Introduction

Men who have sex with men (MSM) are the group at greatest risk for HIV infection in the United States (US), comprising more than half of known cases of HIV and an even greater majority (67%) of new HIV infections, according to current surveillance data [1]. Thus, effective HIV prevention strategies targeting MSM are critical to addressing the national burden of HIV. Advances in biomedical HIV prevention strategies stand to protect anyone at risk but in the absence of ideal adherence and efficacy, behavior change remains essential to successful prevention: while uptake of pre-exposure prophylaxis (PrEP) has increased [

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Acknowledgements

The findings and conclusions in this report are those of the authors and do not necessarily represent the views of the Centers for Disease Control and Prevention.

Funding

This project was funded by the U.S. CDC, National Center for HIV, Viral Hepatitis, STD, and TB Prevention Epidemiologic and Economic Modeling Agreement (NEEMA, # 5U38PS004649).

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Authors and Affiliations

  1. Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco, San Francisco, CA, USA

    Mohsen Malekinejad, Erin K. Barker & James G. Kahn

  2. Institute for Global Health Sciences, University of California, San Francisco, San Francisco, CA, USA

    Mohsen Malekinejad, Sopiko Jimsheleishvili, Paul Volberding & James G. Kahn

  3. Consortium to Assess Prevention Economics, University of California, San Francisco, San Francisco, CA, USA

    Mohsen Malekinejad & James G. Kahn

  4. Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA

    Angela B. Hutchinson & Ram K. Shrestha

  5. 550 16th Street, San Francisco, CA, 94158, USA

    Mohsen Malekinejad

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Contributions

MM was the lead author and supervisor. SJ and EKB conducted record/article screening and data extraction. MM adjudicated disagreements in screening decisions and conduced meta-analysis. ABH, RKS, PV, and JGK provided technical guidance throughout the research project. All authors contributed to manuscript development.

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Correspondence to Mohsen Malekinejad.

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Malekinejad, M., Jimsheleishvili, S., Barker, E.K. et al. Sexual Practice Changes Post-HIV Diagnosis Among Men Who Have Sex with Men in the United States: A Systematic Review and Meta-analysis. AIDS Behav 27, 257–278 (2023). https://doi.org/10.1007/s10461-022-03761-y

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