Concomitant socioeconomic, behavioral, and biological factors associated with the disproportionate HIV infection burden among Black men who have sex with men in 6 U.S. cities

American Black men who have sex with men (MSM) are disproportionately affected by HIV, but the factors associated with this concentrated epidemic are not fully understood. Black MSM were enrolled in 6 US cities to evaluate a multi-component prevention intervention, with the current analysis focusing...

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Bibliographic Details
Published in:PloS one 2014-01, Vol.9 (1), p.e87298-e87298
Main Authors: Mayer, Kenneth H, Wang, Lei, Koblin, Beryl, Mannheimer, Sharon, Magnus, Manya, del Rio, Carlos, Buchbinder, Susan, Wilton, Leo, Cummings, Vanessa, Watson, Christopher C, Piwowar-Manning, Estelle, Gaydos, Charlotte, Eshleman, Susan H, Clarke, William, Liu, Ting-Yuan, Mao, Cherry, Griffith, Samuel, Wheeler, Darrell
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
Adolescent
Adult
African Americans
AIDS
Bacteria
Biology
Bisexual
Bisexuality
Black or African American - psychology
Black or African American - statistics & numerical data
Chlamydia
Cities
Comparative analysis
Correlation analysis
Disease prevention
Epidemics
Gonorrhea
HIV
HIV infections
HIV Infections - ethnology
HIV Infections - prevention & control
HIV Infections - transmission
Homosexuality
Homosexuality, Male - ethnology
Homosexuality, Male - psychology
Human immunodeficiency virus
Humans
Logistic Models
Male
Medical diagnosis
Medicine
Men
Mental depression
Middle Aged
Multivariate Analysis
Prevention
Rectum
Regression analysis
Risk Factors
Sex
Sexual Behavior - ethnology
Sexual Behavior - psychology
Sexually transmitted diseases
Social Class
Social networks
STD
Syphilis
Transgender people
United States - epidemiology
Urban Population - statistics & numerical data
Young Adult
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Summary:American Black men who have sex with men (MSM) are disproportionately affected by HIV, but the factors associated with this concentrated epidemic are not fully understood. Black MSM were enrolled in 6 US cities to evaluate a multi-component prevention intervention, with the current analysis focusing on the correlates of being newly diagnosed with HIV compared to being HIV-uninfected or previously diagnosed with HIV. HPTN 061 enrolled 1553 Black MSM whose median age was 40; 30% self-identified exclusively as gay or homosexual, 29% exclusively as bisexual, and 3% as transgender. About 1/6(th) (16.2%) were previously diagnosed with HIV (PD); of 1263 participants without a prior HIV diagnosis 7.6% were newly diagnosed (ND). Compared to PD, ND Black MSM were younger (p
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0087298