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Journal of Urban Health

, Volume 87, Issue 1, pp 113–121 | Cite as

Sexual Partnering and HIV Risk among Black Men Who Have Sex with Men: New York City

  • Hong-Van Tieu
  • Christopher Murrill
  • Guozhen Xu
  • Beryl A. Koblin
Article

Abstract

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.

Keywords

HIV infection Sexual partnering Black men who have sex with men African American Unprotected anal intercourse 

Notes

Acknowledgments

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.

References

  1. 1.
    Hall HI, Song R, Rhodes P, et al. Estimation of HIV incidence in the United States. JAMA. 2008; 300: 520-529.CrossRefPubMedGoogle Scholar
  2. 2.
    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.CrossRefPubMedGoogle Scholar
  3. 3.
    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.CrossRefPubMedGoogle Scholar
  4. 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
  5. 5.
    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.PubMedGoogle Scholar
  6. 6.
    Raymond HF, McFarland W. Racial mixing and HIV risk among men who have sex with men. AIDS Behav. 2009; 13: 630-637.CrossRefPubMedGoogle Scholar
  7. 7.
    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.CrossRefPubMedGoogle Scholar
  8. 8.
    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.CrossRefPubMedGoogle Scholar
  9. 9.
    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.CrossRefPubMedGoogle Scholar
  10. 10.
    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.CrossRefPubMedGoogle Scholar
  11. 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
  12. 12.
    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.PubMedGoogle Scholar
  13. 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
  14. 14.
    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.CrossRefPubMedGoogle Scholar
  15. 15.
    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.PubMedGoogle Scholar
  16. 16.
    Stokes ME, Davis CS, Koch GG. Categorical data analysis using the SAS system. 2nd ed. Cary: SAS Institute; 2000.Google Scholar
  17. 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.
  18. 18.
    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.CrossRefPubMedGoogle Scholar
  19. 19.
    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.CrossRefPubMedGoogle Scholar
  20. 20.
    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.CrossRefPubMedGoogle Scholar
  21. 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
  22. 22.
    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.CrossRefPubMedGoogle Scholar
  23. 23.
    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.CrossRefPubMedGoogle Scholar

Copyright information

© The New York Academy of Medicine 2009

Authors and Affiliations

  • Hong-Van Tieu
    • 1
    • 2
  • Christopher Murrill
    • 3
  • Guozhen Xu
    • 1
  • Beryl A. Koblin
    • 1
  1. 1.Laboratory of Infectious Disease PreventionLindsley F. Kimball Research Institute, New York Blood CenterNew YorkUSA
  2. 2.Division of Infectious Diseases, Department of MedicineColumbia University College of Physicians and SurgeonsNew YorkUSA
  3. 3.New York City Department of Health and Mental HygieneNew YorkUSA

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