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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">The continuing HIV epidemic among men who have sex with men.</title><author><name sortKey="Catania, J A" sort="Catania, J A" uniqKey="Catania J" first="J A" last="Catania">J A Catania</name></author><author><name sortKey="Osmond, D" sort="Osmond, D" uniqKey="Osmond D" first="D" last="Osmond">D. Osmond</name></author><author><name sortKey="Stall, R D" sort="Stall, R D" uniqKey="Stall R" first="R D" last="Stall">R D Stall</name></author><author><name sortKey="Pollack, L" sort="Pollack, L" uniqKey="Pollack L" first="L" last="Pollack">L. Pollack</name></author><author><name sortKey="Paul, J P" sort="Paul, J P" uniqKey="Paul J" first="J P" last="Paul">J P Paul</name></author><author><name sortKey="Blower, S" sort="Blower, S" uniqKey="Blower S" first="S" last="Blower">S. Blower</name></author><author><name sortKey="Binson, D" sort="Binson, D" uniqKey="Binson D" first="D" last="Binson">D. Binson</name></author><author><name sortKey="Canchola, J A" sort="Canchola, J A" uniqKey="Canchola J" first="J A" last="Canchola">J A Canchola</name></author><author><name sortKey="Mills, T C" sort="Mills, T C" uniqKey="Mills T" first="T C" last="Mills">T C Mills</name></author><author><name sortKey="Fisher, L" sort="Fisher, L" uniqKey="Fisher L" first="L" last="Fisher">L. Fisher</name></author><author><name sortKey="Choi, K H" sort="Choi, K H" uniqKey="Choi K" first="K H" last="Choi">K H Choi</name></author><author><name sortKey="Porco, T" sort="Porco, T" uniqKey="Porco T" first="T" last="Porco">T. Porco</name></author><author><name sortKey="Turner, C" sort="Turner, C" uniqKey="Turner C" first="C" last="Turner">C. Turner</name></author><author><name sortKey="Blair, J" sort="Blair, J" uniqKey="Blair J" first="J" last="Blair">J. Blair</name></author><author><name sortKey="Henne, J" sort="Henne, J" uniqKey="Henne J" first="J" last="Henne">J. Henne</name></author><author><name sortKey="Bye, L L" sort="Bye, L L" uniqKey="Bye L" first="L L" last="Bye">L L Bye</name></author><author><name sortKey="Coates, T J" sort="Coates, T J" uniqKey="Coates T" first="T J" last="Coates">T J Coates</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">11392933</idno><idno type="pmc">1446467</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1446467</idno><idno type="RBID">PMC:1446467</idno><date when="2001">2001</date><idno type="wicri:Area/Pmc/Corpus">000B05</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000B05</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The continuing HIV epidemic among men who have sex with men.</title><author><name sortKey="Catania, J A" sort="Catania, J A" uniqKey="Catania J" first="J A" last="Catania">J A Catania</name></author><author><name sortKey="Osmond, D" sort="Osmond, D" uniqKey="Osmond D" first="D" last="Osmond">D. Osmond</name></author><author><name sortKey="Stall, R D" sort="Stall, R D" uniqKey="Stall R" first="R D" last="Stall">R D Stall</name></author><author><name sortKey="Pollack, L" sort="Pollack, L" uniqKey="Pollack L" first="L" last="Pollack">L. Pollack</name></author><author><name sortKey="Paul, J P" sort="Paul, J P" uniqKey="Paul J" first="J P" last="Paul">J P Paul</name></author><author><name sortKey="Blower, S" sort="Blower, S" uniqKey="Blower S" first="S" last="Blower">S. Blower</name></author><author><name sortKey="Binson, D" sort="Binson, D" uniqKey="Binson D" first="D" last="Binson">D. Binson</name></author><author><name sortKey="Canchola, J A" sort="Canchola, J A" uniqKey="Canchola J" first="J A" last="Canchola">J A Canchola</name></author><author><name sortKey="Mills, T C" sort="Mills, T C" uniqKey="Mills T" first="T C" last="Mills">T C Mills</name></author><author><name sortKey="Fisher, L" sort="Fisher, L" uniqKey="Fisher L" first="L" last="Fisher">L. Fisher</name></author><author><name sortKey="Choi, K H" sort="Choi, K H" uniqKey="Choi K" first="K H" last="Choi">K H Choi</name></author><author><name sortKey="Porco, T" sort="Porco, T" uniqKey="Porco T" first="T" last="Porco">T. Porco</name></author><author><name sortKey="Turner, C" sort="Turner, C" uniqKey="Turner C" first="C" last="Turner">C. Turner</name></author><author><name sortKey="Blair, J" sort="Blair, J" uniqKey="Blair J" first="J" last="Blair">J. Blair</name></author><author><name sortKey="Henne, J" sort="Henne, J" uniqKey="Henne J" first="J" last="Henne">J. Henne</name></author><author><name sortKey="Bye, L L" sort="Bye, L L" uniqKey="Bye L" first="L L" last="Bye">L L Bye</name></author><author><name sortKey="Coates, T J" sort="Coates, T J" uniqKey="Coates T" first="T J" last="Coates">T J Coates</name></author></analytic><series><title level="j">American Journal of Public Health</title><idno type="ISSN">0090-0036</idno><idno type="eISSN">1541-0048</idno><imprint><date when="2001">2001</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>OBJECTIVES: This study characterized the AIDS epidemic among urban men who have sex with men (MSM). METHODS: A probability sample of MSM was obtained in 1997 (n = 2881; 18 years and older) from New York, Los Angeles, Chicago, and San Francisco, and HIV status was determined through self-report and biological measures. RESULTS: HIV prevalence was 17% (95% confidence interval = 15%, 19%) overall, with extremely high levels in African Americans (29%), MSM who used injection drugs (40%), "ultraheavy" noninjection drug users (32%), and less educated men (< high school, 37%). City-level HIV differences were non-significant once these other factors were controlled for. In comparing the present findings with historical data based on public records and modeling, HIV prevalence appears to have declined as a result of high mortality (69%) and stable, but high, incidence rates (1%-2%). CONCLUSIONS: Although the findings suggest that HIV prevalence has declined significantly from the mid-1980s, current levels among urban MSM in the United States approximate those of sub-Saharan countries (e.g., 14%-25%) and are extremely high in many population subsegments. Despite years of progress, the AIDS epidemic continues unabated among subsegments of the MSM community.</p></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Am J Public Health</journal-id><journal-title>American Journal of Public Health</journal-title><issn pub-type="ppub">0090-0036</issn><issn pub-type="epub">1541-0048</issn></journal-meta><article-meta><article-id pub-id-type="pmid">11392933</article-id><article-id pub-id-type="pmc">1446467</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title>The continuing HIV epidemic among men who have sex with men.</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Catania</surname><given-names>J A</given-names></name></contrib><contrib contrib-type="author"><name><surname>Osmond</surname><given-names>D</given-names></name></contrib><contrib contrib-type="author"><name><surname>Stall</surname><given-names>R D</given-names></name></contrib><contrib contrib-type="author"><name><surname>Pollack</surname><given-names>L</given-names></name></contrib><contrib contrib-type="author"><name><surname>Paul</surname><given-names>J P</given-names></name></contrib><contrib contrib-type="author"><name><surname>Blower</surname><given-names>S</given-names></name></contrib><contrib contrib-type="author"><name><surname>Binson</surname><given-names>D</given-names></name></contrib><contrib contrib-type="author"><name><surname>Canchola</surname><given-names>J A</given-names></name></contrib><contrib contrib-type="author"><name><surname>Mills</surname><given-names>T C</given-names></name></contrib><contrib contrib-type="author"><name><surname>Fisher</surname><given-names>L</given-names></name></contrib><contrib contrib-type="author"><name><surname>Choi</surname><given-names>K H</given-names></name></contrib><contrib contrib-type="author"><name><surname>Porco</surname><given-names>T</given-names></name></contrib><contrib contrib-type="author"><name><surname>Turner</surname><given-names>C</given-names></name></contrib><contrib contrib-type="author"><name><surname>Blair</surname><given-names>J</given-names></name></contrib><contrib contrib-type="author"><name><surname>Henne</surname><given-names>J</given-names></name></contrib><contrib contrib-type="author"><name><surname>Bye</surname><given-names>L L</given-names></name></contrib><contrib contrib-type="author"><name><surname>Coates</surname><given-names>T J</given-names></name></contrib></contrib-group><aff>Center for AIDS Prevention Studies, University of California, San Francisco, 74 New Montgomery, Suite 600, San Francisco, CA 94105, USA. jcatania@psg.ucsf.edu</aff><pub-date pub-type="ppub"><month>6</month><year>2001</year></pub-date><volume>91</volume><issue>6</issue><fpage>907</fpage><lpage>914</lpage><abstract><p>OBJECTIVES: This study characterized the AIDS epidemic among urban men who have sex with men (MSM). METHODS: A probability sample of MSM was obtained in 1997 (n = 2881; 18 years and older) from New York, Los Angeles, Chicago, and San Francisco, and HIV status was determined through self-report and biological measures. RESULTS: HIV prevalence was 17% (95% confidence interval = 15%, 19%) overall, with extremely high levels in African Americans (29%), MSM who used injection drugs (40%), "ultraheavy" noninjection drug users (32%), and less educated men (< high school, 37%). City-level HIV differences were non-significant once these other factors were controlled for. In comparing the present findings with historical data based on public records and modeling, HIV prevalence appears to have declined as a result of high mortality (69%) and stable, but high, incidence rates (1%-2%). CONCLUSIONS: Although the findings suggest that HIV prevalence has declined significantly from the mid-1980s, current levels among urban MSM in the United States approximate those of sub-Saharan countries (e.g., 14%-25%) and are extremely high in many population subsegments. Despite years of progress, the AIDS epidemic continues unabated among subsegments of the MSM community.</p></abstract></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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