- In 20 Southern US jurisdictions, black men who have sex with men (MSM) accounted for 36% of new HIV diagnoses in non-health-care facilities but received only 6% of HIV tests.
Why this matters
- Black MSM are disproportionately affected by HIV but are not routinely receiving testing nor linkage to care.
- Targeted risk-based testing, screening in non-health-care settings, and health clinics may help reduce transmission to unsuspecting partners.
- 374,871 CDC-funded tests provided in 2016.
- 6% (22,183) were provided to black MSM, who accounted for 36% (828/2034) of all new HIV diagnoses.
- 43% of tests provided to black MSM men aged 24-34 years residing in metropolitan areas.
- New HIV diagnoses were highest in those aged 20-24 years (4.8%) followed by 13-19 years (4.1%), 25-34 years (4.0%).
- 67% (552) newly diagnosed were linked to care in 90 days, 55% (451) linked to partner services.
- Adjusted prevalence ratio (1.36) for care linkage was higher for urban (70%) vs metropolitan dwellers (52%).
- Retrospective analysis of CDC-funded HIV testing, care linkage, in 20 health departments, 24 community-based organizations among black MSM residing in the Southern United States.
- Funding: CDC.
- Care linkage rates underestimated.
- Overestimated new positive infections.
- Findings based on non-health-care facilities data.