eprintid: 21892
rev_number: 25
userid: 3671
importid: 2441
dir: disk0/00/02/18/92
datestamp: 2014-06-18 19:48:08
lastmod: 2021-03-10 06:23:46
status_changed: 2014-06-18 19:48:08
type: article
metadata_visibility: show
item_issues_count: 0
eprint_status: archive
creators_name: Friedman, MR
creators_name: Wei, C
creators_name: Klem, ML
creators_name: Silvestre, AJ
creators_name: Markovic, N
creators_name: Stall, R
creators_email: mrf9@pitt.edu
creators_email: 
creators_email: klem@pitt.edu
creators_email: tonys@pitt.edu
creators_email: ninam@pitt.edu
creators_email: rstall@pitt.edu
creators_id: MRF9
creators_id: 
creators_id: KLEM
creators_id: TONYS
creators_id: NINAM
creators_id: RSTALL
creators_orcid: orcid.org/0000-0001-6191-9799
creators_orcid: 
creators_orcid: 
creators_orcid: 
creators_orcid: 
creators_orcid: 
contributors_type: http://www.loc.gov/loc.terms/relators/EDT
contributors_name: Remis, Robert S.
title: HIV infection and sexual risk among men who have sex with men and women (MSMW): A systematic review and meta-analysis
ispublished: pub
divisions: sch_lib_healthscienceslibrarysystem
divisions: sch_gsph_behavioralcommhealthsci
divisions: sch_gsph_infectiousdiseasesmicrobiology
divisions: sch_dm_dentalscience
full_text_status: public
abstract: Objectives: To estimate the number of men who have sex with men and women who are HIV-positive in the United States, and to compare HIV prevalence rates between men who have sex with men and women, men who have sex with men only, and men who have sex with women exclusively. Methods: Following PRISMA guidelines, we conducted a systematic review and meta-analysis of reports referencing HIV prevalence and men who have sex with men and women. We searched PubMed and Ovid PsycINFO for peer-reviewed, U.S.-based articles reporting on HIV prevalence among men who have sex with men and women. We conducted event rate, effect size, moderation and sensitivity analyses. Results: We estimate that 1.0% of U.S. males are bisexually-behaving, and that 121,800 bisexually-behaving men are HIV-positive. Men who have sex with men and women are less than half as likely to be HIV-positive as men who have sex with men only (16.9% vs. 33.3%; OR = 0.41, 95% CI: 0.31, 0.54), but more than five times as likely to be HIV-positive as men who have sex with women exclusively (18.3% vs. 3.5%; OR = 5.71, 95% CI: 3.47, 9.39). They are less likely to engage in unprotected receptive anal intercourse than men who have sex with men only (15.9% vs. 35.0%; OR = 0.36, 95% CI: 0.28, 0.46). Men who have sex with men and women in samples with high racial/ethnic minority proportions had significantly higher HIV prevalence than their counterparts in low racial/ethnic minority samples. Conclusions: This represents the first meta-analysis of HIV prevalence in the U.S. between men who have sex with men and women and men who have sex with men only. Data collection, research, and HIV prevention and care delivery specifically tailored to men who have sex with men and women are necessary to better quantify and ameliorate this population's HIV burden. © 2014 Friedman et al.
date: 2014-01-30
date_type: published
publication: PLoS ONE
volume: 9
number: 1
refereed: TRUE
id_number: 10.1371/journal.pone.0087139
article_type: review
citation:   Friedman, MR and Wei, C and Klem, ML and Silvestre, AJ and Markovic, N and Stall, R  (2014) HIV infection and sexual risk among men who have sex with men and women (MSMW): A systematic review and meta-analysis.  PLoS ONE, 9 (1).       
document_url: http://d-scholarship-dev.library.pitt.edu/21892/1/journal.pone.0087139.pdf
document_url: http://d-scholarship-dev.library.pitt.edu/21892/8/licence.txt