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Trends in HIV Risk, Testing, and Treatment among MSM in Chicago 2004–2014: Implications for HIV Elimination Planning

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Abstract

Men who have sex with men (MSM) in the USA continue to have high rates of HIV infection. Increasingly, in addition to behavioral factors, biomedical interventions have been found to play important roles in HIV prevention. In this analysis, we used four waves of cross-sectional data (2004, 2008, 2011, and 2014) from the National HIV Behavioral Surveillance System (NHBS) to examine trends in key behaviors and biomedical interventions among MSM in Chicago (N = 3298). Logistic regression was used to determine changes in behaviors and use of biomedical interventions. Condomless sex increased significantly in waves 3 and 4, compared to wave 1: wave 3 (AOR = 2.07; 95% CI 1.53, 2.78) and wave 4 (AOR = 2.19; 95% CI 1.62, 2.96). Compared to those aged 18–24, older participants were significantly less likely to be routinely tested for HIV: 30–39 (AOR = 0.63; 95% CI 0.48, 0.83), 40–49 (AOR = 0.40; 95% CI 0.29, 0.55), and >50 (AOR = 0.28; 95% CI 0.18, 0.43). Awareness of both post-exposure prophylaxis (PEP)(​AOR = 3.13; 95% CI 1.22, 8.03) and pre-exposure prophylaxis (PrEP)(​AOR = 10.02; 95% CI 2.95, 34.01) increased significantly in wave 4, compared to wave 3. These results suggest a potential increase in HIV rates among men with main and casual partners and should be monitored closely as PrEP becomes more widespread among MSM of all races and ethnicities in Chicago. This study also suggests that further analyses of the barriers to PEP and PreP uptake among high-risk populations are necessary.

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Acknowledgements

Dr. John Schneider is supported by funding from NIH grant R34 MH104058.

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Author notes

  1. Ethan Morgan

    Present address: Department of Public Health Sciences, University of Chicago, Chicago, IL, USA

Authors and Affiliations

  1. Department of Public Health Sciences, University of Chicago, Chicago, IL, USA

    Britt Skaathun & John A. Schneider

  2. Chicago Center for HIV Elimination, University of Chicago, Chicago, IL, USA

    Ethan Morgan, Britt Skaathun, Nicola Lancki & John A. Schneider

  3. Department of Medicine, University of Chicago, Chicago, IL, USA

    Nicola Lancki & John A. Schneider

  4. School of Public Health, University of Illinois at Chicago, Chicago, IL, USA

    Antonio D. Jimenez & Jesus Ramirez-Valles

  5. Chicago Department of Public Health, Chicago, IL, USA

    Ramona Bhatia, Stephanie Masiello-Schuette & Nikhil Prachand

  6. Center for Implementation Science, Northwestern University, Chicago, IL, USA

    Nanette Benbow

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Correspondence to Ethan Morgan.

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Morgan, E., Skaathun, B., Lancki, N. et al. Trends in HIV Risk, Testing, and Treatment among MSM in Chicago 2004–2014: Implications for HIV Elimination Planning. J Urban Health 94, 699–709 (2017). https://doi.org/10.1007/s11524-017-0175-9

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