HIV and African American Gay and Bisexual Men: HIV Risk Behaviors
The risk of getting or transmitting HIV varies widely depending on the type of exposure or behavior. Most commonly, people get or transmit HIV through anal or vaginal sex, or sharing needles, syringes, or other drug injection equipment—for example, cookers.

* Black refers to people having origins in any of the Black racial groups of Africa. African American is a term often used for people of African descent with ancestry in North America.
† Among gay and bisexual men aged 18 and older.
‡ Only 19% of Black/African American gay and bisexual men without HIV reported using PrEP.
Source: CDC. HIV infection risk, prevention, and testing behaviors among men who have sex with men—National HIV Behavioral Surveillance, 23 U.S. cities, 2017. HIV Surveillance Supplemental Report 2019;22.


* Black refers to people having origins in any of the Black racial groups of Africa. African American is a term often used for people of African descent with ancestry in North America.
† Among people aged 18 and older.
‡ Had sex while not virally suppressed with a partner whose HIV status was negative or unknown, a condom was not used, and the partner was not taking PrEP.
Source: CDC. Medical Monitoring Project.
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- CDC. Estimated HIV incidence and prevalence in the United States, 2015–2019 pdf icon[PDF – 3 MB]. HIV Surveillance Supplemental Report 2021;26(1).
- CDC. Monitoring selected national HIV prevention and care objectives by using HIV surveillance data—United States and 6 dependent areas, 2019. HIV Surveillance Supplemental Report 2021;26(2).
- CDC. HIV infection risk, prevention, and testing behaviors among men who have sex with men—National HIV Behavioral Surveillance, 23 U.S. cities, 2017 pdf icon[PDF – 1 MB]. HIV Surveillance Special Report 2019;22.
- CDC. HIV care outcomes among men who have sex with men with diagnosed HIV infection—United States, 2015. MMWR 2017;66(37):969-74.
- Marano M, Stein R, Song W, Patel D, Taylor-Aidoo N, Xu S, Scales L. HIV testing, linkage to HIV medical care, and interviews for partners services among black men who have sex with men—non-health care facilities, 20 southern U.S. jurisdictions, 2016. MMWR 2018;67(28):778-81.