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This report provides a detailed picture of the HIV risk behaviors and HIV prevention utilization of men who have sex with men (MSM) and changes that may have occurred since 2008. MSM continue to be the population most affected by the HIV epidemic both locally and nationally. More recently, young Black MSM have emerged as the population facing the greatest burden of HIV disease. While we have seen steady declines in HIV diagnoses across all age groups and all risk populations in Chicago, Black MSM under the age of 30 are the only group currently experiencing annual increases in new HIV diagnoses.