Trends in Diagnosis of HIV Infection, Linkage to Medical Care, and Viral Suppression Among Men Who Have Sex with Men, by Race/Ethnicity and Age — 33 Jurisdictions, United States, 2014–2018

During 2018, gay, bisexual, and other men who have sex with men (MSM) accounted for 69.4% of all diagnoses of human immunodeficiency virus (HIV) infection in the United States (1).Moreover, in all 42 jurisdictions with complete laboratory reporting of CD4 and viral load results,* percentages of MSM linked to care within 1 month (80.8%) and virally suppressed (viral load <200 copies of HIV RNA/mL or interpreted as undetected) within 6 months (68.3%) of diagnosis were below target during 2018 (2).African American/Black (Black), Hispanic/Latino (Hispanic), and younger MSM disproportionately experience HIV diagnosis, not being linked to care, and not being virally suppressed.To characterize trends in these outcomes, CDC analyzed National HIV Surveillance System † data from 2014 to 2018.The number of diagnoses of HIV infection among all MSM decreased 2.3% per year (95% confidence interval [CI] = 1.9-2.8).However, diagnoses did not significantly change among either Hispanic MSM or any MSM aged 13-19 years; increased 2.2% (95% CI = 1.0-3.4)and 2.0% (95% CI = 0.6-3.3)per year among Black and Hispanic MSM aged 25-34 years, respectively; and were highest in absolute count among Black MSM.Annual percentages of linkage to care within 1 month and viral suppression * CDC established three criteria for complete laboratory reporting: 1) the jurisdiction's laws/regulations required reporting of all CD4 and viral load results to the state or local health department; 2) laboratories that perform HIV-related testing for the areas must have reported a minimum of 95% of HIV-related test results to the state or local health department; and 3) by December 31, 2019, the jurisdiction had reported to CDC at least 95% of all CD4 and viral load results received during January 2017-September 2019.