Gay and bisexual men account for about two-thirds of new HIV infections in the United States each year — about 23,100 (66%) in 2019. A CDC Vital Signs report found the gains of the last decade unevenly shared.
Unequal progress
New HIV infections among gay and bisexual men, 2010 and 2019. CDC.
| New infections | 2010 | 2019 |
|---|---|---|
| Black/African American | 9,000 | 8,900 |
| Hispanic/Latino | 6,800 | 7,900 |
| White | 7,500 | 5,100 |
Infections fell among White men but stayed high among Black and Hispanic men.
Gaps along the way
Knowing HIV status, PrEP and treatment outcomes by race and ethnicity. CDC.
| Measure | Black/African American | Hispanic/Latino | White |
|---|---|---|---|
| Know their HIV status | 83% | 80% | 90% |
| Discussed PrEP with a provider in the past year | 47% | 45% | 59% |
| Used PrEP (2017, among those who could benefit) | 27% | 31% | 42% |
| Take HIV medicine as prescribed | 48% | 59% | 64% |
| Virally suppressed (2019) | 62% | 67% | 74% |
PrEP — pre-exposure prophylaxis — is highly effective at preventing HIV when taken as prescribed. People with HIV who reach viral suppression live long, healthy lives and do not transmit HIV through sex.
Stigma and other barriers
Stigma blocks the way to testing, prevention and treatment. CDC.
Black and Hispanic gay and bisexual men report HIV stigma scores more than twice the national goal. Stigma, systemic racism, discrimination, homophobia, poverty and homelessness keep men from testing, PrEP and care — and missed testing opportunities in health care leave many unaware of their status.
What can be done
The federal Ending the HIV Epidemic initiative aims to cut new infections by 75% by 2025 and 90% by 2030 — impossible without reaching the most affected groups.
- Test more: at least once a year for sexually active gay and bisexual men, every 3 to 6 months for some; expand self-testing; cut missed chances to test.
- Prevent: talk about and prescribe PrEP, place PrEP providers in the hardest-hit communities, use telehealth, and discuss condoms.
- Treat: start treatment quickly; adapt Ryan White Program care models; take a status-neutral approach that engages men in care whatever their status.
- Address root causes: racism, stigma, poverty, homelessness and unequal access to care.
Sources
Based on "HIV and Gay and Bisexual Men," CDC Vital Signs, November 2021; a work of the United States government in the public domain. The page's text version of the outcomes chart swaps the Black/African American and Hispanic/Latino figures for taking HIV medicine and for viral suppression; the chart itself and the report's headline figures are used here. Page icons and a stock photo collage are not reproduced.
ライセンス： CC0 1.0（パブリックドメイン） · 出典 www.cdc.gov
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