Authors
Patrick S Sullivan, Eli S Rosenberg, Travis H Sanchez, Colleen F Kelley, Nicole Luisi, Hannah L Cooper, Ralph J Diclemente, Gina M Wingood, Paula M Frew, Laura F Salazar, Carlos Del Rio, Mark J Mulligan, John L Peterson
Publication date
2015/6/1
Journal
Annals of epidemiology
Volume
25
Issue
6
Pages
445-454
Publisher
Elsevier
Description
Purpose
To describe factors associated with racial disparities in HIV (human immunodeficiency virus) incidence among men who have sex with men (MSM) in the United States.
Methods
In a longitudinal cohort of black and white HIV-negative MSM in Atlanta, HIV incidence rates were compared by race. Incidence hazard ratios (HRs) between black and white MSM were estimated with an age-scaled Cox proportional hazards model. A change-in-estimate approach was used to understand mediating time-independent and -dependent factors that accounted for the elevated HR.
Results
Thirty-two incident HIV infections occurred among 260 black and 302 white MSM during 843 person-years (PY) of follow-up. HIV incidence was higher among black MSM (6.5/100 PY; 95% confidence interval [CI]: 4.2–9.7) than white MSM (1.7/100 PY; CI: 0.7–3.3) and highest among young (18–24 years) black MSM (10.9/100 PY; CI: 6.2 …
Scholar articles
PS Sullivan, ES Rosenberg, TH Sanchez, CF Kelley… - Annals of epidemiology, 2015