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Trajectories of and disparities in HIV prevalence among Black, white, and Hispanic/Latino men who have sex with men in 86 large U.S. metropolitan statistical areas, 1992-2013.

Authors :
Williams LD
Stall R
Tempalski B
Jefferson K
Smith J
Ibragimov U
Hall HI
Satcher Johnson A
Wang G
Purcell DW
Cooper HLF
Friedman SR
Source :
Annals of epidemiology [Ann Epidemiol] 2021 Feb; Vol. 54, pp. 52-63. Date of Electronic Publication: 2020 Sep 18.
Publication Year :
2021

Abstract

Purpose: The challenges of producing adequate estimates of HIV prevalence among men who have sex with men (MSM) are well known. No one, to our knowledge, has published annual estimates of HIV prevalence among MSM over an extended period and across a wide range of geographic areas.<br />Methods: This article applies multilevel modeling to data integrated from numerous sources to estimate and validate trajectories of HIV prevalence among MSM from 1992 to 2013 for 86 of the largest metropolitan statistical areas in the United States.<br />Results: Our estimates indicate that HIV prevalence among MSM increased, from an across-metropolitan statistical area mean of 11% in 1992 to 20% in 2013 (S.D. = 3.5%). Our estimates by racial/ethnic subgroups of MSM suggest higher mean HIV prevalence among black and Hispanic/Latino MSM than among white MSM across all years and geographic regions.<br />Conclusions: The increases found in HIV prevalence among all MSM are likely primarily attributable to decreases in mortality and perhaps also to increasing HIV incidence among racial/ethnic minority MSM. Future research is needed to confirm this. If true, health care initiatives should focus on targeted HIV prevention efforts among racial/ethnic minority MSM and on training providers to address cross-cutting health challenges of increased longevity among HIV-positive MSM.<br /> (Copyright © 2020 Elsevier Inc. All rights reserved.)

Details

Language :
English
ISSN :
1873-2585
Volume :
54
Database :
MEDLINE
Journal :
Annals of epidemiology
Publication Type :
Academic Journal
Accession number :
32950653
Full Text :
https://doi.org/10.1016/j.annepidem.2020.09.004