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HIV Surveillance in Men Who Have Sex With Men (MSM)

From U.S. Centers for Disease Control and Prevention

October 19, 2010

Instructions for downloading and using HIV/AIDS surveillance slides.

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Slide 1: HIV Surveillance in Men Who Have Sex with Men (MSM)
Slide 1
HIV Surveillance in Men Who Have Sex with Men (MSM)
PDF File PDF icon or PPT File

Slide 2: Diagnoses of HIV Infection among Adult and Adolescent Males, by Transmission Category, 2005-2008 -- 37 States and 5 U.S. Dependent Areas This slide presents the distribution of diagnoses of HIV infection among adult and adolescent males diagnosed from 2005 through 2008, by transmission category, for 37 states and 5 U.S. dependent areas with confidential name-based HIV infection reporting since at least January 2005   The estimated number of diagnoses of HIV infection among adult and adolescent males exposed through male-to-male sexual contact increased 17% from 19,449 in 2005 to 22,810 in 2008. The number of diagnoses of HIV infection among adult and adolescent males exposed through heterosexual contact increased by 9% (from 4,300 in 2005 to 4,677 in 2008) during this time. The number of diagnoses among adult and adolescent males exposed through injection drug use decreased by 19% (from 3,503 in 2005 to 2,825 in 2008), and among males exposed through male-to-male sexual contact and injection drug use, diagnoses decreased by 20% (from 1,468 in 2005 to 1,173 in 2008).   The remaining diagnoses of HIV infection were those attributed to hemophilia or the receipt of blood or blood products, and those in persons without an identified risk-factor.   The following 37 states have had laws or regulations requiring confidential name-based HIV infection reporting since at least January 2005: Alabama, Alaska, Arizona, Arkansas, Colorado, Connecticut, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming. The 5 U.S. dependent areas include American Samoa, Guam, the Northern Mariana Islands, Puerto Rico and the U.S. Virgin Islands. Data include persons with a diagnosis of HIV infection regardless of stage of disease at diagnosis. All displayed data have been estimated. Estimated numbers resulted from statistical adjustment that accounted for reporting delays and missing risk-factor information, but not for incomplete reporting.   Heterosexual contact is with a person known to have or to be at high risk for HIV infection.
Slide 2
Diagnoses of HIV Infection among Adult and Adolescent Males, by Transmission Category, 2005-2008 -- 37 States and 5 U.S. Dependent Areas
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Slide 3: Diagnoses of HIV Infection among Adult and Adolescent Males, by Transmission Category, 2008 -- 37 States and 5 U.S. Dependent Areas In 2008, an estimated 72% (22,810) of all diagnosed HIV infections among adult and adolescent males were attributed to male-to-male sexual contact. Heterosexual contact was the second largest transmission category among males, at nearly 15% of diagnosed HIV infections.   The following 37 states have had laws or regulations requiring confidential name-based HIV infection reporting since at least January 2005: Alabama, Alaska, Arizona, Arkansas, Colorado, Connecticut, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming. The 5 U.S. dependent areas include American Samoa, Guam, the Northern Mariana Islands, Puerto Rico and the U.S. Virgin Islands. Data include persons with a diagnosis of HIV infection regardless of stage of disease at diagnosis. All displayed data have been estimated. Estimated numbers resulted from statistical adjustment that accounted for reporting delays and missing risk-factor information, but not for incomplete reporting.   Heterosexual contact is with a person known to have or to be at high risk for HIV infection.
Slide 3
Diagnoses of HIV Infection among Adult and Adolescent Males, by Transmission Category, 2008 -- 37 States and 5 U.S. Dependent Areas
PDF File PDF icon or PPT File

Slide 4: Diagnoses of HIV Infection among Adult and Adolescent Men Who Have Sex with Men, by Race/Ethnicity, 2005-2008 -- 37 States and 5 U.S. Dependent Areas The racial/ethnic distribution of diagnoses of HIV infection among adult and adolescent men who have sex with men (MSM) has changed over time in the 37 states and 5 U.S. dependent areas with confidential name-based HIV infection reporting since at least January 2005. From 2005 to 2008, the estimated percentage of diagnoses of HIV infection in white MSM decreased from 41% to 37% of all MSM diagnosed, while the percentage of diagnoses of HIV infection in black/African American MSM increased from 36% to 40%. The percentage of diagnoses of HIV infection in black/African American MSM exceeded the number of diagnoses of HIV infection in white MSM for the first time in 2008.   The percentage of Hispanic/Latino MSM diagnosed with HIV infection remained stable during this time.   The percentages of diagnoses of HIV infection in American Indian/Alaska Native, Asian, and Native Hawaiian/other Pacific Islander MSM, as well as MSM reporting multiple races are small, but have remained stable from 2005-2008.   The following 37 states have had laws or regulations requiring confidential name-based HIV infection reporting since at least January 2005: Alabama, Alaska, Arizona, Arkansas, Colorado, Connecticut, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming. The 5 U.S. dependent areas include American Samoa, Guam, the Northern Mariana Islands, Puerto Rico and the U.S. Virgin Islands. Data include persons with a diagnosis of HIV infection regardless of stage of disease at diagnosis. All displayed data have been estimated. Estimated numbers resulted from statistical adjustment that accounted for reporting delays and missing risk-factor information, but not for incomplete reporting.   Data exclude men who reported sexual contact with other men and injection drug use.   Hispanics/Latinos can be of any race.
Slide 4
Diagnoses of HIV Infection among Adult and Adolescent Men Who Have Sex with Men, by Race/Ethnicity, 2005-2008 -- 37 States and 5 U.S. Dependent Areas
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Slide 5:Diagnoses of HIV Infection among Adult and Adolescent Men Who Have Sex with Men, by Race/Ethnicity, 2008 -- 37 States and 5 U.S. Dependent Areas In 2008, an estimated 22,810 diagnoses of HIV infection were among adult and adolescent men who have sex with men (MSM) in the 37 states and 5 U.S. dependent areas with confidential name-based HIV infection reporting since at least January 2005.   Approximately 40% of diagnoses of HIV infection among MSM were in blacks/African Americans and 37% were in whites. Most of the remaining cases were in Hispanics/Latinos (20%). Asians and persons reporting multiple races each accounted for approximately 1% of diagnoses of HIV infection. American Indians/Alaska Natives and Native Hawaiians/other Pacific Islanders accounted for less than 1% of diagnoses each.   The following 37 states have had laws or regulations requiring confidential name-based HIV infection reporting since at least January 2005: Alabama, Alaska, Arizona, Arkansas, Colorado, Connecticut, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming. The 5 U.S. dependent areas include American Samoa, Guam, the Northern Mariana Islands, Puerto Rico and the U.S. Virgin Islands. Data include persons with a diagnosis of HIV infection regardless of stage of disease at diagnosis. All displayed data have been estimated. Estimated numbers resulted from statistical adjustment that accounted for reporting delays and missing risk-factor information, but not for incomplete reporting.   Data exclude men who reported sexual contact with other men and injection drug use.   Hispanics/Latinos can be of any race.
Slide 5
Diagnoses of HIV Infection among Adult and Adolescent Men Who Have Sex with Men, by Race/Ethnicity, 2008 -- 37 States and 5 U.S. Dependent Areas
PDF File PDF icon or PPT File

Slide 6: Diagnoses of HIV Infection among Adult and Adolescent Men Who Have Sex with Men, by Race/Ethnicity, 2008 -- 37 States and 5 U.S. Dependent Areas This pie chart shows the distribution of HIV infections diagnosed in 2008 among adult and adolescent men who have sex with men (MSM), by race/ethnicity, in the 37 states and 5 U.S. dependent areas with confidential name-based HIV infection reporting since at least January 2005. Black/African American MSM accounted for approximately 40% of adult and adolescent MSM who were diagnosed with HIV infection. White MSM accounted for an estimated 37% and Hispanic/Latino MSM accounted for 20%. Asians and persons reporting multiple races each accounted for approximately 1% of diagnoses of HIV infection. American Indians/Alaska Natives and Native Hawaiians/other Pacific Islanders accounted for less than 1% of diagnoses each.   The following 37 states have had laws or regulations requiring confidential name-based HIV infection reporting since at least January 2005: Alabama, Alaska, Arizona, Arkansas, Colorado, Connecticut, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming. The 5 U.S. dependent areas include American Samoa, Guam, the Northern Mariana Islands, Puerto Rico and the U.S. Virgin Islands. Data include persons with a diagnosis of HIV infection regardless of stage of disease at diagnosis. All displayed data have been estimated. Estimated numbers resulted from statistical adjustment that accounted for reporting delays and missing risk-factor information, but not for incomplete reporting.   Data exclude men who reported sexual contact with other men and injection drug use.   Hispanics/Latinos can be of any race.
Slide 6
Diagnoses of HIV Infection among Adult and Adolescent Men Who Have Sex with Men, by Race/Ethnicity, 2008 -- 37 States and 5 U.S. Dependent Areas
PDF File PDF icon or PPT File

Slide 7:Diagnoses of HIV Infection among Adult and Adolescent Men Who Have Sex with Men, by Age Group, 2005-2008 -- 37 States and 5 U.S. Dependent Areas From 2005 through 2008, in the 37 states and 5 U.S. dependent areas with confidential name-based HIV infection reporting since at least January 2005, the largest estimated numbers of diagnoses of HIV infection were seen among MSM aged 35-44 years, followed by those aged 25-34 years. MSM aged 13-24 had the greatest percentage increase in diagnoses of HIV infection from 2005 to 2008 and exceeded the number of diagnoses among those aged 45-54 by 2005.   The following 37 states have had laws or regulations requiring confidential name-based HIV infection reporting since at least January 2005: Alabama, Alaska, Arizona, Arkansas, Colorado, Connecticut, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming. The 5 U.S. dependent areas include American Samoa, Guam, the Northern Mariana Islands, Puerto Rico and the U.S. Virgin Islands. Data include persons with a diagnosis of HIV infection regardless of stage of disease at diagnosis. All displayed data have been estimated. Estimated numbers resulted from statistical adjustment that accounted for reporting delays and missing risk-factor information, but not for incomplete reporting.   Data exclude men who reported sexual contact with other men and injection drug use.  
Slide 7
Diagnoses of HIV Infection among Adult and Adolescent Men Who Have Sex with Men, by Age Group, 2005-2008 -- 37 States and 5 U.S. Dependent Areas
PDF File PDF icon or PPT File

Slide 8:Diagnoses of HIV Infection among Adult and Adolescent Males, 2005-2008 -- 37 States and 5 U.S. Dependent Areas From 2005-2008, an estimated total of 161,795 adults and adolescents were diagnosed with HIV infection in the 37 states and 5 U.S. dependent areas with confidential name-based HIV infection reporting since at least January 2005. Most (74%) diagnoses of HIV infection in adults and adolescents were in males. Among males diagnosed with HIV infection from 2005-2008, 70% were attributed to male-to-male sexual contact. The percentage of diagnosed HIV infections attributed to male-to-male sexual contact was even larger (85%) among males aged 13 to 24 years.   During 2008, male-to-male sexual contact was the most frequently reported transmission category -- accounting for 54% of all diagnoses of HIV infection that year.   The following 37 states have had laws or regulations requiring confidential name-based HIV infection reporting since at least January 2005: Alabama, Alaska, Arizona, Arkansas, Colorado, Connecticut, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming. The 5 U.S. dependent areas include American Samoa, Guam, the Northern Mariana Islands, Puerto Rico and the U.S. Virgin Islands. Data include persons with a diagnosis of HIV infection regardless of stage of disease at diagnosis. All displayed data have been estimated. Estimated numbers resulted from statistical adjustment that accounted for reporting delays and missing risk-factor information, but not for incomplete reporting.   Data on male-to-male sexual contact exclude men who reported sexual contact with other men and injection drug use.
Slide 8
Diagnoses of HIV Infection among Adult and Adolescent Males, 2005-2008 -- 37 States and 5 U.S. Dependent Areas
PDF File PDF icon or PPT File

Slide 9:Diagnoses of HIV Infection among Men Who Have Sex with Men Aged 13-24, by Race/Ethnicity, 2005-2008 -- 37 States and 5 U.S. Dependent Areas This graph displays the racial/ethnic trends during 2005-2008 in the estimated number of diagnoses of HIV infection among young men who have sex with men (MSM) in 37 states and 5 U.S. dependent areas with confidential name-based HIV infection reporting since at least January 2005. Although the racial/ethnic trends of diagnoses of HIV infection among MSM of all ages changed from 2005-2008, the racial/ethnic group most affected each year during this time period among young MSM (aged 13-24) were blacks/African Americans, followed by whites, Hispanics/Latinos, persons of multiple races, Asians, American Indians/Alaska Natives, and Native Hawaiians/other Pacific Islanders. Young black/African American MSM also experienced the largest increase in numbers of diagnoses of HIV infection of all racial/ethnic groups -- from 1,841 diagnoses in 2005 to 3,188 diagnoses in 2008.   The following 37 states have had laws or regulations requiring confidential name-based HIV infection reporting since at least January 2005: Alabama, Alaska, Arizona, Arkansas, Colorado, Connecticut, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming. The 5 U.S. dependent areas include American Samoa, Guam, the Northern Mariana Islands, Puerto Rico and the U.S. Virgin Islands. Data include persons with a diagnosis of HIV infection regardless of stage of disease at diagnosis. All displayed data have been estimated. Estimated numbers resulted from statistical adjustment that accounted for reporting delays and missing risk-factor information, but not for incomplete reporting.   Data exclude men who reported sexual contact with other men and injection drug use.   Hispanics/Latinos can be of any race.
Slide 9
Diagnoses of HIV Infection among Men Who Have Sex with Men Aged 13-24, by Race/Ethnicity, 2005-2008 -- 37 States and 5 U.S. Dependent Areas
PDF File PDF icon or PPT File

Slide 10:Diagnoses of HIV Infection among Men Who Have Sex with Men Aged 13-24, by Race/Ethnicity, 2008 -- 37 States and 5 U.S. Dependent Areas This pie chart displays the estimated percentages by race/ethnicity of young men who have sex with men (MSM) who were diagnosed with HIV infection during 2008 in the 37 states and 5 U.S. dependent areas with confidential name-based HIV infection reporting since at least January 2005. Of all MSM aged 13-24 years diagnosed with HIV infection in 2008, nearly two-thirds (63%) were black/African American, followed by whites (18%) and Hispanics/Latinos (17%). This breakdown differs from the percentage breakdown in which all ages were considered: blacks/African Americans accounted for 40% of cases among all adult and adolescent MSM, whites accounted for 37%, and Hispanics/Latinos accounted for 20%.   The following 37 states have had laws or regulations requiring confidential name-based HIV infection reporting since at least January 2005: Alabama, Alaska, Arizona, Arkansas, Colorado, Connecticut, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming. The 5 U.S. dependent areas include American Samoa, Guam, the Northern Mariana Islands, Puerto Rico and the U.S. Virgin Islands. Data include persons with a diagnosis of HIV infection regardless of stage of disease at diagnosis. All displayed data have been estimated. Estimated numbers resulted from statistical adjustment that accounted for reporting delays and missing risk-factor information, but not for incomplete reporting.   Data exclude men who reported sexual contact with other men and injection drug use.   Hispanics/Latinos can be of any race.
Slide 10
Diagnoses of HIV Infection among Men Who Have Sex with Men Aged 13-24, by Race/Ethnicity, 2008 -- 37 States and 5 U.S. Dependent Areas
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Slide 11:Deaths of Adult and Adolescent Men Who Have Sex with Men with a Diagnosis of HIV Infection, by Race/Ethnicity, 2007 -- 37 States and 5 U.S. Dependent Areas During 2007, there were an estimated 6,038 deaths of adult and adolescent men who have sex with men (MSM) with a diagnosis of HIV infection in the 37 states and 5 U.S. dependent areas with confidential name-based HIV infection reporting since at least January 2005. Whites had the highest proportion of deaths among MSM (43%) followed by black/African American MSM (39%) and Hispanics/Latinos (15%). MSM reporting multiple races accounted for approximately 3% of deaths among MSM. American Indians/Alaska Natives, Asians and Native Hawaiians/other Pacific Islanders accounted for less than 1% of deaths each.   The following 37 states have had laws or regulations requiring confidential name-based HIV infection reporting since at least January 2005: Alabama, Alaska, Arizona, Arkansas, Colorado, Connecticut, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming. The 5 U.S. dependent areas include American Samoa, Guam, the Northern Mariana Islands, Puerto Rico and the U.S. Virgin Islands. Data include persons with a diagnosis of HIV infection regardless of stage of disease at diagnosis. All displayed data have been estimated. Estimated numbers resulted from statistical adjustment that accounted for reporting delays and missing risk-factor information, but not for incomplete reporting.   Data exclude men who reported sexual contact with other men and injection drug use.   The Asian category includes Asian/Pacific Islander legacy cases (cases that were diagnosed and reported under the old race/ethnicity classification system).   Hispanics/Latinos can be of any race.  
Slide 11
Deaths of Adult and Adolescent Men Who Have Sex with Men with a Diagnosis of HIV Infection, by Race/Ethnicity, 2007 -- 37 States and 5 U.S. Dependent Areas
PDF File PDF icon or PPT File

Slide 12: Adult and Adolescent Men Who Have Sex with Men Living with a Diagnosis of HIV Infection, by Race/Ethnicity, year-end 2007 -- 37 States and 5 U.S. Dependent Areas At the end of 2007, an estimated 268,692 adult and adolescent men who have sex with men (MSM) were living with a diagnosis of HIV infection in the 37 states and 5 U.S. dependent areas with confidential name-based HIV infection reporting since at least January 2005.   Approximately 48% of MSM living with a diagnosis of HIV infection were white, 33% were black/African American and 18% were Hispanic/Latino. Asians and persons reporting multiple races each accounted for approximately 1% of MSM living with a diagnosis of HIV infection. American Indians/Alaska Natives and Native Hawaiians/other Pacific Islanders accounted for less than 1% each of MSM living with a diagnosis of HIV infection.   The following 37 states have had laws or regulations requiring confidential name-based HIV infection reporting since at least January 2005: Alabama, Alaska, Arizona, Arkansas, Colorado, Connecticut, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming. The 5 U.S. dependent areas include American Samoa, Guam, the Northern Mariana Islands, Puerto Rico and the U.S. Virgin Islands. Data include persons with a diagnosis of HIV infection regardless of stage of disease at diagnosis. All displayed data have been estimated. Estimated numbers resulted from statistical adjustment that accounted for reporting delays and missing risk-factor information, but not for incomplete reporting.   Data exclude men who reported sexual contact with other men and injection drug use.   The Asian category includes Asian/Pacific Islander legacy cases (cases that were diagnosed and reported under the old race/ethnicity classification system).   Hispanics/Latinos can be of any race.
Slide 12
Adult and Adolescent Men Who Have Sex with Men Living with a Diagnosis of HIV Infection, by Race/Ethnicity, year-end 2007 -- 37 States and 5 U.S. Dependent Areas
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Slide 13: AIDS Diagnoses among Adult and Adolescent Men Who Have Sex with Men, 1985-2008 -- United States and Dependent Areas The bars in this graph represent the estimated number of AIDS diagnoses by year in the United States and dependent areas during 1985-2008 among adult and adolescent men who have sex with men (MSM). The number of AIDS diagnoses among MSM peaked in 1992 and steadily decreased until 1999. AIDS diagnoses among MSM have remained relatively stable since that time. The line in this graph represents the percentage of all diagnosed AIDS cases among adults and adolescents that were attributed to male-to-male sexual contact. In 1985, MSM accounted for 65% of cases, but by 1998, MSM accounted for 40% of cases. In 2008, MSM accounted for 47% of all AIDS diagnoses among adults and adolescents.   All displayed data have been estimated. Estimated numbers resulted from statistical adjustment that accounted for reporting delays and missing risk-factor information, but not for incomplete reporting.   Data exclude men who reported sexual contact with other men and injection drug use.
Slide 13
AIDS Diagnoses among Adult and Adolescent Men Who Have Sex with Men, 1985-2008 -- United States and Dependent Areas
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Slide 14: AIDS Diagnoses and Deaths of Adult and Adolescent Men Who Have Sex with Men, 1985-2007, United States and Dependent Areas The upper line represents the estimated number of AIDS diagnoses in the United States and dependent areas during 1985-2007 among adult and adolescent men who have sex with men (MSM). The lower line represents the estimated number of deaths among the same group during the same period.   The peak in new AIDS diagnoses among MSM during 1992-1993 was associated with the expansion of the AIDS surveillance case definition, which was implemented in January 1993.   Among MSM, the overall decline in new AIDS diagnoses and deaths is due in part to the success of highly active antiretroviral therapy, which became widely available during the mid-1990s.   All displayed data have been estimated. Estimated numbers resulted from statistical adjustment that accounted for reporting delays and missing risk-factor information, but not for incomplete reporting.   Data exclude men who reported sexual contact with other men and injection drug use.
Slide 14
AIDS Diagnoses and Deaths of Adult and Adolescent Men Who Have Sex with Men, 1985-2007, United States and Dependent Areas
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Slide 15: AIDS Diagnoses among Adult and Adolescent Men Who Have Sex with Men, by Race/Ethnicity, 1985-2008 -- United States and Dependent Areas This graph shows the racial/ethnic trends in estimated AIDS diagnoses in the United States and dependent areas diagnosed during 1985-2008 among adult and adolescent men who have sex with men (MSM). Rates by race and ethnicity, important for understanding the impact of the epidemic on racial/ethnic groups, are not presented due to the difficulty in obtaining the total number of MSM in each race/ethnicity category.   Noteworthy is the decline from 1992 through 2001 in AIDS diagnoses among white MSM. Despite this decline, the largest number of AIDS diagnoses each year was among white MSM.   The second largest number of AIDS diagnoses among MSM was in blacks/African Americans, followed by Hispanics/Latinos. Although there were lower numbers of AIDS diagnoses in blacks/African Americans, Hispanics/Latinos, persons reporting multiple races, American Indians/Alaska Natives and Native Hawaiians/other Pacific Islanders than among whites, the rates of AIDS diagnoses in the general population of males were higher for these races/ethnicities, so it is likely that the rates would be higher for MSM of these races/ethnicities.   All displayed data have been estimated. Estimated numbers resulted from statistical adjustment that accounted for reporting delays and missing risk-factor information, but not for incomplete reporting.   Data exclude men who reported sexual contact with other men and injection drug use.   The Asian category includes Asian/Pacific Islander legacy cases (cases that were diagnosed and reported under the old race/ethnicity classification system).   Hispanics/Latinos can be of any race.
Slide 15
AIDS Diagnoses among Adult and Adolescent Men Who Have Sex with Men, by Race/Ethnicity, 1985-2008 -- United States and Dependent Areas
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Slide 16: AIDS Diagnoses among Adult and Adolescent Men Who Have Sex with Men, by Race/Ethnicity, 2008 -- United States and Dependent Areas In 2008, an estimated 17,940 AIDS diagnoses were among adult and adolescent men who have sex with men (MSM) in United States and dependent areas. Of these, approximately 39% of AIDS diagnoses were in white MSM, 35% were in black/African American MSM, and 22% were in Hispanic/Latino MSM. Asians accounted for 2% of AIDS diagnoses and persons reporting multiple races accounted for 1% of AIDS diagnoses among MSM in 2008. American Indians/Alaska Natives and Native Hawaiians/other Pacific Islanders accounted for less than 1% of AIDS diagnoses each.   All displayed data have been estimated. Estimated numbers resulted from statistical adjustment that accounted for reporting delays and missing risk-factor information, but not for incomplete reporting.   Data exclude men who reported sexual contact with other men and injection drug use.   The Asian category includes Asian/Pacific Islander legacy cases (cases that were diagnosed and reported under the old race/ethnicity classification system).   Hispanics/Latinos can be of any race.
Slide 16
AIDS Diagnoses among Adult and Adolescent Men Who Have Sex with Men, by Race/Ethnicity, 2008 -- United States and Dependent Areas
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Slide 17: AIDS Diagnoses among Adult and Adolescent Men Who Have Sex with Men, by Region and Race/Ethnicity, 2008 -- United States and Dependent Areas This bar graph shows the estimated number of AIDS diagnoses among adult and adolescent men who have sex with men (MSM) by race/ethnicity and the region of the United States where they were living at the time of diagnosis. AIDS diagnoses among adult and adolescent MSM in the U.S. dependent areas are also shown by race/ethnicity.   The South had nearly twice as many AIDS diagnoses among MSM -- 7,686 diagnoses in 2008 -- as any other region. The largest group of MSM diagnosed with AIDS in the South was blacks/African Americans, followed by whites, Hispanics/Latinos, persons reporting multiple races, Asians, American Indians/Alaska Natives, and Native Hawaiians/other Pacific Islanders.   In the West, the estimated number of AIDS diagnoses among MSM was 4,627. The largest group of MSM diagnosed with AIDS was whites, followed by Hispanics/Latinos, blacks/African Americans, Asians, American Indians/Alaska Natives, persons reporting multiple races and Native Hawaiians/other Pacific Islanders.   In the Northeast the estimated number of AIDS diagnoses among MSM was 3,036. The largest group of MSM diagnosed with AIDS was blacks/African Americans, followed by whites, Hispanics/Latinos, Asians, persons reporting multiple races, American Indians/Alaska Natives, and Native Hawaiians/other Pacific Islanders.   In the Midwest, the estimated number of AIDS diagnoses among MSM was 2,409. The largest group of MSM diagnosed with AIDS was whites, followed by blacks/African Americans, Hispanics/Latinos, persons reporting multiple races, Asians, American Indians/Alaska Natives, and Native Hawaiians/other Pacific Islanders.   In the dependent areas, 98% of AIDS diagnoses among MSM in 2008 were in Hispanics/Latinos.   Regions of residence are defined as follows: Northeast -- Connecticut, Maine, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, and Vermont; Midwest -- Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, North Dakota, Ohio, South Dakota, and Wisconsin; South -- Alabama, Arkansas, Delaware, District of Columbia, Florida, Georgia, Kentucky, Louisiana, Maryland, Mississippi, North Carolina, Oklahoma, South Carolina, Tennessee, Texas, Virginia, and West Virginia; West -- Alaska, Arizona, California, Colorado, Hawaii, Idaho, Montana, Nevada, New Mexico, Oregon, Utah, Washington, and Wyoming. The 5 U.S. dependent areas include American Samoa, Guam, the Northern Mariana Islands, Puerto Rico and the U.S. Virgin Islands.   All displayed data have been estimated. Estimated numbers resulted from statistical adjustment that accounted for reporting delays and missing risk-factor information, but not for incomplete reporting. Data exclude men who reported sexual contact with other men and injection drug use.   The Asian category includes Asian/Pacific Islander legacy cases (cases that were diagnosed and reported under the old race/ethnicity classification system).   Hispanics/Latinos can be of any race.
Slide 17
AIDS Diagnoses among Adult and Adolescent Men Who Have Sex with Men, by Region and Race/Ethnicity, 2008 -- United States and Dependent Areas
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Slide 18: Adult and Adolescent Men Who Have Sex with Men Living with an AIDS Diagnosis, by Race/Ethnicity, year-end 2007 -- United States and Dependent Areas At the end of 2007, an estimated 218,136 adult and adolescent men who have sex with men (MSM) were living with an AIDS diagnosis in the United States and dependent areas. Approximately 49% of MSM living with an AIDS diagnosis were white, 29% were black/African American and 20% were Hispanic/Latino. Asians and persons reporting multiple races each accounted for approximately 1% of MSM living with an AIDS diagnosis. American Indians/Alaska Natives and Native Hawaiians/other Pacific Islanders accounted for less than 1% each of MSM living with an AIDS diagnosis.   All displayed data have been estimated. Estimated numbers resulted from statistical adjustment that accounted for reporting delays and missing risk-factor information, but not for incomplete reporting.   Data exclude men who reported sexual contact with other men and injection drug use.   The Asian category includes Asian/Pacific Islander legacy cases (cases that were diagnosed and reported under the old race/ethnicity classification system).   Hispanics/Latinos can be of any race
Slide 18
Adult and Adolescent Men Who Have Sex with Men Living with an AIDS Diagnosis, by Race/Ethnicity, year-end 2007 -- United States and Dependent Areas
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