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Black MSM in the southern United States are the group most affected by HIV, but only a small percentage of CDC tests in the southern United States are provided to this group.

Increasing awareness of HIV status through HIV testing, especially among black MSM in the southern United States, is essential for reducing the risk for transmission and addressing disparities.

Compared with black MSM who had not been tested before, those who reported a previous HIV test were less likely to receive a new HIV diagnosis (a PR = 0.73).

Overall, 608 (73%) new diagnoses of HIV infection were in persons tested in a metropolitan area.

HIV testing programs in the southern United States can be designed to reach more black MSM by conducting targeted risk-based testing in non–health care settings and by routine screening in agencies that also provide health care services to black MSM.

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Among black MSM, new diagnoses of HIV infection were highest in persons aged 20–24 years (4.8%) followed by those aged 13–19 (4.1%) and 25–34 (4.0%) years.

Compared with black MSM aged 25–34 years, those aged ≥35 years were less likely to receive a new diagnosis (adjusted prevalence ratio [a PR] 35–44 years = 0.56; a PR 45–54 years = 0.46; and a PR ≥55 years = 0.34).

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