Trends in the HIV Epidemic among Men Who Have Sex with Men in Miami-Dade County, Florida, 2004-2014
Miami, Florida has a large population of Hispanic and black men who have sex with men (MSM), a population more likely to become HIV infected than white MSM. We present here HIV behavioral trends in this population that reflect the effects of public health prevention in Miami over a 10-year period. U...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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University of North Florida
2018-08-01
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| Series: | Florida Public Health Review |
| Online Access: | https://digitalcommons.unf.edu/cgi/viewcontent.cgi?article=1218&context=fphr |
| _version_ | 1818360858228555776 |
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| author | David W. Forrest Gabriel Cardenas Charlene S. Dodson Lisa R. Metsch Marlene LaLota Emma Spencer |
| author_facet | David W. Forrest Gabriel Cardenas Charlene S. Dodson Lisa R. Metsch Marlene LaLota Emma Spencer |
| author_sort | David W. Forrest |
| collection | DOAJ |
| description | Miami, Florida has a large population of Hispanic and black men who have sex with men (MSM), a population more likely to become HIV infected than white MSM. We present here HIV behavioral trends in this population that reflect the effects of public health prevention in Miami over a 10-year period. Using National HIV Behavioral Surveillance (NHBS) data of MSM in Miami-Dade County, Florida, in 2004-05, 2008, 2011 and 2014, chi-square trend analyses were used to assess the epidemiologic trends related to HIV infection rates, HIV testing rates, undiagnosed HIV infection, use antiretroviral therapy (ART) and access to HIV care. Of 258, 527, 511, and 536 MSM, HIV rates have remained steady between 22.5% (95% CI 17.4-27.6) in 2004-05 to a high of 25.9% (95% CI 22.2-29.6) in MSM4 in 2014, with no significant trend. There was an increase in HIV testing in the past six months between 2004 (48.4%;95% CI 41.8-55.0) and 2014 (55.8;95% CI 51.3-60.3), p < .001; and a decrease in unrecognized HIV infection from 48.3% (95% CI 35.4- 61.2) in 2004 to 31.4% (95% CI 23.7-39.1) in 2014, p = .004, over the same period. Being currently on ART and knowledge of pre-exposure prophylaxis (PrEP) also increased significantly during this 10-year period. HIV surveillance is providing valuable information, notably, as HIV testing rates have gone up unrecognized infections have decreased. Continued use of the NHBS system should provide insights into the epidemic and assist in reaching public health goals for the control of HIV infections. |
| first_indexed | 2024-12-13T21:07:28Z |
| format | Article |
| id | doaj.art-156bdaf615ac49509c0cf6515b254908 |
| institution | Directory Open Access Journal |
| issn | 2643-6248 |
| language | English |
| last_indexed | 2024-12-13T21:07:28Z |
| publishDate | 2018-08-01 |
| publisher | University of North Florida |
| record_format | Article |
| series | Florida Public Health Review |
| spelling | doaj.art-156bdaf615ac49509c0cf6515b2549082022-12-21T23:31:27ZengUniversity of North FloridaFlorida Public Health Review2643-62482018-08-01154148Trends in the HIV Epidemic among Men Who Have Sex with Men in Miami-Dade County, Florida, 2004-2014David W. Forrest0Gabriel Cardenas1Charlene S. Dodson2Lisa R. Metsch3Marlene LaLota4Emma Spencer5Department of Anthropology, University of MiamiDepartment of Public Health Sciences, University of MiamiUniversity of Miami Department of Sociomedical Sciences, Mailman School of Public Health, Columbia UniversityFlorida Department of HealthHIV Surveillance Program, HIV/AIDS Section, Florida Department of HealthMiami, Florida has a large population of Hispanic and black men who have sex with men (MSM), a population more likely to become HIV infected than white MSM. We present here HIV behavioral trends in this population that reflect the effects of public health prevention in Miami over a 10-year period. Using National HIV Behavioral Surveillance (NHBS) data of MSM in Miami-Dade County, Florida, in 2004-05, 2008, 2011 and 2014, chi-square trend analyses were used to assess the epidemiologic trends related to HIV infection rates, HIV testing rates, undiagnosed HIV infection, use antiretroviral therapy (ART) and access to HIV care. Of 258, 527, 511, and 536 MSM, HIV rates have remained steady between 22.5% (95% CI 17.4-27.6) in 2004-05 to a high of 25.9% (95% CI 22.2-29.6) in MSM4 in 2014, with no significant trend. There was an increase in HIV testing in the past six months between 2004 (48.4%;95% CI 41.8-55.0) and 2014 (55.8;95% CI 51.3-60.3), p < .001; and a decrease in unrecognized HIV infection from 48.3% (95% CI 35.4- 61.2) in 2004 to 31.4% (95% CI 23.7-39.1) in 2014, p = .004, over the same period. Being currently on ART and knowledge of pre-exposure prophylaxis (PrEP) also increased significantly during this 10-year period. HIV surveillance is providing valuable information, notably, as HIV testing rates have gone up unrecognized infections have decreased. Continued use of the NHBS system should provide insights into the epidemic and assist in reaching public health goals for the control of HIV infections.https://digitalcommons.unf.edu/cgi/viewcontent.cgi?article=1218&context=fphr |
| spellingShingle | David W. Forrest Gabriel Cardenas Charlene S. Dodson Lisa R. Metsch Marlene LaLota Emma Spencer Trends in the HIV Epidemic among Men Who Have Sex with Men in Miami-Dade County, Florida, 2004-2014 Florida Public Health Review |
| title | Trends in the HIV Epidemic among Men Who Have Sex with Men in Miami-Dade County, Florida, 2004-2014 |
| title_full | Trends in the HIV Epidemic among Men Who Have Sex with Men in Miami-Dade County, Florida, 2004-2014 |
| title_fullStr | Trends in the HIV Epidemic among Men Who Have Sex with Men in Miami-Dade County, Florida, 2004-2014 |
| title_full_unstemmed | Trends in the HIV Epidemic among Men Who Have Sex with Men in Miami-Dade County, Florida, 2004-2014 |
| title_short | Trends in the HIV Epidemic among Men Who Have Sex with Men in Miami-Dade County, Florida, 2004-2014 |
| title_sort | trends in the hiv epidemic among men who have sex with men in miami dade county florida 2004 2014 |
| url | https://digitalcommons.unf.edu/cgi/viewcontent.cgi?article=1218&context=fphr |
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