Journal of Acquired Immune Deficiency Syndromes Vol. 58; No.
"National data document increases in HIV and syphilis
diagnoses in young black men who have sex with men (MSM), but
trends could be driven by increases in a few large areas," the
authors wrote. In the current study, they described the extent
of reported increases in diagnoses among MSM in metropolitan
areas of varying population sizes.
The study examined HIV and primary and secondary syphilis
case-report trends from 2004 to 2008 in metropolitan areas
with more than 500,000 population and at least 500 black men
ages 13-24 (n=73). Differences by age at diagnosis,
race/ethnicity and area size were examined.
Between 2004-05 and 2007-08, HIV diagnoses increased in 85
percent (n=62) of areas for black MSM ages 13-24, and
primary/secondary syphilis diagnoses in young black men
increased in 70 percent of areas (n=51). Areas averaged a 68.7
percent increase (interquartile range: 25.0-103.1) in HIV
diagnoses among young black MSM and an average 203.5 percent
(interquartile range: 0.0-192.7) increase for
"Across area size strata, the youngest group of black men had
the highest average percentage increase in diagnoses of HIV
and syphilis and the highest percentage of areas with
increases in diagnoses," the authors found.
"HIV and syphilis diagnoses increased among young black men in
almost all areas, suggesting widespread increases across
metropolitan areas of different sizes," the authors concluded.
"Findings highlight the need for continued prevention efforts
for young MSM, particularly young black MSM."