title: Closing the Gap? The HIV Continuum in Care for African-American Men Who Have Sex with Men, San Francisco, 2004-2014.
abstract: We examined trends in the HIV continuum in care in the National HIV Behavioral Surveillance surveys for MSM in San Francisco from 2004 to 2014. In 2004, HIV-positive African-American MSM were less likely to be diagnosed (42.9 vs. 87.5 %, p = 0.003), linked to care (42.9 vs. 85.7 %, p = 0.007), or to have ever used antiretroviral treatment (ART) (28.6 vs. 69.6 %, p = 0.032) compared to white MSM. By 2014, these gaps had narrowed but not closed, including diagnosis (85.7 vs. 100 %, Fisher's exact p = 0.106), linkage to care (85.7 vs. 96.8 %, Fisher's exact p = 0.290), and ART use (85.7 vs. 94.9 %, Fisher's exact p = 0.369).
authors.affiliation: San Francisco Department of Public Health, 25 Van Ness Avenue, San Francisco, CA, 94102-6033, USA.
authors.forename: N
authors.initials: N
authors.lastname: Okeke
authors.affiliation: San Francisco Department of Public Health, 25 Van Ness Avenue, San Francisco, CA, 94102-6033, USA. Willi_mcfarland@hotmail.com.
authors.forename: W
authors.initials: W
authors.lastname: McFarland
authors.affiliation: San Francisco Department of Public Health, 25 Van Ness Avenue, San Francisco, CA, 94102-6033, USA.
authors.forename: H F
authors.initials: HF
authors.lastname: Raymond
mesh_terms: D000328:Adult; D001741:Black or African American; D003266:Continuity of Patient Care; D015658:HIV Infections / Q000175:diagnosis* / Q000208:ethnology / Q000628:therapy*; D054625:Healthcare Disparities; D018451:Homosexuality, Male / Q000208:ethnology / Q000523:psychology* / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D012495:San Francisco / Q000453:epidemiology
keywords: African-Americans; Continuum of care; HIV; Men who have sex with men