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CDC HIV/AIDS/Viral Hepatitis/STD/TB Prevention News Update

UNITED STATES: Racial/Ethnic and Age Disparities in HIV


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 authors concluded.


Copyright © 2007 -CDC Prevention News Update, Publisher. All rights reserved to Information, Inc., Bethesda, MD. The CDC National Center for HIV, STD and TB Prevention provides the following information as a public service only. Providing synopses of key scientific articles and lay media reports on HIV/AIDS, other sexually transmitted diseases and tuberculosis does not constitute CDC endorsement. This daily update also includes information from CDC and other government agencies, such as background on Morbidity and Mortality Weekly Report (MMWR) articles, fact sheets, press releases and announcements. Reproduction of this text is encouraged; however, copies may not be sold, and the CDC HIV/STD/TB Prevention News Update should be cited as the source of the information. Contact the sources of the articles abstracted below for full texts of the articles.

Information in this article was accurate in September 12, 2007. The state of the art may have changed since the publication date. This material is designed to support, not replace, the relationship that exists between you and your doctor. Always discuss treatment options with a doctor who specializes in treating HIV.