Unrecognized HIV infection, risk behaviors, and perceptions of risk among young men who have sex with men: Opportunities for advancing HIV prevention in the third decade of HIV/AIDS

Duncan A. MacKellar, Linda A. Valleroy, Gina M. Secura, Stephanie Behel, Trista Bingham, David D. Celentano, Beryl A. Koblin, Marlene LaLota, William McFarland, Douglas Shehan, Hanne Thiede, Lucia V. Torian, Robert S. Janssen

Research output: Contribution to journalArticlepeer-review

Abstract

This study evaluated the magnitude and distribution of unrecognized HIV infection among young men who have sex with men (MSM) and of those with unrecognized infection, the prevalence and correlates of unprotected anal intercourse (UAI), perceived low risk for infection, and delayed HIV testing, MSM aged 15-29 years were approached, interviewed, counseled, and tested for HIV at 263 randomly sampled venues in 6 US cities from 1994-2000. Of 5649 MSM participants, 573 (10%) tested positive for HIV Of these, 91% of black, 69% of Hispanic, and 60% of white MSM (77% overall) were unaware of their infection. The 439 MSM with unrecognized infection reported a total of 2253 male sex partners in the previous 6 months; 51% had UAI; 59% perceived that they were at low risk for being infected; and 55% had not tested in the previous year. The HIV epidemic among MSM in the United States continues unabated, in part, because many young HIV-infected MSM are unaware of their infection and unknowingly expose their partners to HIV. To advance HIV prevention in the third decade of HIV/AIDS, prevention programs must reduce unrecognized infection among young MSM by increasing the demand for and availability of HIV testing services.

Original languageEnglish (US)
Pages (from-to)603-614
Number of pages12
JournalJournal of Acquired Immune Deficiency Syndromes
Volume38
Issue number5
DOIs
StatePublished - Apr 15 2005

Keywords

  • Unrecognized HIV infection
  • Young men who have sex with men

ASJC Scopus subject areas

  • Infectious Diseases
  • Pharmacology (medical)

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