CDPH HIV/AIDS surveillance data to be released soon shows a bleak picture for the MSM community generally, and younger African-American men specifically. To quote:
A first-of-its-kind study looking at HIV infection rates found that half of gay men in Chicago who have HIV did not know they were infected, and two-thirds of infected black men were unaware. In addition, infection rates for black men were more than twice the rates for whites and Hispanics.An overview of the findings is in the Chi-Town News here. These data are very similar to those published by the CDC a number of years ago - and even look worse than some of the national data. In particular, 50% of all HIV+ gay men being "HIV unaware" is shocking; those were the figures for the most at-risk men in previous years!!
One implication of these findings is that the men we studied in MIX are unusual. Only 8% of them had not been tested recently, suggesting that very high risk, drug-using men actually are getting their results. It may be a more moderate risk, less conspicuous group who are not getting tested but are risky enough to get infected. Of course these men - who may assume themselves to be HIV-negative - may be the core intervention target.
This really calls for us to get the clinical data from MIX to see how many ostensibly HIV-negative men were actually infected.
All the more reason for us to get funded for YMCA!