This paper examines the evidence and effectiveness of prevention interventions that reduce the transmission of HIV primarily in HIV‐negative men who have sex with men (MSM). Prevention interventions for HIV‐positive men will also be examined in relation to their HIV‐negative partners.
There is strong evidence that preventive behaviour interventions, including motivational, skill-building, self-efficacy, and eroticized components, conducted over multiple sessions were the most effective for HIV-negative MSM.
Intervention studies such as needle exchange, supervised injection facilities, detoxification and methadone programs targeted at MSM injection drug users are also effective in reducing high-risk behaviours.
Evidence-based Internet interventions are growing in number and present an opportunity to reach rural, closeted, or hard-to-reach MSM for HIV risk reduction.
A combination of these interventions can be recommended by healthcare providers to MSM who report recent high risk activities.