• DSHS HIV/STD Program

    Post Office Box 149347, MC 1873
    Austin, Texas 78714

    Phone: (512) 533-3000

    E-mail the HIV/STD Program

    E-mail data requests to HIV/STD Program - This email can be used to request data and statistics on HIV, TB, and STDs in Texas. It cannot be used to get treatment or infection history for individuals, or to request information on programs and services. Please do not include any personal, identifying health information in your email such as HIV status, Date of Birth, Social Security Number, etc.

    For treatment/testing history, please contact your local Health Department.

    For information on HIV testing and services available to Persons Living with HIV and AIDS, please contact your local HIV services organization.

Epi Profile Section 10 - Men who have Sex with Men (MSM)


Figure 10-1. Ratio of Male to Female STD Diagnoses, Texas, 2016

Figure 10-1. Ratio of Male to Female STD Diagnoses, Texas, 2016. Data in link below.

Data for Figure 10-1

  • A ratio of 1 indicates that approximately equal numbers of males and females were diagnosed with a particular STD.

  • In 2016, gonorrhea, and Primary, Secondary and Early Latent syphilis were diagnosed more frequently in males compared to females. 2016 is the second year that gonorrhea diagnoses in males has exceeded the number of diagnoses in females. This is most likely due to an increase in screening rates among MSM, and potentially increased transmission among MSM.

  • Chlamydia is diagnosed more frequently in females due to targeted screening in young females age 15-24 and lower chlamydia screening rates in males.


Table 10-1. Five Year Cumulative Trends in New HIV Diagnoses in Texas among MSM by Race/Ethnicity and Age Group

Cumulative
Through 2011

2012

2013

2014

2015

2016

Total
1980-2016

N

%

N

%

N

%

N

%

N

%

N

%

N

%

All MSM

66,899

100%

2,988

100%

3,004

100%

3,088

100%

3,148

100%

3,233

100%

82,361

100%

Race

White MSM

31,997

47.8%

700

23.4%

711

23.7%

702

22.7%

682

21.7%

716

22.1%

35,507

43.1%

Black MSM

15,030

22.5%

890

29.8%

950

31.6%

970

31.4%

1,001

31.8%

1,006

31.1%

19,847

24.1%

Hispanic MSM

18,126

27.1%

1,251

41.9%

1,199

39.9%

1,283

41.5%

1,321

42.0%

1,369

42.3%

24,549

29.8%

Other MSM

491

0.7%

42

1.4%

55

1.8%

56

1.8%

64

2.0%

61

1.9%

768

0.9%

Unknown Race MSM

1,255

1.9%

106

3.6%

90

3.0%

78

2.5%

79

2.5%

81

2.5%

1,690

2.1%

Age Group

0-14 MSM

22

<0.1%

2

<0.1%

3

0.1%

1

<0.1%

0

0%

3

0.1%

31

<0.1%

15-24 MSM

8,691

13.0%

844

28.2%

855

28.5%

938

30.4%

918

29.1%

876

27.1%

13,121

15.9%

25-34 MSM

26,529

39.7%

989

33.1%

1,044

34.8%

1,090

35.3%

1,159

36.8%

1,327

41.1%

32,139

39.0%

35-44 MSM

21,222

31.7%

603

20.2%

546

18.2%

529

17.1%

546

17.4%

507

15.7%

23,952

29.1%

45+ MSM

10,436

15.6%

551

18.4%

557

18.5%

530

17.2%

525

16.7%

520

16.1%

13,118

15.9%

  • For the first 30 years of the HIV epidemic, over half of HIV cases in MSM were diagnosed among White MSM; MSM of color now account for a majority of new HIV diagnoses in MSM.

  • A greater proportion of HIV transmissions in MSM are diagnosed in 15-24 year olds in recent years (2012-2016) compared to past years. In 2012, 33.1% of new diagnoses were between 25 and 34 years of age. In 2016, the proportion of new diagnoses among this age group increased to 41.1%. This may reflect increased availability and frequency of testing compared to past years or younger age at infection for this group.


Table 10-2. New HIV Diagnoses in MSM by Age Group Within Race/Ethnicity, 2016

White

Black

Hispanic

Other

Unk

Total

N

Rate

N

Rate

N

Rate

N

Rate

N

N

Rate

18-24

115

363.0

364

3,220.0

324

833.5

10

220.2

26

838

971.5

25-34

252

501.3

410

3,207.4

605

1,200.2

26

311.8

35

1,327

1,094.4

35-44

133

301.3

111

949.9

242

550.8

16

205.8

6

507

474.1

45+

215

139.8

101

362.4

182

237.4

10

29.2

14

520

566.8

Total

715

255.6

985

1,551.0

1,352

645.1

61

174.5

80

3,193

544.8

  • Estimates of the MSM population by race/ethnicity and age group in Texas has allowed for calculation of the rate of new HIV diagnoses in MSM not known to be living with HIV (as seen in Table 10-2).

  • 3.2% of Black MSM age 18-24 and 3.2% of HIV-negative Black MSM age 25-34 were diagnosed with HIV in 2016. Because diagnoses do not reflect all infections within a population, the rate of new infections in this group is likely higher.


Table 10-3. Proportion of MSM Diagnosed with HIV by Race and Age, 2016

White

Black

Hispanic

Total

1 in

1 in

1 in

1 in

18-24

275

31

120

103

25-34

199

31

83

91

35-44

332

105

182

211

45+

715

276

421

176

Total

391

64

155

184

  • Rates can also be displayed as the proportion of persons in a population that are diagnosed with HIV in a particular year..

  • For example, in 2016, 1 in 391 White MSM were diagnosed with HIV - compared to 1 in 64 Black MSM and 1 in 155 Hispanic MSM.

  • These numbers can also be translated to percentages, For example, in 2016
    • 1.5% of all Black MSM in Texas were newly diagnosed with HIV infection
    • 3.2% of Black MSM between ages of 18 and 34 were newly diagnosed with HIV infection
    • 1% of all Texas MSM between ages of 25-34 were newly diagnosed with HIV infection


Epi Profile

Table of Contents | 1. Executive Summary | 2. New HIV Diagnoses | 3. Persons Living with HIV | 4. Co-Morbidities | 5. HIV/AIDS Deaths | 6. HIV Incidence | 7. Focused and Routine HIV Testing | 8. Indicators of HIV Risk in HIV-negative Persons at High Risk for HIV | 9. Indicators of HIV Risk in PLWH Currently in Care | 10. Men Who Have Sex With Men (MSM) | 11. HIV Treatment Cascade | Data Sources and Notes


Last updated January 10, 2018