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Rising Rates of HIV Infection Among Young US Men Who Have Sex With Men

Young men who have sex with men (YMSM) (ages 13–24) accounted for 54% of the 18,619 HIV/AIDS cases among US youth in 33 states with confidential reporting between 2003 and 2006. There are specific developmental differences and complexities that place YMSM at particularly high risk for HIV acquisition. The early HIV epidemic impacted men who have sex with men (MSM) of all ages, followed by a decline in incidence to the lowest rates in 1999. Subsequently, there has been an overall 9% increased rate of HIV among MSM between 2001 and 2006. YMSM were disproportionately responsible for the increased HIV rates, with incidence rates approximately 10 times higher than that in the overall MSM community. Ethnic/racial minority YMSM had markedly higher increases, ie 15% among African-Americans.