A rapid review of disparities in HIV prevention and care outcomes among Hispanic/Latino men who have sex with men in the United States

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Citation

Crepaz, N., Mullins, M. M., Higa, D., Gunn, J. K. L., & Salabarría-Peña, Y. (2021). A rapid review of disparities in HIV prevention and care outcomes among Hispanic/Latino men who have sex with men in the United Statesexternal icon. AIDS Education and Prevention, 33(4), 276-289. doi: 10.1521/aeap.2021.33.4.276

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Background

In the United States, Hispanic/Latino men who have sex with men (MSM) are unequally affected by HIV. This rapid review of national surveillance data examines disparities in HIV prevention and care outcomes among Hispanic/Latino MSM.

Questions addressed in the review

  • Among MSM at high risk for HIV infection,
    • Is there a higher proportion of Hispanic/Latino MSM who have condomless sex without being on PrEP than White MSM?
    • Is there a lower proportion of Hispanic/Latino MSM who are aware of PrEP or using PrEP than White MSM?
  • Among persons with HIV, is there a lower proportion of Hispanic/Latino MSM who are aware of their HIV status, linked to HIV care after HIV diagnosis, prescribed antiretroviral therapy, and virally suppressed than White MSM?

Search date

This review was finalized in August 2020 and covers publication years 2011-2018.

Study characteristics

Thirteen reports from CDC’s National HIV Behavioral Surveillance, National HIV Surveillance System and Medical Monitoring Project, and the Health Resources and Services Administration’s Ryan White HIV/AIDS Program Service Reports provided data from 2011 to 2018.

Key results

Compared to White MSM, a higher proportion of Hispanic/Latino MSM who are at high risk for HIV infection reported:
  • not taking PrEP and having condomless sex
Compared to White MSM, a lower proportion of Hispanic/Latino MSM who are at high risk for HIV infection reported:
  • PrEP awareness and use
Compared to White MSM, a lower proportion of Hispanic/Latino MSM with HIV:
  • Had knowledge of their HIV status, were linked to care after HIV diagnosis, and were virally suppressed

Viral suppression rates in Hispanic/Latino MSM with HIV were better among Ryan White clients than the national rates, suggesting that access to comprehensive care/services reduces disparities.

Quality of the evidence

Risk of bias in individual reports was not assessed because publicly available surveillance reports in this rapid review have provided detailed limitations of each surveillance system.

Study funding source

This study was funded by the Centers for Disease Control and Prevention.

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