Linda Beer|Alexandra M. Oster|Christine L. Mattson|Jacek Skarbinski
Disparities in HIV transmission risk among HIV-infected black and white men who have sex with men, United States, 2009
AIDS United|Centers for Disease Control and Prevention|AIDS United|Centers for Disease Control and Prevention|AIDS United|Centers for Disease Control and Prevention|AIDS United|Centers for Disease Control and Prevention
objective better understand hiv incidence substantially higher among black white men sex men msm present first nationally representative estimates factors contribute transmission sexual behavior antiretroviral therapy art use viral suppression among hivinfected black white msm united states design medical monitoring project mmp complex sample survey hivinfected adults receiving medical care united states methods used weighted interview medical record data collected june 2009 may 2010 estimate prevalence sexual behaviors art use viral suppression among sexually active hivinfected black white msm used 2 tests assess significant differences races logistic regression models identify factors mediated racial differences results sexual risk behaviors among black white msm similar black msm significantly less likely white msm take art 80 vs 91 durably virally suppressed 48 vs 69 accounting mediators eg age insurance poverty education time since diagnosis disease stage reduced eliminate disparities art use rendered differences viral suppression among art insignificant conclusion lower levels art use viral suppression among hivinfected black msm may increase likelihood hiv transmission addressing patientlevel factors structural inequalities contribute lower levels art use viral suppression among group improve clinical outcomes might reduce racial disparities hiv incidence