Trends in the HIV Epidemic Among African American Men Who Have Sex with Men, San Francisco, 2004-011

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• 作者：V. Fuqua ; H. Scott ; S. Scheer ; J. Hecht ; J. M. Snowden…
• 关键词：HIV prevalence ; HIV incidence ; Population size ; Men who have sex with men ; population size estimation ; African American
• 刊名：AIDS and Behavior
• 出版年：2015
• 出版时间：December 2015
• 年：2015
• 卷：19
• 期：12
• 页码：2311-2316
• 全文大小：351 KB
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  3.Sudhinaraset M, Raymond HF, McFarland W. The convergence of HIV prevalence and inter-racial sexual mixing among men who have sex with men, San Francisco, 2004-2011. AIDS Behav. 2012;17(4):1550-. doi:10.-007/?s10461-012-0370-3 .CrossRef
  4.Magnus M, Kuo I, Phillips G, Shelley K, Rawls A, Montanez L, et al. Elevated HIV prevalence despite lower rates of sexual risk behaviors among African American men in the District of Columbia who have sex with men. AIDS Patient Care STDS. 2010;24(10):615-2.CrossRef PubMed
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• 作者单位：V. Fuqua (1)
  H. Scott (1)
  S. Scheer (1)
  J. Hecht (2)
  J. M. Snowden (3)
  H. Fisher Raymond (1) (4)
  
  1. San Francisco Department of Public Health, 25 Van Ness, Suite 500, San Francisco, CA, 94102, USA
  2. San Francisco AIDS Foundation, San Francisco, CA, USA
  3. Department of Obstetrics & Gynecology, Oregon Health & Science University, Portland, OR, USA
  4. Epidemiology and Biostatistics, University of California, San Francisco, USA
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Public Health
  Health Psychology
  Infectious Diseases
  
• 出版者：Springer Netherlands
• ISSN：1573-3254

文摘

African American men who have sex with men have been disproportionately affected by the HIV epidemic in the United States and remain to this day one of the groups with highest HIV prevalence and incidence. Our goal was to clarify the current state of HIV risk, sexual behaviors, and structural/network–network level factors that affect black MSM’s population risk of HIV, enabling the formulation of targeted and up-to-date public health messages/campaigns directed at this vulnerable population. Our approach maximized the use of local data through a process of synthesis and triangulation of multiple independent and overlapping sources of information that are sometimes separately published and often not examined side-by-side. Among African American MSM, we observed stable HIV incidence despite increases in reported individual risk behavior and STDs. An increasing proportion of African American MSM are reporting HIV testing in the past 6 months and seroadaptive behaviors, which may play a role in this observed decline in HIV among MSM in San Francisco, California. Our analysis suggests that currently the HIV epidemic is stable among African American MSM in San Francisco. However, we suggest that the observed stability is due to factors prohibiting expansion of new infections rather than decreasing risks for HIV infection among African American MSM. Keywords HIV prevalence HIV incidence Population size Men who have sex with men, population size estimation African American