Elevated HIV prevalence despite lower rates of sexual risk behaviors among black men in the District of Columbia who have sex with men

Manya Magnus*, Irene Kuo, Gregory Phillips, Katharine Shelley, Anthony Rawls, Luz Montanez, James Peterson, Tiffany West-Ojo, Shannon Hader, Alan E. Greenberg

*Corresponding author for this work

Research output: Contribution to journalArticle

58 Scopus citations

Abstract

The District of Columbia (DC) has among the highest HIV/AIDS rates in the United States, with 3.2% of the population and 7.1% of black men living with HIV/AIDS. The purpose of this study was to examine HIV risk behaviors in a community-based sample of men who have sex with men (MSM) in DC. Data were from the National HIV Behavioral Surveillance system. MSM who were 18 years were recruited via venue-based sampling between July 2008 and December 2008. Behavioral surveys and rapid oral HIV screening with OraQuick ADVANCE 1/2 (OraSure Technologies, Inc., Bethlehem, PA) with Western blot confirmation on positives were collected. Factors associated with HIV positivity and unprotected anal intercourse were identified. Of 500 MSM, 35.6% were black. Of all men, 14.1% were confirmed HIV positive; 41.8% of these were newly identified HIV positive. Black men (26.0%) were more likely to be HIV positive than white (7.9%) or Latino/Asian/other (6.5%) men (p<0.001). Black men had fewer male sex partners than non-black, fewer had ever engaged in intentional unprotected anal sex, and more used condoms at last anal sex. Black men were less likely to have health insurance, have been tested for HIV, and disclose MSM status to health care providers. Despite significantly higher HIV/AIDS rates, black MSM in DC reported fewer sexual risks than non-black. These findings suggest that among black MSM, the primary risk of HIV infection results from nontraditional sexual risk factors, and may include barriers to disclosing MSM status and HIV testing. There remains a critical need for more information regarding reasons for elevated HIV among black MSM in order to inform prevention programming.

Original languageEnglish (US)
Pages (from-to)615-622
Number of pages8
JournalAIDS patient care and STDs
Volume24
Issue number10
DOIs
StatePublished - Oct 1 2010

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Fingerprint Dive into the research topics of 'Elevated HIV prevalence despite lower rates of sexual risk behaviors among black men in the District of Columbia who have sex with men'. Together they form a unique fingerprint.

  • Cite this

    Magnus, M., Kuo, I., Phillips, G., Shelley, K., Rawls, A., Montanez, L., Peterson, J., West-Ojo, T., Hader, S., & Greenberg, A. E. (2010). Elevated HIV prevalence despite lower rates of sexual risk behaviors among black men in the District of Columbia who have sex with men. AIDS patient care and STDs, 24(10), 615-622. https://doi.org/10.1089/apc.2010.0111