Men Who Have Sex With Men Have a 140-Fold Higher Risk for Newly Diagnosed HIV and Syphilis Compared With Heterosexual Men in New York City

Bureau of Sexually Transmitted Disease Control, New York City Department of Health and Mental Hygiene, New York City, NY, USA.
JAIDS Journal of Acquired Immune Deficiency Syndromes (Impact Factor: 4.56). 08/2011; 58(4):408-16. DOI: 10.1097/QAI.0b013e318230e1ca
Source: PubMed


To describe the population of men who have sex with men (MSM) in New York City, compare their demographics, risk behaviors, and new HIV and primary and secondary (P&S) syphilis rates with those of men who have sex with women (MSW), and examine trends in infection rates among MSM.
Population denominators and demographic and behavioral data were obtained from population-based surveys during 2005-2008. Numbers of new HIV and P&S syphilis diagnoses were extracted from city-wide disease surveillance registries.
We calculated overall, age-specific and race/ethnicity-specific case rates and rate ratios for MSM and MSW and analyzed trends in MSM rates by age and race/ethnicity.
The average prevalence of male same-sex behavior during 2005-2008 (5.0%; 95% CI: 4.5 to 5.6) differed by both age and race/ethnicity (2.3% among non-Hispanic black men; 7.4% among non-Hispanic white men). Compared with MSW, MSM differed significantly on all demographics and reported a higher prevalence of condom use at last sex (62.9% vs. 38.3%) and of past-year HIV testing (53.6% vs. 27.2%) but also more past-year sex partners. MSM HIV and P&S syphilis rates were 2526.9/100,000 and 707.0/100,000, each of which was over 140 times MSW rates. Rates were highest among young and black MSM. Over 4 years, HIV rates more than doubled and P&S syphilis rates increased 6-fold among 18-year-old to 29-year-old MSM.
The substantial population of MSM in New York City is at high risk for acquisition of sexually transmitted infections given high rates of newly diagnosed infections and ongoing risk behaviors. Intensified and innovative efforts to implement and evaluate prevention programs are required.

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Available from: Preeti Pathela, Jan 09, 2014
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    • "Gay and bisexual men and other men who have sex with men (MSM) represent roughly 2– 5% of the United States' population, (Gates, 2013; Gates & Newport, 2012; Purcell et al., 2012) though they accounted for 63% of all new HIV diagnoses in 2010—a 12% increase since 2008 (CDC, 2012). In urban centers like New York City (NYC), which are often home to large gay and bisexual communities, disparities are even more evident—compared to other men in NYC, MSM have a 140-fold higher risk to be newly diagnosed with HIV and/or syphilis (Pathela et al., 2011). These figures underscore the need to continue conducting research to better understand the factors that contribute to HIV transmission risks in MSM. "
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    ABSTRACT: With limited exceptions, few studies have systematically reported on psychosocial and demographic characteristic differences in samples of men who have sex with men (MSM) based on where they were recruited. This study compared three sexually active cohorts of MSM recruited via (recruited via modified time-space sampling), gay bars and clubs (recruited via time-space sampling), and private sex parties (identified via passive recruitment and listserves), finding mixed results with regard to differences in demographic characteristics, STI history, and psychosocial measures. Men recruited from sex parties were significantly older, reported more symptoms of sexual compulsivity, more likely to be HIV-positive, more likely to report a history of STIs, and more likely to self-identify as a barebacker, than men recruited from the other two venues. In contrast, men from reported the lowest levels of attachment to the gay and bisexual community and were the least likely to self-identify as gay. Men from bars and clubs were significantly younger, and were more likely to report use of hallucinogens and crack or cocaine. Our findings highlight that the venues in which MSM are recruited have meaningful consequences in terms of the types of individuals who are reached.
    AIDS education and prevention: official publication of the International Society for AIDS Education 08/2014; 26(4):362-82. DOI:10.1521/aeap.2014.26.4.362 · 1.51 Impact Factor
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    • "In many parts of the world, the incidence and prevalence of syphilis still remain high in both volunteer and family/replacement blood donors [10] [11] [12] [13] [14] [15]. There are numerous reports in high-risk groups in the literature, both from developed and developing countries, indicating rising prevalence and incidence of syphilis [16] [17] [18] [19] [20]. "
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    04/2014; 2014:154048. DOI:10.1155/2014/154048
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    • "The accounts we analyzed reveal how natal neighborhoods may affect men's sexual, mental and social health and well-being. Consistent with Bruce and Harper (2011), the childhoods of the men in our sample were characterized by marginalization and isolation due to their emerging sexual identities as gay men, failure to conform to gender norms and/or same-sex behavior. Men born and raised in low socioeconomic status neighborhoods experienced multiple potential routes of influence to heightened risk, related both to their individual social class and the socioeconomic conditions of their neighborhood. "
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