Substantial HIV Burden and Critical Gaps in the Care Cascade Among Men Who Have Sex With Men in Iran

Highlights

  • HIV prevalence among Men who have Sex with Men (MSM) in Iran is estimated at 4.2%, a rate significantly higher than that of other key populations in the country.
  • The HIV cascade of care reveals a sharp decline in outcomes, with only 35% of those living with HIV achieving viral suppression.
  • Key risk factors for HIV seropositivity include older age, a history of incarceration, and involvement in lifetime sex work.
  • Significant structural and sociocultural barriers continue to hinder testing and antiretroviral therapy (ART) adherence in this underserved population.

Background: The Challenge of Surveillance in Stigmatized Contexts

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