Abstract
In the United States, men who have sex with men (MSM) constitute the risk group in which the prevalence of new HIV infection is increasing. The percentage of undiagnosed HIV infection and HIV risk behaviors in MSM and non-MSM participating in an emergency department-based rapid HIV screening program were compared. Medical records of all male patients participating in the program from May 2008 to October 2010 were reviewed. MSM were identified as male or male-to-female patients reporting oral and/or anal sex with a male. Males eligible for testing were aged 18 or older, English-speaking, not known to be HIV infected, and able to decline testing. A total of 6672 males were approached for testing; 5610 (84.1%) accepted, 366 (6.5%) were MSM, and 5244 (93.5%) were non-MSM. A total of 90.7% were black. Median age was 41. Fifty-nine MSM (16.1%) were diagnosed with HIV compared to 81 (1.5%) non-MSM. MSM were 10 times more likely than non-MSM to have undiagnosed HIV infection (odds ratio [OR] 10.4, 95% confidence interval [CI] 7.3, 14.0). HIV-infected MSM (median age, 26) were younger than non-MSM (median age, 41). HIV-infected non-MSM were 2 times more likely than MSM to have CD4 counts less than 200 cells per microliter. MSM were more...Continue Reading
References
Feb 10, 1993·JAMA : the Journal of the American Medical Association
Jun 22, 1994·JAMA : the Journal of the American Medical Association·A L Kellermann
Jul 13, 2000·JAMA : the Journal of the American Medical Association·L A ValleroyR S Janssen
Jun 23, 2006·AIDS and Behavior·Duncan A MacKellarUNKNOWN Young Men's Survey Study Group
Jun 19, 2007·Journal of Community Health·John Paul SánchezYvette Calderon
Jan 15, 2008·Annals of Emergency Medicine·Jason S HaukoosUNKNOWN Denver Emergency Department HIV Testing Study Group
Feb 16, 2008·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Peter D EhrenkranzRichard Rothman
Mar 4, 2008·Annals of Emergency Medicine·Debra HouryKarin V Rhodes
Dec 11, 2008·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Andrew E PetrollSteven D Pinkerton
Dec 17, 2008·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Michael S LyonsJuliet Yonek
Mar 3, 2010·Archives of Pediatrics & Adolescent Medicine·William BarnesUNKNOWN Adolescent Trials Network for HIV/AIDS Interventions
Feb 18, 2011·AIDS Patient Care and STDs·Heather ClaussRobert Bettiker
May 7, 2011·AIDS Patient Care and STDs·Katerina A ChristopoulosC Bradley Hare
Jun 2, 2011·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Matthew A WheatleyDebra Houry
Jun 28, 2011·Annals of Emergency Medicine·Richard E Rothman, Michael S Lyons
Jun 28, 2011·Annals of Emergency Medicine·Jason S HaukoosRichard Rothman
Jun 28, 2011·Annals of Emergency Medicine·Heather Hsu, Rochelle P Walensky
Jun 28, 2011·Annals of Emergency Medicine·Richard E RothmanMichael S Lyons
Jun 28, 2011·Annals of Emergency Medicine·Michael J WaxmanGregory Almond
Jun 28, 2011·Annals of Emergency Medicine·Laurel Donnell-FinkRochelle P Walensky
Jun 28, 2011·Annals of Emergency Medicine·Richard W SattinJames K Dias
Jul 9, 2011·AIDS Research and Treatment·M CzarnogorskiG Simon
Aug 10, 2011·PloS One·Joseph PrejeanUNKNOWN HIV Incidence Surveillance Group
Aug 31, 2011·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Douglas A E WhiteHarrison J Alter
Citations
Jun 9, 2015·PloS One·Anne C SpauldingBijal B Shah
Jun 23, 2015·PloS One·Ana Maria BritoArthur L Reingold
Jul 18, 2015·AIDS Patient Care and STDs·Yu LiuK Rivet Amico
Feb 13, 2014·AIDS Patient Care and STDs·Daniel J EganBruce D Agins
Mar 14, 2018·PloS One·Bhakti HansotiThomas C Quinn
Sep 15, 2018·AIDS Research and Human Retroviruses·Bhakti HansotiThomas C Quinn
Jan 8, 2013·AIDS·Ligia R F S KerrUNKNOWN HIVMSM Surveillance Group
May 16, 2014·Sexually Transmitted Diseases·Pamela W KleinWilliam C Miller
Aug 18, 2020·AIDS Patient Care and STDs·Colleen K GutmanClaudia R Morris
Jan 20, 2017·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Bhakti HansotiUNKNOWN Global Emergency Medicine Think Tank Clinical Research Working Group
Jun 1, 2013·BMC Emergency Medicine·Alexis D TrilloTed D Nirenberg
Oct 2, 2020·Journal of the American College of Emergency Physicians Open·Mandy J HillMarlene McNeese