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Global travel and HIV/STI epidemics among MSM: what does the future hold?

Veronica C Lee1, Patrick S Sullivan1, Stefan D Baral2

  • 1Department of Epidemiology, Rollins School of Public Health, Emory University, 1518 Clifton Road NE, 4th Floor GCR Building, Atlanta, GA 30322, USA.

Sexual Health
|January 6, 2017
PubMed

Insights

Global travel and online networking increase HIV risks for men who have sex with men (MSM). Innovative mobile health tools are crucial for prevention and support during travel.

Area of Science:

  • Epidemiology
  • Public Health
  • Global Health

Background:

  • Infectious disease epidemics are influenced by dynamic environmental and social systems.
  • Men who have sex with men (MSM) globally experience a disproportionate burden of HIV.
  • Emerging trends, including global travel and online social networking, pose risks for HIV transmission.

Purpose of the Study:

  • To discuss emerging trends that increase HIV acquisition and transmission risks among MSM.
  • To highlight factors associated with global travel that can potentiate HIV transmission.
  • To emphasize the role of innovative prevention tools in supporting MSM.

Main Methods:

  • Review of emerging trends in global travel and online social/sexual networking.
  • Analysis of factors potentiating HIV transmission during travel.
  • Discussion of the role of mobile health applications in HIV prevention and support.

Main Results:

  • Global travel presents four key risks for HIV transmission: altered sexual risk behaviors, efficient partner-finding via online tools, diverse HIV strains, and mixing between high- and low-prevalence populations.
  • Online platforms facilitate increased and efficient sexual partner acquisition.
  • Heterogeneity of HIV strains globally and diassortative mixing are significant factors.

Conclusions:

  • Prevention strategies must adapt to the challenges posed by global travel and online networking.
  • Innovative mobile applications and programs are vital for supporting MSM at risk for or living with HIV.
  • Continued development and implementation of digital health tools are essential for mitigating HIV transmission in mobile populations.

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