title: HIV prevalence rates among men who have sex with men in the southern United States: population-based estimates by race/ethnicity.
abstract: States across the U.S. lack effective ways to quantify HIV prevalence rates among men who have sex with men (MSM). We estimated population-based HIV prevalence rates among MSM in the 17 southern states by race/ethnicity. Through 2007, estimated HIV prevalence rates per 100,000 MSM ranged from 2,607.6 among white (non-Hispanic) MSM in Maryland to 41,512.9 among black (non-Hispanic) MSM in the District of Columbia. Black MSM rates significantly exceeded Hispanic and white MSM rates in each state. Significant racial/ethnic disparities in rates persisted in a sensitivity analysis examining the possibility that minority MSM populations had been underestimated in each state. Compared with black, Hispanic, and white non-MSM males, respectively, rates at the regional level were 25.2 times higher for black MSM, 43.0 times higher for Hispanic MSM, and 106.0 times higher for white MSM. State-level analysis of racial/ethnic-specific MSM HIV prevalence rates can help guide resource allocation and assist advocacy.
authors.affiliation: Florida Department of Health, Bureau of HIV/AIDS, Tallahassee, FL 32399-1715, USA. spencer_lieb@doh.state.fl.us
authors.forename: Spencer
authors.initials: S
authors.lastname: Lieb
authors.forename: Joseph
authors.initials: J
authors.lastname: Prejean
authors.forename: Daniel R
authors.initials: DR
authors.lastname: Thompson
authors.forename: Stephen J
authors.initials: SJ
authors.lastname: Fallon
authors.forename: Hannah
authors.initials: H
authors.lastname: Cooper
authors.forename: Gary J
authors.initials: GJ
authors.lastname: Gates
authors.forename: Thomas M
authors.initials: TM
authors.lastname: Liberti
authors.forename: Samuel R
authors.initials: SR
authors.lastname: Friedman
authors.forename: Robert M
authors.initials: RM
authors.lastname: Malow
mesh_terms: D000328:Adult; D044383:Black People / Q000706:statistics & numerical data; D005006:Ethnicity / Q000706:statistics & numerical data*; D015658:HIV Infections / Q000453:epidemiology* / Q000208:ethnology*; D015528:HIV Seroprevalence; D054624:Health Status Disparities; D006630:Hispanic or Latino / Q000706:statistics & numerical data; D018451:Homosexuality, Male / Q000208:ethnology* / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D011159:Population Surveillance; D015995:Prevalence; D012307:Risk Factors; D014481:United States / Q000453:epidemiology; D044465:White People / Q000706:statistics & numerical data; D055815:Young Adult; D001741:Black or African American