The study found that homosexual black men in the United States and the United States are expected to be infected with HIV.
Researchers report that black men who have sex with men are more likely to become infected with HIV than gay or bisexual men.
Globally, black men who have had sex with men are 15 times more likely to be infected with HIV than the general population and 8.5 times more likely to be infected with blacks than in general, according to Gregory Millett, MPH, of the Center. for Disease Control and their colleagues.
But, ironically, they are less likely to engage in a variety of risky behaviors, Millett and his colleagues online reported in The Lancet.
The results come from a meta-analysis of 194 studies that analyzed the racial factors associated with HIV risk or infection in the United States, the United Kingdom, and Canada. Millett and his colleagues wrote that the analysis found a “clear and contradictory pattern” of higher risk but less serious behavior.
The meta-analysis is linked to a series of review articles on HIV / AIDS among men who have sex with men who appeared online in the journal. The series includes a separate review, also carried out by Millett and his colleagues, which reviewed epidemics among black men outside of Africa who have sex with men.
Millett and his colleagues observed in their meta-analysis that, as they observed that the overall disparity between black men and the rest of the population is reflected in the United States: about 25 percent of new HIV infections in 2009 corresponded to black men who had sex with men, Less than 1 percent of the population.
The Centers for Disease Control reported that new HIV infections had increased by 48% among black youth who had had sex with other men between 2006 and 2009.
Millett and his colleagues noted that it was not yet clear why such large disparities emerged. To help fill in the gaps, they analyzed seven Canadian studies, 13 UK studies and 174 US studies.
They tried to find factors associated with the incidence of HIV infection in a total sample of 106,000 black men and 581,577 men who had sex with men in the three countries.
They Found :
- In each country, black men who had sex with men were more likely than others to have unprotected sex with men whose HIV status was disproportionate.
- In Canada and the United States, it was unlikely that they had a history of drug abuse.
- Black men who had sex with men in the United Kingdom and the United States were more likely to be infected with HIV than others.
- Black men with HIV and men who had sex with men in the UK were 22% less likely to start combination therapy than other ethnic minorities. In the United States, they were 60 percent less likely to be treated.
- In both countries, they were more likely than other men who had sex with men to have another sexual infection.
- In the United States, black men who had sex with men were more likely than others to use condoms and were less likely to have unprotected anal sex with their main male partner. They also have fewer sexual partners in general.
More importantly, Millet and his colleagues discovered that, compared to other men in the United States. UU Having sex with men, blacks were twice as likely to face structural barriers that increased the risk of HIV infection, such as unemployment, low income, previous incarceration or low education.
However, they were more likely to report any preventative behavior against the infection.
They argued that one of the implications of these findings is that for black men who have sex with men, prevention programs that focus on behavioral risk may be less effective than working to increase the early onset of therapy. antiretroviral, as well as adherence to treatment, clinical visits to carriers. The hiv
Perrell Coblin, Ph.D., and colleagues at the Blood Center in New York City commented in New York City, but it may not be enough.
“It provides some of the strongest evidence so far that sexual behavior, drug and alcohol abuse can not explain the overrepresentation of black men who have sex with men among men infected with HIV in the United States,” they wrote. Coblin and his colleagues in an analysis. Installations of comments of articles.
In addition to the changes proposed by Millett and his colleagues, they urged “long-term changes” to address the structural effects on the lives of black men who have sex with men, including things like paid parental leave, child care and preschool “high quality and free”, Good public schools.