TABLE 1. Diagnoses of human immunodeficiency virus (HIV) infection and linkage to medical care within 1 month of diagnosis among men who have sex with men,* by race/ethnicity and age — 33 jurisdictions,† United States, 2014–2018§.
| Race/Ethnicity | Diagnoses, no. |
EAPC¶ (95% CI) |
Linkage to medical care, no. (%) |
EAPC¶ (95% CI) |
||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2014 | 2015 | 2016 | 2017 | 2018 | 2014–2018 | 2014 | 2015 | 2016 | 2017 | 2018 | 2014–2018 | |
|
African American/Black
| ||||||||||||
|
Age at diagnosis (yrs)
| ||||||||||||
| 13–19 |
574 |
613 |
593 |
600 |
584 |
0.1 (−2.4 to 2.7) |
335 (58.4) |
376 (61.3) |
388 (65.4) |
417 (69.5) |
399 (68.3) |
4.4 (1.2 to 7.8) |
| 20–24 |
2,262 |
2,163 |
2,085 |
1,861 |
1,784 |
−6.0 (−7.3 to −4.7) |
1,243 (55.0) |
1,279 (59.1) |
1,326 (63.6) |
1,216 (65.3) |
1,232 (69.1) |
5.7 (3.9 to 7.6) |
| 25–34 |
2,627 |
2,731 |
2,853 |
2,872 |
2,860 |
2.2 (1.0 to 3.4) |
1,618 (61.6) |
1,685 (61.7) |
1,879 (65.8) |
1,945 (67.7) |
2,024 (70.8) |
3.8 (2.3 to 5.3) |
| 35–44 |
925 |
912 |
908 |
911 |
933 |
0.2 (−1.9 to 2.2) |
609 (65.9) |
593 (65.0) |
605 (66.6) |
641 (70.4) |
662 (71.0) |
2.3 (−0.2 to 4.9) |
| 45–54 |
624 |
618 |
583 |
520 |
509 |
−5.6 (−8.0 to −3.1) |
423 (67.8) |
410 (66.4) |
387 (66.3) |
356 (68.5) |
350 (68.8) |
0.6 (−2.6 to 3.8) |
| ≥55 |
317 |
278 |
290 |
310 |
297 |
−0.3 (−3.8 to 3.4) |
222 (70.1) |
184 (66.2) |
198 (68.2) |
207 (66.8) |
214 (72.1) |
0.6 (−3.6 to 5.0) |
|
Subtotal
|
7,328
|
7,314
|
7,312
|
7,074
|
6,967
|
−1.3 (−2.0 to −0.6)
|
4,450 (60.7)
|
4,525 (61.9)
|
4,781 (65.4)
|
4,783 (67.6)
|
4,881 (70.1)
|
3.8 (2.9 to 4.8)
|
|
Hispanic/Latino**
| ||||||||||||
|
Age at diagnosis (yrs)
| ||||||||||||
| 13–19 |
222 |
234 |
228 |
242 |
222 |
0.4 (−3.6 to 4.6) |
131 (59.1) |
157 (67.2) |
154 (67.5) |
156 (64.2) |
163 (73.4) |
3.8 (−1.3 to 9.3) |
| 20–24 |
1,130 |
1,170 |
1,108 |
1,027 |
995 |
−3.7 (−5.5 to −1.9) |
719 (63.6) |
775 (66.2) |
763 (68.9) |
706 (68.8) |
736 (74.0) |
3.4 (1.1 to 5.8) |
| 25–34 |
2,071 |
2,100 |
2,264 |
2,226 |
2,221 |
2.0 (0.6 to 3.3) |
1,391 (67.2) |
1,433 (68.3) |
1,659 (73.2) |
1,647 (74.0) |
1,679 (75.6) |
3.2 (1.6 to 4.8) |
| 35–44 |
1,158 |
1,125 |
1,106 |
1,113 |
1,071 |
−1.6 (−3.5 to 0.2) |
806 (69.6) |
806 (71.7) |
807 (73.0) |
837 (75.2) |
869 (81.1) |
3.6 (1.4 to 5.9) |
| 45–54 |
594 |
648 |
569 |
597 |
590 |
−1.0 (−3.5 to 1.5) |
416 (70.0) |
463 (71.4) |
437 (76.8) |
455 (76.2) |
464 (78.7) |
3.0 (0.1 to 6.1) |
| ≥55 |
191 |
205 |
199 |
213 |
231 |
4.4 (0.0 to 9.0) |
152 (79.9) |
153 (74.4) |
151 (75.9) |
166 (78.0) |
177 (76.6) |
−0.3 (−5.1 to 4.7) |
|
Subtotal
|
5,366
|
5,482
|
5,473
|
5,417
|
5,331
|
−0.2 (−1.1 to 0.6)
|
3,616 (67.4)
|
3,787 (69.1)
|
3,970 (72.5)
|
3,967 (73.2)
|
4,089 (76.7)
|
3.2 (2.2 to 4.3)
|
|
Other race/ethnicity
| ||||||||||||
|
Age at diagnosis (yrs)
| ||||||||||||
| 13–19 |
67 |
75 |
65 |
63 |
53 |
−6.0 (−13.0 to 1.5) |
39 (58.0) |
44 (58.6) |
46 (70.9) |
48 (76.3) |
43 (81.0) |
9.9 (−0.2 to 20.9) |
| 20–24 |
332 |
337 |
305 |
286 |
215 |
−9.2 (−12.4 to −5.8) |
203 (61.1) |
237 (70.4) |
215 (70.4) |
209 (73.0) |
170 (79.1) |
5.6 (1.0 to 10.4) |
| 25–34 |
568 |
613 |
605 |
528 |
499 |
−3.9 (−6.4 to −1.3) |
408 (71.9) |
457 (74.6) |
444 (73.3) |
405 (76.8) |
376 (75.2) |
1.2 (−1.9 to 4.4) |
| 35–44 |
313 |
269 |
278 |
259 |
216 |
−7.4 (−10.8 to −3.8) |
233 (74.4) |
202 (75.1) |
218 (78.3) |
200 (77.3) |
175 (80.7) |
1.9 (−2.4 to 6.5) |
| 45–54 |
199 |
181 |
157 |
179 |
122 |
−8.9 (−13.2 to −4.4) |
150 (75.3) |
138 (76.4) |
122 (78.0) |
142 (79.4) |
106 (86.4) |
3.0 (−2.5 to 8.8) |
| ≥55 |
58 |
70 |
87 |
60 |
65 |
0.5 (−6.8 to 8.3) |
37 (64.3) |
52 (74.4) |
65 (74.3) |
45 (75.9) |
54 (83.9) |
5.5 (−3.7 to 15.6) |
|
Subtotal
|
1,537
|
1,544
|
1,495
|
1,375
|
1,170
|
−6.1 (−7.7 to −4.6)
|
1,070 (69.6)
|
1,130 (73.2)
|
1,108 (74.1)
|
1,050 (76.3)
|
923 (78.9)
|
3.0 (1.0 to 5.0)
|
|
White
| ||||||||||||
|
Age at diagnosis (yrs)
| ||||||||||||
| 13–19 |
105 |
97 |
121 |
121 |
115 |
4.0 (−1.9 to 10.3) |
56 (53.4) |
64 (66.0) |
79 (65.2) |
77 (63.7) |
78 (68.1) |
4.4 (−3.1 to 12.5) |
| 20–24 |
753 |
671 |
637 |
675 |
560 |
−5.6 (−7.9 to −3.3) |
461 (61.2) |
451 (67.3) |
417 (65.4) |
503 (74.6) |
405 (72.2) |
4.6 (1.5 to 7.7) |
| 25–34 |
1,700 |
1,740 |
1,617 |
1,586 |
1,605 |
−2.1 (−3.6 to −0.6) |
1,179 (69.3) |
1,261 (72.4) |
1,178 (72.8) |
1,154 (72.8) |
1,246 (77.6) |
2.4 (0.5 to 4.2) |
| 35–44 |
1,213 |
1,072 |
943 |
905 |
888 |
−7.8 (−9.6 to −6.0) |
912 (75.2) |
809 (75.4) |
702 (74.4) |
702 (77.5) |
694 (78.2) |
1.0 (−1.2 to 3.3) |
| 45–54 |
1,178 |
1,082 |
1,034 |
888 |
791 |
−9.3 (−11.1 to −7.5) |
904 (76.7) |
832 (76.9) |
824 (79.7) |
689 (77.6) |
628 (79.4) |
0.8 (−1.5 to 3.1) |
| ≥55 |
610 |
585 |
621 |
573 |
607 |
−0.3 (−2.8 to 2.3) |
450 (73.9) |
450 (77.0) |
479 (77.1) |
438 (76.4) |
470 (77.4) |
0.9 (−2.0 to 3.8) |
|
Subtotal
|
5,559
|
5,247
|
4,973
|
4,748
|
4,566
|
−4.8 (−5.7 to −4.0)
|
3,961 (71.3)
|
3,867 (73.7)
|
3,678 (74.0)
|
3,564 (75.1)
|
3,521 (77.1)
|
1.8 (0.7 to 2.8)
|
| Total | 19,789 | 19,586 | 19,254 | 18,614 | 18,034 | −2.3 (−2.8 to −1.9) | 13,097 (66.2) | 13,308 (67.9) | 13,538 (70.3) | 13,362 (71.8) | 13,414 (74.4) | 2.9 (2.4 to 3.5) |
Abbreviations: CI = confidence interval; EAPC = estimated annual percentage change.
* Men who have sex with men were persons whose sex at birth was male and whose transmission category was either male-to-male sexual contact or male-to-male sexual contact and injection drug use.
† Data are based on residence at time of diagnosis of HIV infection. The 33 jurisdictions were Alabama, Alaska, California, District of Columbia, Georgia, Hawaii, Illinois, Indiana, Iowa, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Nebraska, New Hampshire, New Mexico, New York, North Dakota, Oregon, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
§ Data have been statistically adjusted by using multiple imputation to account for unknown or missing transmission category; therefore, values might not sum to column subtotals and total.
¶ EAPCs indicate the per-year change, on average, in the number of diagnoses of HIV infection or percentage linked to medical care. EAPC p-values <0.05 indicated statistically significant trends, whereas EAPC p-values ≥0.05 indicated no significant trend.
** Hispanics/Latinos might be of any race.