Meaning,
In 2018, men who have sexual relations with other men (MSM) accounted for 66% of all new HIV diagnoses in the United States and 6 dependent areas. Young gay and bisexual men accounted for 83% of all new HIV diagnoses in people aged 13 to 24 in 2018 . "Although only approximately 7% of adul t and adolescent males reported having had male-to- male sexual contact at some point in their lives [9]
And in 2019, the largest percentages of HIV infections were attributed to male-to-male sexual contact (66% overall and 81% among males.)
https://www.cdc.gov/hiv/images/group/age/youth/cdc-hiv-youth-sex-700x698.png
(https://www.cdc.gov/hiv/group/gender/men/index.html)
https://www.cdc.gov/hiv/images/group/age/youth/cdc-hiv-youth-sex-700x698.pngIn 2019 heterosexual men accounted for 7% of HIV diagnoses, and heterosexual women accounted for 16% of HIV diagnoses.
Also according to the CDC (chart),
in 2017 male to male sexual contact was the mode of transmission in 92% of new HIV cases among male youth aged 13 to 24, and MSM accounted for 82% of diagnoses among males and 70% of all new HIV diagnoses, and 2 out of every 3 diagnoses in the United States. Which is despite only representing approximately 4% of the male population).
And which practice (historically) has resulted in a greatly increased incidence of other infectious diseases and premature death. And which practice is primarily responsible for more than 700,000 people with AIDS having died (as of 2017) since the beginning of the epidemic - HIV/AIDS has killed more than 700,000 people in the U.S. since 1981despite decades of attempting to tame it into being "safe." (Worldwide, 77.3 million people have contracted HIV and 35.4 million have died of AIDS-related illnesses since the beginning of the pandemic in 1981 (https://health.usnews.com/conditions/hiv-aids/articles/hiv-statistics)
In 2005, 28.7% of HIV-negative men reported sex without a condom, rising to 32.8% in 2008, 34.7% in 2011 and 40.5% in 2014. The overall trend was similar for HIV-positive men: in 2005, 34.2% reported sex without a condom, rising to 37.3% in 2008, 39.8% in 2011 and 44.5% in 2014. (https://www.aidsmap.com/news/may-2016/american-gay-mens-use-condoms-has-been-falling-decade-regardless-serosorting-or-prep)
There were 16,350 deaths in 2017 alone among adults and adolescents diagnosed with HIV in the United States and 6 dependent areas. [like as is usually the case with deaths attributed to the flu and COVID-19, deaths attributed to AIDS refers to killing indirectly].
In 2016 the rate of people living with HIV per 100,000 population was 368, with the death rate being 6. Male-to-male sexual contact made up 82.4% of HIV infections among males in 2017, while heterosexual contact made up 85.7% of HIV infections among females. The rate of Black males living with an HIV diagnosis is 5.6 times that of White males. The rate of Black females living with an HIV diagnosis is 17.6 times that of White females. The rate of Hispanic/Latino males living with an HIV diagnosis is 2.5 times that of White males. The rate of Hispanic/Latina females living with an HIV diagnosis is 4.2 times that of White females. (https://aidsvu.org/local-data/united-states)
The South has the highest number of people living with HIV, but if population size is taken into account, the Northeast has the highest rate of people living with HIV.
One of the diseases that is far more prevalent among MSM than other population groups is that of anal cancer, which is diagnosed in about 2 people out of every 100,000 people in the general population. In contrast, it is estimated that MSMs that are not infected with HIV are 20 times more likely to be diagnosed with anal cancer. HPV is present in approximately 65% of HIV negative MSMs and 95% of MSMs who are HIV positive. Anal cancer is caused by the same strains of HPV (Human Papillomavirus) that cause cervical cancer in women. (https://cancer-network.org/cancer-information/gay-men-and-cancer/anal-cancer-hiv-and-gaybisexual-men)
Also reported, "People living with HIV in Canada had eight times the risk of Alzheimer’s disease and other non-AIDS-related dementia as their HIV-negative counterparts, and they were diagnosed 12.5 years earlier [which in part may be due to more medical attention], according to an analysis published in BMJ Open. They also had higher rates of several other age-related chronic conditions....Antiretroviral treatment has been associated with kidney damage and cardiovascular disease, and viral hepatitis and alcohol use—both common among HIV-positive people—can cause liver disease." (https://www.poz.com/article/people-hiv-diagnosed-dementia-13-years-earlier)
And which practice (historically) has resulted in a greatly increased incidence of other infectious diseases and premature death. And which practice is primarily responsible for more than 700,000 people with AIDS having died (as of 2017) since the beginning of the epidemic - HIV/AIDS has killed more than 700,000 people in the U.S. since 1981despite decades of attempting to tame it into being "safe." (Worldwide, 77.3 million people have contracted HIV and 35.4 million have died of AIDS-related illnesses since the beginning of the pandemic in 1981 (https://health.usnews.com/conditions/hiv-aids/articles/hiv-statistics)
In 2005, 28.7% of HIV-negative men reported sex without a condom, rising to 32.8% in 2008, 34.7% in 2011 and 40.5% in 2014. The overall trend was similar for HIV-positive men: in 2005, 34.2% reported sex without a condom, rising to 37.3% in 2008, 39.8% in 2011 and 44.5% in 2014. (https://www.aidsmap.com/news/may-2016/american-gay-mens-use-condoms-has-been-falling-decade-regardless-serosorting-or-prep)
There were 16,350 deaths in 2017 alone among adults and adolescents diagnosed with HIV in the United States and 6 dependent areas. [like as is usually the case with deaths attributed to the flu and COVID-19, deaths attributed to AIDS refers to killing indirectly].
In 2016 the rate of people living with HIV per 100,000 population was 368, with the death rate being 6. Male-to-male sexual contact made up 82.4% of HIV infections among males in 2017, while heterosexual contact made up 85.7% of HIV infections among females. The rate of Black males living with an HIV diagnosis is 5.6 times that of White males. The rate of Black females living with an HIV diagnosis is 17.6 times that of White females. The rate of Hispanic/Latino males living with an HIV diagnosis is 2.5 times that of White males. The rate of Hispanic/Latina females living with an HIV diagnosis is 4.2 times that of White females. (https://aidsvu.org/local-data/united-states)
The South has the highest number of people living with HIV, but if population size is taken into account, the Northeast has the highest rate of people living with HIV.
One of the diseases that is far more prevalent among MSM than other population groups is that of anal cancer, which is diagnosed in about 2 people out of every 100,000 people in the general population. In contrast, it is estimated that MSMs that are not infected with HIV are 20 times more likely to be diagnosed with anal cancer. HPV is present in approximately 65% of HIV negative MSMs and 95% of MSMs who are HIV positive. Anal cancer is caused by the same strains of HPV (Human Papillomavirus) that cause cervical cancer in women. (https://cancer-network.org/cancer-information/gay-men-and-cancer/anal-cancer-hiv-and-gaybisexual-men)
Also reported, "People living with HIV in Canada had eight times the risk of Alzheimer’s disease and other non-AIDS-related dementia as their HIV-negative counterparts, and they were diagnosed 12.5 years earlier [which in part may be due to more medical attention], according to an analysis published in BMJ Open. They also had higher rates of several other age-related chronic conditions....Antiretroviral treatment has been associated with kidney damage and cardiovascular disease, and viral hepatitis and alcohol use—both common among HIV-positive people—can cause liver disease." (https://www.poz.com/article/people-hiv-diagnosed-dementia-13-years-earlier)
And a new study shows evidence that "HIV-positive people are at an increased risk of age-related diseases such as some cancers, frailty, osteoporosis, kidney disease, and neurocognitive disease. Researchers think that it is the HIV itself that accelerates the aging process by 14 years, rather than medications used to treat it." (https://www.hivplusmag.com/treatment/2015/03/25/study-people-hiv-age-14-years-faster)
Meanwhile, although Africa which is often cited as showing HIV is mainly due to heterosexual relations, HIV/AIDS stats in Africa have a troubled history*, while a 2019 scholarly study reports that "MSM are at higher risk of HIV infection than men in the general population. The prevalence ratios are particularly elevated in West and Central Africa as well as in low-prevalence countries.” “...studies in sub-Saharan Africa found prevalence rates of HIV infection ranging from 6 to 37% among MSM. As the observed prevalence rate of HIV in the general population was between 0.1 and 19%, the prevalence rate among men who have sex with men (MSM) was often 13 to 17 times higher.
In 2015, according to the progress reports on the global AIDS (Acquired Immune Deficiency Syndrome) response, the highest prevalence rates of HIV infection among MSM were as follows: 19% in central and western Africa; 15% in southern and eastern Africa; 12% in Latin America; 11% in the Asia-Pacific region; and 8% in central and western Europe and North America [2,3,4]. (https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-019-8000-x)
*https://abrahamson.medill.northwestern.edu/WWW/IALJS/Malan_AidsInAfrica_RollingStone_22Nov2001.pdf; https://www.who.int/bulletin/volumes/89/4/11-086280/en/
As regards STD's as well as suicides in the US among MSM and lesbians and "transgendered" persons:
In 2015, according to the progress reports on the global AIDS (Acquired Immune Deficiency Syndrome) response, the highest prevalence rates of HIV infection among MSM were as follows: 19% in central and western Africa; 15% in southern and eastern Africa; 12% in Latin America; 11% in the Asia-Pacific region; and 8% in central and western Europe and North America [2,3,4]. (https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-019-8000-x)
*https://abrahamson.medill.northwestern.edu/WWW/IALJS/Malan_AidsInAfrica_RollingStone_22Nov2001.pdf; https://www.who.int/bulletin/volumes/89/4/11-086280/en/
As regards STD's as well as suicides in the US among MSM and lesbians and "transgendered" persons:
Based upon a review of 40 studies that involved a total of roughly 185,000 adults with HIV or AIDS (PLWHA -- People Living With HIV/AIDS), "suicide risk is 100 times higher among such patients," and with "person attempting suicide for every two who think about it. And among every 13 who do attempt it, one ends up losing their life." (https://www.usnews.com/news/health-news/articles/2021-07-06/people-with-hiv-have-much-higher-risk-for-suicide)
"Transgender women [worldwide] are 49 times more likely to have HIV than other adults of reproductive age." (https://www.who.int/hiv/topics/transgender/en/)
Men who have sex with men accounted for 56.7% of all male P&S syphilis cases in 2019. Also, estimated rates of reported gonorrhea among MSM are 42 times the estimated rate among men who have sex with women. (https://www.cdc.gov/std/statistics/2019/overview.htm)
The CDC study Sexually Transmitted Disease Surveillance 2014 found that among male cases for whom the sex of the partner was known, 83% of syphilis cases were MSM. 75.53% of syphilis cases in 2014 were among homosexual men. 51% of the homosexual men diagnosed with syphilis in 2014 were also HIV-positive. (https://www.cnsnews.com/news/article/michael-w-chapman/cdc-83-syphilis-cases-2014-among-gay-men-where-sex-sex-partner-was)
......
"Transgender women [worldwide] are 49 times more likely to have HIV than other adults of reproductive age." (https://www.who.int/hiv/topics/transgender/en/)
Men who have sex with men accounted for 56.7% of all male P&S syphilis cases in 2019. Also, estimated rates of reported gonorrhea among MSM are 42 times the estimated rate among men who have sex with women. (https://www.cdc.gov/std/statistics/2019/overview.htm)
The CDC study Sexually Transmitted Disease Surveillance 2014 found that among male cases for whom the sex of the partner was known, 83% of syphilis cases were MSM. 75.53% of syphilis cases in 2014 were among homosexual men. 51% of the homosexual men diagnosed with syphilis in 2014 were also HIV-positive. (https://www.cnsnews.com/news/article/michael-w-chapman/cdc-83-syphilis-cases-2014-among-gay-men-where-sex-sex-partner-was)
......
In addition to which is the financial cost which has been going for decades:
The United States is expected to spend more than $26 billion annually on HIV. (https://www.healthline.com/health/hiv-aids/facts-statistics-infographic)