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Black Men In Teens And Early 20s Donâ??t Know Of H.I.V. Risks, Survey Finds

Posted Feb 18 2009 12:07pm

A small study of young black men from the South who tested positive for H.I.V. in their teens and early 20s found that most had participated in risky sexual behaviors but thought it unlikely they would be infected, according to the federal Centers for Disease Control and Prevention.

More than 50% of the 29 gay or bisexual men surveyed said they had engaged in unprotected anal sex in the year before they were infected and had had sex with slightly older men, the study found. Both are risky behaviors, yet the vast majority of the young men said they had not thought that they would ever be infected.

Young black gay and bisexual men are becoming infected with H.I.V. at very alarming rates, particularly in the South, and health officials are trying to analyze their risk factors in order to refine education and intervention strategies.

We need to make sure that H.I.V. infection does not become a rite of passage for young black men who are bisexual, said Dr. Alexandra Oster, one of the authors of the survey published last week in the agency’s Morbidity and Mortality Weekly Report.

After the Mississippi State Department of Health notified the Centers for Disease Control in late 2007 that the amount of new H.I.V. diagnoses had rapidly spiked at a sexually transmitted disease clinic serving Jackson, Miss., , the agencies teamed up to do the survey. The number of newly diagnosed H.I.V. cases among all black men in the Jackson area had increased 20 percent between 2004-2005 and 2006-2007, but infections among those ages 17 to 25 had jumped 45 percent.

The agencies researched 29 black men ages 17 to 25 who had tested positive for H.I.V. between 2006 and 2008 and who said they had sex with other men. Twenty reported having unprotected anal sex with a man during the year before their positive H.I.V. tests, and 16 reported having male sex partners who were 26 or older.

Having older sex partners raises the risk of infection because older men are typically more likely than younger men to be infected.

Only three of the 29 men thought that they would get H.I.V. during their lifetime. More than half thought it unlikely or very unlikely, the survey found.

Health officials were very concerned about the lack of routine H.I.V. testing in this group of young men. Six of the men had not had a single H.I.V. test in the two years prior to testing positive, and five had had only one test in the two years before the positive result, the survey found.

These men could have taken what they believed were reasonable steps to reduce their risk, but unfortunately the rates of H.I.V. infection are so high in this population that in some situations people have partners who are H.I.V. positive and do not know it, said Richard Wolitski, director of the Centers for Disease Control’s division of H.I.V./AIDS Prevention.

Sexually active men who have sex with men should be tested at least once a year, C.D.C. officials say.

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