New Analysis of World's Premier AIDS Conference Finds Poor Coverage of Populations Most-at-Risk for HIV
Hundreds of Organizations Worldwide Call on Conference Organizers to Increase Meaningful Coverage of Gay Men, Transgender
People, People Who Inject Drugs, and Sex Workers
June 18, 2013 - A new report produced by a coalition of global advocacy organizations shows that the
International AIDS Conference (IAC) program continues to lack meaningful coverage of populations most-at-risk for HIV, including men
who have sex with men (MSM), transgender people, people who inject drugs (PWID), and sex workers. Over 220 organizations from more
than 70 countries around the world have called on the organizers of the IAC to take concrete measures to increase coverage of
HIV-related issues concerning the health and human rights of these populations worldwide.
The report features a systematic quantitative audit and qualitative analysis of the topics and countries
covered by abstracts on most-at-risk populations at the 2012 IAC, also known as AIDS 2012. These populations are also
called "key populations," because they are both key to the epidemic's dynamics and key to the response. As an
in-depth examination of research presented at the world's premier AIDS conference, the report also offers
a glimpse into the current state of research on these key populations globally.
The quantitative audit of the AIDS 2012 program showed that only 17% of all abstracts presented at the conference were
exclusively focused on MSM, transgender people, PWID, or sex workers. Some key populations were better represented than others.
The percent of all abstracts exclusively dedicated to each key population was 8% for MSM, less than 1% for transgender people,
5% for PWID, and 4% for sex workers.
"Most people know that AIDS wreaks total havoc on our immune systems," said Gerald Weissmann, M.D., Editor-in-Chief
of The FASEB Journal, "but far fewer people know that the disease can also lead to noticeable brain damage. This research study
offers an explanation why this occurs as well as a possible solution for preventing it. The next steps, of course, involve
looking into whether or not people will benefit from some form of DHEA-S treatment."
The qualitative analysis of abstracts on these populations was even more revealing, indicating that more abstracts
on key populations focused on individual risk factors (40%) than any other topic, including structural factors [e.g. policy,
stigma, violence] (26%); primary prevention (19%); testing, care, and treatment (15%); and surveillance (10%). Only 29%
of abstracts on key populations focused on describing interventions, while 71% described vulnerabilities without
offering any detailed solutions.
"This meager level of coverage on issues concerning our communities at the International AIDS Conference is
unacceptable," said Dr. George Ayala, Executive Director of the Global Forum on MSM & HIV (MSMGF) and co-author of
the report. "Not only was there a comparatively low number of abstracts on key populations at the conference, but the
content of these abstracts was largely divorced from the most urgent needs of key populations as identified by
members of the populations themselves."
The report cites the body of abstracts at AIDS 2012 focused on MSM as an example of the gap between the kind of research
prioritized by key population stakeholders and the kind of research ultimately presented at the conference. Ahead of AIDS 2012, the
MSMGF conducted a global survey of nearly 300 MSM advocates and service providers around the world to identify the topics they
felt would be most important to address at the conference. The top three themes were "Prevention," "Stigma and
Discrimination," and "Law and Criminalization." Of all abstracts presented at AIDS 2012, the percentage
dedicated to these themes in relation to MSM was 1.6%, 0.5%, and 0.3%, respectively.
"After thirty years of AIDS, we know key populations are at much greater risk than the general population in nearly every
country around the world," said Allan Clear, Executive Director of the Harm Reduction Coalition and co-author of the report.
"Our communities deserve proper attention, and mounting evidence argues that addressing HIV among key populations is
central to ending the global AIDS crisis. It is time for the IAC and the broader AIDS response to start addressing
HIV among key populations in a more equitable, more appropriate, and ultimately more effective way."
In addition to examining the number and focus topics of abstracts on key populations, the report also assessed geographic
coverage. Of all abstracts on key populations, nearly 40% focused on North America and Western Europe. A country-level analysis
revealed that nearly two-thirds of all key population abstracts were concentrated in 10 countries alone. Of the remaining 79
countries represented in these abstracts, 32 had only 1 abstract on 1 key population. Numerous regions and countries with
concentrated epidemics among key populations were either underrepresented or entirely absent.
"The poor coverage of topics concerning key populations, especially from lower-income countries, may reflect inequitable
global funding for research on key populations as much as it reflects the IAC's processes that reinforce these inequities," said JoAnne
Keatley, Director of the Center of Excellence for Transgender Health at the University of California, San Francisco and co-author
of the report. "The IAC's organizers must update the conference's processes to ensure the event is as valuable as possible for
addressing the urgent HIV epidemics among key populations. As the premier platform for sharing the latest research on HIV
and AIDS, it must lead the global AIDS research field to do the same."
"The IAC represents a unique and powerful opportunity to impact the global AIDS epidemic," said Anastacia Ryan,
Global Policy Officer on HIV and Sex Work at the Global Network of Sex Work Projects (NSWP). "The conference offers
unparalleled potential to shape the industry's discourse, funding priorities, and locus of scientific inquiry,
giving key affected populations the recognition they deserve as partners in fighting the epidemic. By
updating its processes to increase meaningful engagement with and coverage of key populations, the
IAC will not only support the development of more effective strategies to address the needs of
key populations, it will bring the global AIDS response closer to developing the comprehensive solutions we need to end the epidemic."
The report concluded with a set of 5 recommendations for measures that can be taken by conference organizers to increase
meaningful coverage of key populations at future IACs. The recommendations include conducting community consultations, issuing
targeted calls for abstracts, and advocating with large funders and research institutions for more appropriate funding and
support for research on key populations. A total of 221 organizations from 73 countries endorsed the recommendations for action.
The full report, entitled "Coverage of Key Populations at the 2012 International AIDS Conference," is available online at http://www.msmgf.org/files/msmgf//Advocacy/AIDS2012_KeyPopulations.pdf
The report was jointly produced by the Global Forum on MSM & HIV (MSMGF), Global Action for Trans* Equality (GATE) , the Center of Excellence for Transgender Health (CoE), the Harm Reduction Coalition, the International Network of People Who Use Drugs (INPUD), Different Avenues, and the Global Network of Sex Work Projects (NSWP).
The full list of recommendations and endorsements can be found online at http://www.msmgf.org/files/msmgf//Advocacy/Action_Alerts/AIDS2014
510 332 0786 (mobile)
Reproduced with permission - "The Global Forum on MSM & HIV (MSMGF) "
The Global Forum on MSM & HIV (MSMGF)
For more HIV and AIDS News visit...
Positively Positive - Living with HIV/AIDS: