Jobson Geoffrey, Struthers Helen, McIntyre James
Anova Health Institute, Johannesburg, South Africa,
Curr HIV/AIDS Rep. 2015 Mar;12(1):164-72. doi: 10.1007/s11904-014-0249-1.
Men who have sex with men (MSM) in sub-Saharan Africa (SSA) have been repeatedly found to have high risk of HIV infection, and in spite of the differing nature of the HIV epidemic in the general population between East and Southern Africa, and West and Central Africa, MSM are disproportionately affected by HIV across the entire region. Recent research has examined the drivers of HIV risk, and the dynamics of the MSM HIV epidemic in greater detail. However, this growing knowledge has generally not been translated into effective HIV prevention interventions. In part, this is due to the highly stigmatised and frequently criminalised nature of same-sex sexualities in much of the region. Without human-rights-based advocacy targeting governments and interventions aiming to decrease stigma and homophobia, translating research into effective HIV interventions for MSM in SSA at the scale needed to reduce HIV transmission in this population remains highly unlikely.
撒哈拉以南非洲地区（SSA）与男性发生性关系的男性（MSM）多次被发现感染艾滋病毒的风险很高。尽管东非和南部非洲以及西非和中非普通人群中艾滋病毒流行的性质有所不同，但整个地区的男男性行为者受艾滋病毒影响的比例过高。最近的研究更详细地探讨了艾滋病毒风险的驱动因素以及男男性行为者艾滋病毒流行的动态。然而，这种不断增加的知识通常并未转化为有效的艾滋病毒预防干预措施。部分原因是该地区大部分地区同性性行为受到高度污名化且经常被定罪。如果没有针对政府的基于人权的宣传以及旨在减少污名化和恐同心理的干预措施，要将研究转化为撒哈拉以南非洲地区男男性行为者所需规模的有效艾滋病毒干预措施，以减少该人群中的艾滋病毒传播，仍然极不可能。
