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    Since April , with more than 19 issues, the newsletter has provided a platform to leverage the voices of people living with HIV and LGBTI people and to share stories, highlight challenges, showcase innovation and build strength within these communities. The articles included in the newsletter show how civil society organizations are playing a critical role in providing essential safety nets for vulnerable communities during the pandemic. Since the first COVID outbreak in Malaysia, Mama Tini has been working closely to provide support to transgender women, gay men and other men who have sex with men and female sex workers to encourage sexual health screening and testing and to raise awareness of HIV and other sexually transmitted infections. The newsletter is also a testament to how community-led organizations have used the structure and networks from the HIV response to ensure timely access to information about COVID while preventing disruption to HIV services. Examples of these initiatives include how community-led HIV services provide antiretroviral therapy, HIV testing and pre-exposure prophylaxis PrEP to key populations and fundraising efforts for food packages.
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    Gay and Bisexual Men and Men Who Have Sex with Men (MSM)

    Resources, protective factors and personal strengths contribute towards the development of resilience in middle-aged and older men who have sex with men, according to a recent research report by Dr Renato Liboro and colleagues from the Centre for Addiction and Mental Health in Toronto, Canada. Resilience enables individuals to withstand and overcome life challenges, such as living with HIV or being at-risk for acquiring it. This research focused on the experiences of men who have sex with men MSM, including transgender men , over the age of 40, to highlight those factors that play a role in the development of resilience as individuals age, both for those living with HIV and those who are HIV negative. Social attitudes that suggest that having a particular illness or being in a particular situation is something to be ashamed of. Stigma can be questioned and challenged. The presence of one or more additional health conditions at the same time as a primary condition such as HIV.
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    Men who have sex with men

    Survey respondents reported many risk reduction strategies, such as increased sexting, having fewer sex partners, and discussing COVID risk and transmission with partners. In addition, many respondents reported that isolation and loneliness led them to have sex, which often led to feelings of guilt, shame, or anxiety about the sex or COVID These COVID restrictions also prohibited meeting people from outside their household, yet little was known about how well people followed the guidelines. Lack of access to sexual health services could lead to an increased risk for both STI and HIV transmission, and the survey results can inform the delivery of sexual health services during COVID restrictions. The survey asked about perceived changes in sexual behaviour, emotions about sexual activity and accessing sexual health services between 23 March and 30 June lockdown.
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    Understand important health issues for gay men and men who have sex with men — from sexually transmitted infections to depression — and get tips for taking charge of your health. All men face certain health risks. However, gay men and men who have sex with men have some specific health concerns. Although your individual risks are shaped by many factors beyond your sexual orientation and practices — including family history and age — it's important to understand common health issues for gay men and steps you can take to stay healthy. Men who have sex with men are at increased risk of contracting HIV, the virus that causes AIDS, as well as other sexually transmitted infections.
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