Associations of Race/Ethnicity With HIV Prevalence and HIV-Related Behaviors Among Young Men Who Have Sex With Men in 7 Urban Centers in the United States

Datos Bibliográficos

ID23328964
AutoresNina T Harawa (0000-0002-7486-8393, Los Angeles County Department of Health Services, autor de correspondencia), Sander Greenland (0000-0003-4364-3279, UCLA Health), Trista Bingham (0000-0002-1949-5133, Los Angeles County Department of Health Services, autor de correspondencia), Trista A Bingham, Denise F Johnson (Los Angeles County Department of Health Services, autor de correspondencia), Susan D Cochran (0000-0001-7932-3934, UCLA Health), William E Cunningham (0000-0002-9927-134X, Public Health – Seattle & King County), David D Celentano (0000-0002-6061-8799, New York City Department of Health and Mental Hygiene), Beryl A Koblin (0000-0002-5914-6878, New York Blood Center), Marlene LaLota (Florida Department of Health), Duncan Mackellar (0000-0001-8217-9881, Centers for Disease Control and Prevention), Duncan A MacKellar, William Mcfarland (Los Angeles County Department of Health Services, autor de correspondencia), Douglas Shehan (UCLA Health), Sue Stoyanoff (Los Angeles County Department of Health Services, autor de correspondencia), Hanne Thiede (Public Health – Seattle & King County), Lucia V Torian (New York City Department of Health and Mental Hygiene), Lucia Torian, Lucia A Valleroy (Centers for Disease Control and Prevention)
Año2004
Volumen35
Número5
Páginas526-536
Fecha de publicación2004-04-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaJAIDS Journal of Acquired Immune Deficiency Syndromes (JOURNAL)
Identificadores de la revistaISSN: 1525-4135 • E-ISSN: 1944-7884
EditorialOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00126334-200404150-00011
PMID15021318
OpenAlexW2166157401
IdiomaEN
Citas recibidas110
Referencias citadas40

Using data from a multisite venue-based survey of male subjects aged 15 to 22 years, we examined racial/ethnic differences in demographics, partner type, partner type-specific condom use, drug use, and HIV prevalence in 3316 US black, multiethnic black, Latino, and white men who have sex with men (MSM). We further estimated associations of these factors with HIV infection and their influence on racial/ethnic disparities in HIV prevalence. HIV prevalences were 16% for both black and multiethnic black participants, 6.9% for Latinos, and 3.3% for whites. Paradoxically, potentially risky sex and drug-using behaviors were generally reported most frequently by whites and least frequently by blacks. In a multiple logistic regression analysis, positive associations with HIV included older age, being out of school or work, sex while on crack cocaine, and anal sex with another male regardless of reported condom use level. Differences in these factors did not explain the racial/ethnic disparities in HIV prevalence, with both groups of blacks experiencing more than 9 times and Latinos experiencing approximately twice the fully adjusted odds of infection compared with whites. Understanding racial/ethnic disparities in HIV risk requires information beyond the traditional risk behavior and partnership type distinctions. Prevention programs should address risks in steady partnerships, target young men before sexual initiation with male partners, and tailor interventions to men of color and of lower socioeconomic status.

Condom · Environmental health · Ethnic group · Human immunodeficiency virus (HIV) · Logistic regression · Men who have sex with men · Odds · Odds ratio · Population · Psychiatry · Psychological intervention · Socioeconomic status · Syphilis · Young adult · Adolescent Sexual and Reproductive Health · Demography · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Immunology · Medicine · Gerontology