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We performed a comprehensive review of the scientific literature reporting evidence for and against the possible causes of higher rates of HIV infection for Black MSM than for MSM of other races/ethnicities.
Although young Black MSM in the sample were 9 times more likely than young White MSM to be HIV positive, the identified correlates did not account for the disproportionately high seroprevalence rates among Black MSM.
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An article published in 2004 reported that HIV infection in young MSM was associated with older age, unemployment, being out of school, having anal sex with men (irrespective of condom use), and using crack cocaine during sex. Unexplained high HIV prevalence and incidence rates for Black MSM continue to be reported 17 years after the first published report in the scientific literature. Likewise, a 1998 study found that HIV prevalence was higher among Black MSM than other MSM, and multivariate adjustment for factors that predicted HIV infection in the whole MSM sample did not account for factors associated with HIV infection in Black MSM. 5 Multivariate adjustment for demographic factors and risk behaviors enabled the authors to statistically account for the high HIV prevalence rates for Latino MSM, but HIV seropositivity remained independently associated with Black race even after adjustment for demographic and HIV risk behavior covariates.
A similar observation was reported in 1993 by another group of researchers who found higher rates of HIV infection for Black and Latino MSM than for White MSM. 9 The authors found that known risk factors for HIV infection (i.e., multiple sexual partners, frequency of receptive anal intercourse, needle sharing) did not explain the differences in HIV seroprevalence or seroconversion between Black MSM and White MSM in the sample. Results from a 1987 prospective study of HIV infection among 1034 MSM reported higher HIV prevalence and incidence rates for Black MSM than for White MSM despite comparable reported risk behaviors. 8Įxplanations of differences in HIV rates for MSM of different races may involve more than behavior alone. 1 – 7 Even after the introduction of highly active antiretroviral therapy, the rates of disease progression and AIDS mortality for HIV-seropositive Black MSM exceed rates for HIV-seropositive MSM of other races and ethnicities. When using a search engine such as Google, Bing or Yahoo check the safe search settings where you can exclude adult content sites from your search results Īsk your internet service provider if they offer additional filters īe responsible, know what your children are doing online.HIV prevalence and incidence rates are significantly higher for Black men who have sex with men (MSM) than for other racial/ethnic groups of MSM in the United States. Use family filters of your operating systems and/or browsers Other steps you can take to protect your children are: More information about the RTA Label and compatible services can be found here. Parental tools that are compatible with the RTA label will block access to this site.
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