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HIV Diagnoses Down, Except for Young Gay Males

Messages about safe sex may be falling on deaf ears, researcher notes

continued...

But the diagnosis rate jumped among males aged 13 to 24, suggesting that many gay and bisexual young men aren't using condoms during sex. The number of newly diagnosed cases in that age group rose from about 3,000 to about 7,000, Lansky said.

What's next?

"The increases tell us where we need to keep putting our efforts," Lansky said. "To build on the progress that we've made, we're really starting to focus on those who are in greatest need."

Dr. David Margolis, an AIDS specialist at the University of North Carolina at Chapel Hill, said one way to do that is to promote use of HIV drugs by people who are at risk but not infected. "Pre-exposure" treatment is controversial, however, because some experts fear it might encourage users to have more unprotected sex.

"The use of antivirals to prevent HIV infection is fraught with many challenges," Margolis said, "but if there is a more than doubling of new infections in one demographic, perhaps something needs to be done."

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