TITLE

HIV Infection and Sexual Risk among Men Who Have Sex with Men and Women (MSMW): A Systematic Review and Meta-Analysis

AUTHOR(S)
Friedman, M. Reuel; Wei, Chongyi; Klem, Mary Lou; Silvestre, Anthony J.; Markovic, Nina; Stall, Ron
PUB. DATE
January 2014
SOURCE
PLoS ONE;Jan2014, Vol. 9 Issue 1, p1
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Objectives: To estimate the number of men who have sex with men and women who are HIV-positive in the United States, and to compare HIV prevalence rates between men who have sex with men and women, men who have sex with men only, and men who have sex with women exclusively. Methods: Following PRISMA guidelines, we conducted a systematic review and meta-analysis of reports referencing HIV prevalence and men who have sex with men and women. We searched PubMed and Ovid PsycINFO for peer-reviewed, U.S.-based articles reporting on HIV prevalence among men who have sex with men and women. We conducted event rate, effect size, moderation and sensitivity analyses. Results: We estimate that 1.0% of U.S. males are bisexually-behaving, and that 121,800 bisexually-behaving men are HIV-positive. Men who have sex with men and women are less than half as likely to be HIV-positive as men who have sex with men only (16.9% vs. 33.3%; OR = 0.41, 95% CI: 0.31, 0.54), but more than five times as likely to be HIV-positive as men who have sex with women exclusively (18.3% vs. 3.5%; OR = 5.71, 95% CI: 3.47, 9.39). They are less likely to engage in unprotected receptive anal intercourse than men who have sex with men only (15.9% vs. 35.0%; OR = 0.36, 95% CI: 0.28, 0.46). Men who have sex with men and women in samples with high racial/ethnic minority proportions had significantly higher HIV prevalence than their counterparts in low racial/ethnic minority samples. Conclusions: This represents the first meta-analysis of HIV prevalence in the U.S. between men who have sex with men and women and men who have sex with men only. Data collection, research, and HIV prevention and care delivery specifically tailored to men who have sex with men and women are necessary to better quantify and ameliorate this population’s HIV burden.
ACCESSION #
94235986

 

Related Articles

  • Sexual Risk Reduction for HIV-Infected Persons: A Meta-Analytic Review of “Positive Prevention” Randomized Clinical Trials. Yin, Lu; Wang, Na; Vermund, Sten H.; Shepherd, Bryan E.; Ruan, Yuhua; Shao, Yiming; Qian, Han-Zhu // PLoS ONE;Sep2014, Vol. 9 Issue 9, p1 

    Background: Prevention intervention trials have been conducted to reduce risk of sexual transmission among people living with HIV/AIDS (PLWHA), but the findings were inconsistent. We performed a systematic review and meta-analysis to evaluate overall efficacy of prevention interventions on...

  • Prevalence of TB/HIV co-infection in Iran: a systematic review and meta-analysis. Pourakbari, B.; Mamishi, S.; Banar, M.; Keshtkar, A. A.; Mahmoudi, S. // Annali di Igiene, Medicina Preventiva e di Comunita;2019, Vol. 31 Issue 4, p333 

    Introduction. Co-infection of TB/HIV is an emerging threat to a global public health. Although several studies have investigated the prevalence of TB/HIV co-infection in Iran, the results are inconsistent. The current systematic review and meta-analysis was planned to estimate the overall...

  • Risk factors for male to female transmission of HIV.  // BMJ: British Medical Journal (International Edition);2/18/89, Vol. 298 Issue 6671, p411 

    Identifies the risk factors for sexual transmission of HIV from infected men to their female sexual partners. Determination of the HIV antibody state of women; Risks of anal intercourse; Difference in rates of transmission of HIV infections.

  • HIV, syphilis and sexual risk behaviours among men who have sex with men in Agadir and Marrakesh, Morocco. Johnston, Lisa Grazina; Alami, Kamal; El Rhilani, M. Houssine; Karkouri, Mehdi; Mellouk, homan; Abadie, Alise; Rafif, Nadia; Ouarsas, Lahoucine; Bennani, Aziza; El Omari, Boutaina // Sexually Transmitted Infections;Nov2013 Supplement 3, piii45 

    Objective To collect baseline measurements of HIV and syphilis prevalence and sexual risk behaviours among men who have sex with men (MSM) in Agadir and Marrakech, Morocco, and provide strategic information to improve outreach programmes. Methods and Design Respondent-driven sampling was used to...

  • Current drivers and geographic patterns of HIV in Lesotho: implications for treatment and prevention in Sub-Saharan Africa. Coburn, Brian J.; Okano, Justin T.; Blower, Sally // BMC Medicine;2013, Vol. 11 Issue 1, p36 

    Background The most severe HIV epidemics worldwide occur in Lesotho, Botswana and Swaziland. Here we focus on the Lesotho epidemic, which has received little attention. We determined the within-country heterogeneity in the severity of the epidemic, and identified the risk factors for HIV...

  • Concurrent Partnerships and HIV Prevalence Disparities by Race: Linking Science and Public Health Practice. Morris, Martina; Kurth, Ann E.; Hamilton, Deven T.; Moody, James; Wakefield, Steve // American Journal of Public Health;Jun2009, Vol. 99 Issue 6, p1023 

    Concurrent sexual partnerships may help to explain the disproportionately high prevalence of HIV and other sexually transmitted infections among African Americans. The persistence of such disparities would also require strong assortative mixing by race. We examined descriptive evidence from 4...

  • Disparities and Risks of Sexually Transmissible Infections among Men Who Have Sex with Men in China: A Meta-Analysis and Data Synthesis. Chow, Eric P. F.; Tucker, Joseph D.; Wong, Frank Y.; Nehl, Eric J.; Wang, Yanjie; Zhuang, Xun; Zhang, Lei // PLoS ONE;Feb2014, Vol. 9 Issue 2, p1 

    Background: Sexually transmitted infections (STIs), including Hepatitis B and C virus, are emerging public health risks in China, especially among men who have sex with men (MSM). This study aims to assess the magnitude and risks of STIs among Chinese MSM. Methods: Chinese and English...

  • Prevalence of HIV and Syphilis Infection among High School and College Student MSM in China: A Systematic Review and Meta-Analysis. Li, Yongze; Xu, Junjie; Reilly, Kathleen H.; Zhang, Jianming; Wei, Hongyi; Jiang, Yongjun; Geng, Wenqing; Tang, Weiming; Shang, Hong // PLoS ONE;Jul2013, Vol. 8 Issue 7, p1 

    Objectives: The aim of this study is to systematically review the published studies and summarize the estimates of HIV and syphilis prevalences among high school and college student MSM in China in order to provide information for conducting targeted interventions. Methods: Pubmed, Chinese...

  • Social Determinants of HIV/AIDS and Sexually Transmitted Diseases Among Black Women: Implications for Health Equity. Sharpe, Tanya Telfair; Voûte, Caroline; Rose, Michelle A.; Cleveland, Janet; Dean, Hazel D.; Fenton, Kevin // Journal of Women's Health (15409996);Mar2012, Vol. 21 Issue 3, p249 

    Recent epidemiologic reports show that black women are at risk for HIV infection and other sexually transmitted diseases (STDs). In this report, we go beyond race and consider a number of social and economic trends that have changed the way many black women experience life. We discuss poverty,...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics