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Review
. 2006 Jun;96(6):1007-19.
doi: 10.2105/AJPH.2005.066720. Epub 2006 May 2.

Greater risk for HIV infection of black men who have sex with men: a critical literature review

Gregorio A Millett  1 , John L Peterson, Richard J Wolitski, Ron Stall
Affiliations
Review

Greater risk for HIV infection of black men who have sex with men: a critical literature review

Gregorio A Millett et al. Am J Public Health. 2006 Jun.

Abstract

HIV rates are disproportionately higher for Black men who have sex with men (MSM) than for other MSM. We reviewed the literature to examine 12 hypotheses that might explain this disparity. We found that high rates of HIV infection for Black MSM were partly attributable to a high prevalence of sexually transmitted diseases that facilitate HIV transmission and to undetected or late diagnosis of HIV infection; they were not attributable to a higher frequency of risky sexual behavior, nongay identity, or sexual nondisclosure, or to reported use of alcohol or illicit substances. Evidence was insufficient to evaluate the remaining hypotheses.Future studies must address these hypotheses to provide additional explanations for the greater prevalence of HIV infection among Black MSM.

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