HIV Among Gay and Bisexual Men the U.S. | Fact Sheets | Newsroom | NCHHSTP | CDC

Contents:

• WHY DO GAY MEN HAVE A HIGHER CHANCE OF GETTG HIV?
• WHAT YOU NEED TO KNOW ABOUT HIV GAY, LBIAN, BISEXUAL, AND TRANSGENR PEOPLE THE U.S.
• WHY ARE GAY MEN MORE AT RISK FOR HIV?
• HIV AND ALL GAY AND BISEXUAL MEN
• NST T="UNFED"!=TYPEOF HTMLIMAGEELEMENT&&"LOADG" HTMLIMAGEELEMENT.PROTOTYPE;IF(T){NST T=DOCUMENT.QUERYSELECTORALL("IMG[DATA-MA-IMAGE]");FOR(LET E OF T){(E.SETATTRIBUTE("SRC",),E.REMOVEATTRIBUTE("DATA-SRC")),(E.SETATTRIBUTE("SRCSET",),E.REMOVEATTRIBUTE("DATA-SRCSET"));NST T=E.PARENTNO.QUERYSELECTORALL("SOURCE[DATA-SRCSET]");FOR(LET E OF T)E.SETATTRIBUTE("SRCSET",),E.REMOVEATTRIBUTE("DATA-SRCSET");PLETE&&(,E.PARENTNO.PARENTNO.QUERYSELECTOR("[DATA-PLACEHOLR-IMAGE]"))}}HIV BASICSOVERVIEWABOUT HIV & AIDSWHAT ARE HIV AND AIDS?HOW IS HIV TRANSMTED?WHO IS AT RISK FOR HIV?SYMPTOMS OF HIVDATA & TRENDSU.S. STATISTICSIMPACT ON RACIAL AND ETHNIC MORIGLOBAL STATISTICSHISTORYHIV AND AIDS TIMELEMAKG A DIFFERENCESUPPORTG SOMEONE LIVG WH HIVSTANDG UP TO STIGMAGETTG INVOLVEDHIV PREVENTNUSG HIV MEDITN TO RCE RISKHIV TREATMENT AS PREVENTNPRE-EXPOSURE PROPHYLAXIS (PREP)POST-EXPOSURE PROPHYLAXIS (PEP)RCG SEXUAL RISKPREVENTG SEXUAL TRANSMISSN OF HIVRCG RISK OM ALHOL & DG USEALHOL AND HIV RISKSUBSTANCE USE AND HIV RISKRCG RISK OF PERATAL TRANSMISSNPREVENTG PERATAL TRANSMISSN OF HIVPOTENTIAL FUTURE OPTNSHIV VACCLONG-ACTG HIV PREVENTN TOOLSMICROBICISHIV TTGLEARN ABOUT HIV TTGWHO SHOULD GET TTED?HIV TTG LOTNSHIV TTG OVERVIEWUNRSTANDG HIV TT RULTSJT DIAGNOSED: WHAT'S NEXT?LIVG WH HIVTALKG ABOUT YOUR HIV STATSTARTG HIV CAREFD A PROVIRLOTE AN HIV CARE PROVIRTYP OF PROVIRSTAKE CHARGE OF YOUR CAREGETTG READY FOR YOUR FIRST VISWHAT TO EXPECT AT YOUR FIRST HIV CARE VISSTAYG HIV CAREPROVIR VISS AND LAB TTSMAKG CARE WORK FOR YOUSEEG YOUR HEALTH CARE PROVIRHIV LAB TTS AND RULTSRETURNG TO CAREHIV TREATMENTHIV TREATMENT OVERVIEWVIRAL SUPPRSN AND UNTECTABLE VIRAL LOAD TAKG YOUR HIV MEDICE AS PRCRIBEDTIPS ON TAKG YOUR HIV MEDITN EVERY DAYPAYG FOR HIV CARE AND TREATMENTOTHER RELATED HEALTH ISSUOTHER HEALTH ISSU OF SPECIAL CONCERN FOR PEOPLE LIVG WH HIVALHOL AND DG USECORONAVIS (COVID-19) AND PEOPLE WH HIVHEPATIS B & CIMMUNIZATNS AND PEOPLE WH HIVFLU AND PEOPLE WH HIVMENTAL HEALTHMPOX AND PEOPLE WH HIVOPPORTUNISTIC INFECTNSSEXUALLY TRANSMTED INFECTNSSMOKGHIV AND WOMEN'S HEALTH ISSULIVG WELL WH HIVTAKG CARE OF YOURSELFAGG WH HIVEMERGENCI AND DISASTERS AND HIVEMPLOYMENT AND HEALTHEXERCISE AND PHYSIL ACTIVYFOOD SAFETY AND NUTRNHOG AND HEALTHTRAVELG OUTSI THE U.S.YOUR LEGAL RIGHTSCIVIL RIGHTSWORKPLACE RIGHTSLIMS ON CONFINTIALYFERAL RPONSENATNAL HIV/AIDS STRATEGYNATNAL HIV/AIDS STRATEGY (2022-2025)PRR NATNAL HIV/AIDS STRATEGI (2010-2021)ENDG THE HIV EPIMICABOUT ENDG THE HIV EPIMIC THE U.S.OVERVIEWKEY STRATEGIPRRY JURISDICTNSHHS AGENCI INVOLVEDFUNDGTIMELELEARN MORE ABOUT EHEREADY, SET, PREPREADY, SET, PREPREADY, SET, PREP PHARMACIREADY, SET, PREP ROURCAHEADAHEAD: AMERI’S HIV EPIMIC ANALYSIS DASHBOARDFERAL ACTIVI & AGENCIHIV PREVENTN ACTIVIHIV TTG ACTIVIHIV CARE AND TREATMENT ACTIVIHIV REARCH ACTIVIACTIVI COMBATG HIV STIGMA AND DISCRIMATNPOLICI & ISSUTHE AFFORDABLE CARE ACT AND HIV/AIDSHIV CARE CONTUUMSYRGE SERVIC PROGRAMSFUNDGBUDGETFERAL FUNDG FOR HIV/AIDSMORY HIV/AIDS FUNDOVERVIEWBACKGROUNDFUND ACTIVITHE FUND ACTNPACHAABOUT PACHACHARTERMEMBERS & STAFFSUBMTEPRR PACHA MEETGS AND REMENDATNSCAMPAIGNSI AM A WORK OF ART CAMPAIGNAWARENS CAMPAIGNSPEPFAR & GLOBAL AIDSGLOBAL HIV/AIDS OVERVIEWPEPFARU.S. GOVERNMENT GLOBAL HIV/AIDS ACTIVIGLOBAL HIV/AIDS ORGANIZATNSEVENTSAWARENS DAYSNATNAL BLACK HIV/AIDS AWARENS DAY FEBARY 7HIV IS NOT A CRIME AWARENS DAY FEBARY 28NATNAL WOMEN AND GIRLS HIV/AIDS AWARENS DAY MARCH 10NATNAL NATIVE HIV/AIDS AWARENS DAY MARCH 20NATNAL YOUTH HIV & AIDS AWARENS DAY APRIL 10HIV VACCE AWARENS DAY MAY 18NATNAL ASIAN & PACIFIC ISLANR HIV/AIDS AWARENS DAY MAY 19HIV LONG-TERM SURVIVORS AWARENS DAY JUNE 5NATNAL HIV TTG DAY JUNE 27ZERO HIV STIGMA JULY 21SOUTHERN HIV/AIDS AWARENS DAY AUGT 20NATNAL FAH HIV/AIDS AWARENS DAY AUGT 30NATNAL HIV/AIDS AND AGG AWARENS DAY SEPTEMPBER 18NATNAL GAY MEN'S HIV/AIDS AWARENS DAY SEPTEMBER 27NATNAL LATX AIDS AWARENS DAY OCTOBER 15WORLD AIDS DAY DECEMBER 1EVENT PLANNG GUI CONFERENCU.S. CONFERENCE ON HIV/AIDS (USCHA) NATNAL RYAN WHE CONFERENCE ON HIV CARE & TREATMENT AIDS 2020 (23RD INTERNATNAL AIDS CONFERENCE VIRTUAL) LEARNG OPPORTUNILEARNG OPPORTUNILEARNG OPPORTUNIWANT TO STAY ABREAST OF CHANG PREVENTN, RE, TREATMENT OR REARCH OR OTHER PUBLIC HEALTH ARENAS THAT AFFECT OUR LLECTIVE RPONSE TO THE HIV EPIMIC? OR ARE YOU NEW TO THIS FIELD? CURAT LEARNG OPPORTUNI FOR YOU, AND THE PEOPLE YOU SERVE AND LLABORATE WH.STAY UP TO DATE WH THE WEBARS, TWTER CHATS, NFERENC AND MORE THIS SECTN.MORE LEARNG OPPORTUNIBLOGGET TTED. FD SERVIC + PREPSEARCHGOESPAñOL ESPAñOL ES GET TTED. FD SERVIC + PREPSEARCHOPEN LOTOR SEARCHHIV SERVICES LOCATORSEARCH⨯CLOSEHOMEHIV BASICSOVERVIEWDATA AND TRENDSU.S. STATISTICSSECTN MENUGET TTED. FIND SERVICES + PREP.DATA & TRENDSU.S. STATISTICSIMPACT ON RACIAL AND ETHNIC MORIGLOBAL STATISTICSSEARCHDATA & TRENDSU.S. STATISTICSIMPACT ON RACIAL AND ETHNIC MORIGLOBAL STATISTICSU.S. STATISTICS
• 'IT'S A S' BRGS A LOST GENERATN OF GAY MEN TO LIFE
• HIV AMONG GAY AND BISEXUAL MEN THE U.S.
• HIV IS A STORY FIRST WRTEN ON THE BODI OF GAY AND BISEXUAL MEN
• DISCRIMATN AND HOMOPHOBIA FUEL THE HIV EPIMIC GAY AND BISEXUAL MEN

WHY DO GAY MEN HAVE A HIGHER CHANCE OF GETTG HIV?

In that same year, per the CDC, only 65 out of 100 gay and bisexual men wh HIV the Uned Stat received some HIV MSM don’t seek ttg or treatment due to homophobic stigma or fear of discrimatn.

WHAT YOU NEED TO KNOW ABOUT HIV GAY, LBIAN, BISEXUAL, AND TRANSGENR PEOPLE THE U.S.

On this page:Gay & Bisexual MenLbians & Bisexual WomenTransgenr PeopleBisexual PeopleShared Risk FactorsFor as long as HIV has existed the public nscns, has been associated wh queerns. The first story wrten about AIDS any newspaper appeared the New York Native, a gay biweekly publitn, which May 1981 tried to ph back agast mors of a “gay ncer” spreadg the U. Later that year, The New York Tim published a now-famo story entled, “Rare Cancer Seen 41 Homosexuals, ” which raised alarm bells wh the LGBTQ+ muny—and also set the stage for s of stigma agast the LGBTQ+ muny om those outsi .

WHY ARE GAY MEN MORE AT RISK FOR HIV?

From earlier films like And the Band Played On to Philalphia up through How to Survive a Plague and The Normal Heart, media ntue to nnect HIV wh gay men, one of the “four Hs” thought to be the groups that ntracted the vis: homosexuals, Haians, hero ers, and hemophiliacs. But that don’t tell whether the person who had oppose-sex sexual terurse was gay, bisexual, pansexual, or any other term for a person who has sex wh people of multiple genrs. Increased rat of HIV among gay and bisexual men of lor have nothg to do wh an herent risk based on their inti, but rather on the many soccultural and socenomic factors that hurt Black and Latx queer people every day.

The reason that women who engage sex wh other women are at lower risk of HIV fectn is not bee of any herent protectn om beg a lbian, but bee sex between women ually volv ls direct exchange of fect fluids than sex between gay and bisexual men. Bisexual people are much ls likely than gay men or lbians to disclose their sexual orientatn to their sexual health re provirs—not bee they don’t want to, but bee they often feel like their sexualy is misunrstood or bee provirs may assume that they are eher exclively straight or exclively gay. One 2013 study found that 39% of bisexual men and 33% of bisexual women did not disclose their bisexualy to their health re provir, pared to only 13% of lbians and 10% of gay men.

Bisexual people have a number of measurably worse mental health out than their straight and gay unterparts—each of which n lead to creased HIV risk and poorer health while livg wh HIV.

HIV AND ALL GAY AND BISEXUAL MEN

Rearchers have found that gay and bisexual men who are survivors of domtic vlence often exhib siar out to women who experience domtic vlence, cludg havg lower , beg unemployed, experiencg prsn, and g substanc.

Homelsns among young gay and bisexual men (aged 17 to 28) has been nnected wh a greater lifetime risk for HIV—meang the risk extends much longer than their perd of homelsns. Even though there is no difference HIV risk behavrs between gay and bisexual men who are whe and gay and bisexual men of lor, the HIV rate among gay and bisexual men of lor is much higher.

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Rearch has shown that, among a group of gay and bisexual men of lor, racism they’ve experienced wh their LGBTQ muny—as well as homophobia om their heterosexual iend works—n lead to prsn and anxiety. For stance, one study found that that gay and bisexual Latx men are more likely than other racial groups to report ndomls receptive anal sex wh a sual partner as a rponse to both homophobia and racism. Meanwhile, “genr role stra, ” or the prsure of nformg to culturally appropriate ias of masculy, has put Black gay and bisexual men at greater risk for psychologil distrs and sexual risk when pared to whe gay and bisexual men.

Racial and ethnic dispari don’t only acunt for differenc HIV risk among groups of gay and bisexual men; they also acunt for worse health out among men of lor who are diagnosed wh HIV. READ MORE: Panmics That Changed History: A TimeleThe AIDS Epimic Aris Though HIV arrived the Uned Stat around 1970, didn’t e to the public’s attentn until the early 1981, the Centers for Disease Control and Preventn (CDC) published a report about five prevly healthy homosexual men beg fected wh Pnmocystis pnmonia, which is ed by the normally harmls fung Pnmocystis jirovecii.

Bee the disease appeared to affect mostly homosexual men, officials ially lled gay-related immune ficiency, or the CDC disvered all major rout of the disease’s transmissn—as well as that female partners of AIDS-posive men uld be fected— 1983, the public nsired AIDS a gay disease. The FDA would revise s l 2015 to allow gay men to give blood if they’ve been celibate for a year, though blood banks routely tt blood for the end of 1985, there were more than 20, 000 reported s of AIDS, wh at least one se every regn of the is Developed In 1987, the first antiretroviral meditn for HIV, azidothymide (AZT), beme available. HIV/AIDS the 1990s and 2000s In 1991, the red ribbon beme an ternatnal symbol of AIDS that year, basketball player Magic Johnson announced he had HIV, helpg to further brg awarens to the issue and dispel the stereotype of beg a gay disease.

'IT'S A S' BRGS A LOST GENERATN OF GAY MEN TO LIFE

About 13 percent of them don’t know and need ntu to have a disproportnate impact on certa populatns, particularly racial and ethnic mori and gay, bisexual, and other men who have sex wh 2019, an timated 34, 800 new HIV fectns occurred the U. CDC timat show new HIV fectns cled 8% om 2015 to 2019, after a perd of general of this progrs is likely due to larger cl among young gay, bisexual, and other men who have sex wh men (MSM)c recent years.

:In 2020, MSM acunted for 71% of new HIV diagnos the Uned 2020, Black/Ain Amerin MSM acunted for 26% (8, 064) of new HIV diagnos and 39% of diagnos among all 2020, Hispanic/Lato MSM ma up 21% (6, 359) of new HIV diagnos and 31% of diagnosis among all 2016 to 2019, HIV diagnos creased 7% among gay and bisexual men overall. CDC is fundg a monstratn project 4 jurisdictns to intify active HIV transmissn works and implement HIV terventns for Hispanic/Lato gay, bisexual, and other men who have sex wh men.

HIV AMONG GAY AND BISEXUAL MEN THE U.S.

In 2017, CDC award nearly $11 ln per year for five years to 30 CBOs to provi HIV ttg to young gay and bisexual men of lor and transgenr youth of lor, wh the goal of intifyg undiagnosed HIV fectns and lkg those who have HIV to re and preventn servic. Wh It's a S, Davi ptur the tragic irony of an era where gay men were jt startg to enjoy some amount of eedom after hard-fought battl for liberatn, only to be ravaged by an unseen viral predator. "You know, now that I'm lookg back, I realize what a huge impact that had on me as I was g to terms wh my own sexualy and the word gay and AIDS were ed as jok the playground.

HIV IS A STORY FIRST WRTEN ON THE BODI OF GAY AND BISEXUAL MEN

Sensg the impendg wave of fectns, olr gay men try, to no avail, to warn their younger unterparts, but their advisory posters are rejected om gay bars and their worri are shunned as simply attempts to prive a younger generatn of their newfound sexual eedom.

Jill is a straight woman livg the Pk Palace wh her gay iends, and though we don't learn much about her personal story, she do a lot of the show's emotnal labor — whether 's phonebankg, prott anizg or holdg the hands of the abandoned and dyg — and she do all wh ltle regnn. 's Channel 4, he's seen feedback om younger gay men — livg today's world of advanced preventative HIV medice and relative eedom — who are outraged "that such a world ever existed. Factors that fluence health out—cludg HIV-related stigma, homophobia, racism, discrimatn, poverty, limed accs to high-qualy health re, and other longstandg barriers—have ntributed to the unequal reach of HIV preventn and treatment; higher levels of HIV some muni; and ntued equi.

Wh effective preventn and treatment tools at our disposal, the natn has a s--the-makg opportuny to end the domtic HIV epimic and elimate dispari HIV preventn and re among gay and bisexual men and other populatns disproportnately affected by HIV.

DISCRIMATN AND HOMOPHOBIA FUEL THE HIV EPIMIC GAY AND BISEXUAL MEN

Many health re and mental health anizatns foced on the lbian, gay, bisexual and transgenr muny also offer substance e treatment or may be able to provi rmatn about lol rourc.

2 A year later, the Centers for Disease Control and Preventn’s (CDC’s) Morbidy and Mortaly Weekly Report scribed five s of Pnmocystis pnmonia among young “homosexual” men livg Los Angel, California. 3 By 1982, the term “gay-related immune ficiency” gaed tractn the media and among health re profsnals to scribe the assumed herent lk between homosexualy and what would later be known as human immunoficiency vis (HIV).

In 1983, trated by their shared experienc of stigma, gay men wh AIDS at the Fifth Annual Gay and Lbian Health Conference brought forth the Denver Prcipl, which talyzed self-empowerment across health movements for s to signifint as the time markers are, the HIV story the Uned Stat likely dat back two or more s before the 1980s. And the goal of this edorial memoratg the first published s of AIDS is to unrsre the cril importance of human rights for sexual mory men and women and as the basis of the HIV AMONG GAY AND BISEXUAL MENRace, class, and sexual orientatn ntue to shape the HIV epimic the Uned Stat and around the world, wh new fectns disproportnately affectg men who have sex wh men Black and Brown muni. Reliably llected epimlogic evince ntue to tell a story that centers the HIV panmic on gay and bisexual men, yet public health agenci ntue to rource HIV rpons st broadly to the “general populatn.