Race/ethnic differences in HIV prevalence and risks among adolescent and young adult men who have sex with men |
| |
Authors: | David D Celentano Frangiscos Sifakis John Hylton Lucia V Torian Vincent Guillin Beryl A Koblin |
| |
Institution: | (1) Laboratory of Epidemiology, The New York Blood Center, New York, New York;(2) New York City Department of Health, New York, New York;(3) Department of Epidemiology, Johns Hopkins University Bloomberg School of Public Health, 615 North Wolfe Street (E-6547), 21205 Baltimore, MD |
| |
Abstract: | The prevalence of HIV infection is disproportionately higher in both racial/ethnic minority men who have sex with men (MSM)
and in men under the age of 25, where the leading exposure category is homosexual contact. Less is known, however, about patterns
of HIV prevalence in young racial/ethnic minority MSM. We analyzed data from the Young men’s Survey (YMS), an anonymous, corss-sectional
survey of 351 MSM in Baltimore and 529 MSM in New York City, aged 15–22, to determine whether race/ethnicity differences exist
in the prevalence of HIV infection and associated risk factors. Potential participants were selected systematically at MSM-identified
public venues. Venues and associated time periods for subject selection were selected randomly on a monthly basis. Eligible
and willing subjects provided informed consent and underwent an interview, HIV pretest counseling, and a blood draw for HIV
antibody testing. In multivariate analysis, adjusted for city of recruitment, and age, HIV seroprevalence was highest for
African Americans adjusted odds ratio (AOR)=12.5], intermediate for those of “other/mixed” race/ethnicity (AOR=8.6), and
moderately elevated for Hispanics (AOR=4.6) as compared to whites. Stratified analysis showed different risk factors for HIV
prevalence in each ethnic group: for African Americans, these were history of sexually transmitted diseases (STDs) and not
being in school; for Hispanics, risk factors were being aged 20–22, greater number of male partners and use of recreational
drugs; and for those of “other/mixed” race/ethnicity, risk factors included injection drug use and (marginally) STDs. These
findings suggest the need for HIV prevention and testing programs which target young racial/ethnic, minority MSM and highlight
identified risk factors and behaviors. |
| |
Keywords: | Adolescents Drug use HIV prevalence Men who have sex with men Race ethnicity Sexual behavior |
本文献已被 SpringerLink 等数据库收录! |
|