The continuing HIV epidemic among men who have sex with men.
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| Title: | The continuing HIV epidemic among men who have sex with men. |
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| Authors: | Catania JA (AUTHOR), Osmond D (AUTHOR), Stall RD (AUTHOR), Pollack L (AUTHOR), Paul JP (AUTHOR), Blower S (AUTHOR), Binson D (AUTHOR), Canchola JA (AUTHOR), Mills TC (AUTHOR), Fisher L (AUTHOR), Choi K (AUTHOR), Porco T (AUTHOR), Turner C (AUTHOR), Blair J (AUTHOR), Henne J (AUTHOR), Bye LL (AUTHOR), Coates TJ (AUTHOR) |
| Source: | American Journal of Public Health. Jun2001, Vol. 91 Issue 6, p907-914. 8p. |
| Subjects: | HIV infections, Epidemics, AIDS, African Americans, Epidemiology |
| Geographic Terms: | United States |
| Abstract: | OBJECTIVES: This study characterized the AIDS epidemic among urban men who have sex with men (MSM). METHODS: A probability sample of MSM was obtained in 1997 (n = 2881; 18 years and older) from New York, Los Angeles, Chicago, and San Francisco, and HIV status was determined through self-report and biological measures. RESULTS: HIV prevalence was 17% (95% confidence interval = 15%, 19%) overall, with extremely high levels in African Americans (29%), MSM who used injection drugs (40%), 'ultraheavy' noninjection drug users (32%), and less educated men (< high school, 37%). City-level HIV differences were non-significant once these other factors were controlled for. In comparing the present findings with historical data based on public records and modeling, HIV prevalence appears to have declined as a result of high mortality (69%) and stable, but high, incidence rates (1%-2%). CONCLUSIONS: Although the findings suggest that HIV prevalence has declined significantly from the mid-1980s, current levels among urban MSM in the United States approximate those of sub-Saharan countries (e.g., 14%-25%) and are extremely high in many population subsegments. Despite years of progress, the AIDS epidemic continues unabated among subsegments of the MSM community. [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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| Abstract: | OBJECTIVES: This study characterized the AIDS epidemic among urban men who have sex with men (MSM). METHODS: A probability sample of MSM was obtained in 1997 (n = 2881; 18 years and older) from New York, Los Angeles, Chicago, and San Francisco, and HIV status was determined through self-report and biological measures. RESULTS: HIV prevalence was 17% (95% confidence interval = 15%, 19%) overall, with extremely high levels in African Americans (29%), MSM who used injection drugs (40%), 'ultraheavy' noninjection drug users (32%), and less educated men (< high school, 37%). City-level HIV differences were non-significant once these other factors were controlled for. In comparing the present findings with historical data based on public records and modeling, HIV prevalence appears to have declined as a result of high mortality (69%) and stable, but high, incidence rates (1%-2%). CONCLUSIONS: Although the findings suggest that HIV prevalence has declined significantly from the mid-1980s, current levels among urban MSM in the United States approximate those of sub-Saharan countries (e.g., 14%-25%) and are extremely high in many population subsegments. Despite years of progress, the AIDS epidemic continues unabated among subsegments of the MSM community. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 00900036 |
| DOI: | 10.2105/ajph.91.6.907 |
