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Estimating the Population Size of Men Who Have Sex with Men to Obtain HIV and Syphilis Rates
The Open AIDS Journal, Suppl 1: M6) 98-107 ^ | 2012 | David W. Purcell, Christopher H. Johnson, Amy Lansky, Joseph Prejean, Renee Stein, Paul Dennis

Posted on 12/25/2012 7:23:57 PM PST by daniel1212

Estimating the Population Size of Men Who Have Sex with Men in the United States to Obtain HIV and Syphilis Rates

INTRODUCTION

Since the beginning of the HIV epidemic in the United States, men have accounted for the largest proportion of cases, and the large majority of those men have been gay, bisexual, and other men who have sex with men (collectively referred to here as MSM). MSM accounted for 53% of estimated new HIV infections in the United States in 2006 and MSM who also injected drugs accounted for an additional 4% of estimated new infections [1]. Moreover, MSM comprise the only risk group with increasing numbers of new HIV infections [1]. Similarly, the number of cases of primary and secondary syphilis has grown rapidly among men in the past decade, and the majority of cases have been among MSM [2]...

Research by Kinsey and his colleagues [4] led to the notion that approximately 10% of U.S. men are gay or bisexual. Later reviews lowered this estimate by approximately half [5]. In 1990, the U.S. census added questions about same-sex household partners, but these data cannot lead to a national estimate because people who are not partnered were uncounted [6]. Lieb and his colleagues [7] summarized a wide variety of methods that have been used to estimate the size of the MSM population in specific cities, states, or for the whole United States. In their work, Lieb and his colleagues [7] provided statewide estimates ranging from 3.3% (North Dakota) to 13.2% (District of Columbia) with an overall estimate that MSM were 6.4% of the male population (7.1 million men).

These estimates were derived using data from two national surveys that assessed whether men reported ever engaging in same-sex behavior [8, 9]. Lieb and colleagues [10] used their MSM population estimates to show that rates of HIV for MSM in 17 southern states were 36 times as high compared to other men in the south, with rates among MSM highest for African Americans in all states and lowest among white MSM in all but one state...

The goals of this paper are to 1) meta-analyze population-based surveys to estimate the proportion of men in the United States who are MSM and estimate proportion of MSM by race/ethnicity and age if possible; 2) use these estimates to calculate disease metrics for MSM using national surveillance data for HIV and for primary and secondary (P&S) syphilis; and 3) calculate rate ratios to directly compare rates for MSM to rates in other men and women and to compare rates among MSM by race/ethnicity and age...

Rates of estimated diagnoses of HIV infection, rates of people living with HIV, and rates of P&S syphilis were higher among MSM than among other men or women (Tables 4-6).

The rate ratios indicate disparities between MSM and other men and MSM and women. Comparing MSM to other men, the estimated rate of diagnoses of HIV infection in 2008 was 59 to 75 times as high (Table 4), the estimated rate of MSM living with a diagnosis of HIV infection was 38 to 48 times as high (Table 5), and the P&S syphilis diagnosis rate was 63 to 79 times as high (Table 6). Rate ratios comparing MSM and women were similar to those comparing MSM and other men for the HIV metrics (Tables 4-5).

For P&S syphilis, the rate ratio was higher for MSM compared to women than for MSM compared to other men (Table 6).

Among MSM, black/African Americans had the highest disease rates while whites had the lowest rates, regardless of epidemiologic measure. By age group, the highest estimated rate of diagnoses of HIV infection occurred among MSM aged 25 to 44. Estimated rates of MSM living with a diagnosis of HIV infection were highest among men aged 35 to 54. The estimated rate of P&S syphilis among MSM was highest among men aged 25 to 44.

Across the 3 disease metrics, rates for black/African American MSM were 3.8 to 6 times as high as those for white MSM. Rates for Hispanic/Latino MSM were 1.8 to 2.7 times as high as those for white MSM (Tables 4-6).

Using meta-analysis with behavioral data from population-based surveys, we found that MSM comprised 3.9% (3.5% - 4.4%) of the U.S. adult male population. This translates into approximately 2.0% of the overall population or 4,791,262 MSM in the United States.

Compared to other men and women, for the two HIV disease metrics, MSM rates were 38 to 75 times as high, and for P&S syphilis, rates were 63 to 109 as high. Data in the U.S. show that MSM make up approximately half of all persons living with HIV infection (whether diagnosed or undiagnosed) [26] and that in 2009, MSM accounted for 61% of new infections [27]. However, the rates calculated here indicate that this disease burden, relative to the size of the MSM population, is of tremendous magnitude. The disparity in rates for MSM compared to other men and women exceeds disparities between race/ethnicity groups reported in HIV surveillance data [3] or between MSM race/ethnicity groups reported here. [pp. 98,99,103,104]


TOPICS:
KEYWORDS: aids; cdc; homosexuality; moralabsolutes; sodom
That is an excerpt of a long and verbose document, which further testifies to the cost of forsaking the right ways of the Lord. Over half a million are dead of AIDS, and if hand shaking resulted in a greatly increased incidence of AIDS and premature death, it would have been largely abandoned.

I subscribe to CDC updates, as i collect and provide Revealing Statistics, and part of the summation of the above states,

Using meta-analysis with behavioral data from population-based surveys, CDC found that men who engaged in same-sex behavior in the past five years comprised 3.9% (3.5 - 4.4) of the U.S. adult male population. Men who recall ever engaging in same-sex behavior comprised 6.9% (5.1-8.6) of the U.S. adult male population. In a recent publication, CDC used the 5-year estimate as a conservative, mid-range estimate of the size of the MSM population. Compared to other men and women, HIV rates among MSM were 38 to 75 times as high, and syphilis rates were 63 to 109 times as high.

The meta-analysis estimated that lifetime IDU comprise 2.6% (95% confidence interval (CI): 1.8% - 3.3%) of the U.S. population age 13 years or older; the past-year IDU estimate was 0.30% (95% CI: 0.19 % - 0.41%). Comparing black IDU to white IDU, the rate of HIV diagnosis was nearly 15 times as high; comparing Hispanic/Latino to white IDU, the rate was more than 9 times as high.

1 posted on 12/25/2012 7:24:09 PM PST by daniel1212
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To: wagglebee

Ping for your group.


2 posted on 12/25/2012 7:26:54 PM PST by daniel1212 (Come to the Lord Jesus as a contrite damned+destitute sinner, trust Him to save you, then live 4 Him)
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To: daniel1212

Note, over half a million dead refers to America, it is over 25 mil worldwide.


3 posted on 12/25/2012 7:28:57 PM PST by daniel1212 (Come to the Lord Jesus as a contrite damned+destitute sinner, trust Him to save you, then live 4 Him)
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To: daniel1212

Does this mean you are against ‘marriage equality’ ??

I mean it sounds sooo inclusive ..

:)


4 posted on 12/25/2012 7:32:24 PM PST by sickoflibs (Dems know how to win. Rs know how to whine.)
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To: sickoflibs

Actually, marriage would reduce the rates, if homosexual marriage did not also redefine marriage not only in what are joined together, which God only provided for male and female, but also as regards monogamy, as promiscuity reigns among “married” homosexual men.


5 posted on 12/25/2012 7:39:58 PM PST by daniel1212 (Come to the Lord Jesus as a contrite damned+destitute sinner, trust Him to save you, then live 4 Him)
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To: daniel1212

>MSM accounted for 53% of estimated new HIV infections in the United States in 2006 and MSM who also injected drugs accounted for an additional 4% of estimated new infections [1].<

.
So, the MSM is guilty of more than just lying to the public.


6 posted on 12/25/2012 7:45:29 PM PST by 353FMG
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To: sickoflibs
No, just against their biological rights to be treated for self inflicted conditions, say after a 5-year pre-existing condition period for decetion purposes when being provided ObamaCare benefits; the exclusion should only allow $100,000K treatment if the cause of sex was consentual after being found not infected at the time of ObamaCare issuance and if later found to have been at fault in contracting the deadly disease then a CAP on benefits - of course those with the pre-existing condition should only be treated to a certain point....

Death Panel

7 posted on 12/25/2012 7:45:31 PM PST by Jumper
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To: Jumper

The frightening aspect of these statistics is that the military budget will be drained dry by HIV victims who claim their condition is a service-related disability. This is my biggest reason for still opposing gays in the military.


8 posted on 12/25/2012 7:52:46 PM PST by Hillary'sMoralVoid
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To: Jumper

The frightening aspect of these statistics is that the military budget will be drained dry by HIV victims who claim their condition is a service-related disability. This is my biggest reason for still opposing gays in the military.


9 posted on 12/25/2012 7:52:48 PM PST by Hillary'sMoralVoid
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To: daniel1212
Interesting except for one thing that makes no sense:

“Compared to other men and women, for the two HIV disease metrics, MSM rates were 38 to 75 times as high, and for P&S syphilis, rates were 63 to 109 as high.”

‘63 to 109 as high’

How exactly can something be over a 100? I realize these ‘practices’ expose people to lots of bad stuff, but how can a rate be 109 times as high? Getting multiple types of syphilis?

10 posted on 12/25/2012 7:53:35 PM PST by I cannot think of a name
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To: Jumper

We all know that Congress will cut disabled vet and retired military funding first and transfer that savings over to fund these miscreants.


11 posted on 12/25/2012 7:58:52 PM PST by GreyHoundSailor
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To: Hillary'sMoralVoid
There there is this: Philadelphia high schools to welcome students back with free condom dispensers
12 posted on 12/25/2012 8:01:49 PM PST by daniel1212 (Come to the Lord Jesus as a contrite damned+destitute sinner, trust Him to save you, then live 4 Him)
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To: I cannot think of a name

Don’t ask me! I saw it but did not read all the data to figure out how that can be done. See link at top.


13 posted on 12/25/2012 8:04:48 PM PST by daniel1212 (Come to the Lord Jesus as a contrite damned+destitute sinner, trust Him to save you, then live 4 Him)
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To: daniel1212

I’ve known two people with AIDS in my life, both now dead from the disease. One was black, for all his other faults he was a decent fellow, very talented singer. You have heard his voice if you listen to popular R&B from the seventies and eighties, backup though, you wouldn’t recognize his name.

The progression of that disease with him was straight out of the Old Testament, it took his voice, he couldn’t sing, then could barely speak, then mute. He became bedridden, the life just seemed to be eaten up, leaving a wooden, ashen shell but he was still alive.

His family would have nothing to do with him, he was alone in that regard until an aunt in Houston got word of his condition. She flew in, got him situated to fly which was not easy as he was nearing death and medically fragile. She took him back to care for him in his last days and to get him right with God. I hope she did. He died two months later.

The other, no one really had any inkling, he was a friend of a friend, came across as very arrogant, had everything going for him, seemingly. He developed a case of what appeared to be merely athlete’s foot, but it spread, eventually involving most of his legs. His infection was discovered over the course of seeking treatment for that. I found out after his death that he apparently would slip over to the black side of town and have anonymous sex with men. He was white. He was not Christian, at all. Bristled at the mention of it. He died a very unhappy death, almost tormented. No peace. It was sad, but he was not the most sympathetic character.


14 posted on 12/25/2012 8:05:32 PM PST by RegulatorCountry
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To: I cannot think of a name
... but how can a rate be 109 times as high?

E.g., one case per 1,000 pop. vs 109 cases per 1,000 pop.

15 posted on 12/25/2012 8:07:43 PM PST by okie01
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To: daniel1212
One of the dirty little secrets of “gay marriage” is medical care. Follow the money. AIDS, HIV combined with syphilis, can be (and are expensive), so why not be married and get your partner's health care. Or, this was how it was before ObamaCare’s death panels.

What's also not said is there's a deranged group of gays that actively seek out infected sex partners. For them if give a “high” like playing Russian roulette. If they are successful and get infected, these people actively go out to infect others. It is sick and demented — and dangerous. This also affects women if their partner is infected and bisexual. Infection rates for women by these infected men is a 1 in 5 chances to transmit their infection to a healthy woman.

16 posted on 12/25/2012 8:08:36 PM PST by MasterGunner01
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To: daniel1212
"Marriage equality is all about LOVE dude, I mean how could God object?"

This is what we have to deal with,

In the 1980s it all seemed so simple(before the HIV drugs) when it was obvious it was killing them, but now they can hide the curse they bring on themselves.

17 posted on 12/25/2012 8:20:21 PM PST by sickoflibs (Dems know how to win. Rs know how to whine.)
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To: daniel1212; mgist; raptor22; victim soul; Isabel2010; Smokin' Joe; Michigander222; PJBankard; ...
+

Freep-mail me to get on or off my pro-life and Catholic List:

Add me / Remove me

Please ping me to note-worthy Pro-Life or Catholic threads, or other threads of general interest.

18 posted on 12/25/2012 8:23:36 PM PST by narses
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To: daniel1212; mgist; raptor22; victim soul; Isabel2010; Smokin' Joe; Michigander222; PJBankard; ...
+

Freep-mail me to get on or off my pro-life and Catholic List:

Add me / Remove me

Please ping me to note-worthy Pro-Life or Catholic threads, or other threads of general interest.

19 posted on 12/25/2012 8:24:04 PM PST by narses
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To: sickoflibs

Gay marriage in the military, free condoms in schools, and pro Muslim, anti-Christian and anti-Israel actions increasing. The country overall is gone, and is cruisin for a bruisin.


20 posted on 12/25/2012 8:33:35 PM PST by daniel1212 (Come to the Lord Jesus as a contrite damned+destitute sinner, trust Him to save you, then live 4 Him)
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To: I cannot think of a name

It’s not a percentage. It’s a statistic; so, if there are 10 non-MSM with HIV per unit of population (usually 100,000), then there are 1090 MSM with HIV per the same unit (10x109).


21 posted on 12/25/2012 8:37:29 PM PST by Little Pig (Vi Veri Veniversum Vivus Vici.)
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To: I cannot think of a name
“Getting multiple types of syphilis?”

Actually, they get HAGS syndrome.

Herpes
AIDS
Gonorrhea
Syphilis

22 posted on 12/25/2012 8:49:22 PM PST by GladesGuru (In a society predicated upon freedom, it is necessary to examine principles."..)
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To: MasterGunner01

It is not cheap in any way.

Good night.


23 posted on 12/25/2012 9:04:38 PM PST by daniel1212 (Come to the Lord Jesus as a contrite damned+destitute sinner, trust Him to save you, then live 4 Him)
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To: daniel1212

A lot of the homosexual disease among black men is spread in jails and prisons.

They then get out and spread the diseases to black women and children. They infect multiple people.

We could eliminate a lot of sexual disease if we did not permit men to use one another in prisons. It’s almost as if our homo prison male rape policy is targeting the prison population, and the women they have sex with after they are out, for death.

Sexual disease including HIV is skyrocketing in the black population.


24 posted on 12/25/2012 9:05:17 PM PST by SaraJohnson
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To: SaraJohnson
A lot of the homosexual disease among black men is spread in jails and prisons.

Just like Islam.

25 posted on 12/25/2012 9:09:40 PM PST by thecodont
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To: I cannot think of a name

How exactly can something be over a 100?

They are not saying “over 100% got HIV.” That is not possible, of course.

What they are saying is that MSM got HIV more than 100 times as often as non-MSM or females. It is a rate the study is talking about, not a percentage.

Bottom line, it is shocking!

MSM make up 2% of the population including both sexes, but get 53% of new HIV infections.


26 posted on 12/25/2012 9:46:21 PM PST by Seizethecarp (Defend aircraft from "runway kill zone" mini-drone helicopter swarm attacks: www.runwaykillzone.com)
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To: I cannot think of a name

In this case 109 is not 109%, it’s literally 109 times higher or 10,900% higher.


27 posted on 12/25/2012 11:47:48 PM PST by Procyon (Decentralize, degovernmentalize, deregulate, demonopolize, decredentialize, disentitle.)
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To: daniel1212

Ping for later


28 posted on 12/26/2012 4:41:46 AM PST by erod (I'm a Chicagoan till Chicago ends...)
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To: SaraJohnson

And which would considered racist by liberals.


29 posted on 12/26/2012 6:36:46 AM PST by daniel1212 (Come to the Lord Jesus as a contrite damned+destitute sinner, trust Him to save you, then live 4 Him)
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To: daniel1212

the large majority of those men have been gay, bisexual, and other men who have sex with men


They are ALL homosexuals, lets just keep the one catagory.


30 posted on 12/26/2012 6:47:03 AM PST by PeterPrinciple ( (Lord, save me from some conservatives, they don't understand history any better than liberals.))
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To: Procyon; Seizethecarp; Little Pig; okie01

Thanks to all of you for smarting-up big dummy here. Unfortunately, while I am now smarter, statements like:

“In this case 109 is not 109%, it’s literally 109 times higher or 10,900% higher.”

make it even tougher to listen to some talking head on TV try to lecture us that gay sex is ‘normal.’

At these infection rates, it almost sounds as if gay sex will eventually cure itself.


31 posted on 12/26/2012 12:09:34 PM PST by I cannot think of a name
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To: Jumper

Death panel is for old Republican voters.
NOT younger Democrats.


32 posted on 12/26/2012 12:15:22 PM PST by nascarnation (Baraq's economic policy: trickle up poverty)
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To: I cannot think of a name
‘63 to 109 as high’

This is not 109% of MSM having HIV. It the rate of HIV in one group, compared to the rate of HIV in another group. A rate of 100% higher simply means that the rate is twice as high.

33 posted on 12/27/2012 4:43:26 PM PST by JoeFromSidney ( New book: RESISTANCE TO TYRANNY. Buy from Amazon.)
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