• DSHS HIV/STD Program

    Post Office Box 149347, MC 1873
    Austin, Texas 78714

    Phone: (737) 255-4300

    Email the HIV/STD Program

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Epi Profile Section 4 - New Diagnoses in MSM


Overall Trends and Profile of Texans with New HIV Diagnoses


In 2018, 3,177 MSM were diagnosed with HIV infections, meaning that each day between eight and nine MSM were diagnosed. MSM made up 70% of the Texans with new diagnoses in 2018.

The annual number of MSM who were diagnosed rose 17% between 2009 and 2018. The profile of MSM with new diagnoses in 2018 shows continuation of trends from past years:

  • Three out of four were Black or Hispanic;
  • Two out of three were younger than 35; and
  • All MSM were disproportionately affected by HIV, but the diagnosis rates were highest among Black MSM and those under 35.

Figure 14:  Number of Texas MSM with new diagnoses, 2009-2018 
Figure 14:  Number of Texas MSM with new diagnoses, 2009-2018
Source: Texas eHARS, 2018
Data for Figure 14



MSM with New Diagnoses by Race/Ethnicity


The number of Black and Hispanic MSM with new HIV diagnoses rose over the past 10 years, with new diagnoses in Black MSM rising 16% and new diagnoses in Hispanic MSM increasing at twice that rate (Figure 15).

Figure 15: Texas MSM with new HIV diagnoses by race/ethnicity, 2009-2018 
Figure 15: Texas MSM with new HIV diagnoses by race/ethnicity, 2009-2018
Source: Texas eHARS, 2018
Data for Figure 15



MSM with New Diagnoses by Age


In 2018, 2 out of 3 MSM with new diagnoses were between 15 and 34 years old. The number of new diagnoses in both the 15-24 (youth) and 25-34 age groups rose together from 2010 to 2014. From 2015 to 2018, new diagnoses in 25-34-year-olds continued to rise, but new diagnoses in youth fell by about 11%.

Figure 16: Texas MSM with new HIV diagnoses by age groups, 2009-2018 
Figure 16: Texas MSM with new HIV diagnoses by age groups, 2009-2018
Source: Texas eHARS, 2018
Data for Figure 16



Diagnosis Rates


MSM diagnosis rates are 33 times higher than the rates for Texans overall, and the rates for Black and Hispanic MSM are especially high. The rate for Black MSM means that DSHS estimates that 1 in 100 Black MSM in Texas received an HIV diagnosis in 2018.

The diagnosis rates for MSM between 18 and 34 years old are much higher than the rates for other age groups. They suggest that 1 in 100 of the MSM in those two age groups were diagnosed with HIV in 2018.

Another way of looking at burden of disease is ‘1 in’ statements. For Texas overall in 2018, 1 in 305 Texans received an HIV diagnosis in 2018. The HIV burden is much higher for MSM: 1 in 191 MSM were given an HIV diagnosis in 2018 (Table 11). The rates for young MSM of color are even higher:

  • 1 in 30 Black MSM 18-24 years old were diagnosed in 2018;
  • 1 in 105 Hispanic MSM in this age group were diagnosed in 2018;
  • 1 in 26 Black MSM 25-34 years old were diagnosed in 2018; and
  • 1 in 81 Hispanic MSM in this age group were diagnosed in 2018.

Figure 17:  Diagnosis rates in MSM by race/ethnicity, Texas 2018 
Figure 17:  Diagnosis rates in MSM by race/ethnicity, Texas 2018
Source: Texas eHARS, 2018 rates per 100,000
Data for Figure 17

Figure 18:  Diagnosis rates in MSM by age group, Texas 2018 
Figure 18:  Diagnosis rates in MSM by age group, Texas 2018
Source: Texas eHARS, 2018 rates per 100,000
Data for Figure 18


Table 10: Texas MSM with new HIV diagnoses by age and race/ethnicity, 2018

White

Black

Hispanic

Total

Age group (years)

Number

Rate

Number

Rate

Number

Rate

Number

Rate

18-24

102

404.4

322

3,332.2

326

955.7

789

1,082.0

25-34

228

546.0

423

3,801.5

542

1,230.9

1,265

1,209.0

35-44

120

320.8

134

1,282.8

277

712.9

554

588.8

45-54

118

326.0

60

664.2

157

533.0

349

434.0

55-64

61

154.9

22

254.9

55

259.3

141

192.0

65+

19

38.4

8

104.0

7

41.5

35

44.0

Total

648

282.6

968

1,076.1

1,364

662.6

3,133

523.7

A rate above 1,000 in this table can be translated into a percentage. For example, DSHS estimates that 3.3% of Black MSM between 18 and 24 were diagnosed with HIV in 2018.
Source: Texas eHARS, 2018


Table 11: '1 in' statements for diagnosis in MSM by age and race/ethnicity, 2018

White

Black

Hispanic

Total

Age group (years)

1 in

1 in

1 in

1 in

18-24

247

30

105

92

25-34

183

26

81

83

35-44

312

78

140

170

45-54

307

151

188

230

55-64

646

392

386

521

65+

2,604

962

2,410

2,273

Total

354

93

151

191


Table 12: New HIV diagnoses in Texas MSM, 2014-2018

2014

2015

2016

2017

2018

Number

%

Number

%

Number

%

Number

%

Number

%

All MSM

3,071

100%

3,146

100%

3,218

100%

3,072

100%

3,177

100%

Race/Ethnicity

White

656

21%

631

20%

644

20%

545

18%

650

21%

Black

950

31%

983

31%

979

30%

992

32%

988

31%

Hispanic

1,306

43%

1,358

43%

1,402

44%

1,402

46%

1,385

44%

Other

49

2%

59

2%

59

2%

47

2%

64

2%

Multiple Races

110

4%

115

4%

134

4%

86

3%

90

3%

Age Group (years)

0-14

1

<1%



3

<1%


 

1

<1%

15-24

939

31%

931

30%

887

28%

819

27%

833

26%

25-34

1,081

35%

1,152

37%

1,306

41%

1,234

40%

1,265

40%

35-44

529

17%

530

17%

511

16%

522

17%

554

17%

45-54

367

12%

386

12%

356

11%

332

11%

349

11%

55-64

118

4%

117

4%

126

4%

145

5%

141

4%

65+

36

1%

29

1%

30

1%

20

1%

35

1%

Source: Texas eHARS, 2018



Epi Profile

Table of Contents | 1. Executive Summary | 2. Texans Living with HIV in 2018 | 3. Texans with New HIV Diagnoses | 4. New Diagnoses in MSM | 5. Texans with Newly Acquired HIV | 6. Deaths in Texans Living with HIV | 7. Comorbidities in Texans Living with HIV | 8. HIV Testing in Programs Funded by DSHS | 9. Sex and Substance Use in PLWH | 10. Sex and Substance Use in People at Increased Risk for HIV in Dallas, Texas | 11. Texas Treatment Cascade for 2018 | Data Sources and Notes


Last updated June 18, 2020