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Author Notes:

Corresponding Author: Kirsha S. Gordon, M.Phil, MS, VA Connecticut Healthcare Systems, 950 Campbell Ave. Blg. 35A 2nd FL, 11- ACSLG, West Haven, CT 06516, Phone: (203)932-5711 x3541 or x5371, Fax Number: (203) 937-4926, kirsha.gordon2@va.gov. Alternative Author: E Jennifer Edelman, MD Yale School of Medicine, General Internal Medicine, New Haven, CT 06520–8088, ejennifer.edelman@yale.edu.

The authors would like to thank Dr. Scott Braithwaite for input on multiple risk behaviors and helpful comments on this paper.

We would also like to acknowledge the Veterans who participate in the Veterans Aging Cohort Study (VACS) and the study coordinators and staff at each VACS site and at the West Haven Coordinating Center.

The authors declare that they have no conflict of interest.

The views expressed in this article are those of the authors and do not necessarily reflect the position or policy of the Department of Veterans Affairs.

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent was obtained from all individual participants included in the study.


Research Funding:

This study was funded by National Institute on Alcohol Abuse and Alcoholism (grant number U10 AA013566, U24 AA020794, and U01 AA020790).


  • Science & Technology
  • Social Sciences
  • Life Sciences & Biomedicine
  • Public, Environmental & Occupational Health
  • Social Sciences, Biomedical
  • Biomedical Social Sciences
  • Health
  • Minority
  • MSM
  • HIV transmission
  • Alcohol-related disorders

Minority Men Who Have Sex with Men Demonstrate Increased Risk for HIV Transmission


Journal Title:

AIDS and Behavior


Volume 21, Number 5


, Pages 1497-1510

Type of Work:

Article | Post-print: After Peer Review


Black and Hispanic (minority) MSM have a higher incidence of HIV than white MSM. Multiple sexual partners, being under the influence of drugs and/or alcohol during sex, having a detectable HIV-1 RNA, and non-condom use are factors associated with HIV transmission. Using data from the Veterans Aging Cohort Study, we consider minority status and sexual orientation jointly to characterize and compare these factors. White non-MSM had the lowest prevalence of these factors (p  <  0.001) and were used as the comparator group in calculating odds ratios (OR). Both MSM groups were more likely to report multiple sex partners (white MSM OR 7.50; 95 % CI 5.26, 10.71; minority MSM OR 10.24; 95 % CI 7.44, 14.08), and more likely to be under the influence during sex (white MSM OR 2.15; 95 % CI 1.49, 3.11; minority MSM OR 2.94; 95 % CI 2.16, 4.01). Only minority MSM were more likely to have detectable HIV-1 RNA (OR 1.87; 95 % CI 1.12, 3.11). Both MSM groups were more likely to use condoms than white non-MSM. These analyses suggest that tailored interventions to prevent HIV transmission among minority MSM are needed, with awareness of the potential co-occurrence of risk factors.

Copyright information:

© 2016, Springer Science+Business Media New York.

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