Sexual Partnering and HIV Risk among Black Men Who Have Sex with Men: New York City |
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Authors: | Hong-Van Tieu Christopher Murrill Guozhen Xu Beryl A Koblin |
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Institution: | (1) Laboratory of Infectious Disease Prevention, Lindsley F. Kimball Research Institute, New York Blood Center, 310 East 67th Street #3-110, New York, NY 10065, USA;(2) Division of Infectious Diseases, Department of Medicine, Columbia University College of Physicians and Surgeons, New York, NY, USA;(3) New York City Department of Health and Mental Hygiene, New York, NY, USA |
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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. |
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Keywords: | HIV infection Sexual partnering Black men who have sex with men African American Unprotected anal intercourse |
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