New Faces of HIV Infection: Age, Race, and Timing of Entry into HIV Care in the Southeastern United States

J Int Assoc Provid AIDS Care. Jul/Aug 2017;16(4):347-352. doi: 10.1177/2325957417710719. Epub 2017 May 31.


Among younger men who have sex with men (MSM), the incidence of HIV is rising nationally. Of the 281 persons who entered into care at a large HIV clinic in the southeastern United States in 2010 to 2012, 78 (27.8%) were <25 years old at the time of diagnosis. Those in the younger group were more likely than those aged ≥25 to be black (59.0% versus 37.4%), MSM (78.2% versus 55.2%), and to have a longer median time from diagnosis to entry into care (71 versus 53 days; P < .05 each). In adjusted survival analysis, persons of black race were less likely to enter care after diagnosis than those of nonblack race (hazard ratio = 0.75, P = .02). Young MSM represent an important target population for prevention and HIV testing interventions, and there is a need to shorten the time from diagnosis to linkage to care, particularly in persons aged <25 and of black race.

Keywords: HIV; care continuum; entry into care; race; young adults.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • African Americans / statistics & numerical data*
  • Age Factors
  • Anti-HIV Agents / therapeutic use
  • CD4 Lymphocyte Count
  • Female
  • HIV Infections / diagnosis
  • HIV Infections / drug therapy*
  • HIV Infections / epidemiology*
  • HIV Infections / ethnology
  • Homosexuality, Male / statistics & numerical data*
  • Humans
  • Incidence
  • Male
  • Retrospective Studies
  • Risk Factors
  • Southeastern United States / epidemiology
  • Substance-Related Disorders / epidemiology
  • Time-to-Treatment*
  • Young Adult


  • Anti-HIV Agents