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Background  Population size estimates for key populations at risk for and living with HIV infection are key to understanding the need for and impact of HIV prevention and care. In this brief report we demonstrate approaches to estimating population size and unmet need for prevention and care among gay, bisexual, and other men who have sex with men (MSM) in Essex County, New Jersey.    Methods  We employed literature/census denominator and component methods of size estimation. We applied additional data points available electronically or in the published literature to estimate the number of undiagnosed MSM, the number of HIV negative men MSM in need of prevention programming.    Results  We estimate a total of 11,362 MSM living in Essex County, New Jersey, of which 2,550 are HIV infected and of those 408 are not diagnosed. We estimate 8,812 HIV negative MSM in need of HIV prevention programs.    Conclusions  These estimates will allow future resources to be deployed in a more targeted and strategic manner, thereby bringing Essex County and New Jersey closer to achieving the 90-90-90 goals.

Population Size Estimate of Men Who Have Sex with Men in Essex, New Jersey, To Inform Policy and Programming