Emerging models of clinical services for men who have sex with men: focused versus comprehensive approaches
Kenneth H. Mayer A B , Rodney Vanderwarker A , Chris Grasso A and Stephen L. Boswell AA The Fenway Institute, Fenway Health, 1340 Boylston Street, Boston, MA 02215, USA.
B Corresponding author. Email: kmayer@fenwayhealth.org
Sexual Health 14(1) 133-138 https://doi.org/10.1071/SH16119
Submitted: 10 June 2016 Accepted: 28 June 2016 Published: 29 August 2016
Journal Compilation © CSIRO Publishing 2017 Open Access CC BY-NC-ND
Abstract
By the early 1970s, it was increasingly recognised that men who have sex with men (MSM) were at risk for specific sexually transmissible infections (STI), and clinician awareness regarding MSM STI grew significantly after the AIDS epidemic was first recognised in 1981. In many urban centres in the USA and other resource-rich countries, the development of clinical infrastructure to address the AIDS epidemic led to the creation of clinics that provided services for large numbers of MSM. During the same time period, other health centres were created that were community-focused, providing comprehensive behavioural health and medical services for all sexual and gender minority patients. Over the next few years, multiple models for MSM sexual health will evolve, ranging from centres that embed STI care in primary care, to more focused centres that can use new technology to provide an efficient assessment for at-risk MSM desiring quick screening services.
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