African American men who have
sex with men have been disproportionately affected by the HIV epidemic in the
United States and remain to this day one of the groups with highest HIV
prevalence and incidence.
Our goal was to clarify the current state of HIV
risk, sexual behaviors,
and structural/network-network level factors that affect black MSM's population
risk of HIV, enabling the formulation of targeted and up-to-date public health
messages/campaigns directed at this vulnerable population.
Our approach
maximized the use of local data through a process of synthesis and
triangulation of multiple independent and overlapping sources of information
that are sometimes separately published and often not examined side-by-side.
Among African American MSM, we observed stable HIV incidence despite increases
in reported individual risk behavior and
STDs. An increasing proportion of African American MSM are reporting HIV
testing in the past 6 months and seroadaptive behaviors, which may play a
role in this observed decline in HIV among MSM in San Francisco, California.
Our analysis suggests that currently the HIV epidemic is stable among African
American MSM in San Francisco. However, we suggest that the observed stability
is due to factors prohibiting expansion of new infections rather than
decreasing risks for HIV infection among African American MSM.
Purchase full article at: http://goo.gl/aoRypq
By: Fuqua V1, Scott H1, Scheer S1, Hecht J2, Snowden JM3, Raymond HF4,5.
- 1San Francisco Department of Public Health, 25 Van Ness, Suite 500, San Francisco, CA, 94102, USA.
- 2San Francisco AIDS Foundation, San Francisco, CA, USA.
- 3Department of Obstetrics & Gynecology, Oregon Health & Science University, Portland, OR, USA.
- 4San Francisco Department of Public Health, 25 Van Ness, Suite 500, San Francisco, CA, 94102, USA. hfisher.raymond@sfdph.org.
- 5Epidemiology and Biostatistics, University of California, San Francisco, USA. hfisher.raymond@sfdph.org.
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