C, Baral SD, van Griensven F, et al. Global epidemiology of HIV infection in men who have sex with men. Lancet. 2012 Jul 28;380(9839):367–377. - PMC - PubMed
    1. Beyrer C, Crago AL, Bekker LG, et al. An action agenda for HIV and sex workers. Lancet. 2015 Jan 17;385(9964):287–301. This article outlines global HIV burden among sex workers and serves as a call to action to address HIV in sex workers.

    1. Altice FL, Kamarulzaman A, Soriano VV, et al. Treatment of medical, psychiatric, and substance-use comorbidities in people infected with HIV who use drugs. Lancet. 2010 Jul 31;376(9738):367–387. - PMC - PubMed
    1. Mayer KH, Wheeler DP, Bekker LG, et al. Overcoming biological, behavioral, and structural vulnerabilities: new directions in research to decrease HIV transmission in men who have sex with men. J Acquir Immune Defic Syndr. 2013 Jul;63(Suppl 2):S161–S167. - PMC - PubMed

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