CDC-Funded HIV Testing, HIV Positivity, and Linkage to HIV Medical Care among Young MSM in the United States, 2013
methods: CDC-funded HIV testing, HIV positivity, and linkage to HIV medical care for 61 health department jurisdictions were analyzed for young MSM aged 13-29 years. Data to identify MSM are required for testing events in non-healthcare settings but are required only for HIV-positive persons from healthcare settings (68.8% of CDC-funded tests in 2013).
results: In 2013, 127,359 CDC-funded HIV testing events, majority from non-healthcare settings, were conducted among young MSM. Of those, 63.3% were among MSM aged 23-29 years, 30.6% among black/African American MSM, and 25.0% among Hispanic/Latino MSM. Also, 5,885 (0.5%) were HIV-positive, and 4,408 (0.3%) were newly identified HIV-positive. HIV positivity was highest among black/African American MSM (8.5% HIV-positive; 6.2% newly identified) and MSM aged 23-29 years (5.0% HIV-positive; 3.7% newly identified). Eighty-six percent of newly identified MSM were linked to medical care within any timeframe, and 77.6% were linked within 90 days. There was a significant increase in identifying HIV-positive MSM and newly identified HIV-positive MSM from 2011 to 2012 and 2013 (p≤.001), but there was no significant difference from 2012 to 2013 (p>.05).
discussion: Programs appear to be testing young, minority MSM and are approaching the National HIV/AIDS Strategy’s goal of 85% linked within 90 days among young MSM. However, the identification of new positives appears challenging. Further targeting efforts are needed to help identify undiagnosed young MSM.
Learning Areas:Conduct evaluation related to programs, research, and other areas of practice
Discuss CDC-funded HIV testing among young MSM. Explain the overall and newly identified HIV positivity among young MSM from CDC-funded testing. Describe linkage to HIV medical care among young MSM.
Keyword(s): HIV/AIDS, Lesbian, Gay, Bisexual and Transgender (LGBT)
Qualified on the content I am responsible for because: I have almost 15 years of experience conducting research in HIV. I have worked internationally and domestically on programmatic and research efforts on HIV testing and HIV service delivery, prevention with HIV-positive persons, program evaluation, and providing technical assistance and capacity building. I have numerous presentations at national and international conferences and peer-reviewed publications relating to HIV and risky sexual behavior.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.