title: Utilization of HIV prevention services across racial/ethnic groups among men who have sex with men in San Francisco, California, 2008.
abstract: Human Immunodeficiency Virus (HIV) infection in the US is disproportionally higher among Black and Latino men who have sex with men (MSM), compared to other racial/ethnic groups. The 2008 US National HIV Behavioral Surveillance (NHBS) survey of MSM was analyzed to compare utilization of HIV testing, receiving condoms, and individual and group HIV prevention programs among racial/ethnic groups in San Francisco, CA. Using a weighted analysis of the time-location sampling method, racial/ethnic subpopulation estimates were obtained for utilization of these services in the prior 12 months. There was no significant difference in utilization of HIV prevention services among Black (N=37), Latino (N=128), and White (N=275) MSM in San Francisco, CA. Overall 60-70 % of MSM reported their last HIV test within the past 12 months and more than 75 % reported receiving condoms in the last 12 months. However, less than 15 % of MSM reported utilizing individual or group HIV prevention counseling sessions. The NHBS survey demonstrate that the majority of MSM in San Francisco, CA have utilized one or more HIV prevention service in the past 12 months and that there were no racial/ethnic disparities in utilization of these services. However, the utilization of individual or group HIV prevention programs is low and HIV testing is below current recommendations for MSM.
authors.affiliation: Center for AIDS Prevention Studies, University of California, San Francisco, 50 Beale St, Suite 1300, San Francisco, CA, 94105, USA, hyman.scott@ucsf.edu.
authors.forename: Hyman M
authors.initials: HM
authors.lastname: Scott
authors.forename: Vincent
authors.initials: V
authors.lastname: Fuqua
authors.forename: H Fisher
authors.initials: HF
authors.lastname: Raymond
mesh_terms: D000328:Adult; D000367:Age Factors; D016001:Confidence Intervals; D005006:Ethnicity / Q000706:statistics & numerical data*; D015658:HIV Infections / Q000175:diagnosis / Q000208:ethnology / Q000517:prevention & control*; D019538:Health Care Surveys; D006297:Health Services Accessibility; D006301:Health Services Needs and Demand; D054624:Health Status Disparities; D054625:Healthcare Disparities / Q000208:ethnology / Q000706:statistics & numerical data*; D018451:Homosexuality, Male / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D016017:Odds Ratio; D015995:Prevalence; D011314:Preventive Health Services / Q000706:statistics & numerical data*; D012309:Risk-Taking; D012495:San Francisco / Q000453:epidemiology; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires