Assessing the diverse factors that influence the behaviors and experiences of gay men and other men who have sex with men (MSM) living with HIV in the United States: Implications for prevention and improved health

Abstract

This chapter provides an historical overview of the HIV epidemic and its impact on the health and lives of gay men and other men who have sex with men (MSM) in the USA. It explores the wide range of factors that influence the behaviors and experiences of MSM living with HIV infection in the USA at the individual, interpersonal, organizational, community, and broader societal level with implications and recommendations for prevention and improved health. An emphasis is placed on sexual risk and protective behaviors; psychosocial issues; access to antiretroviral therapies and adherence; behavioral, biomedical, and structural interventions; identifying, linking, and retaining MSM in care; and policy and structural approaches to HIV prevention, care, and treatment.