Sexual Partnering and HIV Risk among Black Men Who Have Sex with Men: New York City
- 171 Downloads
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.
KeywordsHIV infection Sexual partnering Black men who have sex with men African American Unprotected anal intercourse
This study was supported by a contract to the New York Blood Center from the New York City Department of Health and Mental Hygiene (contract no. 04AS19400R0X00) and by a cooperative agreement between the New York City Department of Health and Mental Hygiene and the Centers for Disease Control and Prevention (U62/CCU2233595-02-3). This study was presented in part at the 16th Conference on Retroviruses and Opportunistic Infections, Montreal, Canada, February 8–11, 2009.
- 4.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.Google Scholar
- 11.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.Google Scholar
- 13.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.Google Scholar
- 16.Stokes ME, Davis CS, Koch GG. Categorical data analysis using the SAS system. 2nd ed. Cary: SAS Institute; 2000.Google Scholar
- 17.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.
- 21.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.Google Scholar