HIV Among MSM and Heterosexual Women in the United States

An Ecologic Analysis

H. Fisher Raymond, Alia Al-Tayyib, Alan Neaigus, Kathleen H. Reilly, Sarah Braunstein, Kathleen A. Brady, Ekow Sey, Jan Risser, Paige Padget, Marlene Lalota, John Mark Schacht, David W Forrest, Katie Macomber, Vivian Griffin, Emily Higgins, William T. Robinson, Meagan C. Zarwell, Jenevieve Opoku, Manya Magnus, Irene Kuo & 5 others Richard Burt, Hanne Thiede, Sara Glick, Colin Flynn, Danielle German

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

BACKGROUND: Phylogenetic studies show links between heterosexual women and men who have sex with men (MSM) that are more numerous than from heterosexual men to women suggesting that HIV infections among heterosexual women may stem from MSM. Poor communities have been associated with high rates of HIV among heterosexual women. Our analysis investigates potential transmission of HIV between MSM and female heterosexuals.

METHODS: National HIV Behavioral Surveillance data describe transmission risk behaviors of MSM, and HIV case reporting data describe the percentages of cases that are attributed to transmission risk categories. We examined correlations between the percentages of men who were MSM who also have sex with women and female heterosexual cases. We also examined census data to characterize each city in terms of poverty level and race/ethnicity makeup.

RESULTS: There was a high correlation (0.93) between the percentage of reported living HIV cases attributed to male heterosexual contact and female heterosexual contact and a moderate nonsignificant correlation (0.49) between the percentage of MSM who were men who have sex with men and women (MSMW) in National HIV Behavioral Surveillance and the percentage of reported cases that were attributed to female heterosexual contact suggesting some potential overlap. Cities with high levels of poverty and African American/Black residents had higher levels of MSMW and higher levels of heterosexual female cases.

CONCLUSIONS: Addressing HIV in cities with high levels of MSMW may have the dual effect of improving the health of MSM populations that have a high burden of HIV and to improve the health of their larger communities.

Original languageEnglish (US)
Pages (from-to)S276-S280
JournalJournal of acquired immune deficiency syndromes (1999)
Volume75
DOIs
StatePublished - Jul 1 2017

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Heterosexuality
HIV
Poverty
Health
Censuses
Risk-Taking
African Americans
HIV Infections
Research Design

ASJC Scopus subject areas

  • Infectious Diseases
  • Pharmacology (medical)

Cite this

Raymond, H. F., Al-Tayyib, A., Neaigus, A., Reilly, K. H., Braunstein, S., Brady, K. A., ... German, D. (2017). HIV Among MSM and Heterosexual Women in the United States: An Ecologic Analysis. Journal of acquired immune deficiency syndromes (1999), 75, S276-S280. https://doi.org/10.1097/QAI.0000000000001422

HIV Among MSM and Heterosexual Women in the United States : An Ecologic Analysis. / Raymond, H. Fisher; Al-Tayyib, Alia; Neaigus, Alan; Reilly, Kathleen H.; Braunstein, Sarah; Brady, Kathleen A.; Sey, Ekow; Risser, Jan; Padget, Paige; Lalota, Marlene; Schacht, John Mark; Forrest, David W; Macomber, Katie; Griffin, Vivian; Higgins, Emily; Robinson, William T.; Zarwell, Meagan C.; Opoku, Jenevieve; Magnus, Manya; Kuo, Irene; Burt, Richard; Thiede, Hanne; Glick, Sara; Flynn, Colin; German, Danielle.

In: Journal of acquired immune deficiency syndromes (1999), Vol. 75, 01.07.2017, p. S276-S280.

Research output: Contribution to journalArticle

Raymond, HF, Al-Tayyib, A, Neaigus, A, Reilly, KH, Braunstein, S, Brady, KA, Sey, E, Risser, J, Padget, P, Lalota, M, Schacht, JM, Forrest, DW, Macomber, K, Griffin, V, Higgins, E, Robinson, WT, Zarwell, MC, Opoku, J, Magnus, M, Kuo, I, Burt, R, Thiede, H, Glick, S, Flynn, C & German, D 2017, 'HIV Among MSM and Heterosexual Women in the United States: An Ecologic Analysis', Journal of acquired immune deficiency syndromes (1999), vol. 75, pp. S276-S280. https://doi.org/10.1097/QAI.0000000000001422
Raymond, H. Fisher ; Al-Tayyib, Alia ; Neaigus, Alan ; Reilly, Kathleen H. ; Braunstein, Sarah ; Brady, Kathleen A. ; Sey, Ekow ; Risser, Jan ; Padget, Paige ; Lalota, Marlene ; Schacht, John Mark ; Forrest, David W ; Macomber, Katie ; Griffin, Vivian ; Higgins, Emily ; Robinson, William T. ; Zarwell, Meagan C. ; Opoku, Jenevieve ; Magnus, Manya ; Kuo, Irene ; Burt, Richard ; Thiede, Hanne ; Glick, Sara ; Flynn, Colin ; German, Danielle. / HIV Among MSM and Heterosexual Women in the United States : An Ecologic Analysis. In: Journal of acquired immune deficiency syndromes (1999). 2017 ; Vol. 75. pp. S276-S280.
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abstract = "BACKGROUND: Phylogenetic studies show links between heterosexual women and men who have sex with men (MSM) that are more numerous than from heterosexual men to women suggesting that HIV infections among heterosexual women may stem from MSM. Poor communities have been associated with high rates of HIV among heterosexual women. Our analysis investigates potential transmission of HIV between MSM and female heterosexuals.METHODS: National HIV Behavioral Surveillance data describe transmission risk behaviors of MSM, and HIV case reporting data describe the percentages of cases that are attributed to transmission risk categories. We examined correlations between the percentages of men who were MSM who also have sex with women and female heterosexual cases. We also examined census data to characterize each city in terms of poverty level and race/ethnicity makeup.RESULTS: There was a high correlation (0.93) between the percentage of reported living HIV cases attributed to male heterosexual contact and female heterosexual contact and a moderate nonsignificant correlation (0.49) between the percentage of MSM who were men who have sex with men and women (MSMW) in National HIV Behavioral Surveillance and the percentage of reported cases that were attributed to female heterosexual contact suggesting some potential overlap. Cities with high levels of poverty and African American/Black residents had higher levels of MSMW and higher levels of heterosexual female cases.CONCLUSIONS: Addressing HIV in cities with high levels of MSMW may have the dual effect of improving the health of MSM populations that have a high burden of HIV and to improve the health of their larger communities.",
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T1 - HIV Among MSM and Heterosexual Women in the United States

T2 - An Ecologic Analysis

AU - Raymond, H. Fisher

AU - Al-Tayyib, Alia

AU - Neaigus, Alan

AU - Reilly, Kathleen H.

AU - Braunstein, Sarah

AU - Brady, Kathleen A.

AU - Sey, Ekow

AU - Risser, Jan

AU - Padget, Paige

AU - Lalota, Marlene

AU - Schacht, John Mark

AU - Forrest, David W

AU - Macomber, Katie

AU - Griffin, Vivian

AU - Higgins, Emily

AU - Robinson, William T.

AU - Zarwell, Meagan C.

AU - Opoku, Jenevieve

AU - Magnus, Manya

AU - Kuo, Irene

AU - Burt, Richard

AU - Thiede, Hanne

AU - Glick, Sara

AU - Flynn, Colin

AU - German, Danielle

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N2 - BACKGROUND: Phylogenetic studies show links between heterosexual women and men who have sex with men (MSM) that are more numerous than from heterosexual men to women suggesting that HIV infections among heterosexual women may stem from MSM. Poor communities have been associated with high rates of HIV among heterosexual women. Our analysis investigates potential transmission of HIV between MSM and female heterosexuals.METHODS: National HIV Behavioral Surveillance data describe transmission risk behaviors of MSM, and HIV case reporting data describe the percentages of cases that are attributed to transmission risk categories. We examined correlations between the percentages of men who were MSM who also have sex with women and female heterosexual cases. We also examined census data to characterize each city in terms of poverty level and race/ethnicity makeup.RESULTS: There was a high correlation (0.93) between the percentage of reported living HIV cases attributed to male heterosexual contact and female heterosexual contact and a moderate nonsignificant correlation (0.49) between the percentage of MSM who were men who have sex with men and women (MSMW) in National HIV Behavioral Surveillance and the percentage of reported cases that were attributed to female heterosexual contact suggesting some potential overlap. Cities with high levels of poverty and African American/Black residents had higher levels of MSMW and higher levels of heterosexual female cases.CONCLUSIONS: Addressing HIV in cities with high levels of MSMW may have the dual effect of improving the health of MSM populations that have a high burden of HIV and to improve the health of their larger communities.

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