Vital signs: HIV infection, Diagnosis, treatment, and Prevention among gay, bisexual, and other men who have sex with men — U.S. 2010–2019

Pitasi, Marc A.; Beer, Linda; Cha, Susan; Lyons, Shacara Johnson; Hernandez, Angela L.; Prejean, Joseph; Valleroy, Linda A.; Crim, Stacy M.; Trujillo, Lindsay; Hardman, Dominique; Painter, Elizabeth M.; Petty, Jacqueline; Mermin, Jonathan H.; Daskalakis, Demetre C.; Irene Hall, H.

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Vital signs: HIV infection, Diagnosis, treatment, and Prevention among gay, bisexual, and other men who have sex with men — U.S. 2010–2019

November 30, 2021
By Pitasi, Marc A. ; Beer, Linda ; Cha, Susan ; ...
Series: MMWR; v. 70, ER, 11/30/21

[PDF-490.00 KB]

English

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Details:

Personal Author:

Pitasi, Marc A. ; Beer, Linda ; Cha, Susan ; Lyons, Shacara Johnson ; Hernandez, Angela L. ; ... More +

Pitasi, Marc A. ; Beer, Linda ; Cha, Susan ; Lyons, Shacara Johnson ; Hernandez, Angela L. ; Prejean, Joseph ; Valleroy, Linda A. ; Crim, Stacy M. ; Trujillo, Lindsay ; Hardman, Dominique ; Painter, Elizabeth M. ; Petty, Jacqueline ; Mermin, Jonathan H. ; Daskalakis, Demetre C. ; Irene Hall, H. Less -
Corporate Authors:

National Center for HIV, Viral Hepatitis, STD, and TB Prevention (U.S.) ; Div. of HIV Prevention ; ICF International ; Office of the Director

National Center for HIV, Viral Hepatitis, STD, and TB Prevention (U.S.) ; Div. of HIV Prevention ; ICF International ; Office of the Director Less -
Description:

cdc:111462,cdc:111463

What is already known about this topic? Gay, bisexual, and other men who have sex with men (MSM) are disproportionately affected by HIV.

What is added by this report? This Analysis of national Surveillance data found that the estimated number of new HIV infections among MSM did not change overall during 2010–2019; infections decreased among White MSM but not among Black MSM or Hispanic/Latino MSM. Most measures of use of HIV Prevention and treatment services were lower among Black MSM and Hispanic/Latino MSM than White MSM and younger MSM compared with other age groups.

What are the implications for public health practice? Improving access to and use of HIV services for MSM, particularly Black MSM, Hispanic/Latino MSM, and younger MSM, is essential to ending the HIV epidemic in the U.S.

Background: Men who have sex with men (MSM) accounted for two thirds of new HIV infections in the U.S. in 2019 despite representing approximately 2% of the adult population.

Methods: CDC analyzed Surveillance data to determine Trends in estimated new HIV infections and to assess measures of undiagnosed infection and HIV Prevention and treatment services including HIV tTesting, preexposure prophylaxis (PrEP) use, antiretroviral therapy (ART) adherence, and viral suppression, as well as HIV-related stigma.

Results: The estimated number of new HIV infections among MSM was 25,100 in 2010 and 23,100 in 2019. New infections decreased significantly among White MSM but did not decrease among Black or African American (Black) MSM and Hispanic/Latino MSM. New infections increased among MSM aged 25–34 years. During 2019, approximately 83% of Black MSM and 80% of Hispanic/Latino MSM compared with 90% of White MSM with HIV had received an HIV Diagnosis. The lowest percentage of diagnosed infection was among MSM aged 13–24 years (55%). Among MSM with a likely PrEP indication, discussions about PrEP with a provider and PrEP use were lower among Black MSM (47% and 27%, respectively) and Hispanic/Latino MSM (45% and 31%) than among White MSM (59% and 42%). Among MSM with an HIV Diagnosis, adherence to ART and viral suppression were lower among Black MSM (48% and 62%, respectively) and Hispanic/Latino MSM (59% and 67%) compared with White MSM (64% and 74%). Experiences of HIV-related stigma among those with an HIV Diagnosis were higher among Black MSM (median = 33; scale = 0–100) and Hispanic/Latino MSM (32) compared with White MSM (26). MSM aged 18–24 years had the lowest adherence to ART (45%) and the highest median stigma score (39).

Conclusion: Improving access to and use of HIV services for MSM, especially Black MSM, Hispanic/Latino MSM, and younger MSM, and addressing social determinants of health, such as HIV-related stigma, that contribute to unequal outcomes will be essential to end the HIV epidemic in the U.S.

Suggested citation for this article: Pitasi MA, Beer L, Cha S, et al. Vital Signs: HIV Infection, Diagnosis, Treatment, and Prevention Among Gay, Bisexual, and Other Men Who Have Sex with Men — U.S. 2010–2019. MMWR Morb Mortal Wkly Rep. ePub: 30 November 2021.

mm7048e1.htm?s_cid=mm7048e1_w
Subjects:

[+]

Acquired Immunodeficiency Syndrome Anti-Retroviral Agents Healthcare Disparities Health Inequities HIV Infections Homosexuality, Male Incidence Minority Groups Pre-Exposure Prophylaxis Risk Factors Sexual And Gender Minorities Sexual Behavior Sexual Partners Transgender Persons
Series:

MMWR; v. 70, ER, 11/30/21 ; Vital Signs

MMWR; v. 70, ER, 11/30/21 ; Vital Signs Less -
Document Type:

Journal Article
Place as Subject:

U.S.
Pages in Document:

7 numbered pages
Volume:

70
Collection(s):

Morbidity and Mortality Weekly Report (MMWR)
Main Document Checksum:

[+]

urn:sha256:d92e7844d6b6f6a10592e0c22037510bc60c8d949ab76542ca2299e47cd43381
Download URL:

https://stacks.cdc.gov/view/cdc/112176/cdc_112176_DS1.pdf
File Type:

mm7048e1.htm?s_cid=mm7048e1_w

htm

More +