Title |
Determinants of HIV Incidence Disparities Among Young and Older Men Who Have Sex with Men in the United States
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Published in |
AIDS and Behavior, April 2018
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DOI | 10.1007/s10461-018-2088-3 |
Pubmed ID | |
Authors |
William L. Jeffries, Kevin M. Greene, Gabriela Paz-Bailey, Donna Hubbard McCree, Lamont Scales, Richard Dunville, Suzanne Whitmore |
Abstract |
This study sought to determine why young men who have sex with men (MSM) have higher HIV incidence rates than older MSM in the United States. We developed hypotheses that may explain this disparity. Data came from peer-reviewed studies published during 1996-2016. We compared young and older MSM with respect to behavioral, clinical, psychosocial, and structural factors that promote HIV vulnerability. Compared with older MSM, young MSM were more likely to have HIV-discordant condomless receptive intercourse. Young MSM also were more likely to have "any" sexually transmitted infection and gonorrhea. Among HIV-positive MSM, young MSM were less likely to be virally suppressed, use antiretroviral therapy, and be aware of their infection. Moreover, young MSM were more likely than older MSM to experience depression, polysubstance use, low income, decreased health care access, and early ages of sexual expression. These factors likely converge to exacerbate age-associated HIV incidence disparities among MSM. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 3 | 50% |
United Kingdom | 1 | 17% |
Unknown | 2 | 33% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 6 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 65 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 8 | 12% |
Other | 7 | 11% |
Student > Postgraduate | 6 | 9% |
Researcher | 6 | 9% |
Student > Ph. D. Student | 5 | 8% |
Other | 11 | 17% |
Unknown | 22 | 34% |
Readers by discipline | Count | As % |
---|---|---|
Nursing and Health Professions | 9 | 14% |
Psychology | 9 | 14% |
Medicine and Dentistry | 7 | 11% |
Social Sciences | 6 | 9% |
Biochemistry, Genetics and Molecular Biology | 5 | 8% |
Other | 8 | 12% |
Unknown | 21 | 32% |