title: Migration and HIV Risk Among Men Who Have Sex With Men, San Francisco, 2011.
abstract: In San Francisco, MSM account for nearly 90% of HIV infections. Studies have postulated increased risk for HIV faced by MSM who migrate, particularly to urban environments, yet empirical data are lacking. In this study we analyzed data from the National HIV Behavioral Surveillance System collected in 2011 to ascertain whether nativity (U.S. versus foreign born) was associated with HIV prevalence, risk behavior, and service use. Among 510 MSM enrolled, HIV prevalence was 23.0%. Multivariable analyses demonstrate that while nativity was not associated with increased risk for HIV infection, those who had lived in San Francisco for more than five years had higher HIV prevalence compared to those who had lived for less than a year even after adjusting for age, race, income, education, and location of birth.
authors.affiliation: Harvard Medical School, Boston, Massachusetts.
authors.forename: T T
authors.initials: TT
authors.lastname: Lama
authors.affiliation: University of California, San Francisco.
authors.forename: M
authors.initials: M
authors.lastname: Sudhinaraset
authors.forename: W
authors.initials: W
authors.lastname: McFarland
authors.forename: H F
authors.initials: HF
authors.lastname: Raymond
mesh_terms: D000328:Adult; D040343:Behavioral Risk Factor Surveillance System; D003430:Cross-Sectional Studies; D054242:Emigrants and Immigrants / Q000706:statistics & numerical data*; D015658:HIV Infections / Q000208:ethnology / Q000517:prevention & control*; D006306:Health Surveys; D018451:Homosexuality, Male / Q000208:ethnology / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D011159:Population Surveillance; D015995:Prevalence; D012307:Risk Factors; D012309:Risk-Taking; D012495:San Francisco / Q000453:epidemiology; D012725:Sexual Behavior; D014481:United States; D047568:Unsafe Sex / Q000706:statistics & numerical data*; D014505:Urban Population; D055815:Young Adult