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Gay and Bisexual Men and HIV

Education Packet 

Gay and Bisexual Men and HIV – This packet is a compilation of several 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 U.S. 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, 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 the 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 harder to get HIV testing and care. 

MSM Clients: Ryan White HIV/AIDS Program, 2018 (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). Nearly half (47%) of the approximately 519,000 RWHAP clients in 2018 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 88% 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 Hispanics/Latinos. 

Infographics on Gay and Bisexual Men and HIV

HIV Surveillance Reports and Data Analyses 

Diagnoses of HIV Infection in the United States and Dependent Areas, 2018 (updated) (CDC) – This 119-page report includes detailed information about new HIV diagnoses, deaths, and prevalence among gay and bisexual men and other MSM. Breakdowns are also provided by age, gender, other transmission categories, and geographic region. The report includes a Special Focus Profile that highlights HIV trends and distribution in MSM. Some of the report’s tables – 5a and 5b – also present information specifically about MSM. In addition, other tables that focus on different characteristics include some data on MSM.  

HIV Surveillance in Urban and Nonurban Areas 2018 (Preliminary) (CDC) – This slide set presents regional variations in diagnoses of HIV and AIDS among adults and adolescents in the United States. A few slides in this set focus on HIV diagnoses in different HIV transmission categories – including male-to-male sexual conduct – in large metropolitan areas, smaller metropolitan areas, and nonmetropolitan areas. 

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 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 Population 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 AETCs 

National HIV Curriculum: HIV in Sexual and Gender Minority Populations (AIDS Education and Training Center, University of Washington, and other partners, 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 

Implications of Communication on Providing Care to the LGBTQ Community (South Central AETC, 2020) – This slide set outlines steps for improving communication in healthcare for the LGBT+ community. 

Collecting Sexual Orientation and Gender Identity Data in Electronic Health Records: Taking the Next Steps (New England AETC, 2020) – This webinar recording addresses telePrEP and the PrEP at home model for LGBTQIA+ patients. 

Why, When, and How to Take A Sexual History (Southeast AETC, Alabama AETC, 2018) - This webinar recording and slide set addresses the rationale for obtaining a good sexual history, the key components of a sexual history, and how to approach taking a sexual history in diverse patient populations.
 

Selected Resources from TargetHIV 

Integrating Behavioral Health and Clinical Care to End the HIV Epidemic Among Black Men Who Have Sex with Men – This blog items summarizes a preliminary analysis of data from the Special Projects of National Significance (SPNS) initiative, Implementation of Evidence-Informed Behavioral Health Models to Improve HIV Health Outcomes for Black Men who have Sex with Men. 

Reaching MSM and Transgender Communities – This blog item describes several HRSA HIV/AIDS Bureau initiatives to reach gay, bisexual, and other men who have sex with men, including initiatives focusing on health literacy, involving consumers in their own care decisions, evidence-informed service delivery approaches, and consumer engagement in planning. 


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

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 

Racial/Ethnic Disparities in HIV Preexposure Prophylaxis Among Men Who Have Sex with Men – 23 Urban Areas, 2017 

Changes in HIV Preexposure Prophylaxis Awareness and Use Among Men Who Have Sex with Men – 20 Urban Areas, 2014 and 2017 

Age-Associated Trends in Diagnosis and Prevalence of Infection with HIV Among Men Who Have Sex with Men – United States, 2008-2016 

HIV Care Outcomes Among Men Who Have Sex with Men with Diagnosed HIV Infection – United States, 2015 

Recommendations for HIV Screening of Gay, Bisexual, and Other Men Who Have Sex with Men – United States, 2017