American Journal of Public Health Vol. 97; No. 6: P. 1060-1066
The authors examined HIV diagnosis rates and disease
progression among men who have sex with men (MSM), according
to age and race/ethnicity.
Data from the national HIV/AIDS surveillance system were used
to examine trends in HIV diagnosis rates for 2001 through 2004
via Poisson regression. A standardized Kaplan-Meier method was
employed to determine differences in time of progression from
HIV to AIDS and AIDS survival.
Compared to white MSM, HIV diagnosis rates were higher for
blacks and Hispanics, though trends within age groups from
2001 to 2004 did not differ by race/ethnicity. Diagnosis rates
increased among MSM ages 13-19 (14 percent per year), 20-24
(13 percent), 25-29, and 40-54 (3-6 percent; P < or = .01 for
each). The percentage of MSM who did not progress to AIDS
three years after HIV diagnosis was lower among black (66.8
percent; 95 percent confidence interval [CI]=66.1, 67.4) and
Hispanic (68.1 percent; 95 percent CI=67.5, 68.8) than among
white MSM (74.7 percent; 95 percent CI=74.2, 75.1). Blacks had
a lower three-year survival after AIDS diagnosis than did
white or Hispanic MSM.
HIV prevention efforts should target young and middle-aged MSM
and must offer early diagnosis and treatment for all MSM, the