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Among black females, the AIDS case rate is 22 times highe

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Title: Among black females, the AIDS case rate is 22 times highe


1
HIV/AIDS Epidemic Impact on Floridas Black
Community 2006
Data as of 12/2006
2
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3
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4
2000 US Population and Estimated Numbers
of Adult AIDS and HIV Cases by
Race/Ethnicity Reported in 2006, US
2000 US Census Population Data (N229,708,176)
AIDS (N44,140)
HIV (N37,930)
Comment In 2006, blacks are over-represented
among the AIDS and HIV cases, accounting for 50
of adult AIDS cases and 49 of adult HIV cases,
but only 11 of the adult population. Hispanics
represent 11 of the adult population and account
for 19 of the adult AIDS cases and 18 of the
adult HIV cases. A group is disproportionately
impacted to the extent that the percentage of
cases exceeds the percentage of
population. Other includes Asian/Pacific
Islanders, Native Alaskans/American Indians and
mixed races. HIV data are ONLY from 33 states
with confidential name-based HIV infection
reporting.
5
Estimates of diagnosed Adult AIDS CasesBy Sex
and Race/Ethnicity United States, 2006
Males N (32,430)
Females N (11,710)
These numbers do not represent actual cases in
persons with a diagnosis of AIDS. Rather,
these numbers are point estimates of cases
diagnosed that have been adjusted for reporting
delays. The estimates have not been adjusted for
incomplete reporting.
6
United States
Pediatric (Ages lt13) AIDS Cases By
Race/Ethnicity Diagnosed through 2006 (N9,078)
2000 Population By Race/Ethnicity (Ages lt13)
(N52,190,294)
These numbers do not represent actual cases in
persons with a diagnosis of AIDS. Rather,
these numbers are point estimates of cases
diagnosed that have been adjusted for reporting
delays. The estimates have not been adjusted for
incomplete reporting. 2006 data not available.
7
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8
Areas with a Majority of Adult AIDS and HIV Cases
Reported Among Blacks, Florida, 2006
AIDS
HIV
HIV data includes those cases that have converted
to AIDS. These HIV cases cannot be added with
AIDS cases to get combined totals since the
categories are not mutually exclusive.
9
Adult AIDS Rates per 100,000 Population Among
Blacks Reported by County of
Residence, 2006
N2,432
Based on 2006 statewide census population, the
2006 state rate for blacks is 113.7 per 100,000
population. County totals excludes Department of
Corrections (N151).
10
Adult HIV Rates per 100,000 Population Among
BlacksReported by County of Residence, 2005
N2,300
Based on 2006 statewide census population, the
2006 state rate for blacks is 110.4 per 100,000
population. County totals excludes Department of
Corrections (N208).
HIV data does not reflect HIV incidence. HIV data
includes those cases that have converted to AIDS.
These HIV cases cannot be added with AIDS cases
to get combined totals since the categories are
not mutually exclusive.
11
2006 Florida Population Estimates and Adult HIV
and AIDS Cases by Race/Ethnicity Reported in
2006, Florida
2006 Florida Population Estimates (N15,481,273
)
AIDS (N4,949)
HIV (N5,187)
Comment In 2006, blacks are over-represented
among the AIDS and HIV cases, accounting for 53
of adult AIDS cases and 49 of adult HIV cases,
but only 15 of the adult population. Hispanics
represent 19 of the adult population and account
for 18 of the adult AIDS cases and 20 of the
adult HIV cases. A group is disproportionately
impacted to the extent that the percentage of
cases exceeds the percentage of
population. Other includes Asian/Pacific
Islanders, Native Alaskans/American Indians and
mixed races. 2006 Florida Population Estimates,
Adults (Ages 13), DOH, Office of Planning,
Evaluation and Data Analysis
12
Reported Adult AIDS Case Rates per 100,000
PopulationBy Sex and Race/Ethnicity, Florida,
2006
MALES Rate ratios BlacksWhites, 6.71
HispanicsWhites, 2.31 FEMALES Rate ratios
BlackWhites, 21.91 HispanicsWhites, 3.61
Comment Among black males, the AIDS case rate
for 2006 is 7 times higher than among white
males. Among black females, the AIDS case rate
is 22 times higher than among white females.
Hispanic male rates are 2 times higher and
Hispanic female rates are 4 times higher than the
rates among their white counterparts. 2006
Florida Population Estimates, DOH, Office of
Planning, Evaluation and Data Analysis for ages
13.
13
Reported Adult AIDS CasesBy Sex and Race
Ethnicity, Florida, 2006
Males N (3,390)
Females N (1,559)
Comment In this snapshot of 2006, blacks are
over-represented among the AIDS cases, accounting
for 45 of adult cases among men and 68 of the
adult cases among women. Other includes
Asian/Pacific Islanders, Native Alaskans/American
Indians and mixed races
14
Reported Adult HIV Cases By Sex and
Race/Ethnicity, Florida, 2006
Males N (3,608)
Females N (1,579)
Comment In this snapshot of 2006, blacks are
over-represented among the HIV cases, accounting
for 41 of adult cases among men and 66 of the
adult cases among women. Other includes
Asian/Pacific Islanders, Native Alaskans/American
Indians and mixed races
15
Reported Adult AIDS Case Rates per 100,000
PopulationBy Sex and Race/Ethnicity, Florida,
2006
MALES Rate ratios BlacksWhites, 6.11
HispanicsWhites, 2.01 FEMALES Rate ratios
BlackWhites, 17.31 HispanicsWhites, 2.91
Comment Among black males, the AIDS case rate
for 2006 is 6 times higher than among white
males. Among black females, the AIDS case rate
is 17 times higher than among white females.
Hispanic male rates are 2 times higher and
Hispanic female rates are3 times higher than the
rates among their white counterparts. 2006
Florida Population Estimates, DOH, Office of
Planning, Evaluation and Data Analysis for ages
13.
16
Reported Adult HIV Case Rates per 100,000
PopulationBy Sex and Race/Ethnicity, Florida,
2006
MALES Rate ratios BlacksWhites, 5.21
HispanicsWhites, 2.21 FEMALES Rate ratios
BlackWhites, 15.61 HispanicsWhites, 2.71
Comment Similar to AIDS, among black males, the
HIV case rate for 2006 is 5 times higher than
among white males. Among black females, the HIV
case rate is 16 times higher than among white
females. Hispanic male rates are 2 times higher
and Hispanic female rates are 3 times higher than
the rates among their white counterparts. 2006
Florida Population Estimates, DOH, Office of
Planning, Evaluation and Data Analysis for ages
13.
17
Percent of Adult AIDS Cases by Race/Ethnicity
And Year of Report, Florida, 1997-2006
  • Factors Affecting Disparities
  • Late diagnosis of HIV.
  • Access to/acceptance of care.
  • Delayed prevention messages.
  • Stigma.
  • Non-HIV STDs in the community.
  • Prevalence of injection drug use.
  • Complex matrix of factors related to
    socioeconomic status

Comment In 2006, blacks accounted for 52 of
reported AIDS cases, but only 15 of the
population. Hispanic cases remain stable at 18
in 2006. Disparities are even more evident among
women Annually, more than 70 of female AIDS
cases have been reported among black women since
1988. HIV case reporting, implemented in
mid-1997, has shown a very similar distribution
of cases by race/ethnicity and sex. Other
includes American Indian/Alaska Native,
Asian/Pacific Islander, and Multi-racial.
18
Percent of Adult MALE AIDS Cases By
Race/Ethnicity and Year of Report Florida,
1997-2006
Comment For most of the past 10 years, black
males accounted for more than 50 of AIDS cases
among men. Other races represent less than 1
of the cases and are not included.
19
Percent of Adult FEMALE AIDS Cases By
Race/Ethnicity and Year of Report Florida,
1997-2006
Comment For most of the past 10 years, black
women accounted for more than 70 of AIDS cases
among women. Other races represent less than 1
of the cases and are not included.
20
Percent of Adult HIV Cases by Race/Ethnicity and
Year of Report Florida, 1998-2006
Comment In absolute numbers, from 1998-2006, HIV
cases among blacks decreased by 31, while
increasing by 13 among whites and 21 among
Hispanics. The decreases among blacks may
correspond to some extent with recent targeted
prevention, while the increases among whites may
be associated with recent increases in HIV
transmission among white and Hispanic MSM.
21
Percent of Adult MALE HIV Cases by
Race/Ethnicity and Year of Report Florida,
1998-2006
Comment The percent of black male HIV cases has
decreased from 51 in 1998 to 41 in 2006.
Increases have been observed among both white and
Hispanic male HIV cases over this same time
period. Other races represent less than 1 of
the cases and are not included.
22
Percent of Adult FEMALE HIV Cases by
Race/Ethnicity and Year of Report Florida,
1998-2006
Comment Although the majority of HIV cases among
women are black, the percent of black female HIV
cases has decreased from 74 in 1998 to 66 in
2006. Increases have been observed among both
white and Hispanic female HIV cases over this
same time period. Other races represent less
than 1 of the cases and are not included.
23
FLORIDA
2006 Florida Population Estimates (Ages
lt13) (N 2,941,177)
Pediatric HIV/AIDS Cases By Race/Ethnicity Repor
ted through 2006 (N2,065)
Include cases in persons aged gt12 yrs. at HIV or
AIDS diagnosis with a ped risk aged lt12. 2006
data are provisional. 2006 Population Estimates,
DOH, Office of Planning, Evaluation and Data
Analysis
24
Adult Black Male HIV Cases by Exposure Category
and Year of Diagnosis Florida, 1998-2006
Comments Heterosexual risk was the dominant
risk among black males from 1998 until 2004,
When The MSM risk became the the dominant mode
of exposure through 2006.
Note NIRs redistributed.
25
Adult Black Female HIV Cases by Exposure Category
and Year of Diagnosis Florida, 1998-2006
Comments The heterosexual risk continues to be
the dominant mode of exposure among black
females.
Note NIRs redistributed.
26
Living Adult Male HIV/AIDS Cases (PLWHAs) By
Race/Ethnicity and Mode of Exposure Florida, Data
through 2006
White, non-Hispanic N(20,472)
Black, non-Hispanic N(23,457)
Hispanic N(11,812)
  • Comment Among male PLWHAs, the distribution of
    risk among blacks differs from that among whites
    and Hispanics. MSM represents the highest risk
    for all races. White males have the smallest
    percentage of heterosexual contact cases. Note
    Adjustments have been made to redistribute NIR
    cases. Data as of 04/05/07.
  • Data includes Dept. of Corrections.
  • Other includes hemophilia, transfusion,
    perinatal and other pediatric risks and other
    confirmed risks.

27
Living Adult Female HIV/AIDS Cases (PLWHAs) By
Race/Ethnicity and Mode of Exposure Florida, Data
through 2006
White, non-Hispanic N(4,059)
Black, non-Hispanic N(17,745)
Hispanic N(3,202)
  • Comment Among female PLWHAs, the distribution of
    risk among whites differs from that among blacks
    and Hispanics. Heterosexual contact is the
    majority risk for all races.
  • Adjustments have been made to redistribute NIR
    cases. Data as of 04/05/07.
  • Data includes Dept. of Corrections.
  • Other includes hemophilia, transfusion,
    perinatal and other pediatric risks and other
    confirmed risks.

28
Needs updating
29
  • HIV/AIDS is still the leading cause of death for
    black males females ages 25 to 44 years.

30
Resident HIV/AIDS DeathsBy Year, Florida, 1994
2005
29
39
18
Rates are expressed as deaths per 100,000
population based on 2006 Population Estimates,
DOH, Office of Planning, Evaluation and Data
Analysis A new national system for coding death
certificates (ICD-10) began in 1999, which
resulted in an increase of approximately 14 in
the annual number of HIV/AIDS deaths. Comment
HIV/AIDS deaths decreased markedly from
1996-1998, associated with the advent of HAART in
1996. Deaths in 2006 were 61 lower than in the
peak year, 1995. A leveling of the trend since
1998 may reflect factors such as viral
resistance, late diagnosis of HIV, adherence
problems, and lack of access to or acceptance of
care. Racial/ethnic disparities are evident in
the death rate data. Source Office of Vital
Statistics and Bureau of HIV/AIDS, death
certificates coded to HIV/AIDS as underlying
cause.
31
Resident HIV/AIDS Deaths Total Deaths vs. Black
DeathsBy Year, Florida, 1998 2005
Source Office of Vital Statistics, Death
Certificates A change in coding of HIV/AIDS
deaths from ICD-9 to ICD-10, effective in 1999,
has resulted in an estimated increase of
approximately 14 in the annual number of
HIV/AIDS deaths.
32
Resident HIV/AIDS Death Rates Per 100,000
Population, by Race/Ethnicity, Florida, 2005
MALES Rate ratios BlacksWhites, 61
HispanicsWhites, 21 FEMALES Rate ratios
BlackWhites, 171 HispanicsWhites, 21
Comment In 2006, black males were 6 times as
likely as white males to die of HIV/AIDS. The
HIV/AIDS death rate among black females was 17
times higher than among white females. Source
Office of Vital Statistics (Death Data) DOH,
Office of Planning, Evaluation and Data Analysis
(2006 Population Estimates)
33
Percent of Resident HIV/AIDS Deaths By
Race/Ethnicity and Year of Death, Florida,
1996-2005
Source Death Certificates Office of Vital
Statistics Bureau of HIV/AIDS
34
Resident HIV/AIDS Death Rates Among Persons
25-44 Years of Age, by Sex and Race By Year of
Death, Florida, 1995-2005
Note 1995 was the peak year for HIV/AIDS
deaths. Source Death Data Office of Vital
Statistics, Death Certificates 1995-1999 rates
based on 1990 Census population 2000-present
rates based on 2000 Census
35
Leading Causes Of Death Among Blacks 25-44 Years
of Age, Florida, 2005
Black Males HIV is the leading cause
Black Females HIV is the leading cause
36
Black Foreign Born HIV/AIDS Cases By Country of
Birth and Year of Report, Florida, 1997-2006
Note HIV Infection Reporting Began 7/97.
37
Black Foreign Born HIV/AIDS Case Deaths By
Country of Birth and Year of Death, Florida,
1997-2006
Note HIV Infection Reporting Began 7/97.
38
Black Persons Living HIV/AIDS Cases (PLWHAs) By
Selected Country of Birth, Reported through 2006
Jamaica N657
Haiti N6,167
39
Percent of PLWHAs by Country of BirthAmong
Non-U.S. Born Blacks (N7,929) Alive Reported
Through 2006, by Area, Florida
Area data exclude Department of Correction
cases. Other/Unknown includes foreign born
cases whose exact COB is unknown.
40
Black PLWHAs By Country of Birth, Alive
Reported Through 2006Florida and South Florida
Counties
County data exclude Department of Correction
cases. Other/Unknown includes foreign born
cases whose exact COB is unknown.
41
Adult Male Black PLWHAsBy Selected Country of
Birth and Mode of ExposureAlive and Reported
Through 2006, Florida
Haiti
Jamaica
U.S. Born
N17,921
N3,491
N428
Comment Heterosexual contact is a much more
common risk factor among male cases born in
Haiti and Jamaica, compared to US born
cases. There were 568 male black HIV/AIDS cases
reported in FL with another country of birth.
Note NIRs redistributed.
42
Adult Female Black PLWHAsBy Selected Country of
Birth and Mode of ExposureAlive and Reported
Through 2006, Florida
Jamaica
Haiti
U.S. Born
N13,467
N246
N2,677
Comment Female Haitian-born cases were less
likely to be injection drug users than their
U.S.-born or Jamaican-born counterparts. There
were 452 female black HIV/AIDS cases reported in
FL with another country of birth.
Note NIRs redistributed.
43
Black HIV/AIDS CasesBy Country of Birth Mode of
Exposure and SexAlive and Reported through
2006, Florida
Please see the country of birth slide set for
more detailed data by area.
44
HIV Prevalence Estimates
  • It is estimated that 49,100 blacks and 15,200
    Hispanics in Florida are currently living with
    HIV infection
  • 1 in 46 blacks, compared to 1 in 176 Hispanics
    and 1 in 346 whites.
  • Approximately 1 in 168 Floridians are currently
    living with HIV infection.

45
  • Minorities are at high risk for HIV infection
  • NOT because of their race
  • NOT because of their ethnicity
  • But BECAUSE of risk behaviors they may engage in.
  • ITS NOT WHO YOU ARE,
  • BUT WHAT YOU DO.

46
For Florida HIV/AIDS Surveillance Data Contact
(850) 245-4444 Lorene Maddox, MPH Ext.
2613 Tracina Bush Ext. 2612 Allison
Herring, BS Ext. 2517 Also see
accompanying fact sheet for reference.
Internet http//www.doh.state.fl.us/disease_ct
rl/aids/index.html Intranet
http//dohiws.doh.state.fl.us CDCs Internet
site for HIV/AIDS Slides http//www.cdc.gov/hiv/g
raphics.htm
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