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Skip search results from other journals and go to results- 24 JMIR Public Health and Surveillance
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The outbreak predominantly affects men who have sex with men (MSM), who account for 85.8% of cases with known sexual behavior data [4,5]. China, with the world’s largest MSM population—estimated at 8.3 million, nearly 1.8 times the size of the United States’ MSM population—faces unique public health challenges in controlling mpox transmission [6].
JMIR Public Health Surveill 2025;11:e68400
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The community organization is composed of MSM volunteers, which allows for forming trusting relationships and facilitates contact with the MSM population, thus bringing attention to this previously hidden demographic [9,10]. A previous study revealed that 567 MSM community-based organizations in China participated in initiatives funded by the AIDS fund for nongovernmental organizations, facilitating HIV testing for over 250,000 people by 2022 [11].
J Med Internet Res 2025;27:e66702
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In 2019, pre-exposure prophylaxis (Pr EP) was established as safe and effective in preventing HIV among adolescent-aged men who have sex with men (MSM), and the US Food and Drug Administration approved Pr EP for individuals weighing at least 77 pounds (~34.9 kg), thereby making it available to adolescents [10,11]. Nevertheless, prescribing Pr EP to adolescents remains under ideal levels [12].
JMIR Res Protoc 2025;14:e63114
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However, few studies to date have examined how structural determinants may have shaped mpox testing in a large, national sample of MSM [9,10].
Beyond structural factors, engagement in mpox screening and testing services may be driven by individual factors, particularly risk perception and behavioral indication for mpox tests [11]. For example, GBMSM who report regular condom use have been found to have lower engagement in testing for HIV [12] and bacterial STIs [13].
JMIR Public Health Surveill 2025;11:e57399
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A previous meta-analysis showed that using mobile health technology could increase the linkage to care among MSM using HIV self-testing [26].
Zhejiang province is economically developed, with an active digital economy. Approximately 66,000 HIV tests were performed among MSM in 2023, accounting for 10% of the national proportion [2], and over 70% of HIV testing among MSM in Zhejiang province relied on the internet.
JMIR Public Health Surveill 2025;11:e66139
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Card et al [12] used GT and Canadian census data to estimate the local PSE of MSM in urban and rural locations throughout Canada. Card et al [12] related search terms presumed to be representative of MSM (“gay porn”) to that presumed to be representative of the general (male) population (“porn”). By relating these 2 sets of values, Card et al [12] estimated the relative size of MSM in these Canadian towns. To date, no other published PSE exists using this method.
JMIR Public Health Surveill 2025;11:e58630
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According to previous studies, the incidence of syphilis among MSM taking Pr EP is 44.6 times higher than MSM who are not taking Pr EP [19]. Based on the available literature, it is possible to estimate the prevalence of STIs among Pr EP users, but it is not possible to obtain information on the Pr EP cascade stages among MSM with STIs.
JMIR Public Health Surveill 2024;10:e65713
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Successfully implemented web-based RDS surveys among various populations [11,12], including MSM [13], remain sparse perhaps because building the required IT infrastructure can appear daunting.
JMIR Public Health Surveill 2024;10:e58076
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HIV remains a significant public health issue, with an estimated 39 million individuals living with HIV in 2021 and new diagnoses continuing to be concentrated among key populations globally including gay, bisexual, and other men who have sex with men (MSM) [1]. India has the third largest population of people living with HIV globally, with it disproportionately affecting MSM.
JMIR Res Protoc 2024;13:e59873
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