Understanding racial HIV/STI disparities in black and white men who have sex with men: a multilevel approach.

ABSTRACT:

Background

The reasons for black/white disparities in HIV epidemics among men who have sex with men have puzzled researchers for decades. Understanding reasons for these disparities requires looking beyond individual-level behavioral risk to a more comprehensive framework.

Methods and findings

From July 2010-December 2012, 803 men (454 black, 349 white) were recruited through venue-based and online sampling; consenting men were provided HIV and STI testing, completed a behavioral survey and a sex partner inventory, and provided place of residence for geocoding. HIV prevalence was higher among black (43%) versus white (13% MSM (prevalence ratio (PR) 3.3, 95% confidence interval (CI): 2.5-4.4). Among HIV-positive men, the median CD4 count was significantly lower for black (490

SUBMITTER: Sullivan PS 

PROVIDER: S-EPMC3946498 | biostudies-literature | 2014

REPOSITORIES: biostudies-literature