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Heterogeneity of HIV Prevalence Among the Sexual Networks of Black and White Men Who Have Sex With Men in Atlanta: Illuminating a Mechanism for Increased HIV Risk for Young Black Men Who Have Sex With Men.

作者信息

Hernández-Romieu Alfonso C, Sullivan Patrick S, Rothenberg Richard, Grey Jeremy, Luisi Nicole, Kelley Colleen F, Rosenberg Eli S

机构信息

From the *Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA; †Department of Epidemiology and Biostatistics, School of Public Health, Georgia State University, Atlanta, GA; and ‡Division of Infectious Diseases, School of Medicine, Emory University, Atlanta, GA.

出版信息

Sex Transm Dis. 2015 Sep;42(9):505-12. doi: 10.1097/OLQ.0000000000000332.


DOI:10.1097/OLQ.0000000000000332
PMID:26267877
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4536576/
Abstract

BACKGROUND: Studying the heterogeneity and correlates of HIV risk in the sexual networks of black and white men who have sex with men (MSM) may help explain racial disparities in HIV-infection. METHODS: Black and white MSM were recruited as seeds using venue-based time sampling and provided data regarding their recent sex partners. We used chain referral methods to enroll seeds' recent sex partners; newly enrolled partners in turn provided data on their recent sex partners, some of whom later enrolled. Data about unenrolled recent sex partners obtained from seeds and enrolled participants were also analyzed. We estimated the prevalence of HIV in sexual networks of MSM and assessed differential patterns of network HIV risk by the race of the seed. RESULTS: The mean network prevalence of HIV in sexual networks of black MSM (n = 117) was 36% compared with 4% in networks of white MSM (n = 78; P < 0.0001). Sexual networks of unemployed black MSM had a higher prevalence of HIV than their employed counterparts (51% vs. 29%, P = 0.007). The networks of HIV-negative black MSM seeds aged 18 to 24 years had a network prevalence of 9% compared with 2% among those aged 30 years or older. In networks originating from a black HIV-positive seed, the prevalence ranged from 63% among those aged 18 to 24 years to 80% among those 30 years or older. CONCLUSIONS: The high prevalence of HIV in the networks of HIV-negative young black MSM demonstrates a mechanism for the increased HIV incidence observed in this age group. More research is needed into how age and socioeconomic factors shape sexual networks and HIV risk.

摘要

相似文献

[1]
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本文引用的文献

[1]
Explaining racial disparities in HIV incidence in black and white men who have sex with men in Atlanta, GA: a prospective observational cohort study.

Ann Epidemiol. 2015-6

[2]
Racial differences in the accuracy of perceived partner HIV status among men who have sex with men (MSM) in Atlanta, Georgia.

J Int Assoc Provid AIDS Care. 2015

[3]
Understanding racial HIV/STI disparities in black and white men who have sex with men: a multilevel approach.

PLoS One. 2014-3-7

[4]
HIV infection among partners of HIV-infected black men who have sex with Men - North Carolina, 2011-2013.

MMWR Morb Mortal Wkly Rep. 2014-2-7

[5]
Structural bridging network position is associated with HIV status in a younger Black men who have sex with men epidemic.

AIDS Behav. 2014-2

[6]
HIV infection and testing among Latino men who have sex with men in the United States: the role of location of birth and other social determinants.

PLoS One. 2013-9-3

[7]
Neighborhoods and HIV: a social ecological approach to prevention and care.

Am Psychol. 2013

[8]
A pandemic of the poor: social disadvantage and the U.S. HIV epidemic.

Am Psychol. 2013

[9]
HIV among Black men who have sex with men (MSM) in the United States: a review of the literature.

AIDS Behav. 2014-1

[10]
Network analysis among HIV-infected young black men who have sex with men demonstrates high connectedness around few venues.

Sex Transm Dis. 2013-3

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