HIV Among Gay and Bisexual Men
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Fast Facts
Gay and bisexual men are more severely affected by HIV than any other group in the United States.
Among all gay and bisexual men, black/African American gay and bisexual men bear a disproportionate burden of HIV.
From 2008 to 2010, HIV infections among young black/African American gay and bisexual men increased 20%.
photo of two menGay, bisexual, and other men who have sex with men (MSM)a represent approximately 2% of the United States population, yet are the population most severely affected by HIV. In 2010, young gay and bisexual men (aged 13-24 years) accounted for 72% of new HIV infections among all persons aged 13 to 24, and 30% of new infections among all gay and bisexual men. At the end of 2011, an estimated 500,022 (57%) persons living with an HIV diagnosis in the United States were gay and bisexual men, or gay and bisexual men who also inject drugs.
The Numbers
New HIV Infectionsb
In 2010, gay and bisexual men accounted for 63% of estimated new HIV infections in the United States and 78% of infections among all newly infected men. From 2008 to 2010, new HIV infections increased 22% among young (aged 13-24) gay and bisexual men and 12% among gay and bisexual men overall.
Among all gay and bisexual men, white gay and bisexual men accounted for 11,200 (38%) estimated new HIV infections in 2010. The largest number of new infections among white gay and bisexual men (3,300; 29%) occurred in those aged 25 to 34.
Among all gay and bisexual men, black/African American gay and bisexual men accounted for 10,600 (36%) estimated new HIV infections in 2010. The largest number of new infections among black/African American gay and bisexual men (4,800; 45%) occurred in those aged 13 to 24. From 2008 to 2010 new infections increased 20% among young black/African American gay and bisexual men aged 13 to 24.
Among all gay and bisexual men, Hispanic/Latino gay and bisexual men accounted for 6,700 (22%) estimated new HIV infections in 2010. The largest number of new infections among Hispanic/Latino gay and bisexual men (3,300; 39%) occurred in those aged 25 to 34.
HIV and AIDS Diagnosesc
In 2013, in the United States, gay and bisexual men accounted for 81% (30,689) of the 37,887 estimated HIV diagnoses among all males aged 13 years and older and 65% of the 47,352 estimated diagnoses among all persons receiving an HIV diagnosis that year.
In 2013, gay and bisexual men accounted for 55% of the estimated number of persons diagnosed with AIDS among all adults and adolescents in the United States. Of the estimated 14,611 gay and bisexual men diagnosed with AIDS, 40% were blacks/African Americans; 32% were whites; and 23% were Hispanics/Latinos.
By the end of 2011, an estimated 311,087 gay and bisexual men with AIDS had died in the United States since the beginning of the epidemic, representing 47% of all deaths of persons with AIDS.
In 2011, CDC data showed that 80.6% of MSM with diagnosed HIV infection were linked to care, 57.5% were retained in care, 52.9% were prescribed antiretroviral therapy (ART), and 44.6% had achieved viral suppression.
Estimates of New HIV Infections in the United States for the Most-Affected Subpopulations, 2010
This chart shows the populations most affected by HIV in 2010. In that year, there were 11,200 new HIV infections among white men who have sex with men (called MSM); 10,600 new HIV infections among black MSM; 6,700 new infections among Hispanic/Latino MSM; 5,300 new infections among black heterosexual women; 2,700 new infections among black heterosexual men; 1,300 new infections among white heterosexual women; 1,200 among Hispanic/Latino heterosexual women; and 1,100 among black male injection drug users.
Source: CDC. Estimated HIV incidence among adults and adolescents in the United States, 2007–2010. HIV Surveillance Supplemental Report 2012;17(4). Subpopulations representing 2% or less are not reflected in this chart. Abbreviations: MSM, men who have sex with men; IDU, injection drug user.
Prevention Challenges
The large percentage of gay and bisexual men living with HIV means that, as a group, gay and bisexual men have an increased chance of being exposed to HIV. Results of HIV testing conducted in 20 cities as part of the National HIV Behavioral Surveillance System (NHBS) indicated that 18% of gay and bisexual men tested in 2011 had HIV and that HIV prevalence increased with increasing age.
Many gay and bisexual men with HIV are unaware they have it. Even though the NHBS study showed that the overall percentage of gay and bisexual men with HIV who knew of their HIV infection increased from 56% in 2008 to 66% in 2011, there were still many who did not know they had HIV. Among those infected, only 49% of young gay and bisexual men aged 18 to 24 years knew of their infection, whereas 76% of those aged 40 and older were aware of their HIV infection. Fifty-four percent of black/African American gay and bisexual men knew of their infection, compared with 63% of Hispanic/Latino gay and bisexual men, and 86% of white gay and bisexual men. People who don’t know they have HIV cannot get the medicines they need to stay healthy and may infect others without knowing it. The Centers for Disease Control and Prevention (CDC) recommends that all gay and bisexual men get tested for HIV at least once a year. Sexually active gay and bisexual men may benefit from more frequent testing (e.g., every 3 to 6 months).
Sexual risk behaviors account for most HIV infections in gay and bisexual men. Most gay and bisexual men acquire HIV through anal sex, which is the riskiest type of sex for getting or transmitting HIV. For sexually active gay and bisexual men, the most effective ways to prevent transmitting or becoming infected with HIV are to be on antiretroviral medications (to either treat or prevent infection) and to correctly use a condom every time for anal or vaginal sex. Gay men are at increased risk for sexually transmitted diseases (STDs), like syphilis, gonorrhea, and chlamydia, and CDC recommends that all sexually active gay and bisexual men be tested at least annually for these infections and obtain treatment, if necessary.
Having more sex partners compared to other men means gay and bisexual men have more opportunities to have sex with someone who can transmit HIV or another STD. Similarly, among gay men, those who have more partners are more likely to acquire HIV.
Homophobia, stigma, and discrimination may place gay men at risk for multiple physical and mental health problems and affect whether they seek and are able to obtain high-quality health services.
What CDC Is Doing
CDC awarded $55 million over 5 years to 34 community-based organizations to provide HIV testing to more than 90,000 young gay and bisexual men of color and transgender youth of color with the goals of identifying more than 3,500 previously unrecognized HIV infections and linking those who have HIV to care and prevention services. Additionally, CDC’s MSM Testing Initiative seeks to identify at least 3,000 MSM with HIV who were previously unaware of their infection and link at least 85% to care.
CDC is aligning surveillance and program activities more closely. For example, more people living with HIV should be linked to care, receive continuous care and antiretroviral treatment, and achieve a suppressed HIV viral load—the most important goal for maximizing a person’s health as well as reducing the risk of transmission. By increasing the reporting of CD4 and viral load data across the country, CDC will aid health departments and clinicians in monitoring treatment progress toward viral load suppression. Currently, CDC estimates that only 25% of the 1.1 million individuals with HIV have their viral loads adequately suppressed.
CDC supports biomedical approaches to HIV prevention. Pre-exposure prophylaxis (PrEP), which involves taking antiretroviral medications prior to becoming exposed to HIV, can reduce the risk of HIV infection in individuals at substantial risk of infection. Post-exposure prophylaxis, which involves taking antiretroviral medications soon after possible exposure to HIV, also plays a role in HIV prevention, but should be not be considered a primary means of HIV prevention. Also, while HIV treatments can dramatically improve the health of HIV-positive persons who are treated, they also have prevention benefits: individuals whose HIV viral loads are suppressed have a greatly reduced chance of transmitting the virus to their partners.
Through its Act Against AIDS campaigns, CDC aims to provide MSM with effective and culturally appropriate messages about HIV prevention. The Reasons/Razones testing campaign features Latino gay and bisexual men sharing their reasons for getting an HIV test. Testing Makes Us Stronger encourages black gay and bisexual men to get tested for HIV. Let’s Stop HIV Together focuses on raising awareness of HIV and AIDS and combatting complacency and stigma by increasing support for people living with the disease. Start Talking. Stop HIV. encourages gay and bisexual men to communicate about testing and other HIV prevention issues.
CDC also funds state and local health departments and community-based organizations to support HIV prevention services for MSM.
Read more about CDC activities to reduce HIV risk and improve the health of MSM.
a The term men who have sex with men (MSM) is used in CDC surveillance systems. It indicates a behavior that transmits HIV infection, not how individuals self-identify in terms of their sexuality.
b New HIV infections refer to HIV incidence, or the estimated number of people who are newly infected with HIV each year.
c HIV and AIDS diagnoses are the number of persons diagnosed with HIV infection and the number of persons diagnosed with AIDS, respectively, during a given time period. The terms do not indicate when the persons were infected.
Extremely disturbing, but not surprising at all! What’s really unbelievable is the women who knowingly sleep with gay or bisexual men !
Morning Met & all Metters!
…and they want us to believe and accept them with their Dutty lifestyle. Y aren’t there HIV/AIDS commercials gearing at the lgbt community? No! Of course they won’t have one b/c that’s the agenda. They want us to think that this lifestyle:group are just happy ppl that don’t hate no one and if u don’t accept them then ur Homophobic…haha Fvck outta here. I can’t stomach dem lifestyle and won’t fall for their Liessss. The world has officially gone mad !!!
This is nothing new!
Look how the black man numbers high compared to their percentage of the population.
All they do is go on hook up apps and sleep with each other and reinfect them self with different strains of the virus. Then the “straight” men sleep with the transgenders / other gay men and then go sleep with them woman and give it to them. Most of the time I see women who don’t even know they have it and the men on medication and hiding it from them. Sometime them only find out when them get pregnant.
It is abt time we have a honest conversation about the gay men lifestyle.We get distracted n caught up with all the homophobia that a fundemental key point is being missed.
82% so that is is 8 out of every 10 new cases of Hiv is being spread by gay men.Ppl wid sense doan jus get up n bash gay for no good reason.They are a serious health risks to Mankind as evidenced by the data.Their lifestyle lends itself to wanton wild abandon unsafe sex.
At least with a gyalist there is some semblance of a relationship n emotions involved with the various girls not so with gay guys.
And I quote the report…
Having more sex partners compared to other men means gay and bisexual men have more opportunities to have sex with someone who can transmit HIV or another STD. Similarly, among gay men, those who have more partners are more likely to acquire HIV.
Regulars have ur say,Lalibela,lil Willie et al don’t yall see mankind is facing it’s biggest health crisis sake a dem Gay yute ya?? A lie dem a tell pon di likkle mosquitoes dem cuzfi dem threats pales in comparison to the hurt,pain n Millions of Death gaymongers unleash pon the land
The thing wid gay men too is as dem meet dem want sex. Gay (male) sex is way more casual than heterosexual sex. Is like it’s a way saying hello. If u have a circle of gay men all of them have sex with each other at least once, and them very casual about it. I read an article once that says one in two black gay men in the US will have HIV by 2017. That’s fifty percent of that population. And when them man deh weh dl carry it home to them wives then a more problem that. Mi nuh know wah fi say bout them yaah, this is sickening.
Dem waa have dem nasty sex u mean because a di battam dem a use and u mean to tell mi dem nuh fraid shit come out pan dem?
Another contributing factor to the disproportionate HIV numbers in the black, male community is the idea of being on the “DL.” On a previous post, a blogger made the mistake of alluding that gay men and “Down Low” men are synonymous. False, GAY MEN sleep solely with men. In Atlanta we have a big problem with black men who are on the down-low. They often time have wives or girlfriends and do not consider themselves gay as they never “give” only “receive” or they consider themselves to be heterosexuals who “experiment” from time to time. These issues, these MEN, should be highlighted as a topic to be discussed. “Down-low” men literally live a closeted life and as a result, are putting women (and other men) at risk.
A gay ex co worker once told me that he frequents a gay club, the bathroom is mostly used for sex, and they have a wall a person put his penis through a hole and someone is on the other side to suck it. He said he frequented that establishment once a week and would go in the bathroom and do things, and he had the monster.
They are very perverted human beings only society want dem lifestyle look normal
Met them douche the bottom and take laxative so shit don’t really come. Unless them into scat( think a so it call). I listen to my gay coworkers stories all 14 man him sex on a weekend. Mi ask him how he get hiv and if him tell the plp him a sex. Some of them take truvada so they don’t catch it.