Abstract
Correct and consistent condom use and human immunodeficiency virus (HIV) preexposure prophylaxis (PrEP) are protective against sexual transmission of HIV (1,2). The incidence of HIV infection among Hispanic/Latino men who have sex with men (MSM) in the United States is increasing (3). HIV risk among Hispanic/Latino MSM differs based on their place of birth and years of U.S. residence (4). Data from CDC's National HIV Behavioral Surveillance (NHBS)* for 2011-2017 were analyzed to assess changes in sexual risk behaviors among Hispanic/Latino MSM by place of birth and years of U.S. residence. Overall, condomless anal sex during the previous 12 months increased from 63% in 2011 to 74% in 2017, and PrEP use during the previous 12 months increased from 3% in 2014 to 24% in 2017. Regardless of place of birth, nearly 75% of Hispanic/Latino MSM reported condomless anal sex during 2017. However, because of PrEP use, <60% of non-U.S.-born Hispanic/Latino MSM and <50% of U.S.-born Hispanic/Latino MSM reported unprotected anal sex (condomless anal sex and no PrEP use) during 2017. Results indicate that PrEP can be a vital tool for reducing HIV transmission among Hispanic/Latino MSM, especially those who have condomless anal sex. Interventions to prevent HIV acquisition, including increasing PrEP uptake, could address cultural and linguistic needs of Hispanic/Latino MSM, as well as other barriers to prevention of HIV infection typically faced by all MSM.
Highlights
Among Hispanic/Latino men who have sex with men (MSM), human immunodeficiency virus (HIV) infection is associated with place of birth and length of U.S. residence
Philadelphia, Pennsylvania; Mary-Grace Brandt, Detroit, Michigan; Sarah Braunstein, New York City, New York; Richard Burt, Seattle, Washington; Rosalinda Cano, San Diego, California; Sidney Carrillo, New York City, New York; Jie Deng, Dallas, Texas; Rose Doherty, Boston, Massachusetts; Anna Flynn, San Diego, California; Colin Flynn, Baltimore, Maryland; David Forrest, Miami, Florida; Dawn Fukuda, Boston, Massachusetts; Danielle German, Baltimore, Maryland; Sara Glick, Seattle, Washington; Vivian Griffin, Detroit, Michigan; Henry Godette, Newark, New Jersey; DeAnn Gruber, New Orleans, Louisiana; Emily Higgins, Detroit, Michigan; Theresa Ick, San Francisco, California; Tom Jaenicke, Seattle, Washington; Antonio D
Summary
Trends in Sexual Risk Behaviors Among Hispanic/Latino Men Who Have Sex with Men — 19 Urban. HIV risk among Hispanic/Latino MSM differs based on their place of birth and years of U.S residence (4). Regardless of place of birth, nearly 75% of Hispanic/Latino MSM reported condomless anal sex during 2017. Results indicate that PrEP can be a vital tool for reducing HIV transmission among Hispanic/Latino MSM, especially those who have condomless anal sex. Urban areas§ who self-identified as Hispanic/Latino, reported having sex with another man during the previous 12 months, and had an HIV-negative test result after the NHBS interview.¶ Participants’ place of birth was dichotomized as U.S.-born (50 states and the District of Columbia) or non-U.S.–born. Participants residing and interviewed in San Juan, Puerto Rico, were excluded from the analysis because of important public health differences (e.g., access to Medicaid and limited number of PrEP providers) between Puerto Rico and the 50 states and the District of Columbia.
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