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This Article Figures Only Full Text Full Text (PDF) Supplemental Data All Versions of this Article: AJPH.2006.087551v1 97/6/1060    most recent Submit a response View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in Web of Science Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Web of Science (15) Citing Articles via Google Scholar Google Scholar Articles by Hall, H. I. Articles by Espinoza, L. Search for Related Content PubMed PubMed Citation Articles by Hall, H. I. Articles by Espinoza, L. Related Collections HIV/AIDS African Americans/Blacks Hispanics/Latinos Men's Health Surveillance

H. Irene Hall, PhD, Robert H. Byers, PhD, Qiang Ling, MS and Lorena Espinoza, DDS

The authors are with the Division of HIV/AIDS Prevention, National Center for HIV, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Ga.

Correspondence: Requests for reprints should be sent to H. Irene Hall, PhD, Centers for Disease Control and Prevention, 1600 Clifton Road NE, MS E–47, Atlanta, GA 30333 (e-mail: ixh1{at}cdc.gov).

Objectives. We examined HIV diagnosis rates and disease progression among men who have sex with men (MSM) according to race/ethnicity and age.

Methods. Using data obtained from the national HIV/AIDS surveillance system, we examined trends in HIV diagnosis rates for 2001 through 2004 using Poisson regression. We used a standardized Kaplan–Meier method to determine differences in time of progression from HIV to AIDS and AIDS survival.

Results. HIV diagnosis rates were higher for Black and Hispanic than for White MSM, but trends within age groups from 2001 to 2004 did not differ by race/ethnicity. Diagnosis rates increased among MSM aged 13 to 19 years (14% per year), 20 to 24 years (13%), 25 to 29 years, and 40 to 54 years (3%–6%; P .01 for each). The percentage of MSM who did not have AIDS 3 years after HIV diagnosis was lower among Black (66.8%; 95% confidence interval [CI]=66.1, 67.4) and Hispanic (68.1%; 95% CI=67.5, 68.8) than among White MSM (74.7%; 95% CI=74.2, 75.1). Three-year survival after AIDS diagnosis was lower for Black than for White or Hispanic MSM.

Conclusions. HIV prevention efforts should target young and middle-aged MSM and must offer early diagnosis and treatment for all MSM.

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