According to a recent report from the UN - “In the last ten years the landscape of national HIV epidemics has changed dramatically, for the better in most countries, especially in sub-Saharan Africa. Countries are making historic gains towards ending the AIDS epidemic: 700 000 fewer new HIV infections across the world in 2011 than in 2001.” The news is not good for gay men as HIV continues to have a disproportionate impact on sex workers, men who have sex with men, and people who inject drugs. The UNAIDS World AIDS Day report warns: Go to any capital city in the world, men who have sex with men are significantly more likely to have HIV—on average 13 times more than the general population. As global HIV prevalence trends appear to have stabilized there is disturbing evidence suggesting that global HIV prevalence among men who have sex with men may have increased between 2010 and 2012; for men who have sex with men—in capital cities the median coverage for HIV prevention services was 55%. But levels of consistent condom use are insufficient. Although a majority of surveyed men who have sex with men said that they used a condom during their last sexual episode, only 13 countries reported more than 75% consistent condom use, while 58 countries reported between 50%-75% condom use. The number who know their HIV status is also low—fewer than one in three tested for HIV in the past 12 months in South and South-East Asia and in Western and Central Europe, regions where sex between men plays a key role in national HIV epidemics.
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