HIV prevalence rates among men who have sex with men in the southern United States: population-based estimates by race/ethnicity

AIDS Behav. 2011 Apr;15(3):596-606. doi: 10.1007/s10461-010-9820-y.

Abstract

States across the U.S. lack effective ways to quantify HIV prevalence rates among men who have sex with men (MSM). We estimated population-based HIV prevalence rates among MSM in the 17 southern states by race/ethnicity. Through 2007, estimated HIV prevalence rates per 100,000 MSM ranged from 2,607.6 among white (non-Hispanic) MSM in Maryland to 41,512.9 among black (non-Hispanic) MSM in the District of Columbia. Black MSM rates significantly exceeded Hispanic and white MSM rates in each state. Significant racial/ethnic disparities in rates persisted in a sensitivity analysis examining the possibility that minority MSM populations had been underestimated in each state. Compared with black, Hispanic, and white non-MSM males, respectively, rates at the regional level were 25.2 times higher for black MSM, 43.0 times higher for Hispanic MSM, and 106.0 times higher for white MSM. State-level analysis of racial/ethnic-specific MSM HIV prevalence rates can help guide resource allocation and assist advocacy.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • African Continental Ancestry Group / statistics & numerical data
  • Ethnic Groups / statistics & numerical data*
  • European Continental Ancestry Group / statistics & numerical data
  • HIV Infections / epidemiology*
  • HIV Infections / ethnology*
  • HIV Seroprevalence
  • Health Status Disparities
  • Hispanic Americans / statistics & numerical data
  • Homosexuality, Male / ethnology*
  • Homosexuality, Male / statistics & numerical data
  • Humans
  • Male
  • Middle Aged
  • Population Surveillance
  • Prevalence
  • Risk Factors
  • United States / epidemiology
  • Young Adult