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Men who have sex with men MSM living in sub-Saharan African countries where homosexual activity is severely criminalised are at a nearly five times higher risk of having HIV when compared to countries where no criminalisation occurs. Those in countries where some criminalisation exists are more than twice as likely to have HIV. Additionally, MSM living in countries where there are legal barriers preventing HIV advocacy and civil service organisations from operating are also at a higher risk of HIV infection. Criminalisation of same-sex sexual activity presents a significant barrier for MSM when seeking out HIV prevention and treatment services.
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