HIV Infection Risk, Prevention, and Testing Behaviors Among Men Who Have Sex With Men—National HIV Behavioral Surveillance, 13 U.S. Cities, 2021: Figures

Chart showing social determinants of health among men who have sex with men: less than high school education (6%), poverty (29%), homelessness (14%), incarceration (6%), health insurance (14%), unemployment (18%), and disability (30%).

* Poverty level is based on household income and household size.
† Homelessness is defined as living on the street, in a shelter, in a single-room-occupancy hotel, or in a car in the 12 months before interview.
‡ Incarceration is defined as having been held in a detention center, jail, or prison for more than 24 hours in the 12 months before interview.

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Grid chart showing the prevalence of HIV testing (76%) and awareness (89%) and use (42%) of pre-exposure prophylaxis among men who have sex with men.

HIV testing and PrEP use are in the 12 months before interview. PrEP awareness is ever.
Among participants who did not report a previous HIV-positive test result and participants who received their first HIV-positive test result less than 12 months before interview.

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Chart showing that three-fourths of men who have sex with men were tested for HIV in a clinical setting.

Clinical settings include private doctor’s office (including health maintenance organization), emergency department, hospital (inpatient), public health clinic or community health center, family planning or obstetrics clinic, correctional facility, or drug treatment program.

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Grid charts show sexual behaviors among men who have sex with men: prevalence of condomless anal sex (77%), condomless anal sex with a casual male partner (53%), and unprotected sex with HIV-discordant partner at last sex (8%).

* Condomless anal sex with male sex partners and condomless anal sex with casual male partner are in the 12 months before interview.
† Unprotected sex refers to sex without the participant’s use of either condoms or HIV medications (i.e., HIV PrEP or antiretrovirals). HIV-discordant partner refers to a sex partner of different or unknown HIV status.

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Bar chart showing use of cocaine (18%), ecstasy (16%), methamphetamine (14%), downers (7%), and binge drinking (17%) among men who have sex with men.

* Downers such as Klonopin, Valium, Ativan, or Xanax.

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Pie chart showing that 13% of men who have sex with men exchanged sex for money or drugs.

Exchanged sex refers to giving or receiving money or drugs from a male casual partner in exchange for sex.

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