Statewide Estimation of Racial/Ethnic Populations of Men Who Have Sex with Men in the U.S.
Statewide Estimation of Racial/Ethnic Populations of Men Who Have Sex with Men in the U.S.
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DOI：
10.1177/003335491112600110
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发表时间：
2011-01-01
影响因子：
3.3
通讯作者：
Malow, Robert M.
中科院分区：
文献类型：
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作者：
Lieb, Spencer;Fallon, Stephen J.;Malow, Robert M.
目标.在美国的每一个州，男男性行为者（MSM）承担着人类免疫缺陷病毒（HIV）/获得性免疫缺陷综合症（AIDS）的最大负担，但它们的种群定义很模糊我们估计并比较了2007年按地区、州和种族/民族划分的MSM人群。我们平均了我们以前开发的两个统计模型的结果，以估计特定于州的总百分比和男男性行为者的数量。这些模型分别基于各州特定的农村/郊区/城市特征和使用各州特定的同性男性未婚伴侣家庭普查数据的指数。第三个模型，基于种族/民族的比例，从一个全国性的代表性行为调查，这些全州的数字划分种族/民族。据估计，2007年居住在美国的710万MSM中，71.4%（510万）为白色，占15.9%（110万）是西班牙裔，8.9%（635，000）是黑人，2.7%（191，000）是亚洲人，0.4%（26，000）是美洲印第安人/阿拉斯加原住民，0.1%（6，000人是夏威夷原住民/其他太平洋岛民，0.6%（41，000人）是多个/未知种族/民族。在美国，男男性接触者的比例（6.4%）从南达科他州的3.3%到哥伦比亚特区的13.2%不等，我们把哥伦比亚特区当作一个州来对待。MSM的估计数量从怀俄明州的9，612到加利福尼亚州的1，104，805不等。按国家和种族/民族对男男性行为者人口的合理估计可以为艾滋病毒/艾滋病监测、资源分配和宣传提供信息和指导。他们可以帮助规划，实施和评估艾滋病毒预防计划和其他服务。使用男男性接触者的数量作为衡量指标，估计基于人口的男男性接触者艾滋病毒的发病率，流行率和死亡率可以帮助澄清国家和州一级的流行动态。在得到其他建模和/或实证研究的证实之前，应谨慎使用这些估计值。
Objectives. Men who have sex with men (MSM) bear the greatest burden of human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) in every state in the U.S., but their populations are poorly defined. We estimated and compared populations of MSM in 2007 by region, state, and race/ethnicity.Methods. We averaged findings from two statistical models we had previously developed to estimate the total state-specific percentage and number of males who were MSM. The models were based, respectively, on state-specific rural/suburban/urban characteristics and an index using state-specific household census data on same-sex male unmarried partners. A third model, based on racial/ethnic ratios from a nationally representative behavioral survey, partitioned these statewide numbers by race/ethnicity.Results. Of an estimated 7.1 million MSM residing in the U.S. in 2007, 71.4% (5.1 million) were white, 15.9% (1.1 million) were Hispanic, 8.9% (635,000) were black, 2.7% (191,000) were Asian, 0.4% (26,000) were American Indian/Alaska Native, 0.1% (6,000) were Native Hawaiian/other Pacific Islander, and 0.6% (41,000) were of multiple/unknown race/ethnicity. The overall U.S. percentage of males who were MSM (6.4%) varied from 3.3% in South Dakota to 13.2% in the District of Columbia, which we treated as a state. Estimated numbers of MSM ranged from 9,612 in Wyoming to 1,104,805 in California.Conclusions. Plausible estimates of MSM populations by state and race/ethnicity can inform and guide HIV/AIDS surveillance, allocation of resources, and advocacy. They can help in the planning, implementation, and evaluation of HIV prevention programs and other services. Using MSM numbers as denominators, estimates of population-based MSM HIV incidence, prevalence, and mortality rates could help clarify national and state-level epidemic dynamics. Until corroborated by other modeling and/or empirical research, these estimates should be used with caution.