TABLE 1. Trends in annual numbers of diagnoses of HIV infection among men who have sex with men* aged ≥13 years, by age group and race/ethnicity and by age group and region of residence at diagnosis — National HIV Surveillance System, United States and District of Columbia, 2008—2016.
| Characteristic |
Year of diagnosis |
|||||
|---|---|---|---|---|---|---|
| 2008 |
2016 |
2008–2016 |
||||
| Age at diagnosis | Characteristic | No. (%) | No. (%) | No. (%) | Estimated APC |
|
| % (95% CI) | P-value† | |||||
| 13–29 yrs |
Race/Ethnicity
|
|||||
| AI/AN |
27 (0.3) |
69 (0.5) |
388 (0.4) |
14.8 (10.2 to 19.5) |
<0.01 |
|
| Asian |
155 (1.5) |
299 (2.3) |
1,977 (1.9) |
12.0 (10.0 to 14.0) |
<0.01 |
|
| Black/African American |
5,078 (49.2) |
6,320 (49.1) |
52,496 (49.4) |
2.8 (2.5 to 3.2) |
<0.01 |
|
| Hispanic/Latino§ |
2,454 (23.8) |
3,445 (26.7) |
26,059 (24.5) |
4.5 (4.0 to 5.0) |
<0.01 |
|
| NH/OPI |
10 (0.1) |
9 (0.1) |
125 (0.1) |
—¶ |
—¶ |
|
| White |
2,116 (20.5) |
2,355 (18.3) |
20,631 (19.4) |
1.5 (1.0 to 2.1) |
<0.01 |
|
| Multiple races |
487 (4.7) |
388 (3.0) |
4,585 (4.3) |
-2.5 (-3.6 to -1.4) |
<0.01 |
|
|
Region** of residence at diagnosis
| ||||||
| Northeast |
1,713 (16.6) |
1,767 (13.7) |
16,326 (15.4) |
0.6 (0.0 to 1.2) |
<0.01 |
|
| Midwest |
1,498 (14.5) |
1,834 (14.2) |
15,821 (14.9) |
2.2 (1.6 to 2.8) |
<0.01 |
|
| South |
5,090 (49.3) |
6,751 (52.4) |
54,283 (51.1) |
3.7 (3.4 to 4.1) |
<0.01 |
|
| West |
2,027 (19.6) |
2,531 (19.6) |
19,828 (18.7) |
3.3 (2.8 to 3.9) |
<0.01 |
|
| Subtotal |
10,329 (100.0) |
12,883 (100.0) |
106,258 (100.0) |
2.9 (2.7 to 3.2) |
<0.01 |
|
| 30–49 yrs |
Race/Ethnicity
|
|||||
| AI/AN |
48 (0.4) |
64 (0.6) |
392 (0.4) |
2.9 (-1.0 to 6.9) |
0.15 |
|
| Asian |
298 (2.2) |
351 (3.5) |
2,807 (2.8) |
2.8 (1.3 to 4.3) |
<0.01 |
|
| Black/African American |
3,842 (29.0) |
2,855 (28.7) |
28,498 (28.3) |
-3.6 (-4.1 to -3.2) |
<0.01 |
|
| Hispanic/Latino§ |
3,218 (24.3) |
3,305 (33.2) |
28,284 (28.0) |
0.6 (0.1 to 1.1) |
0.01 |
|
| NH/OPI |
26 (0.2) |
14 (0.1) |
179 (0.2) |
-2.3 (-7.8 to 3.5) |
0.43 |
|
| White |
5,288 (39.9) |
3,113 (31.3) |
37,124 (36.8) |
-6.4 (-6.7 to -6.0) |
<0.01 |
|
| Multiple races |
548 (4.1) |
246 (2.5) |
3,578 (3.5) |
-8.8 (-10.0 to -7.6) |
<0.01 |
|
|
Region** of residence at diagnosis
| ||||||
| Northeast |
2,178 (16.4) |
1,493 (15.0) |
16,394 (16.3) |
-4.7 (-5.3 to -4.2) |
<0.01 |
|
| Midwest |
1,637 (12.3) |
1,177 (11.8) |
12,919 (12.8) |
-4.0 (-4.7 to -3.4) |
<0.01 |
|
| South |
6,159 (46.4) |
4,781 (48.1) |
46,485 (46.1) |
-3.1 (-3.4 to -2.7) |
<0.01 |
|
| West |
3,294 (24.8) |
2,496 (25.1) |
25,061 (24.8) |
-3.0 (-3.5 to -2.6) |
<0.01 |
|
| Subtotal |
13,268 (100.0) |
9,947 (100.0) |
100,857 (100.0) |
-3.5 (-3.7 to -3.2) |
<0.01 |
|
| ≥50 yrs |
Race/Ethnicity
|
|||||
| AI/AN |
11 (0.3) |
13 (0.4) |
82 (0.3) |
—¶ |
—¶ |
|
| Asian |
45 (1.4) |
73 (2.3) |
454 (1.6) |
7.0 (2.9 to 11.3) |
<0.01 |
|
| Black/African American |
882 (27.4) |
762 (23.6) |
7,229 (24.9) |
-1.8 (-2.9 to -0.8) |
<0.01 |
|
| Hispanic/Latino§ |
450 (14.0) |
625 (19.4) |
4,855 (16.7) |
4.1 (2.9 to 5.3) |
<0.01 |
|
| NH/OPI |
3 (0.1) |
3 (0.1) |
34 (0.1) |
—¶ |
—¶ |
|
| White |
1,704 (52.9) |
1,676 (51.9) |
15,461 (53.3) |
0.1 (-0.6 to 0.7) |
0.87 |
|
| Multiple races |
125 (3.9) |
76 (2.4) |
921 (3.2) |
-6.7 (-9.1 to -4.2) |
<0.01 |
|
|
Region** of residence at diagnosis
| ||||||
| Northeast |
502 (15.6) |
480 (14.9) |
4,628 (15.9) |
0.2 (-1.1 to 1.4) |
0.80 |
|
| Midwest |
397 (12.3) |
472 (14.6) |
3,856 (13.3) |
2.1 (0.8 to 3.4) |
<0.01 |
|
| South |
1,598 (49.6) |
1,466 (45.4) |
13,624 (46.9) |
-0.6 (-1.3 to 0.1) |
0.09 |
|
| West |
723 (22.5) |
810 (25.1) |
6,930 (23.9) |
0.5 (-0.4 to 1.5) |
0.29 |
|
| Subtotal |
3,220 (100.0) |
3,227 (100.0) |
29,034 (100.0) |
0.1 (-0.3 to 0.6) |
0.58 |
|
| All ages | Total | 26,816 | 26,057 | 236,150 | -0.2 (-0.3 to -0.03) | 0.03 |
Abbreviations: AIDS = acquired immunodeficiency syndrome; AI/AN = American Indian/Alaska Native; APC = annual percent change; CI = confidence interval; HIV = human immunodeficiency virus; NH/OPI = Native Hawaiian/Other Pacific Islander.
* Data reflect records of all diagnoses of HIV infection, any stage (0, 1, 2, 3 [AIDS], or Unknown) among men who have sex with men. Numbers include diagnoses made from 2008 through 2016 and reported to the national HIV surveillance system by December 31, 2017. Numbers <12 should be interpreted with caution. Data statistically adjusted to account for missing transmission category. Values might not sum to column subtotals and total.
† P<0.05 indicate statistically significant trends.
§ Hispanics/Latinos can be of any race.
¶ Estimated annual percent change not applicable because of small (value <12) cell sizes.
** Four regions as defined by the U.S. Census comprise: Region I, Northeast: Connecticut, Maine, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, and Vermont; Region II, Midwest: Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, North Dakota, Ohio, South Dakota, and Wisconsin; Region III, South: Alabama, Arkansas, Delaware, District of Columbia, Florida, Georgia, Kentucky, Louisiana, Maryland, Mississippi, North Carolina, Oklahoma, South Carolina, Tennessee, Texas, Virginia, and West Virginia; and Region IV, West: Alaska, Arizona, California, Colorado, Hawaii, Idaho, Montana, Nevada, New Mexico, Oregon, Utah, Washington, and Wyoming.