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

Contents:

• WHY ARE GAY MEN MORE AT RISK FOR HIV?
• HIV AMONG GAY AND BISEXUAL MEN THE U.S.
• WHY MORE HIV GAY MEN?
• HIV NOW FECTS MORE HETEROSEXUAL PEOPLE THAN GAY OR BISEXUAL MEN – WE NEED A NEW STRATEGY
• THE HIGH RISK OF GAY BLACK MEN GETTG HIV
• GAY AND BISEXUAL MEN'S HEALTH ISSU
• HIV AND ALL GAY AND BISEXUAL MEN

WHY ARE GAY MEN MORE AT RISK FOR HIV?

David explas what’s behd the higher rat of HIV among gay men.

David: This gentlemen asks, “’Why are gay men more at risk for HIV? Sce the HIV epimic started the 1980s gay men have been at a greater risk and reprented more of the new HIV s that we’ve known this untry and actually ternatnally as well. In this day and time, gay men still make up about 2/3 of the new HIV diagnosis.

HIV AMONG GAY AND BISEXUAL MEN THE U.S.

So aga, the pot I would want to make, ’s not bee of who you are, ’s not jt bee you’re gay. It’s bee we live a high HIV prevalent society among gay men and then also bee some of the behavrs that we engage may put more at risk for HIV. Gay and bisexual men n take the followg steps to rce their risk of HIV fectn:.

New HIV fectns cled among gay and bisexual men the last , but HIV ntu to disproportnately affect gay and bisexual men relative to other muni the U. Progrs rcg new HIV fectns among gay and bisexual men has also not been equal, wh differenc by race, ethnicy, and age. 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.

Addnally, 2020, 49% fewer HIV tts were admistered among gay and bisexual men non-healthre settgs than 2019. 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. The HIV epimic among gay men n't be explaed by their number of sexual partners, US rearchers report.

WHY MORE HIV GAY MEN?

More than half the new HIV fectns diagnosed the Uned Stat 2005 were among gay men, a team at the Universy of Washgton, Seattle, noted. In addn, as many as one five gay men livg ci may be HIV-posive. But the sexual behavurs of gay and heterosexual men the Uned Stat may not be as different as most people thk, the rearchers said.

In fact, two surveys found that most gay men have a siar rate of sex wh unprotected partners pared to straight men or women. "Jt bee gay men ntue to have much higher levels of HIV, we n't jump to the ncln that that means that they are promiscuo or that preventn msag aren't workg, " said lead rearcher Steven Goodre, an assistant profsor of anthropology. Usg those figur, they timated how many sex partners’ gay men and straight men and women have, and what numbers of gay men have eher sertive or receptive anal sex, or both.

HIV NOW FECTS MORE HETEROSEXUAL PEOPLE THAN GAY OR BISEXUAL MEN – WE NEED A NEW STRATEGY

"We found that even if gay men behave the same way heterosexuals do - terms of sexual partner numbers - gay men would still have a huge HIV epimic, " Goodre said. Conversely, "even if heterosexual men behaved the way gay men do, they would not have a huge HIV epimic, " he add.

In fact, for straight men and women to experience an epimic of HIV fectn as wispread as that of gay men, they would have to have an average of almost five unprotected sexual partners every year - almost three tim the rate of the average gay male, Goodre and Goln found.

So, why the higher HIV risk for gay men? "A uple of different thgs uld give gay men an overall higher risk for HIV than heterosexuals, " Goodre said.

THE HIGH RISK OF GAY BLACK MEN GETTG HIV

One reason HIV remas epimic among gay men is that anal sex is much more nducive to the transmissn of HIV transmissn than is vagal sex, the rearcher said. "That puts gay men at much higher risk overall, " he said. Receptive), while gay men n swch rol - makg the transmissn of HIV more likely, he noted.

So, for gay men and straight men who have the same number of partners and have unprotected sex, gay men are more likely to transm and receive HIV, Goodre said. "That's why you n get huge epimics among gay men and virtually none among heterosexual men, " he said.

GAY AND BISEXUAL MEN'S HEALTH ISSU

To end the HIV epimic, gay men would need to have signifintly lower rat of unprotected sex than those seen among the straight men, Goodre believ. HIV and gay sex. 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.

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. This fact sheet the term gay and bisexual men. HIV was tearg the gay muny apart and my diagnosis was almost a relief after a trapped a cycle of sex, shame, fear and regret.

HIV AND ALL GAY AND BISEXUAL MEN

That medil breakthrough 1996 meant an HIV diagnosis was no longer a termal one, but rat among gay men remaed disproportnately high and stigma rife. Now, 49% of new diagnos England are among straight people (wh an almost even spl between men and women), pared wh 45% for gay and bisexual men. Instead, ’s primarily the rult of a sharp, staed drop diagnos among gay and bisexual men wh a 71% fall sce 2014.

There was a 7% fall HIV ttg by gay men sexual health clics England 2020, but HIV ttg rat heterosexuals dropped by a third.