Volume 6, Issue 3

Preventing HIV in MSM and Transgender Communities

In this issue:

Central to ending the HIV epidemic is decreasing HIV transmission, and critical to decreasing transmission is more effective screening of the segments of the population who experience most new infections. These include men who have sex with men and transgender women, who taken together account for nearly two of three new HIV infections in the United States.  

How can this situation be remedied? Most transmission has been shown to come from people unaware of their infection. What can be done to bring the rate of HIV screening in these populations closer to guideline recommendations? Is at-home HIV self-testing effective at decreasing transmission? How should efforts to increase HIV testing for transgender women be targeted? What does the evidence say? 

These are some of the questions Dr. Robert Goldstein from Harvard Medical School and Massachusetts General Hospital addresses in this issue of eHIV Review. 

Learning objectives:

  • Explain the importance of U=U (undetectable equals untransmissible) and TasP (treatment as prevention) in ending the HIV epidemic.
  • Describe strategies to prevent HIV in populations at elevated risk of HIVincluding men who have sex with men and transgender women. 


Robert H. Goldstein, MD, PhD
Robert H. Goldstein, MD, PhD

Instructor of Medicine, Division of Infectious Diseases, Department of Medicine
Massachusetts General Hospital, Harvard Medical School
Medical Director, MGH Transgender Health Program
Boston, Massachusetts

Program Directors:

Ethel D. Weld, MD, PhD

Assistant Professor of Medicine and Pharmacology and Molecular Sciences
Division of Infectious Diseases
Division of Clinical Pharmacology
Johns Hopkins School of Medicine
Baltimore, Maryland

Matthew Spinelli, MD, MAS

Assistant Professor
HIV, ID, and Global Medicine
Zuckerberg San Francisco General Hospital
San Francisco, California

Justin Alves, RN, ACRN, CARN

Nurse Educator – Office Based Addiction Treatment, Training and Technical Assistance Program
Boston Medical Center
Boston, Massachusetts

Length of activity:

1.0 hour Physicians
1.0 contact hour Nurses

Launch date: January 12, 2021
Expiration date: January 11, 2023