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

Am J Public Health. 2007 Jun;97(6):1060-6. doi: 10.2105/AJPH.2006.087551. Epub 2007 Apr 26.


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.

MeSH terms

  • Adult
  • Age Factors
  • Bisexuality*
  • Disease Progression
  • HIV Infections / epidemiology*
  • HIV Infections / ethnology*
  • Homosexuality, Male*
  • Humans
  • Male
  • Poisson Distribution
  • Population Surveillance
  • Prevalence
  • Sexually Transmitted Diseases, Viral / epidemiology*
  • Sexually Transmitted Diseases, Viral / ethnology*
  • United States / epidemiology