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U.S. Centers for Disease Control and Prevention

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

July 13, 2009


Slide 1: Estimated Numbers and Percentages of AIDS Cases Among Adult and Adolescent Men Who Have Sex With Men 1985-2007 -- United States and Dependent Areas The bars in this graph represent the estimated number of AIDS cases diagnosed by year in the United States and dependent areas during 1985?2007 among men who have sex with men (MSM). The number of AIDS cases among MSM peaked in 1992 and steadily decreased until 1999. The line in this graph represents the percentage of all AIDS cases among adults and adolescents that is attributed to male-to-male sexual contact. In 1985, MSM accounted for 65% of cases, but by 1998, MSM accounted for 40% of cases. Note: The data have been adjusted for reporting delays and missing risk-factor information. Data on male-to-male sexual contact exclude cases among men who reported sex with other men and injection drug use.
Slide 1
Estimated Numbers and Percentages of AIDS Cases Among Adult and Adolescent Men Who Have Sex With Men 1985-2007 -- United States and Dependent Areas
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Slide 2: Estimated AIDS Cases in Males, Cumulative Through 2007 -- 50 States and DC Through 2007, AIDS had been diagnosed for a cumulative estimated total of 1,009,219 adults and adolescents in the 50 States and District of Columbia. Most (80%) AIDS cases in adults and adolescents have been in males. Among males with AIDS, 60% were attributed to male-to-male sexual contact. The percentage of AIDS cases among males attributed to male-to-male sexual contact was even larger (66%) among those aged 13 to 24 years. During 2007, male-to-male sexual contact was the most frequently reported transmission category -- accounting for 47% of all AIDS cases diagnosed that year. Note: The data have been adjusted for reporting delays and missing risk-factor information. Data on male-to-male sexual contact exclude cases among men who reported sex with other men and injection drug use.
Slide 2
Estimated AIDS Cases in Males, Cumulative Through 2007 -- 50 States and DC
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Slide 3: Estimated Numbers of AIDS Cases and Deaths Among Men Who Have Sex With Men 1985-2007 -- United States and Dependent Areas The upper line represents the estimated number of AIDS cases diagnosed in the United States and dependent areas during 1985-2007 among 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 cases and deaths is due in part to the success of highly active antiretroviral therapy, which became widely available during the mid-1990s. Note: The data have been adjusted for reporting delays and missing risk-factor information. Data exclude cases among men who reported sex with other men and injection drug use.
Slide 3
Estimated Numbers of AIDS Cases and Deaths Among Men Who Have Sex With Men 1985-2007 -- United States and Dependent Areas
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Slide 4: Estimated Numbers of HIV/AIDS Cases Among Adults and Adolescents, by Transmission Category 1994-2007 -- 25 States This graph shows the trends, by transmission category, in the estimated number of HIV/AIDS cases diagnosed from 1994 through 2007 among adults and adolescents in 25 states with confidential name-based HIV reporting during that period. For each of those years, the largest number of cases was in men who have sex with men. Throughout the late 1990s, the number of cases attributed to male-to-male sexual contact declined steadily. However, from 2001 through 2007, the number of new cases attributed to that transmission category increased. Note: The following 25 states have had laws or regulations requiring confidential name-based HIV infection surveillance since at least 1994: Alabama, Arizona, Arkansas, Colorado, Idaho, Indiana, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Nevada, New Jersey, North Carolina, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Utah, Virginia, West Virginia, Wisconsin, and Wyoming. The data have been adjusted for reporting delays and missing risk-factor information. Data on male-to-male sexual contact exclude cases among men who reported sex with other men and injection drug use.
Slide 4
Estimated Numbers of HIV/AIDS Cases Among Adults and Adolescents, by Transmission Category 1994-2007 -- 25 States
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Slide 5: Estimated Numbers and Percentages of HIV/AIDS Cases Among Adults and Adolescents, by Transmission Category 2007 -- 34 States In 2007, more than half (53%, or 22,472) of all estimated HIV/AIDS cases in 34 states with confidential name-based HIV infection reporting were attributed to male-to-male sexual contact. High-risk heterosexual contact was the second largest transmission category: 32% of cases. Note: The following 34 states have had laws or regulations requiring confidential name-based HIV infection surveillance since at least 2003: Alabama, Alaska, Arizona, Arkansas, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, 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 data have been adjusted for reporting delays and missing risk-factor information. Data on male-to-male sexual contact exclude cases among men who reported sex with other men and injection drug use.
Slide 5
Estimated Numbers and Percentages of HIV/AIDS Cases Among Adults and Adolescents, by Transmission Category 2007 -- 34 States
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Slide 6: Estimated Numbers of AIDS Cases Among Adult and Adolescent Men Who Have Sex With Men, by Race/Ethnicity 1985-2007 -- United States and Dependent Areas This graph shows the racial/ethnic trends in estimated AIDS cases in the United States and dependent areas diagnosed during 1985-2007 among 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 cases among white MSM. Despite this decline, the largest number of AIDS cases each year was among white MSM. The second largest number of AIDS cases was in black/African American MSM, followed by Hispanic/Latino MSM. Despite the fact that there are lower numbers of AIDS cases in MSM who were black/African American, Hispanic/Latino, or American Indian/Alaska Native than among white MSM, the rates of AIDS in the general population are higher for these races/ethnicities, so it is likely that the rates would be higher for MSM of these races/ethnicities. Note: Hispanics/Latinos can be of any race. Asian/Pacific Islander legacy cases are cases that were collected under the old race/ethnicity classification system. Asian/Pacific Islander legacy cases are included in the totals for Asians. The data have been adjusted for reporting delays and missing risk-factor information. Data exclude cases among men who reported sex with other men and injection drug use.
Slide 6
Estimated Numbers of AIDS Cases Among Adult and Adolescent Men Who Have Sex With Men, by Race/Ethnicity 1985-2007 -- United States and Dependent Areas
PDF File or PPT File

Slide 7: Percentages of Estimated HIV/AIDS Cases Among Adult and Adolescent Men Who Have Sex With Men by Race/Ethnicity, 1985-2007 -- 25 States The racial/ethnic distribution of HIV/AIDS cases among men who have sex with men (MSM) has changed over time. In the 25 states with confidential name-based HIV infection reporting since 1994, the percentage of white MSM decreased from 54% to 43% of all MSM with HIV/AIDS. The percentage of black/African American MSM with HIV/AIDS increased slightly -- from 39% to 42%. The percentage of Hispanic/Latino MSM with HIV/AIDS doubled -- from 6% in 1994 to 12% in 2007. Although the number of HIV/AIDS cases in American Indian/Alaska Native MSM is small, the percentage of cases in American Indian/Alaska Native MSM increased (from 0.4 to 0.6%), and the percentage of cases in Asian MSM quadrupled (0.3 to 1.3%) during 1994 through 2007. Note: The following 25 states have had laws or regulations requiring confidential name-based HIV infection surveillance since at least 1994: Alabama, Arizona, Arkansas, Colorado, Idaho, Indiana, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Nevada, New Jersey, North Carolina, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Utah, Virginia, West Virginia, Wisconsin, and Wyoming. The data have been adjusted for reporting delays and missing risk-factor information. Data exclude cases among men who reported sex with other men and injection drug use.
Slide 7
Percentages of Estimated HIV/AIDS Cases Among Adult and Adolescent Men Who Have Sex With Men by Race/Ethnicity, 1985-2007 -- 25 States
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Slide 8: Estimated Numbers of Adult and Adolescent Men Who Have Sex With Men Living With HIV/AIDS, by Race/Ethnicity 2004-2007 -- 34 States This table shows the estimated number of adult and adolescent men who have sex with men (MSM) living with HIV/AIDS, by race and ethnicity, for the years 2004 through 2007 in 34 states with confidential name-based HIV infection reporting during that period. Overall, the number of MSM living with HIV/AIDS in each racial/ethnic category increased every year. Among MSM living with HIV/AIDS, the largest racial/ethnic group is whites, followed by blacks/African Americans, Hispanics/Latinos, Asians, American Indians/Alaska Natives, and Native Hawaiians/other Pacific Islanders. Note: The following 34 states have had laws or regulations requiring confidential name-based HIV infection surveillance since at least 2003: Alabama, Alaska, Arizona, Arkansas, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, 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 data have been adjusted for reporting delays and missing risk-factor information. Data exclude cases among men who reported sex with other men and injection drug use.
Slide 8
Estimated Numbers of Adult and Adolescent Men Who Have Sex With Men Living With HIV/AIDS, by Race/Ethnicity 2004-2007 -- 34 States
PDF File or PPT File

Slide 9: Percentages of Estimated HIV/AIDS Cases Among Adult and Adolescent Men Who Have Sex With Men by Race/Ethnicity 2007 -- 34 States In 2007, white men who have sex with men (MSM) accounted for an estimated 40% of adult and adolescent MSM who had a diagnosis of HIV/AIDS in 34 states with confidential name-based HIV infection reporting. Black/African American MSM accounted for 39% and Hispanic/Latino MSM accounted for 19%. Asian, American Indian/Alaska Native and Native Hawaiian/other Pacific Islander MSM each accounted less than 1%. Note: The following 34 states have had laws or regulations requiring confidential name-based HIV infection surveillance since at least 2003: Alabama, Alaska, Arizona, Arkansas, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, 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 data have been adjusted for reporting delays and missing risk-factor information. Data exclude cases among men who reported sex with other men and injection drug use.
Slide 9
Percentages of Estimated HIV/AIDS Cases Among Adult and Adolescent Men Who Have Sex With Men by Race/Ethnicity 2007 -- 34 States
PDF File or PPT File

Slide 10: Estimated Numbers of AIDS Cases Among Adult and Adolescent Men Who Have Sex With Men, by Region and Race/Ethnicity, 2007 -- 50 States and DC This bar graph shows the estimated number of AIDS cases among adult and adolescent men who have sex with men (MSM) by their race/ethnicity and the region of the United States where they were living at the time of diagnosis. The South had nearly twice as many AIDS cases among MSM -- 7,319 cases diagnosed in 2007 -- as any of the other regions. The largest group of MSM with AIDS in the South was blacks/African Americans, followed by whites and Hispanics/Latinos. In the West and the Northeast, the estimated number of cases among MSM was 3,978 and 3,245, respectively. In the Midwest, an estimated 2,329 cases among MSM were diagnosed in 2007. In the West, the largest group of MSM with AIDS diagnosed in 2007 was whites, followed by Hispanics/Latinos, blacks/African Americans, Asians, American Indians/Alaska Natives, and Native Hawaiians/other Pacific Islanders. In the Northeast and the Midwest, the largest group of the MSM with AIDS diagnosed in 2007 was whites, followed by blacks/African Americans, Hispanics/Latinos, Asians, American Indians/Alaska Natives, and Native Hawaiians/other Pacific Islanders. Note: 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 data have been adjusted for reporting delays and missing risk-factor information. Data exclude cases among men who reported sex with other men and injection drug use.
Slide 10
Estimated Numbers of AIDS Cases Among Adult and Adolescent Men Who Have Sex With Men, by Region and Race/Ethnicity, 2007 -- 50 States and DC
PDF File or PPT File

Slide 11: Estimated Numbers of HIV/AIDS Cases Among Adult and Adolescent Men Who Have Sex With Men, by Age Group 2004-2007 -- 34 States From 2004 through 2007, in 34 states with confidential name-based HIV infection reporting, the largest numbers of HIV/AIDS cases 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 HIV/AIDS cases from 2004 to 2007 and exceeded the number of cases among those aged 45-54 by 2005. Note: The following 34 states have had laws or regulations requiring confidential name-based HIV infection surveillance since at least 2003: Alabama, Alaska, Arizona, Arkansas, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, 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 data have been adjusted for reporting delays and missing risk-factor information. Data exclude cases among men who reported sex with other men and injection drug use.
Slide 11
Estimated Numbers of HIV/AIDS Cases Among Adult and Adolescent Men Who Have Sex With Men, by Age Group 2004-2007 -- 34 States
PDF File or PPT File

Slide 12: Estimated Numbers of HIV/AIDS Cases Among Men Who Have Sex With Men, Aged 13-24 Years, by Race/Ethnicity 2004-2007 -- 34 States This graph displays the racial/ethnic trends during 2004-2007 in the estimated number of HIV/AIDS cases diagnosed among young men who have sex with men (MSM) in 34 states with confidential name-based HIV infection reporting. Although the highest number of diagnoses among all MSM was for whites, among young MSM, the racial/ethnic group most affected by HIV/AIDS was blacks/African Americans, followed by whites, Hispanics/Latinos, Asians, American Indians/Alaska Natives, and Native Hawaiian/other Pacific Islanders. Although cases among young MSM of all races/ethnicities increased, young black/African American MSM experienced the largest increase -- from 1,564 cases in 2004 to 2,650 cases in 2007. Note: The following 34 states have had laws or regulations requiring confidential name-based HIV infection surveillance since at least 2003: Alabama, Alaska, Arizona, Arkansas, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, 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 data have been adjusted for reporting delays and missing risk-factor information. Data exclude cases among men who reported sex with other men and injection drug use.
Slide 12
Estimated Numbers of HIV/AIDS Cases Among Men Who Have Sex With Men, Aged 13-24 Years, by Race/Ethnicity 2004-2007 -- 34 States
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Slide 13: Percentages of HIV/AIDS Cases Among Men Who Have Sex With Men, Aged 13-24 Years by Race/Ethnicity, 2007 -- 34 States This pie chart displays the percentages by race/ethnicity of young men who have sex with men (MSM) for whom HIV/AIDS was diagnosed during 2007 in 34 states with confidential name-based HIV infection reporting. Of all MSM aged 13-24 years with a diagnosis of HIV/AIDS, more than half (62%) were black/African American, followed by whites (19%) and Hispanics/Latinos (16%). This breakdown differs from the percentage breakdown in which all ages were considered: whites accounted for 40% of cases among all adult and adolescent MSM and blacks/African Americans accounted for 39%. Note: The following 34 states have had laws or regulations requiring confidential name-based HIV infection surveillance since at least 2003: Alabama, Alaska, Arizona, Arkansas, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, 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 data have been adjusted for reporting delays and missing risk-factor information. Data exclude cases among men who reported sex with other men and injection drug use.
Slide 13
Percentages of HIV/AIDS Cases Among Men Who Have Sex With Men, Aged 13-24 Years by Race/Ethnicity, 2007 -- 34 States
PDF File or PPT File

Slide 14: Estimated Numbers of HIV/AIDS Cases Among Adults and Adolescents Men Who Have Sex With Men, by Race/Ethnicity and Population of Area of Residence, 2007 -- 34 States This table shows the estimated number of HIV/AIDS cases among adult and adolescent men who have sex with men (MSM) in 34 states with confidential name-based HIV infection reporting, by race/ethnicity and the population of the area where they resided at the time of their diagnosis. For each racial and ethnic group, the largest number of MSM resided in an area with a population equal to or greater than 500,000. At the time of diagnosis, 8% each of white and black/African American MSM were residing in nonmetropolitan areas. In contrast, 24% of American Indian/Alaska Native MSM were living in a nonmetropolitan area. Note: The following 34 states have had laws or regulations requiring confidential name-based HIV infection surveillance since at least 2003: Alabama, Alaska, Arizona, Arkansas, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, 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 data have been adjusted for reporting delays and missing risk-factor information. Data exclude cases among men who reported sex with other men and injection drug use.
Slide 14
Estimated Numbers of HIV/AIDS Cases Among Adults and Adolescents Men Who Have Sex With Men, by Race/Ethnicity and Population of Area of Residence, 2007 -- 34 States
PDF File or PPT File
This article was provided by U.S. Centers for Disease Control and Prevention.
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