Richard J. Wolitski

TL;DR: High rates of HIV infection for Black MSM were partly attributable to a high prevalence of sexually transmitted diseases that facilitate HIV transmission and to undetected or late diagnosis of HIV infections; they were not attributable to higher frequency of risky sexual behavior, nongay identity, or sexual nondisclosure, or to reported use of alcohol or illicit substances.

TL;DR: Interventions targeting PWLH are efficacious in reducing unprotected sex and acquisition of sexually transmitted diseases and should be incorporated into community HIV prevention efforts and further evaluated for effectiveness.

TL;DR: A comprehensive continuum of services is needed to ensure that all persons living with HIV infection receive the HIV care and treatment needed to achieve viral suppression, and the greatest opportunities for increasing the percentage of persons with a suppressed viral load are reducing undiagnosed HIV infections and increasing the number of persons livingWith HIV who are engaged in care.

TL;DR: Overall, evidence for harm reduction was identified; however, significant differences across the two cities were found, and the findings have important implications for prevention efforts and future research studies.

TL;DR: Recommendations for addressing the HIV prevention needs of MSM include the need to consider HIV-related issues within the broader context of the physical, mental, and sexual health of MSM.