Chasing targets in a pandemic: The impact of COVID-19 on HIV outreach workers for MSM (men who have sex with men) in Jakarta, Indonesia

Objectives To describe the epidemiology of congenital and infectious syphilis during 1991–2009, examine the impact of public health interventions and discuss the feasibility of syphilis elimination among Aboriginal people in Western Australia (WA). Methods: WA congenital and infectious syphilis notification data in 1991–2009 and national infectious syphilis notification data in 2005–2009 were analysed by Aboriginality, region of residence, and demographic and behavioural characteristics. Syphilis public health interventions in WA from 1991–2009 were also reviewed. Results: During 1991–2009, there were six notifications of congenital syphilis (50% Aboriginal) and 1441 infectious syphilis notifications (61% Aboriginal). During 1991–2005, 88% of notifications were Aboriginal, with several outbreaks identified in remote WA. During 2006–2009, 62% of notifications were non-Aboriginal, with an outbreak in metropolitan men who have sex with men. The Aboriginal : non-Aboriginal rate ratio decreased from 173 : 1 (1991–2005) to 15 : 1 (2006–2009). Conclusions: These data demonstrate that although the epidemiology of syphilis in WA has changed over time, the infection has remained endemic among Aboriginal people in non-metropolitan areas. Given the continued public health interventions targeted at this population, the limited success in eliminating syphilis in the United States and the unique geographical and socioeconomic features of WA, the elimination of syphilis seems unlikely in this state.

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High Resolution Anoscopy Findings for Men Who Have Sex with Men: Inaccuracy of Anal Cytology as a Predictor of Histologic High-Grade Anal Intraepithelial Neoplasia and the Impact of HIV Serostatus

Clinical Infectious Diseases ◽

10.1086/383574 ◽

2004 ◽

Vol 38 (10) ◽

pp. 1490-1492 ◽

Cited By ~ 103

Author(s):

L. A. Panther ◽

K. Wagner ◽

J. Proper ◽

D. K. Fugelso ◽

P. A. Chatis ◽

...

Keyword(s):

High Resolution ◽

Intraepithelial Neoplasia ◽

Anal Intraepithelial Neoplasia ◽

High Grade ◽

Anal Cytology ◽

Hiv Serostatus ◽

Sex With Men ◽

The Impact

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Modeling the Impact of Post-Diagnosis Behavior Change on HIV Prevalence in Southern California Men Who Have Sex with Men (MSM)

AIDS and Behavior ◽

10.1007/s10461-013-0646-2 ◽

2013 ◽

Vol 18 (8) ◽

pp. 1523-1531 ◽

Cited By ~ 24

Author(s):

Aditya S. Khanna ◽

Steven M. Goodreau ◽

Pamina M. Gorbach ◽

Eric Daar ◽

Susan J. Little

Keyword(s):

Behavior Change ◽

Southern California ◽

Hiv Prevalence ◽

Sex With Men ◽

The Impact

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“I’m numb to funerals now…”: The impact of job-related trauma exposure on youth violence prevention street outreach workers.

Traumatology An International Journal ◽

10.1037/trm0000340 ◽

2021 ◽

Author(s):

Janese L. Free ◽

Helen Z. MacDonald

Keyword(s):

Violence Prevention ◽

Youth Violence ◽

Trauma Exposure ◽

Youth Violence Prevention ◽

Street Outreach ◽

Outreach Workers ◽

The Impact

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Estimated Impact of Targeted Pre-Exposure Prophylaxis: Strategies for Men Who Have Sex with Men in the United States

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph16091592 ◽

2019 ◽

Vol 16 (9) ◽

pp. 1592 ◽

Cited By ~ 2

Author(s):

Richard A. Elion ◽

Mina Kabiri ◽

Kenneth H. Mayer ◽

David A. Wohl ◽

Joshua Cohen ◽

...

Keyword(s):

United States ◽

The United States ◽

Black Msm ◽

Number Needed To Treat ◽

Latino Msm ◽

Sex With Men ◽

Young Black Msm ◽

Exposure Prophylaxis ◽

The Impact ◽

Black And Latino

Pre-exposure prophylaxis (PrEP) effectively reduces human immunodeficiency virus (HIV) transmission. We aimed to estimate the impact of different PrEP prioritization strategies among Black and Latino men who have sex with men (MSM) in the United States, populations most disproportionately affected by HIV. We developed an agent-based simulation to model the HIV epidemic among MSM. Individuals were assigned an HIV incidence risk index (HIRI-MSM) based on their sexual behavior. Prioritization strategies included PrEP use for individuals with HIRI-MSM ≥10 among all MSM, all Black MSM, young (≤25 years) Black MSM, Latino MSM, and young Latino MSM. We estimated the number needed to treat (NNT) to prevent one HIV infection, reductions in prevalence and incidence, and subsequent infections in non-PrEP users avoided under these strategies over 5 years (2016–2020). Young Black MSM eligible for PrEP had the lowest NNT (NNT = 10) followed by all Black MSM (NNT = 33) and young Latino MSM (NNT = 35). All Latino MSM and all MSM had NNT values of 63 and 70, respectively. Secondary infection reduction with PrEP was the highest among young Latino MSM (53.2%) followed by young Black MSM (37.8%). Targeting all MSM had the greatest reduction in prevalence (14.7% versus 2.9%–3.9% in other strategies) and incidence (49.4% versus 9.4%–13.9% in other groups). Using data representative of the United States MSM population, we found that a strategy of universal PrEP use by MSM was most effective in reducing HIV prevalence and incidence of MSM. Targeted use of PrEP by Black and Latino MSM, however, especially those ≤25 years, had the greatest impact on HIV prevention.

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Understanding the Social Influences on Engaging Key Populations With HIV Prevention: A Qualitative Study With Men Who Have Sex With Men in Three Indonesian Cities

AIDS Education and Prevention ◽

10.1521/aeap.2019.31.3.206 ◽

2019 ◽

Vol 31 (3) ◽

pp. 206-223 ◽

Cited By ~ 4

Author(s):

Elan Lazuardi ◽

Christy E. Newman ◽

Irma Anintya Tasya ◽

Emily Rowe ◽

D. N. Wirawan ◽

...

Keyword(s):

Hiv Prevention ◽

Service Access ◽

Key Populations ◽

Social Dimensions ◽

Structured Interviews ◽

Outreach Workers ◽

Hiv Prevention Strategies ◽

The Social ◽

Sex With Men ◽

The Many

The globally recognized test and treat approach underpins Indonesian national strategies to reduce and prevent HIV among key populations, including men who have sex with men. More comprehensive understanding of how engagement with HIV prevention is shaped by social and community practices will support these efforts. Between 2015 and 2016, focus groups and semi-structured interviews were conducted with 54 men who have sex with men in three urban settings in Indonesia to elicit their views on, and experiences of, HIV prevention and care. Focused on data relating to testing, findings documented the important influence of informal peer networks, community-based organizations and outreach workers. Some social dimensions of service access complicated this, particularly fear of stigma or lack of confidentiality in large service settings. The many differences between men challenges assumptions that a single set of HIV prevention strategies will work to engage all men who have sex with men living in Indonesia.

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