Prevalence and Correlates of HIV and STIs Among Men Who Have Sex with Men in the United States: A Multiyear Analysis Público
Lester, Kyle (Spring 2021)
Abstract
Introduction: Human immunodeficiency virus (HIV) continues to be a crucial public health concern. Gay, bisexual, and other men who have sex with men (MSM) are overrepresented in HIV diagnoses and other sexually transmitted infections (STIs). Additionally, among MSM, there are racial disparities in HIV and STI diagnoses. The objective of this study was to analyze the HIV and STI prevalence in MSM according to key demographic and behavioral characteristics with data acquired through the American Men’s Internet Survey (AMIS).
Methods: This study examined nationwide, multiyear data (2013-2019) from AMIS, an online, cross-sectional, self-administered survey (N=70,162). Overall prevalence of HIV, STIs, and concurrent HIV and STIs were examined in this cohort, as well as by demographic characteristics of interest, including race, and by behavioral variables of interest.
Results: There were significant disparities in HIV and STI prevalence with regard to race/ethnicity, age, residency, and behavioral risk factors. Compared to White MSM, the prevalence of HIV, STIs, and concurrent HIV and STIs was significantly greater among Black and Hispanic/Latino MSM. Living in an urban (vs. rural) setting was also associated with increased prevalence of HIV and STIs. Behavioral factors such as condomless anal intercourse, drug usage before or during sex, and having more than four sexual partners were each associated with an increase in the prevalence of HIV and STIs.
Discussion: The results of this study indicate that variations in HIV and STI diagnoses among MSM are prominent across many demographic and behavioral factors including race/ethnicity, age, sexual behaviors, and regional residency. These findings may indicate disparities in health and sexual behavior education received in different communities by different racial/ethnic groups. Further research is needed to elucidate the complex association between race/ethnicity, age, sexual behavioral, and urban residency with the risk of HIV infection and STIs to enhance prevention programs and ensure access to supportive care.
Table of Contents
Introduction………………………………………………………………………………………. 1
Methods ………………………………………….………………………………………………. 4
Results ……………………………………………………………………………………...……. 7
Discussion …………………………………………………………………………….….….…. 12
References ………………………………………………………………………………….…... 16
Tables …………………………………………………………………………………………...19
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