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HIV/AIDS Surveillance in Men Who Have Sex with Men (MSM)
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Slide 1: AIDS Cases among Adult and Adolescent Men Who Have Sex with Men,1985–2005—United States The bars in this graph represent the estimated number of AIDS cases diagnosed in the United States and dependent areas during 1985–2005 among men who have sex with men (MSM). The number of AIDS cases among MSM peaked in 1992 and steadily decreased until 2001. During each year of the period 2001–2005, the number of new AIDS diagnoses among MSM increased. The line in this graph represents the proportion of all AIDS cases among adults and adolescents that are attributed to male-to-male sexual contact. In 1985, MSM accounted for 64% of cases, but by 2000, MSM accounted for only 39% of cases. During 2001–2005, the proportion of AIDS cases attributed to male-to-male sexual contact increased slightly. Note: The age category for adults and adolescents comprises persons aged 13 years and older.
Slide 1
AIDS Cases among Adult and Adolescent Men Who Have Sex with Men,1985–2005—United States
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Slide 2: AIDS Cases in Males, through 2005—United States Through 2005, AIDS had been diagnosed for a cumulative total of 943,528 persons in the United States and District of Columbia. Most (81%) of all AIDS cases in adults and adolescents have been in males. Among males with AIDS, 59% reported male-to-male sexual contact. The proportion of AIDS cases among males reporting male-to-male sexual contact was even larger among those aged 13 to 24 years. During 2005, male-to-male sexual contact was the most frequently reported transmission category—applicable to 43% of all AIDS cases diagnosed that year. Note: 1. The age category for adults and adolescents comprises persons aged 13 years and older.
Slide 2
AIDS Cases in Males, through 2005—United States
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Slide 3: AIDS Cases and Deaths among Men Who Have Sex with Men,1985–2005—United States The upper line represents the estimated number of AIDS cases diagnosed in the United States and dependent areas during 1985–2005 among 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. During 2001–2005, diagnoses of AIDS among MSM increased slightly; deaths of MSM with AIDS remained steady. Among MSM, the overall decline in new AIDS cases and deaths is due in part to the success of highly active antiretroviral therapy, which became widely available during the mid-1990s. Note: The age category for adults and adolescents comprises persons aged 13 years and older.
Slide 3
AIDS Cases and Deaths among Men Who Have Sex with Men,1985–2005—United States
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Slide 4: HIV/AIDS Cases among Adults and Adolescents, by Transmission Category, 1994–2005—25 States This graph shows the trends, by transmission category, in the number of new HIV/AIDS cases diagnosed from 1994 through 2005 among adults and adolescents in 25 states. For each of those years, the largest number of cases was in men who have sex with men (MSM). Throughout the late 1990s, the number of cases attributed to male-to-male sexual contact declined steadily. However, from 1999 through 2005, the number of new cases attributed to that transmission category increased. Note: 1) The age category for adults and adolescents comprises persons aged 13 years and older. 2) The 25 states that have had laws or regulations requiring confidential name-based HIV infection reporting since at least 1994: Alabama, Arizona, Arkansas, Colorado, Idaho, Indiana, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Nevada, New Jersey, North Carolina, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Utah, Virginia, West Virginia, Wisconsin, and Wyoming. 3) In this presentation, the term HIV/AIDS is used to refer to 3 categories of diagnoses collectively: (1) a diagnosis of HIV infection (not AIDS), (2) a diagnosis of HIV infection with a later diagnosis of AIDS, and (3) concurrent diagnoses of HIV infection and AIDS.
Slide 4
HIV/AIDS Cases among Adults and Adolescents, by Transmission Category, 1994–2005—25 States
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Slide 5: Cases of HIV/AIDS among Adults and Adolescents, by Transmission Category, 2005—33 States In 2005, nearly half (49%, or 18,296) of all HIV/AIDS cases in 33 states were attributed to male-to-male sexual contact. High-risk heterosexual contact was the second largest transmission category: 32% of cases. Note: 1) The age category for adults and adolescents comprises persons aged 13 years and older. 2) The 33 states that have had laws or regulations requiring confidential name-based HIV infection reporting since at least 2001: Alabama, Alaska, Arizona, Arkansas, Colorado, Florida, Idaho, Indiana, Iowa, Kansas, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming. 3) In this presentation, the term HIV/AIDS is used to refer to 3 categories of diagnoses collectively: (1) a diagnosis of HIV infection (not AIDS), (2) a diagnosis of HIV infection with a later diagnosis of AIDS, and (3) concurrent diagnoses of HIV infection and AIDS.
Slide 5
Cases of HIV/AIDS among Adults and Adolescents, by Transmission Category, 2005—33 States
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Slide 6: AIDS Cases among Adult and Adolescent Men Who Have Sex with Men, by Race/Ethnicity, 1985–2005—United States This graph shows the racial/ethnic trends in AIDS diagnoses in the United States and dependent areas during 1985–2005 among men who have sex with men (MSM). Rates by race and ethnicity, important for understanding the impact of the epidemic on racial/ethnic groups, cannot be calculated for MSM because the total number of MSM in each race/ethnicity is unknown. Of particular note is the dramatic decline from 1994 through 2001 in AIDS diagnoses among non-Hispanic white MSM. Despite this decline, the largest number of AIDS diagnoses each year was for non-Hispanic white MSM. The second largest number of AIDS cases was in non-Hispanic black MSM, followed by Hispanic MSM. Despite the lower numbers of AIDS cases in MSM who were non-Hispanic black, Hispanic, or American Indian/Alaska Native, the rates of AIDS in the general population are higher for these races/ethnicities, so it is likely that the rates would be higher for MSM in these races/ethnicities. Note: The age category for adults and adolescents comprises persons aged 13 years and older.
Slide 6
AIDS Cases among Adult and Adolescent Men Who Have Sex with Men, by Race/Ethnicity, 1985–2005—United States
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Slide 7: HIV/AIDS Cases among Adult and Adolescent Men Who Have Sex with Men, by Race/Ethnicity, 1994–2005—25 States The racial/ethnic distribution of HIV/AIDS cases among men who have sex with men (MSM) has changed over time. In the 25 states with confidential name-based HIV reporting since 1994, the proportion of non-Hispanic white MSM decreased from 53% to 45% of all MSM with HIV/AIDS. The proportion of non-Hispanic black MSM with HIV/AIDS increased slightly—from 40% to 42%. The proportion of Hispanic MSM with HIV/AIDS nearly doubled—from 6% in 1994 to 11% in 2005. Although the number of HIV/AIDS cases in all American Indian/Alaska Native MSM is small, the proportion of cases in American Indian/Alaska Native MSM nearly doubled (from 0.4 to 0.7%), and the proportion of cases in Asian/Pacific Islander MSM nearly quadrupled (0.3 to 1.1%). Note: 1. The age category for adults and adolescents comprises persons aged 13 years and older. 2. The 25 states that have had laws or regulations requiring confidential name-based HIV infection reporting since at least 1994: Alabama, Arizona, Arkansas, Colorado, Idaho, Indiana, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Nevada, New Jersey, North Carolina, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Utah, Virginia, West Virginia, Wisconsin, and Wyoming. 3. In this presentation, the term HIV/AIDS is used to refer to 3 categories of diagnoses collectively: (1) a diagnosis of HIV infection (not AIDS), (2) a diagnosis of HIV infection with a later diagnosis of AIDS, and (3) concurrent diagnoses of HIV infection and AIDS.
Slide 7
HIV/AIDS Cases among Adult and Adolescent Men Who Have Sex with Men, by Race/Ethnicity, 1994–2005—25 States
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Slide 8: Adult or Adolescent Men Who Have Sex with Men Living with HIV/AIDS, by Race/Ethnicity, 2001–2005—33 States This table shows the numbers of adult and adolescent men who have sex with men (MSM) living with HIV/AIDS, by race and ethnicity, for the years 2001 through 2005 in 33 states. Overall, the number of MSM living with HIV/AIDS in each racial/ethnic category increased every year. Among MSM living with HIV/AIDS, the largest racial/ethnic group is non-Hispanic whites, followed by non-Hispanic blacks, Hispanics, Asians/Pacific Islanders, and American Indians/Alaska Natives. Notes: 1. The age category for adults and adolescents comprises persons aged 13 years and older. 2. The 33 states that have had laws or regulations requiring confidential name-based HIV infection reporting since at least 2001: Alabama, Alaska, Arizona, Arkansas, Colorado, Florida, Idaho, Indiana, Iowa, Kansas, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming. 3. In this presentation, the term HIV/AIDS is used to refer to 3 categories of diagnoses collectively: (1) a diagnosis of HIV infection (not AIDS), (2) a diagnosis of HIV infection with a later diagnosis of AIDS, and (3) concurrent diagnoses of HIV infection and AIDS.
Slide 8
Adult or Adolescent Men Who Have Sex with Men Living with HIV/AIDS, by Race/Ethnicity, 2001–2005—33 States
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Slide 9: HIV/AIDS Cases among Adult and Adolescent Men Who Have Sex with Men, by Race/Ethnicity, 2005—33 States In 2005, non-Hispanic white men who have sex with men (MSM) accounted for an estimated 43% of adult and adolescent MSM in 33 states who had a diagnosis of HIV/AIDS. Non-Hispanic black MSM accounted for 36%, and Hispanics accounted for 19%. Asian/Pacific Islander MSM accounted for 1% and American Indian/Alaska Native MSM for less than 1%. Note: 1. The age category for adults and adolescents comprises persons aged 13 years and older. 2. The 33 states that have had laws or regulations requiring confidential name-based HIV infection reporting since at least 2001: Alabama, Alaska, Arizona, Arkansas, Colorado, Florida, Idaho, Indiana, Iowa, Kansas, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming. 3. In this presentation, the term HIV/AIDS is used to refer to 3 categories of diagnoses collectively: (1) a diagnosis of HIV infection (not AIDS), (2) a diagnosis of HIV infection with a later diagnosis of AIDS, and (3) concurrent diagnoses of HIV infection and AIDS.
Slide 9
HIV/AIDS Cases among Adult and Adolescent Men Who Have Sex with Men, by Race/Ethnicity, 2005—33 States
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Slide 10: AIDS Cases among Adult and Adolescent Men Who Have Sex with Men, by Region and Race/Ethnicity, 2005—United States This bar graph shows AIDS cases among adult and adolescent men who have sex with men (MSM) by their race/ethnicity and the region of the United States where they were living at the time of diagnosis. The South had nearly twice as many AIDS cases among MSM as any of the other regions—7,262 cases diagnosed in 2005. Most of the MSM with AIDS in the South were non-Hispanic blacks, followed by non-Hispanic whites and Hispanics. More than half (54%) of all non-Hispanic black MSM given a diagnosis of AIDS in 2005 lived in the South. In the West and the Northeast, the numbers of cases among MSM were similar—3,810 and 3,735, respectively. In the Midwest, 2,520 cases among MSM had reported. In the West, most of the MSM with AIDS were non-Hispanic whites, followed by Hispanics, non-Hispanic blacks, Asians/Pacific Islanders, and American Indians/Alaska Natives. At the time of diagnosis, 55% of Asian/Pacific Islander MSM and 71% of American Indian/Alaska Native MSM were living in the West. In the Northeast and the Midwest, most of the MSM with AIDS were non-Hispanic whites, followed by non-Hispanic blacks, Hispanics, Asians/Pacific Islanders, and American Indians/Alaska Natives. Notes: 1. The age category for adults and adolescents comprises persons aged 13 years and older. 2. 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.
Slide 10
AIDS Cases among Adult and Adolescent Men Who Have Sex with Men, by Region and Race/Ethnicity, 2005—United States
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Slide 11: HIV/AIDS Cases among Adult and Adolescent Men Who Have Sex with Men by Age Group, 2001–2005—33 States In 33 states, the number of HIV/AIDS cases increased among adult and adolescent men who have sex with men (MSM) in all age groups from 2001 through 2005. The largest number of cases was seen among MSM aged 35–44 years, followed by those aged 25–34. The largest proportional increase occurred among MSM aged 13–24; the next largest increase occurred among those aged 45–54. Notes: 1. The age category for adults and adolescents comprises persons aged 13 years and older. 2. The 33 states that have had laws or regulations requiring confidential name-based HIV infection reporting since at least 2001: Alabama, Alaska, Arizona, Arkansas, Colorado, Florida, Idaho, Indiana, Iowa, Kansas, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming. 3. In this presentation, the term HIV/AIDS is used to refer to 3 categories of diagnoses collectively: (1) a diagnosis of HIV infection (not AIDS), (2) a diagnosis of HIV infection with a later diagnosis of AIDS, and (3) concurrent diagnoses of HIV infection and AIDS.
Slide 11
HIV/AIDS Cases among Adult and Adolescent Men Who Have Sex with Men by Age Group, 2001–2005—33 States
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Slide 12: HIV/AIDS Cases among Men Who Have Sex with Men Aged 13–24, by Race/Ethnicity, 2001–2005—33 States This graph displays the racial/ethnic trends during 2001–2005 in HIV/AIDS cases diagnosed in 33 states among young men who have sex with men (MSM). Although the highest number of new diagnosis among all MSM were for non-Hispanic whites, among young MSM the racial/ethnic group most affected by HIV/AIDS was non-Hispanic blacks, followed by non-Hispanic whites, Hispanics, Asians/Pacific Islanders, and American Indians/Alaska Natives. And although cases among young MSM of all races/ethnicities increased, young non-Hispanic blacks experienced the largest increase—from 928 cases in 2001 to 1,618 cases in 2005. Notes: 1. The 33 states that have had laws or regulations requiring confidential name-based HIV infection reporting since at least 2001: Alabama, Alaska, Arizona, Arkansas, Colorado, Florida, Idaho, Indiana, Iowa, Kansas, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming. 2. In this presentation, the term HIV/AIDS is used to refer to 3 categories of diagnoses collectively: (1) a diagnosis of HIV infection (not AIDS), (2) a diagnosis of HIV infection with a later diagnosis of AIDS, and (3) concurrent diagnoses of HIV infection and AIDS.
Slide 12
HIV/AIDS Cases among Men Who Have Sex with Men Aged 13–24, by Race/Ethnicity, 2001–2005—33 States
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Slide 13: HIV/AIDS Diagnoses among Men Who Have Sex with Men Aged 13–24, by Race/Ethnicity, 2005—33 States This pie chart displays the races/ethnicities of young men who have sex with men (MSM) for whom HIV/AIDS was diagnosed during 2005 in 33 states. Of all MSM aged 13–24 with a diagnosis of HIV/AIDS, more than half (57%) were non-Hispanic blacks, followed by non-Hispanic whites (23%) and Hispanics (18%). This breakdown differs from the proportional breakdown in which all ages were considered: non-Hispanic whites accounted for 43% of cases among adult and adolescent MSM, and non-Hispanic blacks accounted for 36%. Notes: 1. The 33 states that have had laws or regulations requiring confidential name-based HIV infection reporting since at least 2001: Alabama, Alaska, Arizona, Arkansas, Colorado, Florida, Idaho, Indiana, Iowa, Kansas, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming. 2. In this presentation, the term HIV/AIDS is used to refer to 3 categories of diagnoses collectively: (1) a diagnosis of HIV infection (not AIDS), (2) a diagnosis of HIV infection with a later diagnosis of AIDS, and (3) concurrent diagnoses of HIV infection and AIDS.
Slide 13
HIV/AIDS Diagnoses among Men Who Have Sex with Men Aged 13–24, by Race/Ethnicity, 2005—33 States
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Slide 14: HIV/AIDS Cases among Adult and Adolescent Men Who Have Sex with Men, by Race/Ethnicity and Population of Area of Residence, 2005—33 States This table shows HIV/AIDS cases among adult and adolescent men who have sex with men (MSM), by race/ethnicity and the population of the area where they resided at the time of their diagnosis. For each racial and ethnic group, the largest number of MSM resided in a large metropolitan area. At the time of diagnosis, 8% of non-Hispanic whites and non-Hispanic blacks were residing in nonmetropolitan areas. In contrast, 30 of 89 American Indians/Alaska Natives were living in a nonmetropolitan area (45 of the 89 were living in a large metropolitan area). Notes: 1. The age category for adults and adolescents comprises persons aged 13 years and older. 2. The 33 states that have had laws or regulations requiring confidential name-based HIV infection reporting since at least 2001: Alabama, Alaska, Arizona, Arkansas, Colorado, Florida, Idaho, Indiana, Iowa, Kansas, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming. 3. In this presentation, the term HIV/AIDS is used to refer to 3 categories of diagnoses collectively: (1) a diagnosis of HIV infection (not AIDS), (2) a diagnosis of HIV infection with a later diagnosis of AIDS, and (3) concurrent diagnoses of HIV infection and AIDS.
Slide 14
HIV/AIDS Cases among Adult and Adolescent Men Who Have Sex with Men, by Race/Ethnicity and Population of Area of Residence, 2005—33 States
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Last Modified: March 11, 2008
Last Reviewed: March 11, 2008
Content Source:
Divisions of HIV/AIDS Prevention
National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention
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