Estimation of HIV Prevalence, Risk Factors, and Testing Frequency among Sexually Active Men Who Have Sex with Men, Aged 18–64 Years—New York City, 2002

Manning, Susan E.; Thorpe, Lorna E.; Ramaswamy, Chitra; Hajat, Anjum; Marx, Melissa A.; Karpati, Adam; Mostashari, Farzad; Pfeiffer, Melissa R.; Nash, Denis

doi:10.1007/s11524-006-9135-5

Cited by 35 publications

(28 citation statements)

References 13 publications

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“…This is similar to a previous published estimate of the percentage of Texan MSM living with HIV (7.0 %) 28 and several other estimates in other MSM populations using different methodologies. [29][30][31] In all individual counties and metropolitan areas (Table 3) for which MSM population estimates were calculated, the number of MSM living with HIV did not exceed the MSM population, both in total and stratified by race/ethnic group.…”

Section: Msm Living With Hivmentioning

confidence: 99%

Estimating the Number of Men Who Have Sex with Men by Race/Ethnicity at the County Level in Texas

et al. 2014

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This analysis presents a method for estimating the population of men who have sex with men (MSM) at the county and metropolitan area level in Texas. Surveillance data consistently demonstrate that MSM experience a high burden of HIV and other sexually transmitted infections (STIs). Numerous studies have shown that MSM are also vulnerable to many other health concerns such as suicide, substance abuse, domestic violence and assault, homelessness, and mental illness. However, compilation of rates of HIV, STIs, and other health issues is dependent on estimation of population denominators. In the absence of systematic, consistent, and direct assessment of sexual orientation and gender identity in national surveys, it is difficult to estimate the size of at-risk populations. Previous estimates at the national and state level have been calculated using varied methodologies. However, to date, statewide estimates at the county level have only been produced for the state of Florida. Countylevel and metropolitan area estimates of MSM population were produced using three modified models developed by Lieb et al. These models used data on population and same-sex households from the US Census, along with estimates of sexual behavior from the National Survey on Family Growth. These models produce an estimate of 599,683 MSM in Texas (6.4 % of the adult male population). Metropolitan areas with the highest percentage of MSM population include Dallas and Austin (10.3 and 9.8 %, respectively). County-level estimates of MSM population range from 1.0 to 12.9 %. These local estimates are critical to targeting vulnerable populations and effective allocation of resources for prevention and treatment programs.

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Section: Msm Living With Hivmentioning

confidence: 99%

Estimating the Number of Men Who Have Sex with Men by Race/Ethnicity at the County Level in Texas

et al. 2014

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“…However, almost a third of study participants had their first HIV test when they were in their 30s and 40s. This finding points to the need to encourage and facilitate HIV testing in all age groups (MacKellar et al, 2006;Manning et al, 2007;Rennie, 2006).…”

Section: Discussionmentioning

confidence: 99%

“…This further raises concerns about access to an adequate and culturally competent continuum of services. Lower income Black men tend not to receive testing at HIV organizations, and so may be an important group for future testing interventions (Manning et al, 2007;Rennie, 2006).…”

Section: Discussionmentioning

confidence: 99%

Where MSM Have Their First HIV Test: Differences by Race, Income, and Sexual Identity

Lauby

Milnamow

2008

Am J Mens Health

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To inform initiatives to increase HIV testing in nontraditional locations, this study examined locations where men who have sex with men (MSM) get their first HIV test and identified population segments with different test location patterns. Interviews were conducted with 451 MSM systematically recruited from 65 venues in Philadelphia. Of 408 men ever tested for HIV, 29% took their first test in a clinic or hospital, 23% in a doctor's office, 30% at an HIV organization, and 19% in a high-risk setting, including prison, shelter, or drug treatment facility. More than half (58.5%) had their most recent test in the same type of location as their first test. Men tested at HIV organizations were the most likely to receive information about HIV prevention. Low-income Black MSM were less likely to be tested at medical settings or HIV organizations. Segmentation analysis revealed other differences in testing locations by income, race/ethnicity, and sexual identity.

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“…Based on the HIV prevalence in these risk populations, a high-risk sexual partner was an IDU or had participated in transactional sex (i.e., gave or received sex for money or drugs). [26][27][28] Primary Exposure. Severe physical victimization (yes or no) was assessed for each year over the past 4 years.…”

Section: Methodsmentioning

confidence: 99%

Physical Victimization and High-Risk Sexual Partners among Illicit Drug-Using Heterosexual Men in New York City

et al. 2014

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Physical victimization has been linked to high-risk sexual partnerships in women. Although illicit drug-using heterosexual men are at high-risk of physical victimization, the association between violence and high-risk partners in heterosexual men has received little attention in the published literature. We examined the association between experience of severe physical victimization and acquisition of a high-risk sexual partner (i.e., a partner who injected drugs or participated in transactional sex) 1 year later among illicit drug-using men in New York City (2006-2009) using secondary cross-sectional data. Injection and non-injection drug-using men (n=280) provided a retrospectively recalled history of risk behavior and violence for each year over the past 4 years. Our primary outcome was acquisition of a high-risk sexual partner in any year following the baseline year. Our primary exposure was severe physical victimization (i.e., threatened with a knife or gun, beaten up, shot, or stabbed) in the prior year. Frequency of cocaine, heroin, and crack use and sexual victimization were also assessed. Log-binomial logistic regression with generalized estimating equation (GEE) methods was used to account for repeated measures for up to four time points. After adjustment for important covariates, participants that experienced physical victimization were significantly more likely to have acquired a high-risk sexual partner 1 year later (relative risk (RR), 3.73; 95 % confidence interval (CI), 1.55-8.97). Our study challenges gender-based stereotypes surrounding physical victimization and provides support for multidisciplinary programs that address both violence and HIV risk among illicit drugusing heterosexual men. KEYWORDS Physical victimization, Sexual risk behavior, Illicit drug users, Male victimsInjection drug users (IDUs) and non-injection drug users (non-IDUs) are at increased risk of being victims of physical violence compared to the general population. 1,2 In a substance abuse treatment sample, 61 % of men and 65 % of women reported being the victim of physical partner violence, and 75 % of men and 45 % of women reported physical victimization from a person other than an intimate partner in the past 12 months. 3 The HIV risk behaviors of an individual's sexual partners, in addition to condom use, have significant epidemiological implications for the Turner, Rivera, and Lewis are with the

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Estimation of HIV Prevalence, Risk Factors, and Testing Frequency among Sexually Active Men Who Have Sex with Men, Aged 18–64 Years—New York City, 2002

Cited by 35 publications

References 13 publications

Estimating the Number of Men Who Have Sex with Men by Race/Ethnicity at the County Level in Texas

Estimating the Number of Men Who Have Sex with Men by Race/Ethnicity at the County Level in Texas

Where MSM Have Their First HIV Test: Differences by Race, Income, and Sexual Identity

Physical Victimization and High-Risk Sexual Partners among Illicit Drug-Using Heterosexual Men in New York City

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