What factors contribute to the higher risk among MSM?
Several factors contribute to the elevated risk of infections among MSM:
- Behavioral Factors: Higher prevalence of high-risk sexual practices such as anal intercourse, which has a higher risk of HIV transmission compared to vaginal intercourse. - Biological Factors: The rectal mucosa is more susceptible to micro-tears during intercourse, facilitating the entry of pathogens. - Social Determinants: Stigma, discrimination, and legal barriers can limit access to healthcare and preventive services. - Network Factors: High prevalence of HIV within MSM communities increases the likelihood of exposure.