- In July of 2012, the U.S. Food and Drug Administration (FDA) approved emtricitabine/tenofovir disoproxil fumarate (Truvada) to reduce the risk of sexual transmission of HIV among uninfected individuals at high risk of infection. The approval for pre-exposure prophylaxis (PrEP) was based on two large, randomized, double-blind, placebo-controlled trials, one in HIV-negative men and transgender women who have sex with men, and one in heterosexual HIV-discordant couples.1,2
- Do we have effective HIV-prevention interventions for Latino gay men? Where are they? What do they look like? These are some of the major questions raised by the article in this supplement to the American Journal of Preventive Medicine.1 The purpose of this article, and the recommendations derived from it, is to synthesize the most effective behavioral interventions to prevent HIV infection among adult gay men and men who have sex with men (MSM).a The report is a critical contribution to the field, as it covers over 20 years of prevention research around the globe.
- The systematic review by Herbst and colleagues1 in this supplement to the American Journal of Preventive Medicine shows that theory-based AIDS prevention programs can reduce risk for HIV transmission among men who have sex with men (MSM) and so save lives. The literature summarized in the Herbst et al.2,3 review—supported by a set of independent meta-analyses—demonstrates that if the prevention efforts described in this review were given widespread use they could become important tools in the AIDS prevention armamentarium.
- Early in the HIV epidemic, journalism chronicled the disastrous consequences of the epidemic in the American white gay community in the book And the Band Played On.1 It is highly likely that medical history may repeat itself as similar devastating outcomes occur among black men who have sex with men (MSM). Black MSM have the highest rates of unrecognized HIV infection,2,3 highest HIV prevalence and incidence rates,4–8 and highest AIDS mortality rates9 among MSM in the United States. There has been ample warning of the current epidemic among black MSM.