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HIV/AIDS and Men Who Have Sex with Men (MSM)
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Please note: The reference numbers in the text below will take you to the reference section of the CDC fact sheet HIV/AIDS among Men Who Have Sex with Men.

In the United States, HIV infection and AIDS have had a tremendous effect on men who have sex with men (MSM). MSM accounted for 71% of all HIV infections among male adults and adolescents in 2005 (based on data from 33 states with long-term, confidential name-based HIV reporting), even though only about 5% to 7% of male adults and adolescents in the United States identify themselves as MSM [1, 2].

The number of HIV diagnoses for MSM decreased during the 1980s and 1990s, but recent surveillance data show an increase in HIV diagnoses for this group [3, 4]. Additionally, racial disparities exist with regard to HIV diagnoses within the MSM population. A recent study, conducted in 5 large US cities, found that HIV prevalence among black MSM (46%) was more than twice that among white MSM (21%) [5].

The recent overall increase in HIV diagnoses for MSM, coupled with racial disparities, strongly points to a continued need for appropriate prevention and education services tailored for specific subgroups of MSM, especially those who are members of minority races/ethnicities.

STATISTICS

HIV/AIDS in 2005
(The following bullets refer to the 33 states with long-term, confidential name-based HIV reporting. See the box, before the References section, for a list of the 33 states.)

  • In the 33 states with long-term, confidential name-based HIV reporting, an estimated 19,620 MSM (18,296 MSM and 1,324 MSM who inject drugs) received a diagnosis of HIV/AIDS, accounting for 71% of male adults and adolescents and 53% of all people receiving an HIV/AIDS diagnosis that year [1].
  • The number of HIV/AIDS diagnoses among MSM (including MSM who inject drugs) increased 11% from 2001 through 2005 [1]. It is not known whether this increase is due to an increase in the testing of persons with risk factors, which results in more HIV diagnoses, or due to an increase in cases of HIV infection
  • An estimated 231,893 MSM (207,810 MSM and 24,083 MSM who inject drugs) were living with HIV/AIDS [1].

Transmission categories of male adults and adolescents with HIV/AIDS diagnosed during 2005

No. = 27,455

Male-to-male sexual contact: 67%
High-risk heterosexual contact: 15%
Injection drug use: 13%
Male-to-male sexual contact and injection drug use: 5%
Other: <1%

Note. Based on data from 33 states with long-term, confidential name-based HIV reporting. Because of rounding, percentages may not equal 100.

Race/ethnicity of MSM living with HIV/AIDS, 2005

MSM; No. = 207,810

White: 50%
Black: 32%
Hispanic: 16%
Asian/Pacific Islander: 1%
American Indian/Alaska Native: <1%

MSM who inject drugs; No. = 24,083

White: 45%
Black: 39%
Hispanic: 14%
Asian/Pacific Islander: <1%
American Indian/Alaska Native: 1%

Note. Based on 33 states with long-term, confidential name-based HIV reporting.

AIDS in 2005
(See the box, before the References section, for AIDS definition. The following data are from 50 states and the District of Columbia.)

  • An estimated 19,248 MSM (17,230 MSM and 2,018 MSM who inject drugs) received a diagnosis of AIDS, accounting for 65% of male adults and adolescents and 47% of all people who received a diagnosis of AIDS [1].
  • An estimated 7,293 MSM (5,929 MSM and 1,364 MSM who inject drugs) with AIDS died, accounting for 60% of all men and 45% of all people with AIDS who died [1].
  • Since the beginning of the epidemic, an estimated 517,992 MSM (452,111 MSM and 65,881 MSM who inject drugs) had received a diagnosis of AIDS, accounting for 68% of male adults and adolescents who received a diagnosis of AIDS and 54% of all people who received a diagnosis of AIDS [1].
  • Since the beginning of the epidemic, an estimated 300,669 MSM (260,749 MSM and 39,920 MSM who inject drugs) with AIDS had died, accounting for 68% of male adults and adolescents with AIDS who had died and 57% of all people with AIDS who had died [1].
  • At the end of 2005, an estimated 217,323 MSM (191,362 MSM and 25,961 MSM who inject drugs) were living with AIDS, representing 67% of male adults and adolescents living with AIDS and 52% of all people living with AIDS [1].

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Last Modified: June 28, 2007
Last Reviewed: June 28, 2007
Content Source:
Divisions of HIV/AIDS Prevention
National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention
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