AIDS and Behavior

, Volume 18, Supplement 3, pp 237–247 | Cite as

Trends in HIV Prevalence and HIV Testing Among Young MSM: Five United States Cities, 1994–2011

  • Alexandra M. Oster
  • Christopher H. Johnson
  • Binh C. Le
  • Alexandra B. Balaji
  • Teresa J. Finlayson
  • Amy Lansky
  • Jonathan Mermin
  • Linda Valleroy
  • Duncan MacKellar
  • Stephanie Behel
  • Gabriela Paz-Bailey
Original Paper

Abstract

We examined trends in cross-sectional HIV prevalence (a surrogate for incidence) and past 12 month testing behavior among young men who have sex with men (MSM). The Young Men’s Survey and the National HIV Behavioral Surveillance System conducted interviews and HIV testing among MSM recruited by venue-based sampling during 1994–2011. Using data from five cities, we determined whether interview year was associated with HIV prevalence and recent testing for MSM ages 18–22 and 23–29 years, after adjusting for city, race/ethnicity, and education. Multivariable analysis demonstrated an overall increase in prevalence among MSM ages 23–29 years, driven by an increase in Baltimore. There was no change in HIV prevalence among MSM ages 18–22 years overall, although prevalence increased in Baltimore. HIV testing increased significantly for both age groups. Gains in HIV testing are encouraging, but increasing prevalence among young MSM in Baltimore suggests increasing incidence and the need for additional efforts for this population.

Keywords

Young men who have sex with men HIV prevalence HIV incidence HIV testing Temporal trends 

Resumen

Investigamos tendencias en la prevalencia transversal del VIH (un sustituto de la incidencia) y la conducta respecto de las pruebas del VIH en los últimos 12 meses entre hombres jóvenes que tienen relaciones sexuales con hombres (HSH). La Encuesta de Hombres Jóvenes (Young Men’s Survey) y el Sistema Nacional de Vigilancia del Comportamiento Relacionado con el VIH (National HIV Behavioral Surveillence System) realizaron entrevistas y pruebas del VIH a HSH reclutados mediante muestreo en el lugar de reunión (venue-based sampling) entre 1994 y el 2011. Con los datos de 5 ciudades, determinamos si el año de la entrevista se relacionó con la prevalencia del VIH y las pruebas recientes del VIH en HSH de 18 a 22 años y de 23 a 29 años, después de ajustarse por ciudad, raza/etnia y educación. El análisis multivariable demostró un aumento general en la prevalencia entre HSH de 23 a 29 años, impulsado por un aumento en Baltimore. No hubo cambios en la prevalencia del VIH entre HSH de 18 a 22 años en general, aunque la prevalencia aumentó en Baltimore. Las pruebas del VIH aumentaron de manera considerable en ambos grupos etarios. El aumento en las pruebas del VIH es alentador, pero la creciente prevalencia entre hombres jóvenes que tienen relaciones sexuales con hombres en Baltimore indica una creciente incidencia y la necesidad de esfuerzos adicionales dirigidos a esta población.

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Copyright information

© Springer Science+Business Media New York (outside the USA) 2013

Authors and Affiliations

  • Alexandra M. Oster
    • 1
  • Christopher H. Johnson
    • 1
  • Binh C. Le
    • 1
  • Alexandra B. Balaji
    • 1
  • Teresa J. Finlayson
    • 1
  • Amy Lansky
    • 1
  • Jonathan Mermin
    • 1
  • Linda Valleroy
    • 1
  • Duncan MacKellar
    • 1
  • Stephanie Behel
    • 1
  • Gabriela Paz-Bailey
    • 1
  1. 1.Division of HIV/AIDS Prevention, NCHHSTPCenters for Disease Control and Prevention (CDC)AtlantaUSA

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