HIV racial disparities noted for men who have sex with men

HIV racial disparities noted for men who have sex with men
Similar racial disparities are seen in HIV infection for men who have sex with men in the United States and the United Kingdom, according to a study published online July 20 in The Lancet.

(HealthDay) -- Similar racial disparities are seen in HIV infection for men who have sex with men (MSM) in the United States and the United Kingdom, according to a study published online July 20 in The Lancet.

Gregorio A. Millett, M.P.H., from the U.S. Centers for Disease Control and Prevention in Atlanta, and colleagues conducted a meta-analysis to assess factors associated with disparities in HIV infection in black MSM. Seven studies from Canada, 13 from the United Kingdom, and 174 from the United States were included, involving 106,148 black MSM and 581,577 other MSM.

In every country, the researchers found that black MSM were as likely as other MSM to engage in serodiscordant unprotected sex. U.S. and Canadian black MSM were significantly less likely to have a history of substance abuse, compared with other MSM. U.S. and U.K. black MSM were more likely to be HIV-positive, and black HIV-positive MSM were less likely to initiate (cART). Compared with other U.S. HIV-positive MSM, black HIV-positive MSM were less likely to have health insurance, adhere to cART, be virally suppressed, and have a high . U.S. black MSM were significantly more likely than others to report any preventive behavior against HIV infection, despite having increased odds of any structural barrier that increases HIV risk. For black versus other U.S. MSM, disparities for HIV outcomes were greatest for structural barriers, sex partner demographics, and HIV care outcomes, and were least for outcomes.

"Elimination of disparities in in black MSM cannot be accomplished without addressing structural barriers or differences in HIV clinical care access and outcomes," the authors write.

More information: Abstract
Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Related Stories

High HIV infection rate among Soweto Township gays

date Aug 31, 2009

New research from UCSF examining HIV among men who have sex with men (MSM) in the township of Soweto in South Africa has found that a third of gay-identified men are infected with HIV.

Recommended for you

Indiana HIV outbreak, hepatitis C epidemic sparks US alert

date 10 hours ago

Federal health officials helping to contain an HIV outbreak in Indiana state issued an alert to health departments across the U.S. on Friday, urging them to take steps to identify and track HIV and hepatitis C cases in an ...

Why are HIV survival rates lower in the Deep South than the rest of the US?

date Apr 22, 2015

The Deep South region has become the epicenter of the US HIV epidemic. Despite having only 28% of the total US population, nine states in the Deep South account for nearly 40% of national HIV diagnoses. This region has the highest HIV diagnosis rates and the highest number of people living with HIV of any ...

A bad buzz: Men with HIV need fewer drinks to feel effects

date Apr 20, 2015

Researchers at Yale and the VA Pittsburgh Healthcare System compared the number of drinks that men with HIV infection, versus those without it, needed to get a buzz. They found that HIV-infected men were more sensitive to ...

Research informs HIV treatment policy for inmates

date Apr 16, 2015

A national, five-year study of care for inmates with HIV brought strangers together, produced policy change in the Delaware Department of Corrections and documented the importance of good communication and ...

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.