HIV and Gay and Bisexual Men | VitalSigns

Gay and bisexual men account for about two-thirds (66%) of new HIV infections each year. Black/African American and Hispanic/Latino gay and bisexual men^** are among the most affected. From 2010 to 2019, new HIV infections declined among White gay and bisexual men but remained higher and relatively stable among Black/African American and Hispanic/Latino gay and bisexual men. Social and structural barriers such as systemic racism, stigma, discrimination, homophobia, poverty, and homelessness can make it difficult to access HIV testing, care, and prevention services.

There have been significant advances in HIV prevention and treatment but missed testing opportunities in healthcare settings are preventing some gay and bisexual men from knowing their HIV status and benefitting from these advances. More HIV testing is needed to prevent new HIV infections and improve the health outcomes of gay and bisexual men with HIV.

• Gay and bisexual men who test negative can benefit from pre-exposure prophylaxis (PrEP). PrEP is highly effective in preventing HIV when taken as prescribed.
• Gay and bisexual men who learn they have HIV can start and stay on HIV treatment, get the virus down to an undetectable level (become virally suppressed), live long and healthy lives, and prevent sexual transmission to others.

The government’s Ending the HIV Epidemic in the U.S. initiative (EHE) aims to reduce new HIV infections in the United States by 75% by 2025 and by 90% by 2030. This goal can only be achieved by dramatically reducing new HIV infections among the most affected groups, including Black/African American and Hispanic/Latino gay and bisexual men, and expanding and sustaining investments in HIV services.