Tags

Type your tag names separated by a space and hit enter

Explaining disparities in HIV infection among black and white men who have sex with men: a meta-analysis of HIV risk behaviors.
AIDS. 2007 Oct 01; 21(15):2083-91.AIDS

Abstract

OBJECTIVE

To identify factors that contribute to the racial disparity in HIV prevalence between black and white men who have sex with men (MSM) in the United States.

METHODS

A comprehensive literature search of electronic databases, online bibliographies, and publication reference lists yielded 53 quantitative studies of MSM published between 1980 and 2006 that stratified HIV risk behaviors by race. Meta-analyses were performed to compare HIV risks between black and white MSM across studies.

RESULTS

Compared with white MSM, black MSM reported less overall substance use [odds ratio (OR), 0.71; 95% confidence interval (CI), 0.53-0.97], fewer sex partners (OR, 0.64; 95% CI, 0.45-0.92), less gay identity (OR, 0.29; 95% CI, 0.17-0.48), and less disclosure of same sex behavior (OR, 0.42; 95% CI, 0.30-0.60). HIV-positive black MSM were less likely than HIV-positive white MSM to report taking antiretroviral medications (OR, 0.43; 95% CI, 0.30-0.61). Sexually transmitted diseases were significantly greater among black MSM than white MSM (OR, 1.64; 95% CI, 1.07-2.53). There were no statistically significant differences by race in reported unprotected anal intercourse, commercial sex work, sex with a known HIV-positive partner, or HIV testing history.

CONCLUSIONS

Behavioral risk factors for HIV infection do not explain elevated HIV rates among black MSM. Continued emphasis on risk behaviors will have only limited impact on the disproportionate rates of HIV infection among black MSM. Future research should focus on the contribution of other factors, such as social networks, to explain racial disparities in HIV infection rates.

Authors+Show Affiliations

Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA 30333, USA. gmillett@cdc.govNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Meta-Analysis

Language

eng

PubMed ID

17885299

Citation

Millett, Gregorio A., et al. "Explaining Disparities in HIV Infection Among Black and White Men Who Have Sex With Men: a Meta-analysis of HIV Risk Behaviors." AIDS (London, England), vol. 21, no. 15, 2007, pp. 2083-91.
Millett GA, Flores SA, Peterson JL, et al. Explaining disparities in HIV infection among black and white men who have sex with men: a meta-analysis of HIV risk behaviors. AIDS. 2007;21(15):2083-91.
Millett, G. A., Flores, S. A., Peterson, J. L., & Bakeman, R. (2007). Explaining disparities in HIV infection among black and white men who have sex with men: a meta-analysis of HIV risk behaviors. AIDS (London, England), 21(15), 2083-91.
Millett GA, et al. Explaining Disparities in HIV Infection Among Black and White Men Who Have Sex With Men: a Meta-analysis of HIV Risk Behaviors. AIDS. 2007 Oct 1;21(15):2083-91. PubMed PMID: 17885299.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Explaining disparities in HIV infection among black and white men who have sex with men: a meta-analysis of HIV risk behaviors. AU - Millett,Gregorio A, AU - Flores,Stephen A, AU - Peterson,John L, AU - Bakeman,Roger, PY - 2007/9/22/pubmed PY - 2008/3/29/medline PY - 2007/9/22/entrez SP - 2083 EP - 91 JF - AIDS (London, England) JO - AIDS VL - 21 IS - 15 N2 - OBJECTIVE: To identify factors that contribute to the racial disparity in HIV prevalence between black and white men who have sex with men (MSM) in the United States. METHODS: A comprehensive literature search of electronic databases, online bibliographies, and publication reference lists yielded 53 quantitative studies of MSM published between 1980 and 2006 that stratified HIV risk behaviors by race. Meta-analyses were performed to compare HIV risks between black and white MSM across studies. RESULTS: Compared with white MSM, black MSM reported less overall substance use [odds ratio (OR), 0.71; 95% confidence interval (CI), 0.53-0.97], fewer sex partners (OR, 0.64; 95% CI, 0.45-0.92), less gay identity (OR, 0.29; 95% CI, 0.17-0.48), and less disclosure of same sex behavior (OR, 0.42; 95% CI, 0.30-0.60). HIV-positive black MSM were less likely than HIV-positive white MSM to report taking antiretroviral medications (OR, 0.43; 95% CI, 0.30-0.61). Sexually transmitted diseases were significantly greater among black MSM than white MSM (OR, 1.64; 95% CI, 1.07-2.53). There were no statistically significant differences by race in reported unprotected anal intercourse, commercial sex work, sex with a known HIV-positive partner, or HIV testing history. CONCLUSIONS: Behavioral risk factors for HIV infection do not explain elevated HIV rates among black MSM. Continued emphasis on risk behaviors will have only limited impact on the disproportionate rates of HIV infection among black MSM. Future research should focus on the contribution of other factors, such as social networks, to explain racial disparities in HIV infection rates. SN - 0269-9370 UR - https://www.unboundmedicine.com/medline/citation/17885299/Explaining_disparities_in_HIV_infection_among_black_and_white_men_who_have_sex_with_men:_a_meta_analysis_of_HIV_risk_behaviors_ L2 - http://Insights.ovid.com/pubmed?pmid=17885299 DB - PRIME DP - Unbound Medicine ER -