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Greater risk for HIV infection of black men who have sex with men: A critical literature review

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  • Millett, G.A.
  • Peterson, J.L.
  • Wolitski, R.J.
  • Stall, R.

Abstract

HIV rates are disproportionately higher for Black men who have sex with men (MSM) than for other MSM. We reviewed the literature to examine 12 hypotheses that might explain this disparity. We found that high rates of HIV infection for Black MSM were partly attributable to a high prevalence of sexually transmitted diseases that facilitate HIV transmission and to undetected or late diagnosis of HIV infection; they were not attributable to a higher frequency of risky sexual behavior, nongay identity, or sexual nondisclosure, or to reported use of alcohol or illicit substances. Evidence was insufficient to evaluate the remaining hypotheses. Future studies must address these hypotheses to provide additional explanations for the greater prevalence of HIV infection among Black MSM.

Suggested Citation

  • Millett, G.A. & Peterson, J.L. & Wolitski, R.J. & Stall, R., 2006. "Greater risk for HIV infection of black men who have sex with men: A critical literature review," American Journal of Public Health, American Public Health Association, vol. 96(6), pages 1007-1019.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2005.066720_9
    DOI: 10.2105/AJPH.2005.066720
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    Cited by:

    1. Lewis, Nathaniel M. & Wilson, Kathi, 2017. "HIV risk behaviours among immigrant and ethnic minority gay and bisexual men in North America and Europe: A systematic review," Social Science & Medicine, Elsevier, vol. 179(C), pages 115-128.
    2. Cassels, Susan & Cerezo, Alison & Reid, Sean C. & Rivera, David B. & Loustalot, Colin & Meltzer, Dan, 2023. "Geographic mobility and its impact on sexual health and ongoing HIV transmission among migrant latinx men who have sex with men," Social Science & Medicine, Elsevier, vol. 320(C).
    3. M Reuel Friedman & Chongyi Wei & Mary Lou Klem & Anthony J Silvestre & Nina Markovic & Ron Stall, 2014. "HIV Infection and Sexual Risk among Men Who Have Sex with Men and Women (MSMW): A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 9(1), pages 1-12, January.
    4. Zanetta Gant & Larry Gant & Ruiguang Song & Leigh Willis & Anna Satcher Johnson, 2014. "A Census Tract–Level Examination of Social Determinants of Health among Black/African American Men with Diagnosed HIV Infection, 2005–2009—17 US Areas," PLOS ONE, Public Library of Science, vol. 9(9), pages 1-7, September.
    5. Saleh, Lena Denise & Operario, Don, 2009. "Moving beyond "the Down Low": A critical analysis of terminology guiding HIV prevention efforts for African American men who have secretive sex with men," Social Science & Medicine, Elsevier, vol. 68(2), pages 390-395, January.
    6. Clemon George & Lydia Makoroka & Sean B. Rourke & Barry D. Adam & Robert S. Remis & Winston Husbands & Stanley E. Read, 2014. "HIV Testing by Black MSM in Toronto," SAGE Open, , vol. 4(2), pages 21582440145, April.
    7. Engstrom, Curtiss W. & West, Brady T. & Schepis, Ty S. & McCabe, Sean Esteban, 2024. "Does the approach used to measure sexual identity affect estimates of health disparities differently by race? A randomized experiment from the National Survey of Family Growth," Social Science & Medicine, Elsevier, vol. 350(C).

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