WORLD AIDS DAYDECEMBER 1, 2012
@fenwayhealth
#wad2012
FIGHTING HIV/AIDS IN THEU.S. LGBT COMMUNITY
THE SITUATION TODAY
MOVING FORWARD
RECENT ADVANCES
fenwayhealth.org
52% of people living with HIV in the U.S. are men who have sex with men (MSM).
In 2009, MSM were an est. 2% of the population but accounted for 64% of all new HIV infections.
44% of MSM who tested positive in 2008 were unawareof their HIV status
51% of AIDS diagnoses wereamong MSM. Of those:37% were black men36% were white men22% were Latino men
IN A META ANALYSIS OF 29 STUDIES
27.7% OF TRANS WOMENTESTED POSITIVE FOR HIV.73% WERE UNAWARE OF THEIR STATUS.
RATES AT WHICH NEW HIV INFECTION IS ACQUIRED BY:
BLACK TRANS PEOPLE 4.4%
BLACK MSM 2.8%WHITE MSM EST. 1 .8%
U.S. TOTAL 0.6%
Pre-Exposure Prophylaxis (PrEP) involves givinganti-retrovirals to HIV- individuals to prevent themfrom acquiring HIV.
The iPrEx study showed PrEP using the Truvada® pill reduced transmission of HIV in MSM and trans women.
MSM’S ATTITDUES ABOUT PrEP Pre-iPrEx Post-iPrExHave heard of PrEP
Would use PrEP if available
PLACEBO
PrEPPARTICIPANTS WHO USEDPrEP MOST CONSISTENTLY
44%
92%
12.7%
76.9% 78.4%
18.6%
Treating HIV earlycan reduce the risk oftransmitting it to HIV-
partners by
The CDC recommends sexuallyactive MSM & trans women get tested every 3–6 months.
PERCENT
$19,912Average cost of HIV treatment per person per year.
$360,000Estimated lifetime savings for each case of HIV prevented.
Only 10% of MSMworldwide have access to HIV prevention and care services
Only 20% of U.S. MSM report being reached by HIV prevention programs in the last year
1. Centers for Disease Control and Prevention (CDC) cdc.gov/mmwr/preview/mmwrhtml/mm6137a5.htm?s_cid=mm6137a5_w
2. CDC “HIV among Gay and Bisexual Men” cdc.gov/hiv/topics/msm
3. CDC “HIV among Transgender People” cdc.gov/hiv/transgender
4. HPTN 061 Study fenwayfocus.org/2012/07/hptn061
5. The Fenway Institute “Pre-Exposure Prophylaxis for HIV Prevention” fenwayhealth.org/prepimplementation
6. HIV Prevention Trials Network hptn.org/web%20documents/HPTN052/HPTN%20Factsheet_InitiationART4Prevention.pdf
7. AIDS MAP aidsmap.com/HIV-treatment-is-costly-especially-for-the-sickest-patients/page/1516347
8. CDC “HIV Prevention in the United States” cdc.gov/hiv/strategy/hihp/pdf/dhap_policy_maker.pdf
9. CDC “HIV Prevention in the United States at a Critical Crossroads” cdc.gov/hiv/resources/reports/hiv_prev_us.htm
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