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Public Health Reports: Evaluating the Evidence for More Frequent Than Annual HIV Screening of Gay, Bisexual, and Other Men Who Have Sex with Men in the United States: Results From a Systematic Review and CDC Expert Consultation

In a recent article in Public Health Reports, Drs. Elizabeth DiNenno, Joseph Prejean, Kevin Delaney, Gema Dumitru, Angela Hutchinson, and Amy Lansky, Ms. Kristina Bowles, Ms. Tricia Martin, Ms. Amrita Tailor, and Ms. Mary Mullins of the Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, Sexually Transmitted Diseases, and Tuberculosis Prevention, Centers for Disease Control and Prevention (CDC), report on the conclusions of the systematic review of the literature and expert consultations on the benefits, harms, acceptability, and feasibility of annual versus more frequent screening among men who have sex with men (MSM) conducted to determine whether evidence was sufficient to change the current recommendation.CDC recommended in 2006 that sexually active gay, bisexual, and other MSM be screened for HIV at least annually. Several publications since 2006 have suggested that some MSM might benefit from more frequent screening and some local public health officials have already endorsed a more frequent rescreening of MSM. In light of these events, CDC scientists reviewed recent published and unpublished information to determine whether the evidence was sufficient to change the current recommendations to recommend a more frequent that annual screening. Authors found that available evidence supports the CDC’s current recommendation that sexually active MSM be screened at least annually. However, some MSM might benefit from more frequent screening. More research is needed evaluate which MSM subpopulations would benefit most from more frequent HIV screening.

Full article

The updated recommendation is published in a separate document (DiNenno EA, Prejean J, Irwin K, et al. Recommendations for HIV Screening of Gay, Bisexual, and Other Men Who Have Sex with Men — United States, 2017. MMWR Morb Mortal Wkly Rep 2017;66:830–832. DOI: http://dx.doi.org/10.15585/mmwr.mm6631a3).