Racial/ethnic and age disparities in HIV prevalence and disease progression among men who have sex with men in the United States.

Abstract:

OBJECTIVES:We examined HIV diagnosis rates and disease progression among men who have sex with men (MSM) according to race/ethnicity and age. METHODS:Using data obtained from the national HIV/AIDS surveillance system, we examined trends in HIV diagnosis rates for 2001 through 2004 using Poisson regression. We used a standardized Kaplan-Meier method to determine differences in time of progression from HIV to AIDS and AIDS survival. RESULTS:HIV diagnosis rates were higher for Black and Hispanic than for White MSM, but trends within age groups from 2001 to 2004 did not differ by race/ethnicity. Diagnosis rates increased among MSM aged 13 to 19 years (14% per year), 20 to 24 years (13%), 25 to 29 years, and 40 to 54 years (3%-6%; P< or = .01 for each). The percentage of MSM who did not have AIDS 3 years after HIV diagnosis was lower among Black (66.8%; 95% confidence interval [CI]=66.1, 67.4) and Hispanic (68.1%; 95% CI=67.5, 68.8) than among White MSM (74.7%; 95% CI=74.2, 75.1). Three-year survival after AIDS diagnosis was lower for Black than for White or Hispanic MSM. CONCLUSIONS:HIV prevention efforts should target young and middle-aged MSM and must offer early diagnosis and treatment for all MSM.

journal_name

Am J Public Health

authors

Hall HI,Byers RH,Ling Q,Espinoza L

doi

10.2105/AJPH.2006.087551

subject

Has Abstract

pub_date

2007-06-01 00:00:00

pages

1060-6

issue

6

eissn

0090-0036

issn

1541-0048

pii

AJPH.2006.087551

journal_volume

97

pub_type

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