HIV prevalence and sexual risk behaviors among men who have sex with men: results from a statewide population-based survey in California

J Acquir Immune Defic Syndr. 2006 Feb 1;41(2):238-45. doi: 10.1097/01.qai.0000185574.98472.36.

Abstract

Objectives: To investigate HIV prevalence, sexual risk behaviors, and HIV testing among men who have sex with men (MSM) between 18 and 64 years old living in California.

Design: Cross-sectional study of a statewide population-based sample of MSM.

Methods: Using data from the 2001 California Health Interview Survey (CHIS 2001), 398 men who self-identified as gay or bisexual were recontacted and interviewed by telephone for a follow-up study in 2002. Study participants were interviewed regarding their demographic characteristics and sexual behavior, HIV testing history, and HIV infection status. Those who self-reported as HIV-negative or of unknown status were offered an HIV test using a home urine specimen collection kit.

Results: HIV prevalence among MSM in California was 19.1% (95% confidence interval [CI]: 12.8% to 25.3%) with higher rates seen among the following subgroups: high school or less education (40.4%), annual income less than dollar 20,000 (35.0%), or history of ever injecting recreational drugs (40.3%). Young age and Hispanic or African-American race/ethnicity were associated with higher proportions of risky sexual behavior and lower HIV testing rates.

Conclusions: HIV prevalence among MSM living in California continues to be high across the whole state, and population-based studies are needed periodically to complement findings from surveys using other sampling designs.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • California / epidemiology
  • Cross-Sectional Studies
  • HIV Infections / epidemiology*
  • Homosexuality, Male
  • Humans
  • Male
  • Middle Aged
  • Poverty
  • Prevalence
  • Risk Factors
  • Students
  • Substance Abuse, Intravenous
  • Surveys and Questionnaires