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HIV Surveillance in Men Who Have Sex with Men (MSM)
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Slide 1: HIV Surveillance in Men Who Have Sex with Men (MSM)
Slide 1
HIV Surveillance in Men Who Have Sex with Men (MSM)
PDF FilePDF icon or PPT File


Slide 2: Diagnoses of HIV Infection among Adult and Adolescent Males, by Transmission Category, 2006–2009—40 States and 5 U.S. Dependent Areas

This slide presents the distribution of diagnoses of HIV infection among adult and adolescent males diagnosed from 2006 through 2009, by transmission category, for 40 states and 5 U.S. dependent areas with confidential name-based HIV infection reporting since at least January 2006.
 
The estimated number of diagnoses of HIV infection among adult and adolescent males exposed through male-to-male sexual contact increased 14% from 21,156 in 2006 to 24,132 in 2009. During 2006 through 2009, the number of diagnoses of HIV infection among adult and adolescent males exposed through heterosexual contact decreased by 5% (from 4,773 in 2006 to 4,551 in 2009); among males exposed through injection drug use, diagnoses decreased by 26% (from 3,599 in 2006 to 2,652 in 2009); and among males exposed through male-to-male sexual contact and injection drug use, diagnoses decreased by 20% (from 1,448 in 2006 to 1,157 in 2009). 

The remaining diagnoses of HIV infection were those attributed to hemophilia or the receipt of blood or blood products, and those in persons without an identified risk-factor. 

The following 40 states have had laws or regulations requiring confidential name-based HIV infection reporting since at least January 2006: Alabama, Alaska, Arizona, Arkansas, Colorado, Connecticut, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming. The 5 U.S. dependent areas include American Samoa, Guam, the Northern Mariana Islands, Puerto Rico and the U.S. Virgin Islands. 

Data include persons with a diagnosis of HIV infection regardless of stage of disease at diagnosis. All displayed data have been estimated. Estimated numbers resulted from statistical adjustment that accounted for reporting delays and missing risk-factor information, but not for incomplete reporting. 

Heterosexual contact is with a person known to have or to be at high risk for HIV infection.
Slide 2
Diagnoses of HIV Infection among Adult and Adolescent Males, by Transmission Category, 2006–2009—40 States and 5 U.S. Dependent Areas
PDF FilePDF icon or PPT File


Slide 3: Diagnoses of HIV Infection Among Adult and Adolescent Males, by Transmission Category, 2009—40 States and 5 U.S. Dependent Areas

In 2009, an estimated 74% (24,132) of all diagnosed HIV infections among adult and adolescent males were attributed to male-to-male sexual contact. Heterosexual contact was the second largest transmission category among males, at 14% of diagnosed HIV infections. 

The following 40 states have had laws or regulations requiring confidential name-based HIV infection reporting since at least January 2006: Alabama, Alaska, Arizona, Arkansas, Colorado, Connecticut, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming. The 5 U.S. dependent areas include American Samoa, Guam, the Northern Mariana Islands, Puerto Rico and the U.S. Virgin Islands.

Data include persons with a diagnosis of HIV infection regardless of stage of disease at diagnosis. All displayed data have been estimated. Estimated numbers resulted from statistical adjustment that accounted for reporting delays and missing risk-factor information, but not for incomplete reporting. 

Heterosexual contact is with a person known to have or to be at high risk for HIV infection.
Slide 3
Diagnoses of HIV Infection Among Adult and Adolescent Males, by Transmission Category, 2009—40 States and 5 U.S. Dependent Areas
PDF FilePDF icon or PPT File


Slide 4: Diagnoses of HIV Infection among Men Who Have Sex with Men, by Race/Ethnicity, 2006–2009—40 States and 5 U.S. Dependent Areas

The racial/ethnic distribution of diagnoses of HIV infection among adult and adolescent men who have sex with men (MSM) has changed over time in the 40 states and 5 U.S. dependent areas with confidential name-based HIV infection reporting since at least January 2006. From 2006 through 2009, the estimated percentage of diagnoses of HIV infection in white MSM decreased from 40% to 36% of all MSM diagnosed, while the percentage of diagnoses of HIV infection in black/African American MSM increased from 38% to 42%. The percentage of diagnoses of HIV infection in black/African American MSM exceeded the percentage of diagnoses in white MSM for the first time in 2008.  

The percentage of Hispanic/Latino MSM diagnosed with HIV infection remained stable during this time (approximately 19%). 

The percentages of diagnoses of HIV infection in American Indian/Alaska Native, Asian, and Native Hawaiian/other Pacific Islander MSM, as well as MSM reporting multiple races are small, but have remained stable from 2005-2008. 

The following 40 states have had laws or regulations requiring confidential name-based HIV infection reporting since at least January 2006: Alabama, Alaska, Arizona, Arkansas, Colorado, Connecticut, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming. The 5 U.S. dependent areas include American Samoa, Guam, the Northern Mariana Islands, Puerto Rico and the U.S. Virgin Islands. 

Data include persons with a diagnosis of HIV infection regardless of stage of disease at diagnosis. All displayed data have been estimated. Estimated numbers resulted from statistical adjustment that accounted for reporting delays and missing risk-factor information, but not for incomplete reporting. 

Data exclude men who reported sexual contact with other men and injection drug use. 

Hispanics/Latinos can be of any race.
Slide 4
Diagnoses of HIV Infection among Men Who Have Sex with Men, by Race/Ethnicity, 2006–2009—40 States and 5 U.S. Dependent Areas
PDF FilePDF icon or PPT File


Slide 5: Diagnoses of HIV Infection among Men Who Have Sex with Men, by Race/Ethnicity, 2009—40 States and 5 U.S. Dependent Areas 
                                        
In 2009, an estimated 24,132 diagnoses of HIV infection were among adult and adolescent men who have sex with men (MSM) in the 40 states and 5 U.S. dependent areas with confidential name-based HIV infection reporting since at least January 2006.  

Approximately 42% of diagnoses of HIV infection among MSM were in blacks/African Americans and 36% were in whites.  Most of the remaining cases were in Hispanics/Latinos (19%). Asians and persons reporting multiple races each accounted for approximately 1% of diagnoses of HIV infection. American Indians/Alaska Natives and Native Hawaiians/other Pacific Islanders accounted for less than 1% of diagnoses each. 

The following 40 states have had laws or regulations requiring confidential name-based HIV infection reporting since at least January 2006: Alabama, Alaska, Arizona, Arkansas, Colorado, Connecticut, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming. The 5 U.S. dependent areas include American Samoa, Guam, the Northern Mariana Islands, Puerto Rico and the U.S. Virgin Islands. 

Data include persons with a diagnosis of HIV infection regardless of stage of disease at diagnosis. All displayed data have been estimated.  Estimated numbers resulted from statistical adjustment that accounted for reporting delays and missing risk-factor information, but not for incomplete reporting. 

Data exclude men who reported sexual contact with other men and injection drug use. 

Hispanics/Latinos can be of any race.
Slide 5
Diagnoses of HIV Infection among Men Who Have Sex with Men, by Race/Ethnicity, 2009—40 States and 5 U.S. Dependent Areas
PDF FilePDF icon or PPT File


Slide 6: Diagnoses of HIV Infection among Men Who Have Sex with Men, by Race/Ethnicity, 2009—40 States and 5 U.S. Dependent Areas. N=24,132 
                                        
This pie chart shows the distribution of HIV infections diagnosed in 2009 among adult and adolescent men who have sex with men (MSM), by race/ethnicity, in the 40 states and 5 U.S. dependent areas with confidential name-based HIV infection reporting since at least January 2006. Black/African American MSM accounted for approximately 42% of adult and adolescent MSM who were diagnosed with HIV infection.  White MSM accounted for an estimated 36% and Hispanic/Latino MSM accounted for 19%. Asians and persons reporting multiple races each accounted for approximately 1% of diagnoses of HIV infection. American Indians/Alaska Natives and Native Hawaiians/other Pacific Islanders accounted for less than 1% of diagnoses each. 

The following 40 states have had laws or regulations requiring confidential name-based HIV infection reporting since at least January 2006: Alabama, Alaska, Arizona, Arkansas, Colorado, Connecticut, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming. The 5 U.S. dependent areas include American Samoa, Guam, the Northern Mariana Islands, Puerto Rico and the U.S. Virgin Islands. 

Data include persons with a diagnosis of HIV infection regardless of stage of disease at diagnosis. All displayed data have been estimated.  Estimated numbers resulted from statistical adjustment that accounted for reporting delays and missing risk-factor information, but not for incomplete reporting. 

Data exclude men who reported sexual contact with other men and injection drug use.

Hispanics/Latinos can be of any race.
Slide 6
Diagnoses of HIV Infection among Men Who Have Sex with Men, by Race/Ethnicity, 2009—40 States and 5 U.S. Dependent Areas.
PDF FilePDF icon or PPT File


Slide 7: Diagnoses of HIV Infection among Men Who Have Sex with Men, by Age Group, 2006–2009—40 States and 5 U.S. Dependent Areas
                                        
From 2006 through 2009, in the 40 states and 5 U.S. dependent areas with confidential name-based HIV infection reporting since at least January 2006, the largest estimated numbers of diagnoses of HIV infection were seen among MSM aged 25-34 years and 35–44 years. The number of diagnoses among MSM aged 25-34 years increased 17% from 2006 through 2009, and surpassed the decreasing number of diagnoses among MSM aged 35-44 for the first time in 2008. MSM aged 13–24 had the greatest percentage increase (53%) in diagnoses of HIV infection from 2006 through 2009 and exceeded the number of diagnoses among those aged 35-44 by 2009. 

The following 40 states have had laws or regulations requiring confidential name-based HIV infection reporting since at least January 2006: Alabama, Alaska, Arizona, Arkansas, Colorado, Connecticut, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming. The 5 U.S. dependent areas include American Samoa, Guam, the Northern Mariana Islands, Puerto Rico and the U.S. Virgin Islands.

Data include persons with a diagnosis of HIV infection regardless of stage of disease at diagnosis. All displayed data have been estimated.  Estimated numbers resulted from statistical adjustment that accounted for reporting delays and missing risk-factor information, but not for incomplete reporting. 

Data exclude men who reported sexual contact with other men and injection drug use.
Slide 7
Diagnoses of HIV Infection among Men Who Have Sex with Men, by Age Group, 2006–2009—40 States and 5 U.S. Dependent Areas
PDF FilePDF icon or PPT File


Slide 8: Diagnoses of HIV Infection among Adult and Adolescent Males, 2006–2009—40 States and 5 U.S. Dependent Areas 

From 2006-2009, an estimated total of 171,020 adults and adolescents were diagnosed with HIV infection in the 40 states and 5 U.S. dependent areas with confidential name-based HIV infection reporting since at least January 2006.  Most (75%) diagnoses of HIV infection in adults and adolescents were in males. Among males diagnosed with HIV infection from 2006-2009, 71% were attributed to male-to-male sexual contact. The percentage of diagnosed HIV infections attributed to male-to-male sexual contact was even larger (87%) among males aged 13 to 24 years.
 
During 2009, male-to-male sexual contact was the most frequently reported transmission category—accounting for 56% of all diagnoses of HIV infection that year.
 
The following 40 states have had laws or regulations requiring confidential name-based HIV infection reporting since at least January 2006: Alabama, Alaska, Arizona, Arkansas, Colorado, Connecticut, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming. The 5 U.S. dependent areas include American Samoa, Guam, the Northern Mariana Islands, Puerto Rico and the U.S. Virgin Islands.
 
Data include persons with a diagnosis of HIV infection regardless of stage of disease at diagnosis. All displayed data have been estimated.  Estimated numbers resulted from statistical adjustment that accounted for reporting delays and missing risk-factor information, but not for incomplete reporting.
 
Data on male-to-male sexual contact exclude men who reported sexual contact with other men and injection drug use.
Slide 8
Diagnoses of HIV Infection among Adult and Adolescent Males, 2006–2009—40 States and 5 U.S. Dependent Areas
PDF FilePDF icon or PPT File


Slide 9: Diagnoses of HIV Infection among Men Who Have Sex with Men Aged 13–24 Years, by Race/Ethnicity, 2006–2009—40 States and 5 U.S. Dependent Areas 
                                        
This graph displays the racial/ethnic trends during 2006–2009 in the estimated number of diagnoses of HIV infection among young (aged 13-24 years at diagnosis) men who have sex with men (MSM) in 40 states and 5 U.S. dependent areas with confidential name-based HIV infection reporting since at least January 2006.  

Although the racial/ethnic trends of diagnoses of HIV infection among MSM of all ages changed from 2006-2009, the racial/ethnic group most affected each year during this time period among young MSM (aged 13-24) were blacks/African Americans, followed by whites, Hispanics/Latinos, persons of multiple races, Asians, American Indians/Alaska Natives, and Native Hawaiians/other Pacific Islanders. Young black/African American MSM also experienced the largest increase in numbers of diagnoses of HIV infection of all racial/ethnic groups—from 2,416 diagnoses in 2006 to 3,777 diagnoses in 2009. 

The following 40 states have had laws or regulations requiring confidential name-based HIV infection reporting since at least January 2006: Alabama, Alaska, Arizona, Arkansas, Colorado, Connecticut, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming. The 5 U.S. dependent areas include American Samoa, Guam, the Northern Mariana Islands, Puerto Rico and the U.S. Virgin Islands. 

Data include persons with a diagnosis of HIV infection regardless of stage of disease at diagnosis. All displayed data have been estimated.  Estimated numbers resulted from statistical adjustment that accounted for reporting delays and missing risk-factor information, but not for incomplete reporting. 

Data exclude men who reported sexual contact with other men and injection drug use. 

Hispanics/Latinos can be of any race.
Slide 9
Diagnoses of HIV Infection among Men Who Have Sex with Men Aged 13–24 Years, by Race/Ethnicity, 2006–2009—40 States and 5 U.S. Dependent Areas
PDF FilePDF icon or PPT File


Slide 10: Diagnoses of HIV Infection among Men Who Have Sex with Men Aged 13–24 Years, by Race/Ethnicity, 2009—40 States and 5 U.S. Dependent Areas. N=5,987 
                                        
This pie chart displays the estimated percentages by race/ethnicity of young (aged 13-24 years at diagnosis) men who have sex with men (MSM) who were diagnosed with HIV infection during 2009 in the 40 states and 5 U.S. dependent areas with confidential name-based HIV infection reporting since at least January 2006. Of all MSM aged 13–24 years diagnosed with HIV infection in 2009, nearly two-thirds (63%) were black/African American, followed by whites (18%) and Hispanics/Latinos (16%). This breakdown differs from the percentage breakdown in which all ages were considered: blacks/African Americans accounted for 42% of cases among all adult and adolescent MSM, whites accounted for 36%, and Hispanics/Latinos accounted for 19%. 

The following 40 states have had laws or regulations requiring confidential name-based HIV infection reporting since at least January 2006: Alabama, Alaska, Arizona, Arkansas, Colorado, Connecticut, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming. The 5 U.S. dependent areas include American Samoa, Guam, the Northern Mariana Islands, Puerto Rico and the U.S. Virgin Islands. 

Data include persons with a diagnosis of HIV infection regardless of stage of disease at diagnosis. All displayed data have been estimated.  Estimated numbers resulted from statistical adjustment that accounted for reporting delays and missing risk-factor information, but not for incomplete reporting. 

Data exclude men who reported sexual contact with other men and injection drug use.

Hispanics/Latinos can be of any race.
Slide 10
Diagnoses of HIV Infection among Men Who Have Sex with Men Aged 13–24 Years, by Race/Ethnicity, 2009—40 States and 5 U.S. Dependent Areas.
PDF FilePDF icon or PPT File


Slide 11: Deaths of Men Who Have Sex with Men with a Diagnosis of HIV Infection, by Race/Ethnicity, 2008—40 States and 5 U.S. Dependent Areas
                                        
During 2008, there were an estimated 6,071 deaths of adult and adolescent men who have sex with men (MSM) with a diagnosis of HIV infection in the 40 states and 5 U.S. dependent areas with confidential name-based HIV infection reporting since at least January 2006.  Whites had the highest proportion of deaths among MSM (44%) followed by black/African American MSM (37%) and Hispanics/Latinos (15%). MSM reporting multiple races accounted for approximately 3% of deaths among MSM. American Indians/Alaska Natives, Asians and Native Hawaiians/other Pacific Islanders accounted for less than 1% of deaths each. 

The following 40 states have had laws or regulations requiring confidential name-based HIV infection reporting since at least January 2006: Alabama, Alaska, Arizona, Arkansas, Colorado, Connecticut, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming. The 5 U.S. dependent areas include American Samoa, Guam, the Northern Mariana Islands, Puerto Rico and the U.S. Virgin Islands. 

Data include persons with a diagnosis of HIV infection regardless of stage of disease at diagnosis. All displayed data have been estimated.  Estimated numbers resulted from statistical adjustment that accounted for reporting delays and missing risk-factor information, but not for incomplete reporting. 

Data exclude men who reported sexual contact with other men and injection drug use. 

The Asian category includes Asian/Pacific Islander legacy cases (cases that were diagnosed and reported under the old race/ethnicity classification system).   

Hispanics/Latinos can be of any race.
Slide 11
Deaths of Men Who Have Sex with Men with a Diagnosis of HIV Infection, by Race/Ethnicity, 2008—40 States and 5 U.S. Dependent Areas
PDF FilePDF icon or PPT File


Slide 12: Men Who Have Sex with Men Living with a Diagnosis of HIV Infection, by Race/Ethnicity, Year–end 2008—40 States and 5 U.S. Dependent Areas

At the end of 2008, an estimated 310,498 adult and adolescent men who have sex with men (MSM) were living with a diagnosis of HIV infection in the 40 states and 5 U.S. dependent areas with confidential name-based HIV infection reporting since at least January 2006. 

Approximately 47% of MSM living with a diagnosis of HIV infection were white, 33% were black/African American and 17% were Hispanic/Latino.  Asians and persons reporting multiple races each accounted for approximately 1% of MSM living with a diagnosis of HIV infection. American Indians/Alaska Natives and Native Hawaiians/other Pacific Islanders accounted for less than 1% each of MSM living with a diagnosis of HIV infection. 

The following 40 states have had laws or regulations requiring confidential name-based HIV infection reporting since at least January 2006: Alabama, Alaska, Arizona, Arkansas, Colorado, Connecticut, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming. The 5 U.S. dependent areas include American Samoa, Guam, the Northern Mariana Islands, Puerto Rico and the U.S. Virgin Islands. 

Data include persons with a diagnosis of HIV infection regardless of stage of disease at diagnosis. All displayed data have been estimated.  Estimated numbers resulted from statistical adjustment that accounted for reporting delays and missing risk-factor information, but not for incomplete reporting. 

Data exclude men who reported sexual contact with other men and injection drug use. 

The Asian category includes Asian/Pacific Islander legacy cases (cases that were diagnosed and reported under the old race/ethnicity classification system). 

Hispanics/Latinos can be of any race.
Slide 12
Men Who Have Sex with Men Living with a Diagnosis of HIV Infection, by Race/Ethnicity, Year–end 2008—40 States and 5 U.S. Dependent Areas
PDF FilePDF icon or PPT File


Slide 13: AIDS Diagnoses among Men Who Have Sex with Men, 1985–2009—United States and Dependent Areas 

The bars in this graph represent the estimated number of AIDS diagnoses by year in the United States and dependent areas during 1985–2009 among adult and adolescent men who have sex with men (MSM). The number of AIDS diagnoses among MSM peaked in 1992 and steadily decreased until 1999.  AIDS diagnoses among MSM have remained relatively stable since that time.  

The line in this graph represents the percentage of all diagnosed AIDS cases among adults and adolescents that were attributed to male-to-male sexual contact. In 1985, MSM accounted for 65% of cases, but by 1998, MSM accounted for 40% of cases. In 2009, MSM accounted for 49% of all AIDS diagnoses among adults and adolescents. 

All displayed data have been estimated.  Estimated numbers resulted from statistical adjustment that accounted for reporting delays and missing risk-factor information, but not for incomplete reporting. 

Data exclude men who reported sexual contact with other men and injection drug use.
Slide 13
AIDS Diagnoses among Men Who Have Sex with Men, 1985–2009—United States and Dependent Areas
PDF FilePDF icon or PPT File


Slide 14: AIDS Diagnoses and Deaths of Men Who Have Sex with Men, 1985–2008—United States and Dependent Areas
                                        
The upper line represents the estimated number of AIDS diagnoses in the United States and dependent areas during 1985–2008 among adult and adolescent men who have sex with men (MSM). The lower line represents the estimated number of deaths among the same group during the same period. 

The peak in new AIDS diagnoses among MSM during 1992–1993 was associated with the expansion of the AIDS surveillance case definition, which was implemented in January 1993. 

Among MSM, the overall decline in new AIDS diagnoses and deaths is due in part to the success of highly active antiretroviral therapy, which became widely available during the mid-1990s.  

All displayed data have been estimated.  Estimated numbers resulted from statistical adjustment that accounted for reporting delays and missing risk-factor information, but not for incomplete reporting. 

Data exclude men who reported sexual contact with other men and injection drug use.
Slide 14
AIDS Diagnoses and Deaths of Men Who Have Sex with Men, 1985–2008—United States and Dependent Areas
PDF FilePDF icon or PPT File


Slide 15: AIDS Diagnoses among Men Who Have Sex with Men, by Race/Ethnicity, 1985–2009—United States and Dependent Areas
                                        
This graph shows the racial/ethnic trends in estimated AIDS diagnoses in the United States and dependent areas diagnosed during 1985–2009 among adult and adolescent men who have sex with men (MSM). Rates by race and ethnicity, important for understanding the impact of the epidemic on racial/ethnic groups, are not presented due to the difficulty in obtaining the total number of MSM in each race/ethnicity category. 

Noteworthy is the decline from 1992 through 2001 in AIDS diagnoses among white MSM. Despite this decline, the largest number of AIDS diagnoses each year was among white MSM. The second largest number of AIDS diagnoses among MSM was in blacks/African Americans, followed by Hispanics/Latinos. 

Although there were lower numbers of AIDS diagnoses in blacks/African Americans, Hispanics/Latinos, persons reporting multiple races, American Indians/Alaska Natives and Native Hawaiians/other Pacific Islanders than among whites, the rates of AIDS diagnoses in the general population of males were higher for these races/ethnicities, so it is likely that the rates would be higher for MSM of these races/ethnicities. 

All displayed data have been estimated.  Estimated numbers resulted from statistical adjustment that accounted for reporting delays and missing risk-factor information, but not for incomplete reporting. 

Data exclude men who reported sexual contact with other men and injection drug use.

The Asian category includes Asian/Pacific Islander legacy cases (cases that were diagnosed and reported under the old race/ethnicity classification system).  

Hispanics/Latinos can be of any race.
Slide 15
AIDS Diagnoses among Men Who Have Sex with Men, by Race/Ethnicity, 1985–2009—United States and Dependent Areas
PDF FilePDF icon or PPT File


Slide 16: AIDS Diagnoses among Men Who Have Sex with Men, by Race/Ethnicity, 2009 United States and Dependent Areas 
                                        
In 2009, an estimated 17,171 AIDS diagnoses were among adult and adolescent men who have sex with men (MSM) in United States and dependent areas. Of these, approximately 38% of AIDS diagnoses were in white MSM, 36% were in black/African American MSM, and 22% were in Hispanic/Latino MSM. Asians and persons reporting multiple races each accounted for 2% of AIDS diagnoses among MSM in 2009. American Indians/Alaska Natives accounted for nearly 1% of AIDS diagnoses and Native Hawaiians/other Pacific Islanders accounted for less than 1% of AIDS diagnoses among MSM. 

All displayed data have been estimated.  Estimated numbers resulted from statistical adjustment that accounted for reporting delays and missing risk-factor information, but not for incomplete reporting. 

Data exclude men who reported sexual contact with other men and injection drug use. 

The Asian category includes Asian/Pacific Islander legacy cases (cases that were diagnosed and reported under the old race/ethnicity classification system). 

Hispanics/Latinos can be of any race.
Slide 16
AIDS Diagnoses among Men Who Have Sex with Men, by Race/Ethnicity, 2009 United States and Dependent Areas
PDF FilePDF icon or PPT File


Slide 17: AIDS Diagnoses among Men Who Have Sex with Men, by Region of Residence and Race/Ethnicity, 2009—United States and Dependent Areas
                                        
This bar graph shows the estimated number of AIDS diagnoses among adult and adolescent men who have sex with men (MSM) by race/ethnicity and the region of the United States where they were living at the time of diagnosis. AIDS diagnoses among adult and adolescent MSM in the U.S. dependent areas are also shown by race/ethnicity. 

The South had nearly twice as many AIDS diagnoses among MSM — 7,386 diagnoses in 2009 — as any other region. The largest group of MSM diagnosed with AIDS in the South was blacks/African Americans, followed by whites, Hispanics/Latinos, persons reporting multiple races, Asians, American Indians/Alaska Natives, and Native Hawaiians/other Pacific Islanders. 

In the West, the estimated number of AIDS diagnoses among MSM was 3,857. The largest group of MSM diagnosed with AIDS was whites, followed by Hispanics/Latinos, blacks/African Americans, Asians, American Indians/Alaska Natives, persons reporting multiple races, and Native Hawaiians/other Pacific Islanders.  

In the Northeast the estimated number of AIDS diagnoses among MSM was 3,229. The largest group of MSM diagnosed with AIDS was blacks/African Americans, followed by whites, Hispanics/Latinos, persons reporting multiple races, Asians, Native Hawaiians/other Pacific Islanders, and American Indians/Alaska Natives. 

In the Midwest, the estimated number of AIDS diagnoses among MSM was 2,533. The largest group of MSM diagnosed with AIDS was whites, followed by blacks/African Americans, Hispanics/Latinos, persons reporting multiple races, Asians, American Indians/Alaska Natives, and Native Hawaiians/other Pacific Islanders. 

In the dependent areas, 94% of AIDS diagnoses among MSM in 2009 were in Hispanics/Latinos. 

Regions of residence are defined as follows: Northeast—Connecticut, Maine, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, and Vermont; Midwest—Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, North Dakota, Ohio, South Dakota, and Wisconsin; South—Alabama, Arkansas, Delaware, District of Columbia, Florida, Georgia, Kentucky, Louisiana, Maryland, Mississippi, North Carolina, Oklahoma, South Carolina, Tennessee, Texas, Virginia, and West Virginia; West—Alaska, Arizona, California, Colorado, Hawaii, Idaho, Montana, Nevada, New Mexico, Oregon, Utah, Washington, and Wyoming. The 5 U.S. dependent areas include American Samoa, Guam, the Northern Mariana Islands, Puerto Rico and the U.S. Virgin Islands.
 
All displayed data have been estimated.  Estimated numbers resulted from statistical adjustment that accounted for reporting delays and missing risk-factor information, but not for incomplete reporting. Data exclude men who reported sexual contact with other men and injection drug use. 

The Asian category includes Asian/Pacific Islander legacy cases (cases that were diagnosed and reported under the old race/ethnicity classification system). 

Hispanics/Latinos can be of any race.
Slide 17
AIDS Diagnoses among Men Who Have Sex with Men, by Region of Residence and Race/Ethnicity, 2009—United States and Dependent Areas
PDF FilePDF icon or PPT File


Slide 18: Men Who Have Sex with Men Living with an AIDS Diagnosis, by Race/Ethnicity, Year–end 2008—United States and Dependent Areas 
                                        
At the end of 2008, an estimated 228,727 adult and adolescent men who have sex with men (MSM) were living with an AIDS diagnosis in the United States and dependent areas. Approximately 48% of MSM living with an AIDS diagnosis were white, 29% were black/African American and 20% were Hispanic/Latino.  Asians and persons reporting multiple races each accounted for approximately 1% of MSM living with an AIDS diagnosis. American Indians/Alaska Natives and Native Hawaiians/other Pacific Islanders accounted for less than 1% each of MSM living with an AIDS diagnosis.

All displayed data have been estimated.  Estimated numbers resulted from statistical adjustment that accounted for reporting delays and missing risk-factor information, but not for incomplete reporting.

Data exclude men who reported sexual contact with other men and injection drug use.

The Asian category includes Asian/Pacific Islander legacy cases (cases that were diagnosed and reported under the old race/ethnicity classification system). 

Hispanics/Latinos can be of any race.
Slide 18
Men Who Have Sex with Men Living with an AIDS Diagnosis, by Race/Ethnicity, Year–end 2008—United States and Dependent Areas
PDF FilePDF icon or PPT File

Last Modified: June 6, 2011
Last Reviewed: June 6, 2011
Content Source:
Divisions of HIV/AIDS Prevention
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