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Gay and Bisexual Men and HIV

Education Packet

Gay and Bisexual Men and HIV – This packet is a compilation of recent fact sheets and other resources. You may wish to customize it to meet the needs or interests of particular groups, such as event participants, providers, patients, clients, or the general public. So please feel free to distribute all or part of this packet as either a printout or PDF.

 

Fact Sheets, Issue Briefs, and Infographics

HIV and Gay and Bisexual Men (CDC) – This fact sheet summarizes data on new HIV diagnoses among gay and bisexual men, as well as trends in HIV diagnoses over time, with breakdowns by race/ethnicity and age. Information is also provided on HIV prevalence among gay and bisexual men, the continuum of HIV care, factors that place gay and bisexual men at higher risk for HIV infection, and steps CDC is taking to address HIV risk among gay and bisexual men.

HIV and Gay and Bisexual Men (HIVinfo) – This fact sheet examines how HIV affects gay and bisexual men, factors that put gay and bisexual men at risk for HIV infection, HIV testing recommendations, and steps gay and bisexual men can take to protect themselves and their partners from HIV infection. Also available in Spanish.

HIV and African American Gay and Bisexual Men (CDC) – This fact sheet focuses specifically on the impact of the HIV epidemic on African American gay and bisexual men – the group most affected by HIV in the United States. Data are provided on the number and trends of new HIV diagnoses, HIV prevalence, the HIV continuum of care, and deaths among these men. This fact sheet also discusses prevention challenges among African American gay and bisexual men, including: delays in linkage to medical care, relatively low percentages of viral suppression, and high poverty rates, which may limit access to high-quality health care, housing, and prevention education.

HIV and Hispanic/Latino Gay and Bisexual Men (CDC) – This focuses specifically on the impact of the HIV epidemic on Hispanic/Latino men who have sex with men – another group disproportionately affected by HIV.  Data are provided on the number and trends in new HIV diagnoses, HIV prevalence, the HIV continuum of care, and deaths among these men. This fact sheet also discusses HIV prevention challenges among Hispanic/Latino gay and bisexual men, including: stigma, homophobia, and discrimination; having older sexual partners; relatively low use of pre-exposure prophylaxis; and socioeconomic factors, such as poverty, migration patterns, lower education levels, and language barriers that make it more difficult to get HIV testing and care.

Gay, Bisexual, and Other Men Who Have Sex with Men (MSM) Clients: Ryan White HIV/AIDS Program, 2019 (Health Resources and Services Administration) – This fact sheet summarizes selected demographic characteristics of clients in the Ryan White HIV/AIDS Program (RWHAP) who are gay, bisexual, or other men who have sex with men (MSM). Approximately half (47%) of the nearly 568,000 RWHAP clients in 2019 were MSM. Among MSM clients, about 40% were age 50 years or older, over half (52%) lived at or below the federal poverty level, and 89% were virally suppressed. More detailed information is provided about these and other demographic characteristics.

Highlighted CDC HIV Prevention Activities Concerning HIV and African American Gay and Bisexual Men (CDC) – This issue brief focuses on HIV prevention, surveillance, awareness-raising, community-engagement, behavioral interventions, research, and other activities to address the HIV epidemic among African American gay and bisexual men.

HIV Prevention for Hispanic/Latino Gay and Bisexual Men (CDC) – This issue brief discusses recent data on HIV among Hispanics/Latinos, with a particular emphasis on gay, bisexual, and other MSM. The brief examines the social and structural factors that increase HIV risk among Hispanic/Latino MSM, the continuum of HIV care, CDC’s ongoing efforts to intensify prevention activities, and steps state and local health departments, community-based organizations, community and religious leaders, and community members can take to address HIV among Hispanic/Latino MSM.

Sexually Transmitted Infections Treatment Guidelines, 2021 (CDC) – These guidelines include recommendations for the prevention, detection, and treatment of many different STIs. Population-specific guidance is also provided for several groups, including gay, bisexual, and other men who have sex with men.

Infographics on Gay and Bisexual Men and HIV (CDC and AIDSVu)

HIV Surveillance Reports and Data Analyses

Diagnoses of HIV Infection in the United States and Dependent Areas, 2019 (CDC) – This surveillance report includes detailed information about new HIV diagnoses, prevalence, and deaths among gay, bisexual, and other men who have sex with men (MSM), as well as persons in other transmission categories. Breakdowns are also provided by age, race/ethnicity, and geographic region. The report includes a series of Special Focus Profiles highlighting six populations of particular interest to HIV prevention programs in state and local health departments, including MSM. In addition, Tables 5a and 5b focus specifically on HIV diagnoses attributed completely or in part to male-to-male sexual contact, and many other tables include data breakdowns by transmission category.

Estimated HIV Incidence and Prevalence in the United States, 2015-2019 (CDC) – This report provides estimates of the number of new HIV infections and the total number of persons living with HIV during each year from 2015 through 2019. It begins with a commentary section that summarizes highlights of the report, followed by tables that present data on HIV incidence and prevalence among adults and adolescents, with breakdowns by sex at birth, age, race/ethnicity, transmission category, and region of residence. The transmission category data include statistics for male-to-male sexual contact alone, as well as for male-to-male sexual contact combined with injection drug use. An appendix focuses on the estimated incidence and prevalence of HIV infection among adults and adolescents living in Ending the HIV Epidemic (EHE) Phase 1 jurisdictions.

Monitoring Selected National HIV Prevention and Care Objectives by Using HIV Surveillance Data United States and 6 Dependent Areas, 2019 (CDC) – This report presents the results of focused analyses of U.S. HIV surveillance data to measure progress toward ending the HIV epidemic. It includes information on the stage of HIV disease at time of diagnosis, linkage to HIV medical care, viral suppression, prevalence-based HIV care continuum, HIV deaths and survival, use of pre-exposure prophylaxis (PrEP), and perinatal HIV infections. The report also includes a series of Special Focus Profiles highlighting six populations of particular interest to HIV prevention programs in state and local health departments, including MSM. For some measures, data are broken down by transmission category, as well as gender, age, race/ethnicity, and area of residence.

Estimated HIV Incidence and Prevalence in the United States, 2010-2019 (CDC) – This slide set summarizes trends in HIV incidence during the 2010s, with breakdowns by transmission category, age, sex, race/ethnicity, and region. Data for 2019 is also provided on knowledge of HIV status, as well as HIV prevalence in the 50 states, District of Columbia, and Puerto Rico.

HIV Infection, Stage 3 (AIDS), 2019 (CDC) – This slide set summarizes trends in AIDS diagnoses and deaths from 1985 to 2019, with breakdowns by transmission category, age, sex, race/ethnicity, and region. Data on cumulative AIDS diagnoses and deaths through 2019, and AIDS data for Metropolitan Statistical Areas are also provided.

HIV Infection Risk, Prevention, and Testing Behaviors Among Men Who Have Sex with Men – National HIV Behavioral Surveillance 23 U.S. Cities, 2017 (CDC) – This report examines HIV prevalence, HIV testing rates, sexual behaviors, drug use, binge drinking, diagnoses of sexually transmitted infections, and receipt of HIV prevention among the surveyed men.

AIDSVu – AIDSVu is an interactive online mapping tool that visualizes the impact of the HIV epidemic on communities across the United States. State-by-state data and limited county data for each New England state are available at the following links: ConnecticutMaineMassachusettsNew HampshireRhode Island, and Vermont. The state data include information on new HIV diagnoses and HIV prevalence with breakdowns by transmission category, including male-to-male sexual contact alone or combined with injection drug use. Detailed data are also available for the following areas: Boston, the Hartford metropolitan statistical area (MSA); the Bridgeport-Stamford-Norwalk MSA, and the New Haven-Milford MSA.

UNAIDS Key Populations Atlas – This interactive map allows users to graphically display detailed global data for several key population groups affected by HIV, including MSM.  The data categories include the following, among others: HIV prevalence; population size estimates; condom use; coverage of HIV prevention programs; antiretroviral treatment coverage; stigma and discrimination; punitive laws; protective laws; expenditures; and outreach resource needs.

 

Selected Resources from AIDS Education and Training Centers (AETCs)

National HIV Curriculum: HIV in Sexual and Gender Minority Populations (AIDS Education and Training Center, University of Washington, and other partners, updated 2020) – This is the seventh lesson in the Curriculum’s Key Populations module. It has detailed information on many topics, including:

  • Background
  • Terminology
  • Medical Care for LGBT Persons
  • Cisgender Men Who Have Sex with Men (MSM)
  • Cisgender Women Who Have Sex with Women (WSW)
  • Transgender Women
  • Transgender Men

 

The State of Mental Health for People of Color with HIV in the LGBTQ+ Community during the COVID-19 Pandemic (Northeast/Caribbean AETC, December 2021) – These training slides cover the combined impact of HIV and COVID-19 on LGBTQ+ people of color.

A Hard Pill to Swallow: Understanding Black MSM and their Relationship to PrEP (Midwest AETC, July 2021) – These training materials review the impact of HIV among Black men who have sex with men (BMSM), discuss perceptions about BMSM and PrEP uptake, and identify strategies for recruiting and engaging BMSM with PrEP.

HIV Stigma and LGBT Communities (Pacific AETC, April 2021) – These training slides explore the current landscape of HIV stigmas in LGBT healthcare, how these stigmas can act as barriers to care, and culturally appropriate models and practices that address HIV-related stigmas.

New Pandemic, Old Inequities: Impacts of COVID-19 and HIV on Marginalized Populations (MidAtlantic AETC,  Pacific AETC, AETC National Coordinating Resource Center, March 2021) – This webinar covers “intersectional structural discrimination and its relevance and context in the landscape of HIV and COVID-19 as it pertains to the health and wellbeing of marginalized populations, particularly LGBTQ+ and racial/ethnic minority populations.”


Selected Recent Reports from CDC’s Morbidity and Mortality Weekly Report

Each of these recent reports includes data on, or a discussion of, HIV testing, prevention, care or other related health issues for gay and bisexual men.

Association Between Social Vulnerability and Rates of HIV Diagnoses Among Black Adults, by Selected Characteristics and Region of Residence – United States, 2018

Vital Signs: HIV Infection, Diagnosis, Treatment, and Prevention Among Gay, Bisexual, and Other Men Who Have Sex with Men – United States, 2010-2019

HIV Infection and HIV-Associated Behaviors Among Persons Who Inject Drugs – 23 Metropolitan Statistical Areas, United States, 2018

Estimated Annual Number of HIV Infections – United States, 1981-2019

Care Outcomes Among Black or African American Persons with Diagnosed HIV in Rural, Urban, and Metropolitan Statistical Areas – 42 U.S. Jurisdictions, 2018

Barriers to Antiretroviral Therapy Adherence Among HIV-Positive Hispanic and Latino Men Who Have Sex with Men – United States, 2015-2019

Trends in Diagnosis of HIV Infection, Linkage to Medical Care, and Viral Suppression Among Men Who Have Sex with Men, by Race/Ethnicity and Age – 33 Jurisdictions, United States, 2014-2018

Mumps Cases Disproportionately Affecting Persons Living with HIV Infection and Men Who Have Sex with Men – Chicago, Illinois, 2018

 

The contents listed on this page are those of the author(s) and do not necessarily represent the official views of, nor an endorsement by, the New England AIDS Education and Training Center.