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Mother-to-child transmission (MTCT)

In 2012, there were 2.3 million new HIV infections globally. A large proportion of people newly diagnosed with HIV worldwide are in their reproductive years and these men and women are likely to want children in the future. Addressing the sexual and reproductive health and rights of this population is critical to addressing the spread of HIV because HIV infection in childbearing women is the main cause of HIV infection in children. Treatment for those who are already infected is also central to stopping the spread of HIV to infants and to uninfected sexual partners.
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International HIV Prevention Research at the Center for AIDS Prevention Studies, University of California San Francisco

The principal objective of the International Core at the Center for AIDS Prevention Studies (CAPS) is to facilitate high quality international research by creating effective and productive partnerships between CAPS scientists and HIV prevention researchers from developing countries. The International Core brings together CAPS scientists and alumni of the Collaborative Prevention Research in Developing Countries Program, a training program for new developing country researchers (described below). CAPS has successfully developed a broad portfolio of small-scale international research projects conducted by CAPS scientists and Program alumni. Together we have made important contributions toward understanding how to prevent HIV transmission and how to care for the HIV-infected in the developing world.
Research Project

Influence of Stigma and Discrimination on HIV Risk among Men in China

This is a three-phase study to identify the specific mechanisms by which MSM stigma affect sexual risk behaviors among MSM in Beijing, China.
  • In Phase 1, we will explore the range of management strategies used to cope with MSM stigma via 30 in-depth qualitative interviews with MSM.
  • In Phase 2, we will develop, using Phase 1 qualitative data and adapting existing quantitative scales, culturally-relevant measures of explanatory constructs of interest (e.g., MSM stigma management) to establish reliability and validity (N=170).
  • In Phase 3, we will examine potential mediators (e.g., stigma management strategies, psychological distress, sexual contexts/situations) that explain how MSM stigma are linked to sexual risk for HIV with a respondent-driven sample of 500 MSM who will complete baseline and two follow-up assessments at 6 and 12 months.
We will also conduct 20 in-depth qualitative individual interviews with a subset of men selected from the Phase-3 participants to examine the acceptability of potential intervention components to address the link between MSM stigma and HIV risk.
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Black men

Black and African American men cannot be lumped into a one-size-fits-all category. They are the fathers, brothers, uncles and sons in Black communities. They are doctors and lawyers, barbers and bus drivers; they are Christians and Muslims and speak many languages. However, not every person who looks Black or African American will identify with these labels. In the US, Black men represent a diverse group, including, but not limited to, Afro-Cuban, Caribbean, Brazilian and African national men.

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Latino gay men in the US

The ever changing mosaic of Latino demographics in the US creates unique challenges to address health disparities of the population, especially when it comes to HIV prevention needs. Latinos are the largest and fastest growing ethno racial minority group in the US, experiencing a 43% growth between 2000 and 2010. Data also show that Latinos are one of the fastest growing populations at risk for HIV transmission:
  • Latino men who have sex with men (MSM*) represent 81% of new infections among Latino men, and 19% among all MSM2
  • Latinos are 16% of the US population, but make up 17% of living HIV/ AIDS cases and 20% of new HIV infections each year
  • Youth (ages 13-29) accounted for 45% of new HIV infections among Latino MSM. In light of these data there is a need to identify culturally-specific health concerns of Latino gay men so that effective interventions may be developed to address current and prevent future disparities.
The US National HIV/AIDS Strategy highlights the call for HIV programs that reduce health inequities among both ethnoracial and sexual minority populations. Latino gay men have distinct cross-cultural identities that place them into both prioritized categories.