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Among black females, the AIDS case rate is 20 times highe

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Title: Among black females, the AIDS case rate is 20 times highe


1
HIV/AIDS Epidemic Impact on Floridas Black
Community 2007
Data as of 12/2007
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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 (N36,790)
HIV (N35,180)
Comment In 2006, blacks are over-represented
among the AIDS and HIV cases, accounting for 49
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 (26,989)
Females N (9,801)
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 (N9,144)
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. 2007 data not available.
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8
Areas with a Majority of Adult AIDS and HIV Cases
Reported Among Blacks, Florida, 2007
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, 2007
N2,035
Based on 2007 statewide census population, the
2007 state rate for blacks is 91.8 per 100,000
population. County totals excludes Department of
Corrections (N78).
10
Adult HIV Rates per 100,000 Population Among
BlacksReported by County of Residence, 2007
N2,549
Based on 2007 statewide census population, the
2007 state rate for blacks is 117.4 per 100,000
population. County totals excludes Department of
Corrections (N153).
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
2007 Florida Population Estimates and Adult HIV
and AIDS Cases by Race/Ethnicity Reported in
2007, Florida
2007 Florida Population Estimates (N15,793,585
)
AIDS (N3,888)
HIV (N6,071)
Comment In 2007, blacks are over-represented
among the AIDS and HIV cases, accounting for 54
of adult AIDS cases and 45 of adult HIV cases,
but only 15 of the adult population. Hispanics
represent 20 of the adult population and account
for 17 of the adult AIDS cases and 21 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. 2007 Florida Population Estimates,
Adults (Ages 13), DOH, Office of Planning,
Evaluation and Data Analysis
12
Reported Adult AIDS CasesBy Sex and Race
Ethnicity, Florida, 2007
Comment In this snapshot of 2007, blacks are
over-represented among the AIDS cases, accounting
for 46 of adult cases among men and 72 of the
adult cases among women. Other includes
Asian/Pacific Islanders, Native Alaskans/American
Indians and mixed races
13
Reported Adult HIV Cases By Sex and
Race/Ethnicity, Florida, 2007
Comment In this snapshot of 2007, blacks are
over-represented among the female HIV cases,
accounting for 63 of adult cases among women.
Cases among Other includes Asian/Pacific
Islanders, Native Alaskans/American Indians and
mixed races
14
Reported Adult AIDS Case Rates per 100,000
PopulationBy Sex and Race/Ethnicity, Florida,
2007
Comment Among black males, the AIDS case rate
for 2007 is 6 times higher than among white
males. Among black females, the AIDS case rate
is 20 times higher than among white females.
Hispanic male rates are 2 times higher and
Hispanic female rates are 2 times higher than the
rates among their white counterparts. 2007
Florida Population Estimates, DOH, Office of
Planning, Evaluation and Data Analysis for ages
13.
15
Reported Adult HIV Case Rates per 100,000
PopulationBy Sex and Race/Ethnicity, Florida,
2007
Comment Similar to AIDS, among black males, the
HIV case rate for 2007 is 5 times higher than
among white males. Among black females, the HIV
case rate is 13 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. 2007
Florida Population Estimates, DOH, Office of
Planning, Evaluation and Data Analysis for ages
13.
16
Percent of Adult AIDS Cases by Race/Ethnicity
And Year of Report, Florida, 1998-2007
  • 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 2007, blacks accounted for 52 of
reported AIDS cases, but only 15 of the
population. Hispanic cases remain stable at 17
in 2007. 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.
17
Percent of Adult MALE AIDS Cases By
Race/Ethnicity and Year of Report Florida,
1998-2007
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.
18
Percent of Adult FEMALE AIDS Cases By
Race/Ethnicity and Year of Report Florida,
1998-2007
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.
19
Percent of Adult HIV Cases by Race/Ethnicity and
Year of Report Florida, 1998-2007
Comment In absolute numbers, from 1998-2007, HIV
cases among blacks decreased by 31, while
increasing by 33 among whites and 27 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.
20
Percent of Adult MALE HIV Cases by
Race/Ethnicity and Year of Report Florida,
1998-2007
Comment The percent of black male HIV cases has
decreased from 53 in 1999 to 37 in 2007.
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.
21
Percent of Adult FEMALE HIV Cases by
Race/Ethnicity and Year of Report Florida,
1998-2007
Comment Although the majority of HIV cases among
women are black, the percent of black female HIV
cases has decreased from 75 in 1999 to 63 in
2007. 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.
22
FLORIDA
2007 Florida Population Estimates (Ages
lt13) (N 2,968,429)
Pediatric HIV/AIDS Cases By Race/Ethnicity Repor
ted through 2007 (N1,201)
Include cases in persons aged gt12 yrs. at HIV or
AIDS diagnosis with a ped risk aged lt12. 2007
data are provisional. 2007 Population Estimates,
DOH, Office of Planning, Evaluation and Data
Analysis
23
Adult Black Male HIV Cases by Exposure Category
and Year of Diagnosis Florida, 1998-2007
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 2007.
Note NIRs redistributed.
24
Adult Black Female HIV Cases by Exposure Category
and Year of Diagnosis Florida, 1998-2007
Comments The heterosexual risk continues to be
the dominant mode of exposure among black
females.
Note NIRs redistributed.
25
Living Adult Male HIV/AIDS Cases (PLWHAs) By
Race/Ethnicity and Mode of Exposure Florida,
Data through 2007
White, non-Hispanic N(21,591)
Black, non-Hispanic N(23,907)
Hispanic N(12,702)
  • 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 04/15/08.
  • Data includes Dept. of Corrections.
  • Other includes hemophilia, transfusion,
    perinatal and other pediatric risks and other
    confirmed risks.

26
Living Adult Female HIV/AIDS Cases (PLWHAs) By
Race/Ethnicity and Mode of Exposure Florida,
Data through 2007
White, non-Hispanic N(4,187)
Black, non-Hispanic N(17,919)
Hispanic N(3,391)
  • 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 04/15/08.
  • Data includes Dept. of Corrections.
  • Other includes hemophilia, transfusion,
    perinatal and other pediatric risks and other
    confirmed risks.

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

29
Resident HIV/AIDS DeathsBy Year, Florida, 1994
2007
Rates are expressed as deaths per 100,000
population based on 2006 Population Estimates,
DOH, Office of Planning, Evaluation and Data
Analysis. Comment HIV/AIDS deaths decreased
markedly from 1996-1998, associated with the
advent of HAART in 1996. Deaths in 2007 were 65
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.
30
Resident HIV/AIDS Deaths Total Deaths vs. Black
DeathsBy Year, Florida, 1994 2007
Source Office of Vital Statistics, Death
Certificates There was a 12.6 decrease in total
HIV resident deaths from 2006 to 2007. There was
a 13.3 decrease in black HIV resident deaths
from 2006 to 2007.
31
Resident HIV/AIDS Death Rates Per 100,000
Population, by Race/Ethnicity, Florida, 2007
MALES Rate ratios BlacksWhites, 71
HispanicsWhites, 21 FEMALES Rate ratios
BlackWhites, 281 HispanicsWhites, 31
Comment In 2007, black males were 7 times as
likely as white males to die of HIV/AIDS. The
HIV/AIDS death rate among black females was 28
times higher than among white females. Source
Office of Vital Statistics (Death Certificate
Data) DOH, Office of Planning, Evaluation and
Data Analysis (2007 Population Estimates)
32
Percent of Resident HIV Deaths By
Race/Ethnicity and Year of Death, Florida,
1998-2007
Comment In 2007, the proportional distribution
of HIV resident deaths by race/ethnicity
was whites 25, blacks 60 and Hispanics 13.
This compares to 25, 61 an 13 respectively for
2006. Source Office of Vital Statistics (Death
Certificate Data)
33
Resident HIV/AIDS Death Rates Among Persons
25-44 Years of Age, by Sex and Race By Year of
Death, Florida, 1995-2007
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
34
Leading Causes Of Death Among Blacks 25-44 Years
of Age, Florida, 2007
Black Males HIV is 3rd leading cause
Black Females HIV is the leading cause
35
Black Foreign Born HIV/AIDS Cases By Country of
Birth and Year of Report, Florida, 1997-2007
Note Year of Report represents first time
reported HIV or AIDS in the HIV/AIDS Reporting
System. HIV Infection Reporting Began 7/97.
Note enhanced reporting laws were implemented in
Nov. 2006, leading to an artificial peak in HIV
cases in 2007. Data excludes unknown country of
birth.
36
Black Foreign Born HIV/AIDS Case Deaths By
Country of Birth and Year of Death, Florida,
1997-2007
Note HIV Infection Reporting Began 7/97.
37
Black Persons Living HIV/AIDS Cases (PLWHAs) By
Selected Country of Birth, Reported through 2007
Jamaica N718
Haiti N6,424
38
Percent of PLWHAs by Country of BirthAmong
Non-U.S. Born Blacks (N8,351) Alive Reported
Through 2007, by Area, Florida
Area data exclude Department of Correction
cases. Other/Unknown includes foreign born
cases whose exact COB is unknown.
39
Black PLWHAs By Country of Birth, Alive
Reported Through 2007Florida and South Florida
Counties
County data exclude Department of Correction
cases. Other/Unknown includes foreign born
cases whose exact COB is unknown.
40
Adult Male Black PLWHAsBy Selected Country of
Birth and Mode of ExposureAlive and Reported
Through 2007, Florida
Haiti
Jamaica
U.S. Born
N18,578
N3,600
N467
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 623 (3) male black HIV/AIDS
cases reported in FL with another country of
birth.
Note NIRs redistributed.
41
Adult Female Black PLWHAsBy Selected Country of
Birth and Mode of ExposureAlive and Reported
Through 2007, Florida
Jamaica
Haiti
U.S. Born
N13,913
N268
N2,822
Comment Female Haitian-born cases were less
likely to be injection drug users than their
U.S.-born or Jamaican-born counterparts. There
were 490 (3) female black HIV/AIDS cases
reported in FL with another country of birth.
Note NIRs redistributed.
42
Black HIV/AIDS CasesBy Country of Birth Mode of
Exposure and SexAlive and Reported through
2007, Florida
Please see the country of birth slide set for
more detailed data by area.
43
One-In-Statement
  • There are 86,135 reported Persons Living with
    HIV/AIDS (PLWHAs) in Florida through 2007.
  • 1 in 218 Floridians are known to be currently
    living with HIV infection.
  • By Race/ethnicity
  • 1 in 445 Whites are known to be infected
  • 1 in 69 Blacks are known to be infected
  • 1 in 236 Hispanics are known to be infected

44
It is not ones race/ethnicity that puts one at
risk.
  • Underlying Factors Affecting HIV/AIDS Disparities
  • -Pre-existing amount of HIV in the community.
  • Late diagnosis of HIV or AIDS.
  • Access to/acceptance of care HIV/AIDS conspiracy
    beliefs.
  • Stigma, discrimination.
  • Delayed prevention messages to minorities
    (considered a gay, white male disease for a long
    time).
  • Non-HIV STDs in the community.
  • Complex matrix of factors related to
    socioeconomic status.
  • Non-disclosure (closeting) of MSM risk to female
    partners.
  • Prevalence of IDU, other risky behaviors.
  • Incarceration.

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.

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