- Black/African American MSM are more likely than MSM of other races/ethnicities to encounter broader social and economic factors such as limited access to and use of quality health care, lower income and educational attainment, higher rates of unemployment, and incarceration, which place them at higher risk for HIV
- Additionally, the higher prevalence of HIV infection and sexually transmitted infections among MSM in African American communities leads to a greater risk of acquiring HIV among Black/African American MSM, even when risk behaviors are similar to those of other populations.
- Awareness of HIV status is also a factor. Many Black/African American MSM with HIV, particularly young MSM, are unaware of their status. People who do not know they have HIV do not get medical care and may not adopt prevention behaviors, and thus, they can unknowingly infect others.
- Stigma, Homophobia, and discrimination put MSM of all races and ethnicities at risk for multiple physical and mental health problems, and may affect whether MSM seek and are able to receive high-quality health services, including HIV testing, treatment, and other prevention services.