Men who have sex with men: racial/ethnic disparities in estimated HIV/AIDS prevalence at the state and county level, Florida.
Population-based HIV/AIDS prevalence estimates among men who have sex with men (MSM) have been unavailable, but have implications for effective prevention efforts. Prevalent (living) Florida HIV/AIDS cases reported through 2006 (numerators) were stratified by race/ethnicity and HIV exposure category. Based on previous research, MSM populations were posited as 4-10% of all males aged > or =13 years in each subgroup (denominators). At the estimated lower and upper plausible bounds, respectively, HIV/AIDS prevalence per 100,000 MSM was significantly higher among black (8,292.6-20,731.4); Hispanic (5,599.5-13,998.7); and Asian/Pacific Islander, American Indian or multi-racial (4,942.6-12,356.8) MSM than among white MSM (3,444.9-8,612.3). HIV/AIDS prevalence among all MSM was 13.8-36.9 times that among all other males. Across 19 high-morbidity counties, MSM HIV/AIDS prevalence was highest among those in the most populous counties and highest among blacks. This methodology, adaptable by other states, facilitates calculation of plausible MSM HIV/AIDS prevalence to guide HIV prevention/care community planners and MSM.
Florida Department of Health, Bureau of HIV/AIDS, Bin A09, 4052 Bald Cypress Way, Tallahassee, FL 32399-1715, USA. Spencer_Lieb@doh.state.fl.us
Spencer
S
Lieb
Paul
P
Arons
Daniel R
DR
Thompson
Alberto M
AM
Santana
Thomas M
TM
Liberti
Lorene
L
Maddox
Tracina
T
Bush
Stephen J
SJ
Fallon
D000293:Adolescent; D000328:Adult; D005006:Ethnicity / Q000706:statistics & numerical data*; D005431:Florida / Q000453:epidemiology; D015658:HIV Infections / Q000453:epidemiology / Q000208:ethnology; D015528:HIV Seroprevalence; D054624:Health Status Disparities; D018451:Homosexuality, Male / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011159:Population Surveillance; D015995:Prevalence; D012307:Risk Factors; D015229:Sexually Transmitted Diseases, Viral / Q000453:epidemiology / Q000208:ethnology; D018709:Statistics, Nonparametric; D055815:Young Adult