A Rapid Review of Disparities in HIV Prevention and Care Outcomes Among Hispanic/Latino Men Who Have Sex With Men in the United States

2021 ◽  
Vol 33 (4) ◽  
pp. 276-289
Author(s):  
Nicole Crepaz ◽  
Mary M. Mullins ◽  
Darrel Higa ◽  
Jayleen K. L. Gunn ◽  
Yamir Salabarría-Peña
Keyword(s):  
United States ◽  
Hiv Prevention ◽  
The United States ◽  
Rapid Review ◽  
Lower Percentage ◽  
Latino Men ◽  
Care Services ◽  
Care Outcomes ◽  
Sex With Men ◽  
Hiv Negative

In the United States, Hispanic/Latino men who have sex with men (HLMSM) are disproportionally affected by HIV. We conducted a rapid review of national surveillance data to examine disparities in HIV prevention and care outcomes among HLMSM. Thirteen reports provided relevant data from 2011 to 2018. Compared to White MSM, a higher percentage of HIV-negative HLMSM reported not taking PrEP and engaging in condomless sex; a lower percentage of HIV-negative HLMSM at risk for HIV reported PrEP awareness and use; and a lower percentage of HIV-positive HLMSM were aware of their status, linked to HIV care, and virally suppressed. Viral suppression rates in HLMSM were better among Ryan White clients than the national rates, suggesting that access to comprehensive care/services reduces disparities. Findings also call for identifying individual, social, and structural factors contributing to condomless sex without PrEP use and HIV status unawareness and identifying best approaches for scaling up comprehensive care/services.

Homophobia and Racism Experienced by Latino Men Who Have Sex with Men in the United States: Correlates of Exposure and Associations with HIV Risk Behaviors

2011 ◽  
Vol 16 (3) ◽  
pp. 724-735 ◽  
Author(s):  
Yuko Mizuno ◽  
Craig Borkowf ◽  
Gregorio A. Millett ◽  
Trista Bingham ◽  
George Ayala ◽  
...  
Keyword(s):  
United States ◽  
Risk Behaviors ◽  
Hiv Risk ◽  
The United States ◽  
Hiv Risk Behaviors ◽  
Latino Men ◽  
Sex With Men

scholarly journals A Web-Based Study of HIV Prevention in the Era of Pre-Exposure Prophylaxis Among Vulnerable HIV-Negative Gay and Bisexual Men, Transmen, and Transwomen Who Have Sex With Men: Protocol for an Observational Cohort Study (Preprint)

2019 ◽  
Author(s):  
Denis Nash ◽  
Matthew Stief ◽  
Caitlin MacCrate ◽  
Chloe Mirzayi ◽  
Viraj V Patel ◽  
...  
Keyword(s):  
High Risk ◽  
Hiv Prevention ◽  
Hiv Testing ◽  
The United States ◽  
Racially Diverse ◽  
Web Based ◽  
Sex With Men ◽  
Hiv Acquisition ◽  
Exposure Prophylaxis ◽  
Hiv Negative

BACKGROUND Gay, bisexual, and other men who have sex with men continue to bear a large burden of the HIV epidemic in the United States and are among the only populations with increasing incidence in recent years. OBJECTIVE The Together 5000 (T5K) Study aimed to enroll a US-based, racially diverse sample of HIV-negative men, transmen, and transwomen who are not on pre-exposure prophylaxis (PrEP) into an observational cohort to inform the design, implementation, scale-up, and evaluation of HIV prevention programs. METHODS We used internet-based strategies to enroll a large, racially diverse national sample of HIV-negative men, transmen, and transwomen aged 16 to 49 years at high risk of HIV acquisition via sexual networking apps. Study participants are contacted every 6 months (in between annual surveys) for a brief survey on HIV testing, HIV diagnosis, and PrEP use (ie, attempts to access, PrEP initiation, and PrEP discontinuation). Participants complete annual self-administered at-home HIV testing and Web-based surveys. Using baseline serologic data and self-reported HIV testing history, we reconstructed a cohort of persons who were HIV negative at 12 months before baseline to estimate HIV incidence leading up to cohort enrollment. RESULTS The study sample included 8777 participants from all 50 US states, Puerto Rico, and Guam; 50.91% (4468/8777) were persons of color and 25.30% (2221/8777) were young individuals aged 16 to 24 years. Per eligibility criteria, all T5K participants reported having sex with >2 male partners in the 90 days before enrollment, self-reported not having been diagnosed with HIV, and were not actively taking PrEP. In addition, 79.39% (6968/8777) reported >2 insertive condomless anal sex (CAS) acts, 61.02% (5356/8777) reported >1 receptive CAS acts in the past 90 days. Furthermore, most (7525/8777, 85.74%) reported never having taken PrEP. In total, 70.25% (6166/8777) were sent a self-administered at-home HIV test kit and 82.29% (5074/6166) of those sent a kit returned a sample for testing. The HIV incidence rate during the 12-month period leading up to enrollment was estimated to be 2.41 (95% CI 2.02-2.90) per 100 person-years. CONCLUSIONS A large, national, and racially diverse fully Web-based cohort of HIV-negative men, transmen, and transwomen at high risk for HIV seroconversion has successfully been recruited into longitudinal follow-up. This cohort is at high risk for HIV acquisition and can provide important insights related to the real-world uptake, impact, and equity of HIV prevention interventions in the United States. Participants can be invited to participate in trials aimed at testing strategies to improve the uptake of and engagement in these interventions. INTERNATIONAL REGISTERED REPORT RR1-10.2196/13715

scholarly journals Does Stigma Toward Anal Sexuality Impede HIV Prevention Among Men Who Have Sex With Men in the United States? A Structural Equation Modeling Assessment

2020 ◽  
Vol 17 (3) ◽  
pp. 477-490
Author(s):  
Bryan A. Kutner ◽  
Jane M. Simoni ◽  
Kevin M. King ◽  
Steven M. Goodreau ◽  
Andrea Norcini Pala ◽  
...  
Keyword(s):  
United States ◽  
Structural Equation Modeling ◽  
Hiv Prevention ◽  
Structural Equation ◽  
The United States ◽  
Equation Modeling ◽  
Sex With Men

The Cost-Effectiveness of Preexposure Prophylaxis for HIV Prevention in the United States in Men Who Have Sex With Men

2012 ◽  
Vol 156 (8) ◽  
pp. 541 ◽  
Author(s):  
Jessie L. Juusola ◽  
Margaret L. Brandeau ◽  
Douglas K. Owens ◽  
Eran Bendavid
Keyword(s):  
United States ◽  
Cost Effectiveness ◽  
Hiv Prevention ◽  
The United States ◽  
Preexposure Prophylaxis ◽  
Sex With Men ◽  
The Cost

scholarly journals The Annual American Men’s Internet Survey of Behaviors of Men Who Have Sex With Men in the United States: Key Indicators Report 2018 (Preprint)

2020 ◽  
Author(s):  
Sarah Wiatrek ◽  
Maria Zlotorzynska ◽  
Ramona Rai ◽  
Patrick Sullivan ◽  
Travis Sanchez
Keyword(s):  
United States ◽  
Male Partner ◽  
The United States ◽  
Internet Survey ◽  
Hiv Positive ◽  
Anal Sex ◽  
The Past ◽  
Unknown Status ◽  
Sex With Men ◽  
Hiv Negative

BACKGROUND The American Men’s Internet Survey (AMIS) is an annual Web-based behavioral survey of men who have sex with men (MSM) who live in the United States. OBJECTIVE This Rapid Surveillance Report describes the sixth cycle of data collection (September 2018 to December 2018; AMIS 2018). The key indicators are the same as those previously reported for past AMIS cycles. METHODS The AMIS methodology has not substantively changed since AMIS 2017. The MSM were recruited from a variety of websites using banner advertisements and email blasts. Additionally, participants from AMIS 2017 who agreed to be recontacted for future research were emailed a link to AMIS 2018. Men were eligible to participate if they were aged ≥15 years, resided in the United States, provided a valid US zone improvement plan code, and reported ever having sex with a man or identified as gay or bisexual. The analysis was limited to those who reported having oral or anal sex with a male partner in the past 12 months. We examined demographic and recruitment characteristics using multivariable regression modeling (P<.05) stratified by the participants’ self-reported HIV status. RESULTS The AMIS 2018 round of data collection resulted in 10,129 completed surveys from MSM representing every US state, Puerto Rico, and Guam. Participants were mainly non-Hispanic white, between the ages of 15-24, living in the Southern United States and urban areas, and recruited from general social networking websites. The plurality (4230/10,129, 41.8%) of participants was in the youngest age group, 15-24 years, followed by 40 years and older age group (3088/10,129, 30.5%). Self-reported HIV prevalence was 6.1% (616/10,129). Compared with HIV-negative or unknown-status participants, HIV-positive participants were more likely to have had anal sex without a condom with a male partner in the past 12 months (aOR 2.02, 95% CI 1.63-2.50) and more likely to have had anal sex without a condom with a serodiscordant or an unknown-status partner (aOR 3.90, 95% CI 3.27-4.66). The reported use of marijuana in the past 12 months was higher among HIV-positive participants than HIV-negative or unknown status participants (aOR 1.39, 95% CI 1.15-1.68). The reported use of methamphetamines and other illicit substances in the past 12 months was higher among HIV-positive participants than HIV-negative or unknown status participants (aOR 3.42, 95% CI 2.41-4.87 and aOR 1.90, 95% CI 1.56-2.32, respectively). Most HIV-negative or unknown status participants (6838/9513, 71.9%) reported ever taking an HIV test previously, and 52.5% (4995/9513) reported undergoing HIV testing in the past 12 months. HIV-positive participants were more likely to report testing and diagnosis of sexually transmitted infections than HIV-negative or unknown status participants (aOR 3.50, 95% CI 2.89-4.24 and aOR 2.61, 95% CI 2.10-3.25, respectively). CONCLUSIONS N/a CLINICALTRIAL

Condom Effectiveness for HIV Prevention by Consistency of Use Among Men Who Have Sex With Men in the United States

2015 ◽  
Vol 68 (3) ◽  
pp. 337-344 ◽  
Author(s):  
Dawn K. Smith ◽  
Jeffrey H. Herbst ◽  
Xinjiang Zhang ◽  
Charles E. Rose
Keyword(s):  
United States ◽  
Hiv Prevention ◽  
The United States ◽  
Sex With Men

Your blues ain't like mine: considering integrative antiracism in HIV prevention research with black men who have sex with men in Canada and the United States

2014 ◽  
Vol 21 (4) ◽  
pp. 270-282 ◽  
Author(s):  
LaRon E. Nelson ◽  
Ja'Nina J. Walker ◽  
Steve N. DuBois ◽  
Sulaimon Giwa
Keyword(s):  
United States ◽  
Hiv Prevention ◽  
Black Men ◽  
The United States ◽  
Prevention Research ◽  
Sex With Men
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