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Running in Place: Implications of HIV Incidence Estimates among Urban Men Who Have Sex with Men in the United States and Other Industrialized Countries

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Abstract

Attempts to document changing HIV incidence rates among MSM are compromised by issues of generalizability and statistical power. To address these issues, this paper reports annualized mean HIV incidence rates from the entire published incidence literature on MSM from Europe, North America and Australia for the period 1995–2005. Publications that met the entry criteria were coded for region of the world, sampling method and year of study. From these reports, we calculated a mean incidence rate with confidence intervals for these variables. Although no differences in mean incidence rates were found for MSM from 1995 to 2005, HIV incidence rates are lower in Australia than either North America or Europe. We calculated a mean incidence rate of 2.39% for MSM in the United States, which if sustained within a cohort of MSM, would yield HIV prevalence rate of approximately 40% at age 40. These extrapolations overlap published HIV prevalence rates for MSM younger than age 40 in the United States. HIV incidence rates in the 2–3% range will adversely affect the health of gay male communities for decades to come. This analysis suggests that greater attention should be devoted to the question of how best to design prevention interventions that will lower HIV incidence rates among gay men.

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References

  • Bartholow, B. N., Goli, V., Ackers, M., McLellan, E., Gurwith, M., Durham, M., et al. (2006). Demographic and behavioral contextual risk groups among men who have sex with men participating in a Phase 3 HIV vaccine efficacy trial: Implications for HIV prevention and behavioral/biomedical intervention trials. Journal of Acquired Immune Deficiency Syndromes, 43, 594–602.

    PubMed  Google Scholar 

  • Branson, B. (2007). State of the art for diagnosis of HIV infection. Clinical Infectious Diseases, 45, S221–S225. doi:10.1086/522541.

    Article  PubMed  Google Scholar 

  • Buchacz, K., McFarland, W., Kellogg, T. A., Loeb, L., Holmberg, S. D., Dilley, J., et al. (2005). Amphetamine use is associated with increased HIV incidence among men who have sex with men in San Francisco. AIDS (London, England), 19, 1423–1424. doi:10.1097/01.aids.0000180794.27896.fb.

    Google Scholar 

  • Buchbinder, S., Douglas, J., McKirnan, D., Judson, F., Katz, M., & MacQueen, K. (1996). Feasibility of Human Immunodeficiency Virus vaccine trials in homosexual men in the United States: Risk behavior seroincidence and willingness to participate. The Journal of Infectious Diseases, 174, 954–961.

    PubMed  CAS  Google Scholar 

  • Buchbinder, S., Vittinghoff, E., Heagerty, P. J., Celum, C. L., Seage, G. R., Judson, F. N., et al. (2005). Sexual risk, nitrite inhalant use, and lack of circumcision associated with HIV seroconversion in men who have sex with men in the United States. Journal of Acquired Immune Deficiency Syndromes, 39, 82–89. doi:10.1097/01.qai.0000134740.41585.f4.

    Article  PubMed  Google Scholar 

  • Calzavara, L., Burchell, A. N., Major, C., Remis, R. S., Corey, P., Myers, T., Millson, P., Wallace, E., & Polaris Study Team. (2002). Increases in HIV incidence among men who have sex with men undergoing repeat diagnostic HIV testing in Ontario, Canada. AIDS (London, England), 16, 1655–1661. doi:10.1097/00002030-200208160-00011.

  • Centers for Disease Control. (2001). HIV incidence among young men who have sex with men—seven US cities, 1994–2000. MMWR, 50, 440–444.

    Google Scholar 

  • Centers for Disease Control. (2004). Trends in primary and secondary syphilis and HIV infections in men who have sex with men—San Francisco and Los Angeles, California, 1998–2002. MMWR, 53, 575–578.

    Google Scholar 

  • Centers for Disease Control. (2005). HIV prevalence, unrecognized infection, and HIV testing among men who have sex with men—five US cities, June 2004–April 2005. MMWR, 54, 597–601.

    Google Scholar 

  • Centers for Disease Control. (2006). Primary and secondary syphilis—United States, 2003–2004. MMWR, 55(10), 269–273.

    Google Scholar 

  • Choi, K., McFarland, W., Neilands, T. B., Nguyen, S., Louie, B., Secura, G. M., et al. (2004). An opportunity for prevention: Prevalence, incidence, and sexual risk for HIV among young Asian and Pacific Islander men who have sex with men, San Francisco. Sexually Transmitted Diseases, 31, 475–480. doi:10.1097/01.olq.0000135988.19969.62.

    Article  PubMed  Google Scholar 

  • Craib, K., Weber, A., Cornelisse, P., Martindale, S., Miller, J., Schecter, M., et al. (2000). Comparison of sexual behaviors, unprotected sex and substance use between two independent cohorts of gay and bisexual men. AIDS (London, England), 14, 303–311. doi:10.1097/00002030-200002180-00013.

    CAS  Google Scholar 

  • del Romero, J., Castilla, J., Garcia, S., Clavo, P., Ballesteros, J., & Rodriguez, C. (2001). Time trend in incidence of HIV seroconversion among homosexual men repeatedly tested in Madrid, 1988–2000. AIDS (London, England), 15, 1319–1321. doi:10.1097/00002030-200107060-00019.

    Google Scholar 

  • Dougan, S., Elford, J., Chadborn, T., Brown, A. E., Roy, K., Murphy, G., et al. (2007). Does the recent increase in HIV diagnoses among men who have sex with men in the United Kingdom reflect a rise in HIV incidence or increased uptake of HIV testing? Sexually Transmitted Infections, 83, 120–125. doi:10.1136/sti.2006.021428.

    Article  PubMed  Google Scholar 

  • Dufour, A., Parent, R., Alary, M., Otis, J., Remis, R., Mâsse, B., Lavoie, R., LeClerc, R., Turmel, G., Vincelette, J., & Omega Study Group. (1998). Characteristics of young and older men who have affective and sexual relations with men (MASM) in Montreal. Canadian Journal of Infectious Diseases, 9(Suppl. A), 30A.

  • Dukers, N. H. T. M., Fennema, H. S. A., van der Snoek, E. M., Krol, A., Geskus, R. B., Pospiech, M., et al. (2007). HIV incidence and HIV testing behavior in men who have sex with men: Using three incidence sources, The Netherlands, 1984–2005. AIDS (London, England), 21, 491–499. doi:10.1097/QAD.0b013e328011dade.

    Google Scholar 

  • Dukers, N. H. T. M., Spaargaren, J., Geskus, R. B., Beijnen, J., Coutinho, R. A., & Fennema, H. S. A. (2002). HIV incidence on the increase among homosexual men attending an Amsterdam sexually transmitted disease clinic: Using a novel approach for detecting recent infections. AIDS (London, England), 16, F19–F24. doi:10.1097/00002030-200207050-00001.

    Google Scholar 

  • Elford, J., Leaity, S., Lampe, F., Wells, H., Evans, A., Miller, R., et al. (2001). Incidence of HIV infection among gay men in a London HIV testing clinic, 1997–1998. AIDS (London, England), 15, 650–653. doi:10.1097/00002030-200103300-00018.

    CAS  Google Scholar 

  • Fernyak, S. E., Page-Shafer, K., Kellogg, T. A., McFarland, W., & Katz, M. H. (2002). Risk behaviors and HIV incidence among repeat testers at publicly funded HIV testing sites in San Francisco. Journal of Acquired Immune Deficiency Syndromes, 31, 63–70.

    PubMed  Google Scholar 

  • Giuliani, M., Di Carlo, A., Palamara, G., Dorrucci, M., Latini, A., Prignano, G., et al. (2005). Increased HIV incidence among men who have sex with men in Rome. AIDS (London, England), 19, 1429–1431. doi:10.1097/01.aids.0000180808.27298.af.

    Google Scholar 

  • Hogg, R. S., Weber, A. E., Chan, K., Martindale, S., Cook, D., Miller, M. L., et al. (2001). Increasing incidence of HIV infections among young gay and bisexual men in Vancouver. AIDS (London, England), 15, 1321–1322. doi:10.1097/00002030-200107060-00020.

    CAS  Google Scholar 

  • Hoover, D., Muñoz, A., Carey, V., Chmiel, J., Taylor, J., Margolick, J., et al. (1991). Estimating the 1978–1990 and future spread of HIV type 1 in subgroups of homosexual men. American Journal of Epidmiology, 134(10), 1190–1205.

    CAS  Google Scholar 

  • Hurtado, I., Alastrue, I., Ferreros, I., del Amo, J., Santos, C., Tasa, T., et al. (2007). Trends in HIV testing, serial HIV prevalence and HIV incidence among people attending a Center for AIDS Prevention from 1988 to 2003. Sexually Transmitted Infections, 83, 23–28. doi:10.1136/sti.2005.019299.

    Article  PubMed  CAS  Google Scholar 

  • Jaffe, H., Valdiserri, R., & DeCock, K. (2007). The reemerging HIV/AIDS epidemic in men who have sex with men. Journal of the American Medical Association, 298(20), 2412–2414. doi:10.1001/jama.298.20.2412.

    Article  PubMed  CAS  Google Scholar 

  • Janssen, R., Satten, G., Stramer, S., Rawal, B., O’Brien, T., Weiblen, B., et al. (1998). New testing strategy to detect early HIV-1 infection for use in incidence estimates and for clinical and prevention purposes. Journal of the American Medical Association, 280(1), 42–48. doi:10.1001/jama.280.1.42.

    Article  PubMed  CAS  Google Scholar 

  • Jin, F., Prestage, G. P., McDonald, A., Ramacciotti, T., Imrie, J. C., Kippax, S. C., et al. (2008). Trend in HIV incidence in a cohort of homosexual men in Sydney: Data from the Health in Men Study. Sexual Health, 5, 109–112.

    Article  PubMed  Google Scholar 

  • Katz, M. H., Schwarcz, S. K., Kellogg, T. A., Klausner, J. D., Dilley, J. W., Gibson, S., et al. (2002). Impact of highly active antiretroviral treatment on HIV seroincidence among men who have sex with men: San Francisco. American Journal of Public Health, 92, 388–394. doi:10.2105/AJPH.92.3.388.

    Article  PubMed  Google Scholar 

  • Kellogg, T., Clements-Nolle, K., Dilley, J., Katz, M., & McFarland, W. (2001a). Incidence of human immunodeficiency virus among male-to-female transgenderered persons in San Francisco. Journal of Acquired Immune Deficiency Syndromes, 28(4), 380–384.

    PubMed  CAS  Google Scholar 

  • Kellogg, T. A., McFarland, W., Perlman, J. L., Weinstock, H., Bock, S., Katz, M. H., et al. (2001b). HIV incidence among repeat HIV testers at a county hospital, San Francisco, California, USA. Journal of Acquired Immune Deficiency Syndromes, 28, 59–64.

    PubMed  CAS  Google Scholar 

  • Koblin, B., Husnik, M., Colfax, G., Huang, Y., Madison, M., Mayer, K., et al. (2006). Risk factors for HIV infection among men who have sex with men. AIDS (London, England), 20, 731–739. doi:10.1097/01.aids.0000216374.61442.55.

    Google Scholar 

  • Kral, A. H., Lorvick, J., Gee, L., Bacchetti, P., Rawal, B., Busch, M., et al. (2003). Trends in human immunodeficiency virus seroincidence among street-recruited injection drug users in San Francisco, 1987–1998. American Journal of Epidemiology, 157, 915–922.

    Article  PubMed  Google Scholar 

  • Lampinen, T. M., Ogilvie, G., Chan, K., Miller, M. L., Cook, D., Schechter, M. T., et al. (2005). Sustained increase in HIV-1 incidence since 2000 among men who have sex with men in British Columbia, Canada. Journal of Acquired Immune Deficiency Syndromes, 40, 242–244.

    Article  PubMed  Google Scholar 

  • Lavoie, E., Alary, M., Remis, R., Otis, J., Vincelette, J., Turmel, B., et al. (2008). Determinants of HIV seroconversion among men who have sex with men living in a low HIV incidence population in the era of highly active antiretroviral therapies. Sexually Transmitted Diseases, 35(1), 25–29.

    Article  PubMed  Google Scholar 

  • Macdonald, N., Dougan, S., MacGarrigle, C., Baster, K., Rice, G., Evans, G., et al. (2004). Recent trends in diagnosis of HIV and other sexually transmitted infections in England and Wales among men who have sex with men. Sexually Transmitted Infections, 80, 492–497. doi:10.1136/sti.2004.011197.

    Article  PubMed  CAS  Google Scholar 

  • Mackellar, D., Valleroy, L., Anderson, J., Behel, S., Secura, G., Bingham, T., et al. (2006). Recent HIV testing among you men who have sex with men: Correlates, contexts and HIV seroconversion. Sexually Transmitted Diseases, 33(3), 183–192. doi:10.1097/01.olq.0000204507.21902.b3.

    Article  PubMed  Google Scholar 

  • Major, C., Remis, R., Galli, R., Wu, K., Degazio, R., & Fearon, M. (1998). Towards real-time HIV surveillance using HIV testing data. Canadian Journal of Infectious Diseases, 9(Suppl. A), 40A.

    Google Scholar 

  • McFarland, W., Busch, M. P., Kellogg, T. A., Rawal, B. D., Satten, G. A., Katz, M. H., et al. (1999). Detection of early HIV infection and estimation of incidence using a sensitive/less-sensitive enzyme immunoassay testing strategy at anonymous counseling and testing sites in San Francisco. Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology, 22, 484–489.

    CAS  Google Scholar 

  • McFarland, W., Kellogg, T. A., Dilley, J., & Katz, M. H. (1997). Estimation of human immunodeficiency virus (HIV) seroincidence among repeat anonymous testers in San Francisco. American Journal of Epidemiology, 146, 662–664.

    PubMed  CAS  Google Scholar 

  • Mehta, S. D., Ghanem, K. G., Rompalo, A. M., & Erbelding, E. J. (2006). HIV seroconversion among public sexually transmitted disease clinic patients: Analysis of risks to facilitate early identification. Journal of Acquired Immune Deficiency Syndromes, 42, 116–122. doi:10.1097/01.qai.0000200662.40215.34.

    Article  PubMed  Google Scholar 

  • Murphy, G., Charlett, A., Jordan, L. F., Osner, N., Gill, O. N., & Parry, J. V. (2004). HIV incidence appears constant in men who have sex with men despite widespread use of effective antiretroviral therapy. AIDS (London, England), 18, 265–272. doi:10.1097/00002030-200401230-00016.

    Google Scholar 

  • Nascimento, C. M. R., Casado, M. J., Casabona, J., Ros, R., Sierra, E., Zaragoza, K., et al. (2004). Estimation of HIV incidence among repeat anonymous testers in Catalonia, Spain. AIDS Research and Human Retroviruses, 20, 1145–1147. doi:10.1089/0889222042544956.

    Article  PubMed  Google Scholar 

  • Nash, D., Bennani, Y., Ramaswamy, C., & Torian, L. (2005). Estimates of HIV incidence among persons testing for HIV using the sensitive/less sensitive enzyme immunoassay, New York City, 2001. Journal of Acquired Immune Deficiency Syndromes, 39, 102–111. doi:10.1097/01.qai.0000144446.52141.4c.

    Article  PubMed  Google Scholar 

  • New York Times. (2008). Editorial: HIV rises among young gay men. New York Times: Jan 14.

  • Osmond, D., Pollack, L., Pual, J., & Catania, J. (2007). Changes in prevalence of HIV infection and sexual risk behavior in men who have sex with men in San Francisco: 1997–2002. American Journal of Public Health, 97(9), 1677–1683. doi:10.2105/AJPH.2005.062851.

    Article  PubMed  Google Scholar 

  • Pilcher, C. D., Fiscus, S. A., Nguyen, T. Q., Foust, E., Wolf, L., Williams, D., et al. (2005). Detection of acute infections during HIV testing in North Carolina. The New England Journal of Medicine, 352, 1873–1883. doi:10.1056/NEJMoa042291.

    Article  PubMed  CAS  Google Scholar 

  • Public Health—Seattle & King County. Healthy People, Healthy Communities. (2005). HIV/AIDS Epidemiology Program. Facts about HIV/AIDS in Men who have Sex with Men (MSM). http://www.metrokc.gov/health/apu/epi (accessed October 25, 2006).

  • Remis, R. S., Alary, M., Otis, J., Masse, B., Demers, E., Vincelette, J., Turmel, B., LeClerc, R., Lavoie, R., Parent, R., George, C., & Omega Study Group. (2002). No increase in HIV incidence observed in a cohort of men who have sex with other men in Montreal. AIDS (London, England), 16, 1183–1185. doi:10.1097/00002030-200205240-00014.

  • Remis, R. S., Major, C., Calzavara, L., Myers, T., Burchell, A., & Whittingham, E. P. (2000). The HIV Epidemic Among Men Who Have Sex with Other Men: The Situation in Ontario in the Year 2000. Report, Department of Public Health Sciences, University of Toronto, Toronto Ontario, November 2000.

  • Scheer, S., Douglas, J. M., Vittinghoff, E., Bartholow, B. N., McKirnan, D., Judson, F. N., et al. (1999). Feasibility and suitability of targeting young gay men for HIV vaccine efficacy trials. Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology, 20, 172–178.

    PubMed  CAS  Google Scholar 

  • Schwarcz, S., Kellogg, T., McFarland, W., Louie, B., Kohn, R., Busch, M., et al. (2001). Differences in the temporal trends of HIV seroincidence and seroprevalence among sexually transmitted disease clinic patients, 1989–1998: Application of the serologic testing algorithm for recent HIV seroconversion. American Journal of Epidemiology, 153, 925–934. doi:10.1093/aje/153.10.925.

    Article  PubMed  CAS  Google Scholar 

  • Seage, G. R., Holte, S. E., Metzger, D., Koblin, B., Gross, M., Celum, C., et al. (2001). Are US populations appropriate for trials of human immunodeficiency virus vaccine?: The HIVNET vaccine preparedness study. American Journal of Epidemiology, 153, 619–627. doi:10.1093/aje/153.7.619.

    Article  PubMed  Google Scholar 

  • SMASH study team. (1999). HIV/AIDS, Hepatitis C & Sexually Transmissible Infections in Australia. Annual Surveillance Report. Edited by the National Centre in HIV Social Research, The University of New South Wales, Sydney, Australia. http://web.med.unsw.edu.au/nchecr/Downloads/99ansurvrpt.pdf. (accessed 11/20/06).

  • Strathdee, S. A., Martindale, S. L., Cornelisse, P. G. A., Miller, M. L., Craib, K. J. P., Schechter, M. T., et al. (2000). HIV infection and risk behaviours among young gay and bisexual men in Vancouver. Journal of the Canadian Medical Association, 162, 21–25.

    CAS  Google Scholar 

  • Suligoi, B., Giuliani, M., Galai, N., Balducci, M., & the STD Surveillance Working Group. (1999). HIV incidence among repeat HIV testers with sexually transmitted diseases in Italy. AIDS, 13, 845–850.

  • Tabet, S. R., Krone, M. R., Paradise, M. A., Corey, L., Stamm, W. E., & Celum, C. L. (1998). Incidence of HIV and sexually transmitted diseases (STD) in a cohort of HIV-negative men who have sex with men (MSM). AIDS, 12, 2041–2048.

    Article  PubMed  CAS  Google Scholar 

  • Taylor, M., Hawkins, K., Gonzalez, A., Buchacz, K., Aynalem, G., Smith, L., et al. (2005). User of the serologic testing algorithm for recent HIV seroconversion (STARHS) to identify recently acquired HIV infections in men with early syphilis in Los Angeles county. Journal of Acquired Immune Deficiency Syndromes, 38(5), 505–508.

    Article  PubMed  Google Scholar 

  • The EXPLORE study team. (2004). Effects of a behavioral intervention to reduce acquisition of HIV infection among men who have sex with men: The EXPLORE randomized controlled study. Lancet, 364, 41–50.

    Article  Google Scholar 

  • Truong, H. H. M., Kellogg, T., Klausner, J. D., Katz, M. H., Dilley, J., Knapper, K., et al. (2006). Increases in sexually transmitted infections and sexual risk behavior without a concurrent increase in HIV incidence among men who have sex with men in San Francisco: A suggestion of HIV serosorting? Sexually Transmitted Infections, 82, 461–466.

    Article  PubMed  CAS  Google Scholar 

  • UNAIDS. (2007). AIDS epidemic update: December 2007. UNAIDS.

  • van den Noortgate W, Onghena P. (2005). Meta-analysis. In B. S. Everitt & D. C. Howell (Eds.), Encyclopedia of statistics in behavioral science. London: Wiley.

  • van der Snoek, E. M., Dewit, J. B. F., Gotz, H. M., Mulder, P. G. H., Neumann, M. H. A., & Van der Meijden, W. I. (2006). Incidence of sexually transmitted diseases and HIV infection in men who have sex with men related to knowledge, perceived susceptibility, and perceived severity of sexually transmitted diseases and HIV infection: Dutch MSM—cohort study. Sexually Transmitted Diseases, 33, 193–198.

    Article  PubMed  Google Scholar 

  • Weinstock, H., Dale, M., Gwinn, M., Satten, G. A., Kothe, D., Mei, J., et al. (2002). HIV seroincidence among patients at clinics for sexually transmitted diseases in nine cities in the United States. Journal of Acquired Immune Deficiency Syndromes, 29, 478–483.

    PubMed  Google Scholar 

  • Weinstock, H., Sweeney, S., Satten, G. A., Gwinn, M., for the STD Clinic HIV Seroincidence Study Group. (1998). HIV seroincidence and risk factors among patients repeatedly tested for HIV attending sexually transmitted disease clinics in the United States, 1991 to 1996. Journal of Acquired Immune Deficiency Syndromes & Human Retrovirology, 19, 506–512.

    Google Scholar 

  • Winkelstein, W., Lyman, D., Padian, N., Grant, R., Samuel, M., Wiley, J., et al. (1987). Sexual practices and risk of infection by the human immunodeficiency virus: The San Francisco Men’s Health Study. Journal of the American Medical Association, 257(3), 321–324.

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

This research was supported in part by grants MH080648, “Longitudinal Internet Research Investigating Health Outcomes in Adolescence” (Dr. Friedman), DA022936 “Long Term Health Effects of Methamphetamine Use in the MACS” (Drs. Stall and Guadamuz), AA015100 “Parent Alcoholism Among ADHD Youth: A Longitudinal Study” (Dr. Marshal). This paper is dedicated to the memory of Mr. Hank Wilson, a long-time AIDS activist in San Francisco whose life work was devoted to improving health and well-being among gay men.

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  1. Department of Behavioral and Community Health Sciences, University of Pittsburgh Graduate School of Public Health, 208 Parran Hall 130 DeSoto Street, Pittsburgh, PA, 15261, USA

    Ron Stall, Luis Duran, Mark S. Friedman, Michael P. Marshal & Thomas E. Guadamuz

  2. Department of Epidemiology, University of Pittsburgh Graduate School of Public Health, Pittsburgh, PA, USA

    Stephen R. Wisniewski

  3. Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, 15213, USA

    Michael P. Marshal & Thomas C. Mills

  4. AIDS Office, Department of Public Health, City and County of San Francisco, San Francisco, CA, USA

    Willi McFarland

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  1. Ron Stall
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Correspondence to Ron Stall.

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Stall, R., Duran, L., Wisniewski, S.R. et al. Running in Place: Implications of HIV Incidence Estimates among Urban Men Who Have Sex with Men in the United States and Other Industrialized Countries. AIDS Behav 13, 615–629 (2009). https://doi.org/10.1007/s10461-008-9509-7

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