Closing the Gap? The HIV Continuum in Care for African-American Men Who Have Sex with Men, San Francisco, 2004-2014.

We examined trends in the HIV continuum in care in the National HIV Behavioral Surveillance surveys for MSM in San Francisco from 2004 to 2014. In 2004, HIV-positive African-American MSM were less likely to be diagnosed (42.9 vs. 87.5 %, p = 0.003), linked to care (42.9 vs. 85.7 %, p = 0.007), or to have ever used antiretroviral treatment (ART) (28.6 vs. 69.6 %, p = 0.032) compared to white MSM. By 2014, these gaps had narrowed but not closed, including diagnosis (85.7 vs. 100 %, Fisher's exact p = 0.106), linkage to care (85.7 vs. 96.8 %, Fisher's exact p = 0.290), and ART use (85.7 vs. 94.9 %, Fisher's exact p = 0.369).