Last updated January 2022 2 Population size estimates HIV prevalence and epidemiology Risk behaviors Vulnerability and HIV knowledge HIV expenditure National response CONTENT Population size estimates ID: 1044673
Download Presentation The PPT/PDF document "Men who have sex with men" is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
1. Men who have sex with menLast updated: January 2022
2. 2Population size estimatesHIV prevalence and epidemiology Risk behaviorsVulnerability and HIV knowledgeHIV expenditure National response CONTENT
3. Population size estimates
4. Men who have sex with men (MSM) population size estimatesCountryEstimated size Definition Adult malesAs% of males (15-49) Afghanistan(2019)10,108 Males who had anal sex with another man in the past 12 months9,596,723 0.11 Australia(2011)190,000 Self identify as men who have sex with men5,622,8083.38 Bangladesh(2015)MSM:101,695 MSW: 29,776MSM: Males 10+ yrs; who had sex with males with consent in the last year regardless of whether they have sex with women or have a personal/social gay or bisexual identity but do not sell sex. MSW: Males who sell sex to other males in exchange of money or gifts in last 3 months43,789,365 MSM: 0.23MSW: 0.07 Bhutan (2019)1,726 Males 18+ yrs who have had anal or oral sex with another man or TG in the last 12 months240,1950.72 Cambodia(2019)87,817 Biological males, 15 to 49 years old, who have anal sex with another male in last 12 months including those who find and meet male sexpartners though online applications.4,338,5032.02 China(2013)3,960,000 Males 15-65 yrs; who have sex with men in recent year 397,300,323 1.0 India(2009)357,000Information not available336,701,558 0.11 Indonesia(2019)502,986Males who have once, occasionally, or regularly had sex with other men, regardless of their sexual orientation (heterosexual, homosexual, or bisexual) in the past 1 year73,407,1130.69 Japan(2013)519,721 Information not available27,870,541 1.86 Lao PDR (2019)18,902 Information not available1,945,101 0.97 Malaysia(2018)220,000Males who had engaged in anal penetrative sex with men at least once9,173,0552.4 Mongolia(2019)6,500 Biological males, aged 15 and over, who had anal sex with men in the last 12 months849,537 0.77 Myanmar(2015)252,000 Males 15+ yrs; who has had anal sex with another male in the past 6 months13,922,158 1.81 Nepal(2016)MSM: 60,333MSW: 18,287MSM: Males who have oral and/or anal sex with other biological males, at least once, in the past 12 months. MSW: Males 16+yrs; who had oral and/or anal sex with other males in the past 12 months in exchange for money or other benefits.5,982,377 MSM: 1.01MSW: 0.31 Pakistan(2016)MSM: 832,213MSW: 55,340 MSM: Male 13+ yrs who has sex with other men as a matter of preference or practice, regardless of their sexual identity/orientation, and irrespective of whether or not they also have sex with women MSW: Males 13+yrs; who undertakes sexual activity with a man in return for money or benefits53,596,310 MSM: 1.55MSW: 0.1 Philippines(2019)MSM: 829,300MSW: 132,700MSM: Males 15+ yrs; who had oral or anal sex with a male in the past 12 months. MSW: Males, 15 years or older who had oral or anal sex with a male in the past 12 months and accepted cash or kind in exchange for sex regardless of whether establishment-based or a proportion of males who have sex with males.28,957,687 MSM: 2.86MSW: 0.46 PNG (2019)MSM/TG 35,876 Any person who was born biologically as a man who engaged in oral or anal sex with another man in the past six months2,322,9991.54 Sri Lanka(2018)40,000 All men who have anal sex with other men, irrespective of sexual orientation.5,076,615 0.8 Thailand(2016)MSM: 590,700MSW: 15,000MSM: Male 18+, anal or oral sex with male in the past 12 months. MSW: Male 18+ who exchange money or goods for sexual services either regularly or occasionally in the last 12 months17,568,867MSM: 3.36MSW: 0.09 Viet Nam(2019)200,000 Male 18+ yrs; who have oral or anal sex with another man in the past 12 months26,232,936 0.76Source: Global AIDS Monitoring reporting 2016 to 2020, China 2013 HIV estimation, and United Nations, Department of Economic and Social Affairs, Population Division (2020). World Population Prospects 2019
5. HIV prevalence and epidemiology
6. Source: Prepared by www.aidsdatahub.org based on UNAIDS special analysis, 202194%of new HIV infections among key populations and their partnersMen who have sex with menPeople who inject drugsRest of populationTransgender womenSex workersClients of sex workers and partners of key populationsNeed for focused response in HIV: Epidemic mostly affecting key populations and their partnersDistribution of new HIV infections by population, 2020
7. HIV prevalence among MSM by region, latest available year, 2011-20207Source: Prepared by www.aidsdatahub.org based on 1. HIV Sentinel Surveillance Surveys; 2. Integrated Biological and Behavioral Surveillance surveys; and 3. Bangladesh icddr,b, 2015. HIV Midline survey among MSM, MSW & TG; Global AIDS Response Progress Reporting; and Global AIDS Monitoring (GAM)* Kathmandu, ** MSM and TG; # 3 sites - Bangkok, Chiang Mai and Phuket
8. HIV prevalence > 5% among MSM in selected geographical locations, 2013-20208Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Surveillance Reports; Lan, W., et al. (2012). HIV Prevalence and Influencing Factors Analysis of Sentinel Surveillance among Men who have Sex with Men in China, 2003-2011 and Chengdu Center for Disease Control and Prevention. (2014). Intensifying HIV response among MSMs with city-approach in Chengdu city, China.; Global ADIS Response Progress Reporting; and Global AIDS Monitoring (GAM)
9. High and/or rising HIV prevalence among men who have sex with men in cities, 2007-20209Source: Prepared by www.aidsdatahub.org based on HIV Sentinel Surveillance Surveys and Integrated Biological and Behavioral Surveillance Surveys; GARPR Reporting and Global AIDS Monitoring
10. Active syphilis prevalence among men who have sex with men, latest available data, 2015-202010Source: Prepared by www.aidsdatahub.org based on 1) HIV Sentinel Surveillance surveys; 2) Integrated Biological and Behavioral Surveillance surveys; and 3) Global AIDS Monitoring (GAM)
11. Risk behaviors
12. Proportion of MSM who reported condom use at last anal sex with male partner, 2014-2020Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Surveillance surveys; Behavioral Surveillance Surveys and Global AIDS Monitoring# Kathmandu; ## Dili; * Bangkok, Chiang Mai, and Phuket; **4 States; *** Port Moresby (data includes MSM and TG)
13. Prevention gap: consistent condom use is less than 60% in many countries where data is available13* With casual/regular male partners; ** commercial sexConsistent condom use among men who have sex with men, 2011-202090%Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Surveillance surveys and Behavioral Surveillance Surveys
14. Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Surveillance surveys; and Behavioral Surveillance Surveys Proportion of MSM who reported condom use at last anal sex and consistent use, countries where data is available, 2015-2020* with commercial/paid male partners; ** with casual male partners; *** with main male/TG partner
15. Proportion of surveyed MSM who sold sex to men, 2011-201815Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Surveys and Behavioral Surveillance Surveys* Mixed sample of MSM and TG
16. Proportion of MSM who reported buying sex from male and female, 2011-201616Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Surveillance surveys and Behavioral Surveillance Surveys
17. Proportion of MSM who reported consistent condom with male commercial partners in the last month, 2012 - 201917HCMC = Ho Chi Minh City; * in the last 6 monthsSource: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Surveillance surveys and Behavioral Surveillance Surveys
18. Proportion of MSM who reported consistent condom use with non-commercial or casual partners, 2010-201918Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Surveillance surveys and Behavioral Surveillance Surveys
19. Proportion of MSM who had sex with female partners in the last year, 2010 - 2019Source: Prepared by www.aidsdatahub.org based on 1. Integrated Biological and Behavioral Surveillance surveys; 2. Behavioral Surveillance Surveys; and 3. Bavinton, B., Singh, N., Naiker, D. S., et al. (2011). Secret Lives, Other Voices: A Community-Based Study Exploring Male-to-Male Sex, Gender Identity and HIV Transmission Risk in Fiji. Suva, Fiji: AIDS Task Force of Fiji.
20. Overlapping risk behaviors: Proportion of MSM who reported injecting drugs, 2012-201920Source: Prepared by www.aidsdatahub.org based on 1. Integrated Biological and Behavioral Surveillance surveys and 2. Behavioral Surveillance Surveys
21. Prevailing stigma, discrimination and violence against MSMPhysical violenceSexual violenceStigma and mental healthSource: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral and Surveillance Surveys* Experienced violence or rape in the last year
22. Proportion of MSM who reported being raped/forced to have sex in the last 12 months, 2010-201722Source: Prepared by www.aidsdatahub.org based on 1) Integrated Biological and Behavioral Surveillance surveys ; and 2. Behavioral Surveillance Surveys
23. Vulnerability and HIV knowledge
24. Proportion of MSM with comprehensive HIV knowledge, countries where data is available, 2012-2019Source: Prepared by www.aidsdatahub.org based on 1) Integrated Biological and Behavioral Surveillance Surveys ; 2. Behavioral Surveillance Surveys; 3) Global AIDS Response Progress Reporting; and 4) Global AIDS Monitoring (GAM)
25. HIV expenditure
26. Key populations account for 98% of new HIV infections in Asia and the Pacific countries but less than half was spent for key populations HIV prevention programme2620 countries: Afghanistan, Bangladesh, Cambodia, India, Indonesia, Kiribati, Lao PDR, Malaysia, Myanmar, Nepal, Palau, Pakistan, Philippines, Samoa, Solomon Island, Sri Lanka, Thailand, Vanuatu, and VietnamSource: Prepared by www.aidsdatahub.org based on Global AIDS Response Progress and Global AIDS Monitoring (GAM) reportingProportion of prevention spending among key populations in Asia and the Pacific region
27. Prevention spending on key populations is heavily dependent on international financing sources27Note: Regional aggregate based on available data from 12 countries - Afghanistan, Bangladesh, Cambodia, Indonesia, Lao PDR, Malaysia, Myanmar, Nepal, Pakistan, Philippines, Thailand, Viet Nam - between 2012 and 2017 Prevention spending by financing source, 2012 - 2017Prepared by www.aidsdatahub.org based on Global AIDS Monitoring Reporting, NASA reports
28. National response
29. HIV testing coverage among men who have sex with men, 2014 - 20202990%Source: Prepared by www.aidsdatahub.org based on 1) Integrated Biological and Behavioral Surveillance Surveys ; 2. Behavioral Surveillance Surveys and 3) Global AIDS Monitoring (GAM)
30. Proportion of MSM reached with HIV prevention programmes, 2015-202030Definition of reach: In the past three months, MSM reported receiving two or more of the prevention interventions listed below - Given condoms and lubricants Received counselling on condom use and safe sex Tested for sexually transmitted infectionsSource: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Surveillance Surveys; Behavioral Surveillance Surveys and Global AIDS Monitoring (GAM)
31. Criminalisation of same-sex sexual activities between consenting adult males in South-East Asia and the Oceania countries, 2014-201931*Federated States of MicronesiaSouth-East AsiaMSMOceania Brunei Australia Cambodia Fiji Indonesia Kiribati Lao PDR Marshall Islands Malaysia Micronesia * Myanmar Nauru Philippines New Zealand Singapore Palau Thailand PNG Timor-Leste Samoa Viet Nam Solomon Islands Tonga TuvaluSources: Prepared by www.aidsdatahub.org based on UNAIDS and UNDP. (2021). Legal and policy trends. Impacting people living with HIV and key populations in Asia and the Pacific, 2014-2019. Consensual sex between adult men has been decriminalized or it is not a criminal offenseConsensual sex between adult men is a criminal offencePartial criminalization of consensual sex between adult men, e.g., only in relation to members of the military or where criminalization is partly repealed or ambiguous
32. Criminalisation of same-sex sexual activities between consenting adult males in South Asia and East Asia countries, 2014-201932South AsiaMSMEast Asia Afghanistan China Bangladesh Japan Bhutan Mongolia India DPRK Maldives Rep of Korea Nepal Pakistan Sri LankaSources: Prepared by www.aidsdatahub.org based on UNAIDS and UNDP. (2021). Legal and policy trends. Impacting people living with HIV and key populations in Asia and the Pacific, 2014-2019. Consensual sex between adult men has been decriminalized or it is not a criminal offenseConsensual sex between adult men is a criminal offencePartial criminalization of consensual sex between adult men, e.g., only in relation to members of the military or where criminalization is partly repealed or ambiguousInformation is unavailable or unclear
33. 33THANK YOUslides compiled by www.aidsdatahub.orgData shown in this slide set are comprehensive to the extent they are available from country reports. Please inform us if you know of sources where more recent data can be used. Please acknowledge www.aidsdatahub.org if slides are lifted directly from this site