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Int J STD AIDS. 2015 Sep;26(10):740-5. doi: 10.1177/0956462414552814. Epub 2014 Sep 22.

Disparities in herpes simplex virus type 2 infection between black and white men who have sex with men in Atlanta, GA.

Author information

1
Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
2
Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA Division of Infectious Diseases, Department of Medicine, Emory University, Atlanta, GA, USA.
3
Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA Division of Infectious Diseases, Department of Medicine, Emory University, Atlanta, GA, USA colleen.kelley@emory.edu.

Abstract

HIV disproportionately affects black men who have sex with men, and herpes simplex virus type 2 is known to increase acquisition of HIV. However, data on racial disparities in herpes simplex virus type 2 prevalence and risk factors are limited among men who have sex with men in the United States. InvolveMENt was a cohort study of black and white HIV-negative men who have sex with men in Atlanta, GA. Univariate and multivariate cross-sectional associations with herpes simplex virus type 2 seroprevalence were assessed among 455 HIV-negative men who have sex with men for demographic, behavioural and social determinant risk factors using logistic regression. Seroprevalence of herpes simplex virus type 2 was 23% (48/211) for black and 16% (38/244) for white men who have sex with men (p = 0.05). Education, poverty, drug/alcohol use, incarceration, circumcision, unprotected anal intercourse, and condom use were not associated with herpes simplex virus type 2. In multivariate analyses, black race for those ≤25 years, but not >25 years, and number of sexual partners were significantly associated. Young black men who have sex with men are disproportionately affected by herpes simplex virus type 2, which may contribute to disparities in HIV acquisition. An extensive assessment of risk factors did not explain this disparity in herpes simplex virus type 2 infection suggesting differences in susceptibility or partner characteristics.

KEYWORDS:

AIDS; HIV; HSV2; Sexually transmitted infections; USA; disparities; herpes simplex virus type 2; men who have sex with men; seroprevalence

PMID:
25246424
PMCID:
PMC4430438
DOI:
10.1177/0956462414552814
[Indexed for MEDLINE]
Free PMC Article

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