Sexual Partnering and HIV Risk among Black Men Who Have Sex with Men: New York City
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.Get Access
Black men who have sex with men (MSM) are disproportionately affected with HIV in the US. Limited event-specific data have been reported in Black MSM to help understand factors associated with increased risk of infection. Cross-sectional National HIV Behavioral Surveillance Study data from 503 MSM who reported ≥1 male sexual partner in the past year in New York City (NYC) were analyzed. Case-crossover analysis compared last protected and last unprotected anal intercourse (UAI). A total of 503 MSM were enrolled. Among 349 tested for HIV, 18% were positive. Black MSM (N = 117) were more likely to test HIV positive and not know their HIV-positive status than other racial/ethnic groups. Case-crossover analysis of 208 MSM found that men were more likely to engage in protected anal intercourse with a first time partner and with a partner of unknown HIV status. Although Black MSM were more likely to have Black male partners, they were not more likely to have UAI with those partners or to have a partner aged >40 years. In conclusion, HIV prevalence was high among Black MSM in NYC, as was lack of awareness of HIV-positive status. Having a sexual partner of same race/ethnicity or older age was not associated with having UAI among Black MSM.
- Hall HI, Song R, Rhodes P, et al. Estimation of HIV incidence in the United States. JAMA. 2008; 300: 520-529. CrossRef
- Millett GA, Peterson JL, Wolitski RJ, Stall R. Greater risk for HIV infection of black men who have sex with men: a critical literature review. Am J Public Health. 2006; 96: 1007-1019. CrossRef
- Sifakis F, Hylton JB, Flynn C, et al. Racial disparities in HIV incidence among young men who have sex with men: the Baltimore Young Men's Survey. J Acquir Immune Defic Syndr. 2007; 46: 343-348. CrossRef
- Mitsch A, Hu X, McDavid Harrison K, Durant T. Trends in HIV/AIDS diagnoses among men who have sex with men—33 states, 2001–2006. MMWR Morb Mortal Wkly Rep. 2008; 57: 681-686.
- Morris M, Zavisca J, Dean L. Social and sexual networks: their role in the spread of HIV/AIDS among young gay men. AIDS Educ Prev. 1995; 7: 24-35.
- Raymond HF, McFarland W. Racial mixing and HIV risk among men who have sex with men. AIDS Behav. 2009; 13: 630-637. CrossRef
- Bingham TA, Harawa NT, Johnson DF, Secura GM, MacKellar DA, Valleroy LA. The effect of partner characteristics on HIV infection among African American men who have sex with men in the Young Men's Survey, Los Angeles, 1999–2000. AIDS Educ Prev. 2003; 15: 39-52. CrossRef
- Berry M, Raymond HF, McFarland W. Same race and older partner selection may explain higher HIV prevalence among black men who have sex with men. AIDS. 2007; 21: 2349-2350. CrossRef
- Mimiaga MJ, Reisner SL, Cranston K, et al. Sexual mixing patterns and partner characteristics of black MSM in Massachusetts at increased risk for HIV infection and transmission. J Urban Health. 2009; 86: 602-623. CrossRef
- Koblin BA, Murrill C, Camacho M, et al. Amphetamine use and sexual risk among men who have sex with men: results from the National HIV Behavioral Surveillance study—New York City. Subst Use Misuse. 2007; 42: 1613-1628. CrossRef
- Sifakis F, Flynn CP, Metsch L, et al. HIV prevalence, unrecognized infection, and HIV testing among men who have sex with men—five U.S. cities, June 2004–April 2005. MMWR Morb Mortal Wkly Rep. 2005; 54: 597-601.
- Sanchez T, Finlayson T, Drake A, et al. Human immunodeficiency virus (HIV) risk, prevention, and testing behaviors—United States, National HIV Behavioral Surveillance System: men who have sex with men, November 2003–April 2005. MMWR Surveill Summ. 2006; 55: 1-16.
- Centers for Disease Control and Prevention. HIV-associated behaviors among injecting-drug users—23 cities, United States, May 2005–February 2006. MMWR Morb Mortal Wkly Rep. 2009; 58: 329-332.
- Bernstein KT, Liu KL, Begier EM, Koblin B, Karpati A, Murrill C. Same-sex attraction disclosure to health care providers among New York City men who have sex with men: implications for HIV testing approaches. Arch Intern Med. 2008; 168: 1458-1464. CrossRef
- Maclure M. The case-crossover design: a method for studying transient effects on the risk of acute events. Am J Epidemiol. 1991; 133: 144-153.
- Stokes ME, Davis CS, Koch GG. Categorical data analysis using the SAS system. 2nd ed. Cary: SAS Institute; 2000.
- New York City HIV/AIDS Annual Surveillance Statistics. 2008. Available at http://www.nyc.gov/html/doh/html/ah/hivtables.shtml. Accessed October 20, 2009.
- Murrill CS, Liu KL, Guilin V, et al. HIV prevalence and associated risk behaviors in New York City's house ball community. Am J Public Health. 2008; 98: 1074-1080. CrossRef
- Millett GA, Flores SA, Peterson JL, Bakeman R. Explaining disparities in HIV infection among black and white men who have sex with men: a meta-analysis of HIV risk behaviors. AIDS. 2007; 21: 2083-2091. CrossRef
- MacKellar DA, Valleroy LA, Anderson JE, et al. Recent HIV testing among young men who have sex with men: correlates, contexts, and HIV seroconversion. Sex Transm Dis. 2006; 33: 183-192. CrossRef
- Torian LV, Forgione LA, Eavey J, Kent S, Bennani Y [Abstract 1037a]: HIV Incidence in New York City in 2006. In: 16th Conference on Retroviruses and Opportunistic Infections, Montreal, Canada; 2009.
- Doherty IA, Padian NS, Marlow C, Aral SO. Determinants and consequences of sexual networks as they affect the spread of sexually transmitted infections. J Infect Dis. 2005; 191(Suppl 1): S42-S54. CrossRef
- Laumann EO, Youm Y. Racial/ethnic group differences in the prevalence of sexually transmitted diseases in the United States: a network explanation. Sex Transm Dis. 1999; 26: 250-261. CrossRef
- Sexual Partnering and HIV Risk among Black Men Who Have Sex with Men: New York City
Journal of Urban Health
Volume 87, Issue 1 , pp 113-121
- Cover Date
- Print ISSN
- Online ISSN
- Springer US
- Additional Links
- HIV infection
- Sexual partnering
- Black men who have sex with men
- African American
- Unprotected anal intercourse
- Author Affiliations
- 1. Laboratory of Infectious Disease Prevention, Lindsley F. Kimball Research Institute, New York Blood Center, 310 East 67th Street #3-110, New York, NY, 10065, USA
- 2. Division of Infectious Diseases, Department of Medicine, Columbia University College of Physicians and Surgeons, New York, NY, USA
- 3. New York City Department of Health and Mental Hygiene, New York, NY, USA