AIDS and Behavior

, Volume 13, Issue 4, pp 716–723

Men Who have Sex with Men: Racial/Ethnic Disparities in Estimated HIV/AIDS Prevalence at the State and County Level, Florida

  • Spencer Lieb
  • Paul Arons
  • Daniel R. Thompson
  • Alberto M. Santana
  • Thomas M. Liberti
  • Lorene Maddox
  • Tracina Bush
  • Stephen J. Fallon
Original Paper

DOI: 10.1007/s10461-008-9411-3

Cite this article as:
Lieb, S., Arons, P., Thompson, D.R. et al. AIDS Behav (2009) 13: 716. doi:10.1007/s10461-008-9411-3

Abstract

Population-based HIV/AIDS prevalence estimates among men who have sex with men (MSM) have been unavailable, but have implications for effective prevention efforts. Prevalent (living) Florida HIV/AIDS cases reported through 2006 (numerators) were stratified by race/ethnicity and HIV exposure category. Based on previous research, MSM populations were posited as 4–10% of all males aged ≥13 years in each subgroup (denominators). At the estimated lower and upper plausible bounds, respectively, HIV/AIDS prevalence per 100,000 MSM was significantly higher among black (8,292.6–20,731.4); Hispanic (5,599.5–13,998.7); and Asian/Pacific Islander, American Indian or multi-racial (4,942.6–12,356.8) MSM than among white MSM (3,444.9–8,612.3). HIV/AIDS prevalence among all MSM was 13.8–36.9 times that among all other males. Across 19 high-morbidity counties, MSM HIV/AIDS prevalence was highest among those in the most populous counties and highest among blacks. This methodology, adaptable by other states, facilitates calculation of plausible MSM HIV/AIDS prevalence to guide HIV prevention/care community planners and MSM.

Keywords

Men who have sex with men HIV/AIDS Racial and ethnic health disparities Statistical modeling HIV prevention 

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Spencer Lieb
    • 1
  • Paul Arons
    • 1
  • Daniel R. Thompson
    • 1
  • Alberto M. Santana
    • 1
  • Thomas M. Liberti
    • 1
  • Lorene Maddox
    • 1
  • Tracina Bush
    • 1
  • Stephen J. Fallon
    • 2
  1. 1.Florida Department of HealthBureau of HIV/AIDSTallahasseeUSA
  2. 2.Skills4, Inc.Ft. LauderdaleUSA

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