HIV prevalence and associated risks in young men who have sex with men

Linda A. Valleroy, Duncan A. Mackellar, John M. Karon, Daniel H. Rosen, William McFarland, Douglas A. Shehan, Susan R. Stoyanoff, Marlene Lalota, David D Celentano, Beryl A. Koblin, Hanne Thiede, Mitchell H. Katz, Lucia V. Torian, Robert S. Janssen

Research output: Contribution to journalArticle

Abstract

Context. Studies conducted in the late 1980s on human immunodeficiency virus (HIV) infection among older men who have sex with men (MSM) suggested the epidemic had peaked; however, more recent studies in younger MSM have suggested continued high HIV incidence. Objective. To investigate the current state of the HIV epidemic among adolescent and young adult MSM in the United States by assessing the prevalence of HIV infection and associated risks in this population in metropolitan areas. Design. The Young Men's Survey, a cross-sectional, multisite, venue-based survey conducted from 1994 through 1998. Setting. One hundred ninety-four public venues frequented by young MSM in Baltimore, Md; Dallas, Tex; Los Angeles, Calif; Miami, Fla; New York, NY; the San Francisco (Calif) Bay Area; and Seattle, Wash. Subjects. A total of 349215- to 22-year-old MSM who consented to an interview and HIV testing. Main Outcome Measures. Prevalence of HIV infection and associated characteristics and risk behaviors. Results. Prevalence of HIV infection was high (overall, 7.2 %; range for the 7 areas, 2.2% - 12.1%) and increased with age, from 0% among 15-year-olds to 9.7% among 22-year-olds. Multivariate- adjusted HIV infection prevalence was higher among blacks (odds ratio [OR], 6.3; 95% confidence interval [Cl], 4.1-9.8), young men of mixed or other race (OR, 4.8; 95% Cl, 3.0-7.6), and Hispanics (OR, 2.3; 95% Cl, 1.5-3.4), compared with whites (referent) and Asian Americans and Pacific Islanders (OR, 1.1; 95% Cl, 0.5-2.8). Factors most strongly associated with HIV infection were being black, mixed, or other race; having ever had anal sex with a man (OR, 5.0; 95 % Cl, 1.8-13.8); or having had sex with 20 or more men (OR, 3.0; 95% Cl, 2.0-4.7). Only 46 (18%) of the 249 HIV-positive men knew they were infected before this testing; 37 (15%) were receiving medical care for HIV, and 19 (8%) were receiving medical drug therapy for HIV. Prevalence of unprotected anal sex during the past 6 months was high (overall, 41%; range, 33%-49%). Conclusions. Among these young MSM, HIV prevalence was high, underscoring the need to evaluate and intensify prevention efforts for young MSM, particularly blacks, men of mixed race or ethnicity, Hispanics, and adolescents.

Original languageEnglish (US)
Pages (from-to)198-204
Number of pages7
JournalJournal of the American Medical Association
Volume284
Issue number2
StatePublished - Jul 12 2000
Externally publishedYes

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HIV
Virus Diseases
Odds Ratio
Hispanic Americans
Sexual Behavior
Unsafe Sex
Baltimore
San Francisco
Asian Americans
Los Angeles
Risk-Taking
Young Adult
Cross-Sectional Studies
Outcome Assessment (Health Care)
Confidence Intervals
Interviews
Drug Therapy
Incidence

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Valleroy, L. A., Mackellar, D. A., Karon, J. M., Rosen, D. H., McFarland, W., Shehan, D. A., ... Janssen, R. S. (2000). HIV prevalence and associated risks in young men who have sex with men. Journal of the American Medical Association, 284(2), 198-204.

HIV prevalence and associated risks in young men who have sex with men. / Valleroy, Linda A.; Mackellar, Duncan A.; Karon, John M.; Rosen, Daniel H.; McFarland, William; Shehan, Douglas A.; Stoyanoff, Susan R.; Lalota, Marlene; Celentano, David D; Koblin, Beryl A.; Thiede, Hanne; Katz, Mitchell H.; Torian, Lucia V.; Janssen, Robert S.

In: Journal of the American Medical Association, Vol. 284, No. 2, 12.07.2000, p. 198-204.

Research output: Contribution to journalArticle

Valleroy, LA, Mackellar, DA, Karon, JM, Rosen, DH, McFarland, W, Shehan, DA, Stoyanoff, SR, Lalota, M, Celentano, DD, Koblin, BA, Thiede, H, Katz, MH, Torian, LV & Janssen, RS 2000, 'HIV prevalence and associated risks in young men who have sex with men', Journal of the American Medical Association, vol. 284, no. 2, pp. 198-204.
Valleroy LA, Mackellar DA, Karon JM, Rosen DH, McFarland W, Shehan DA et al. HIV prevalence and associated risks in young men who have sex with men. Journal of the American Medical Association. 2000 Jul 12;284(2):198-204.
Valleroy, Linda A. ; Mackellar, Duncan A. ; Karon, John M. ; Rosen, Daniel H. ; McFarland, William ; Shehan, Douglas A. ; Stoyanoff, Susan R. ; Lalota, Marlene ; Celentano, David D ; Koblin, Beryl A. ; Thiede, Hanne ; Katz, Mitchell H. ; Torian, Lucia V. ; Janssen, Robert S. / HIV prevalence and associated risks in young men who have sex with men. In: Journal of the American Medical Association. 2000 ; Vol. 284, No. 2. pp. 198-204.
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abstract = "Context. Studies conducted in the late 1980s on human immunodeficiency virus (HIV) infection among older men who have sex with men (MSM) suggested the epidemic had peaked; however, more recent studies in younger MSM have suggested continued high HIV incidence. Objective. To investigate the current state of the HIV epidemic among adolescent and young adult MSM in the United States by assessing the prevalence of HIV infection and associated risks in this population in metropolitan areas. Design. The Young Men's Survey, a cross-sectional, multisite, venue-based survey conducted from 1994 through 1998. Setting. One hundred ninety-four public venues frequented by young MSM in Baltimore, Md; Dallas, Tex; Los Angeles, Calif; Miami, Fla; New York, NY; the San Francisco (Calif) Bay Area; and Seattle, Wash. Subjects. A total of 349215- to 22-year-old MSM who consented to an interview and HIV testing. Main Outcome Measures. Prevalence of HIV infection and associated characteristics and risk behaviors. Results. Prevalence of HIV infection was high (overall, 7.2 {\%}; range for the 7 areas, 2.2{\%} - 12.1{\%}) and increased with age, from 0{\%} among 15-year-olds to 9.7{\%} among 22-year-olds. Multivariate- adjusted HIV infection prevalence was higher among blacks (odds ratio [OR], 6.3; 95{\%} confidence interval [Cl], 4.1-9.8), young men of mixed or other race (OR, 4.8; 95{\%} Cl, 3.0-7.6), and Hispanics (OR, 2.3; 95{\%} Cl, 1.5-3.4), compared with whites (referent) and Asian Americans and Pacific Islanders (OR, 1.1; 95{\%} Cl, 0.5-2.8). Factors most strongly associated with HIV infection were being black, mixed, or other race; having ever had anal sex with a man (OR, 5.0; 95 {\%} Cl, 1.8-13.8); or having had sex with 20 or more men (OR, 3.0; 95{\%} Cl, 2.0-4.7). Only 46 (18{\%}) of the 249 HIV-positive men knew they were infected before this testing; 37 (15{\%}) were receiving medical care for HIV, and 19 (8{\%}) were receiving medical drug therapy for HIV. Prevalence of unprotected anal sex during the past 6 months was high (overall, 41{\%}; range, 33{\%}-49{\%}). Conclusions. Among these young MSM, HIV prevalence was high, underscoring the need to evaluate and intensify prevention efforts for young MSM, particularly blacks, men of mixed race or ethnicity, Hispanics, and adolescents.",
author = "Valleroy, {Linda A.} and Mackellar, {Duncan A.} and Karon, {John M.} and Rosen, {Daniel H.} and William McFarland and Shehan, {Douglas A.} and Stoyanoff, {Susan R.} and Marlene Lalota and Celentano, {David D} and Koblin, {Beryl A.} and Hanne Thiede and Katz, {Mitchell H.} and Torian, {Lucia V.} and Janssen, {Robert S.}",
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T1 - HIV prevalence and associated risks in young men who have sex with men

AU - Valleroy, Linda A.

AU - Mackellar, Duncan A.

AU - Karon, John M.

AU - Rosen, Daniel H.

AU - McFarland, William

AU - Shehan, Douglas A.

AU - Stoyanoff, Susan R.

AU - Lalota, Marlene

AU - Celentano, David D

AU - Koblin, Beryl A.

AU - Thiede, Hanne

AU - Katz, Mitchell H.

AU - Torian, Lucia V.

AU - Janssen, Robert S.

PY - 2000/7/12

Y1 - 2000/7/12

N2 - Context. Studies conducted in the late 1980s on human immunodeficiency virus (HIV) infection among older men who have sex with men (MSM) suggested the epidemic had peaked; however, more recent studies in younger MSM have suggested continued high HIV incidence. Objective. To investigate the current state of the HIV epidemic among adolescent and young adult MSM in the United States by assessing the prevalence of HIV infection and associated risks in this population in metropolitan areas. Design. The Young Men's Survey, a cross-sectional, multisite, venue-based survey conducted from 1994 through 1998. Setting. One hundred ninety-four public venues frequented by young MSM in Baltimore, Md; Dallas, Tex; Los Angeles, Calif; Miami, Fla; New York, NY; the San Francisco (Calif) Bay Area; and Seattle, Wash. Subjects. A total of 349215- to 22-year-old MSM who consented to an interview and HIV testing. Main Outcome Measures. Prevalence of HIV infection and associated characteristics and risk behaviors. Results. Prevalence of HIV infection was high (overall, 7.2 %; range for the 7 areas, 2.2% - 12.1%) and increased with age, from 0% among 15-year-olds to 9.7% among 22-year-olds. Multivariate- adjusted HIV infection prevalence was higher among blacks (odds ratio [OR], 6.3; 95% confidence interval [Cl], 4.1-9.8), young men of mixed or other race (OR, 4.8; 95% Cl, 3.0-7.6), and Hispanics (OR, 2.3; 95% Cl, 1.5-3.4), compared with whites (referent) and Asian Americans and Pacific Islanders (OR, 1.1; 95% Cl, 0.5-2.8). Factors most strongly associated with HIV infection were being black, mixed, or other race; having ever had anal sex with a man (OR, 5.0; 95 % Cl, 1.8-13.8); or having had sex with 20 or more men (OR, 3.0; 95% Cl, 2.0-4.7). Only 46 (18%) of the 249 HIV-positive men knew they were infected before this testing; 37 (15%) were receiving medical care for HIV, and 19 (8%) were receiving medical drug therapy for HIV. Prevalence of unprotected anal sex during the past 6 months was high (overall, 41%; range, 33%-49%). Conclusions. Among these young MSM, HIV prevalence was high, underscoring the need to evaluate and intensify prevention efforts for young MSM, particularly blacks, men of mixed race or ethnicity, Hispanics, and adolescents.

AB - Context. Studies conducted in the late 1980s on human immunodeficiency virus (HIV) infection among older men who have sex with men (MSM) suggested the epidemic had peaked; however, more recent studies in younger MSM have suggested continued high HIV incidence. Objective. To investigate the current state of the HIV epidemic among adolescent and young adult MSM in the United States by assessing the prevalence of HIV infection and associated risks in this population in metropolitan areas. Design. The Young Men's Survey, a cross-sectional, multisite, venue-based survey conducted from 1994 through 1998. Setting. One hundred ninety-four public venues frequented by young MSM in Baltimore, Md; Dallas, Tex; Los Angeles, Calif; Miami, Fla; New York, NY; the San Francisco (Calif) Bay Area; and Seattle, Wash. Subjects. A total of 349215- to 22-year-old MSM who consented to an interview and HIV testing. Main Outcome Measures. Prevalence of HIV infection and associated characteristics and risk behaviors. Results. Prevalence of HIV infection was high (overall, 7.2 %; range for the 7 areas, 2.2% - 12.1%) and increased with age, from 0% among 15-year-olds to 9.7% among 22-year-olds. Multivariate- adjusted HIV infection prevalence was higher among blacks (odds ratio [OR], 6.3; 95% confidence interval [Cl], 4.1-9.8), young men of mixed or other race (OR, 4.8; 95% Cl, 3.0-7.6), and Hispanics (OR, 2.3; 95% Cl, 1.5-3.4), compared with whites (referent) and Asian Americans and Pacific Islanders (OR, 1.1; 95% Cl, 0.5-2.8). Factors most strongly associated with HIV infection were being black, mixed, or other race; having ever had anal sex with a man (OR, 5.0; 95 % Cl, 1.8-13.8); or having had sex with 20 or more men (OR, 3.0; 95% Cl, 2.0-4.7). Only 46 (18%) of the 249 HIV-positive men knew they were infected before this testing; 37 (15%) were receiving medical care for HIV, and 19 (8%) were receiving medical drug therapy for HIV. Prevalence of unprotected anal sex during the past 6 months was high (overall, 41%; range, 33%-49%). Conclusions. Among these young MSM, HIV prevalence was high, underscoring the need to evaluate and intensify prevention efforts for young MSM, particularly blacks, men of mixed race or ethnicity, Hispanics, and adolescents.

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