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HIV, sexual risk, and ethnicity among men in England who have sex with men.
Sex Transm Infect. 2004 Dec; 80(6):443-50.ST

Abstract

OBJECTIVES

To examine ethnic group differences in HIV testing history and sexual HIV risk behaviours that may account for such differences, among men in England who have sex with men (MSM), in order to inform HIV prevention planning priorities.

METHODS

A self completion survey in the summer of 2001 was carried out in collaboration with community based health promoters. Three recruitment methods were used: "gay pride" festivals, health promoter distributed leaflets, internet version advertised with gay service providers. The leaflet was produced with an alternative cover for targeted recruitment of black men.

RESULTS

In a sample of 13,369 MSM living in England, 17.0% were from minority ethnic groups and 5.4% had tested HIV positive. Compared to the white British majority, Asian men were 0.32 times as likely to be living with diagnosed HIV infection, while black men were 2.06 times as likely to be doing so. Among men who had not tested HIV positive, Asian men were less likely to have sex with a known HIV positive partner, while black men were more likely to have insertive unprotected anal intercourse both with a partner they knew to be HIV positive and with a partner whose HIV status they did not know.

CONCLUSIONS

Among MSM in England, HIV prevalence is higher among black men and lower among Asian men compared with the white British majority. Increased sexual HIV risk behaviour, especially exposure during insertive anal intercourse, accounts for some of this difference. HIV prevention programmes for MSM and African people should both prioritise black MSM.

Authors+Show Affiliations

Sigma Research, 64 Eurolink Centre, 49 Effra Road, London SW2 1BZ, UK. ford.hickson@sigmaresearch.org.ukNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

15572611

Citation

Hickson, F, et al. "HIV, Sexual Risk, and Ethnicity Among Men in England Who Have Sex With Men." Sexually Transmitted Infections, vol. 80, no. 6, 2004, pp. 443-50.
Hickson F, Reid D, Weatherburn P, et al. HIV, sexual risk, and ethnicity among men in England who have sex with men. Sex Transm Infect. 2004;80(6):443-50.
Hickson, F., Reid, D., Weatherburn, P., Stephens, M., Nutland, W., & Boakye, P. (2004). HIV, sexual risk, and ethnicity among men in England who have sex with men. Sexually Transmitted Infections, 80(6), 443-50.
Hickson F, et al. HIV, Sexual Risk, and Ethnicity Among Men in England Who Have Sex With Men. Sex Transm Infect. 2004;80(6):443-50. PubMed PMID: 15572611.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - HIV, sexual risk, and ethnicity among men in England who have sex with men. AU - Hickson,F, AU - Reid,D, AU - Weatherburn,P, AU - Stephens,M, AU - Nutland,W, AU - Boakye,P, PY - 2004/12/2/pubmed PY - 2004/12/24/medline PY - 2004/12/2/entrez SP - 443 EP - 50 JF - Sexually transmitted infections JO - Sex Transm Infect VL - 80 IS - 6 N2 - OBJECTIVES: To examine ethnic group differences in HIV testing history and sexual HIV risk behaviours that may account for such differences, among men in England who have sex with men (MSM), in order to inform HIV prevention planning priorities. METHODS: A self completion survey in the summer of 2001 was carried out in collaboration with community based health promoters. Three recruitment methods were used: "gay pride" festivals, health promoter distributed leaflets, internet version advertised with gay service providers. The leaflet was produced with an alternative cover for targeted recruitment of black men. RESULTS: In a sample of 13,369 MSM living in England, 17.0% were from minority ethnic groups and 5.4% had tested HIV positive. Compared to the white British majority, Asian men were 0.32 times as likely to be living with diagnosed HIV infection, while black men were 2.06 times as likely to be doing so. Among men who had not tested HIV positive, Asian men were less likely to have sex with a known HIV positive partner, while black men were more likely to have insertive unprotected anal intercourse both with a partner they knew to be HIV positive and with a partner whose HIV status they did not know. CONCLUSIONS: Among MSM in England, HIV prevalence is higher among black men and lower among Asian men compared with the white British majority. Increased sexual HIV risk behaviour, especially exposure during insertive anal intercourse, accounts for some of this difference. HIV prevention programmes for MSM and African people should both prioritise black MSM. SN - 1368-4973 UR - https://www.unboundmedicine.com/medline/citation/15572611/HIV_sexual_risk_and_ethnicity_among_men_in_England_who_have_sex_with_men_ L2 - http://sti.bmj.com/cgi/pmidlookup?view=long&pmid=15572611 DB - PRIME DP - Unbound Medicine ER -