Office of AIDS California Department of Public Health HIV/AIDS Among African- Americans in California: Epidemiologic Data and Research Overview Christopher.

Slides:

Advertisements

Similar presentations

Florida Department of Health HIV/AIDS Section Division of Disease Control and Health Protection Annual data trends as of 12/31/2013 Living (Prevalence)

Advertisements

National Center for HIV/AIDS, Viral Hepatitis, STD & TB Prevention Division of HIV/AIDS Prevention Epidemiology of HIV Infection through 2012.

HIV Care Continuum, Men Who Have Sex with Men Only (MSMO) and Men Who Have Sex with Men and Women (MSMW), Georgia, 2012.

HIV Infection in Michigan January 1, 2012 Michigan Department of Community Health HIV/STD/VH/TB Epidemiology Section Division of Communicable Diseases.

HIV/AIDS Prevalence & Mortality Report, 2010 Minnesota Department of Health HIV/AIDS Surveillance System Minnesota Department of Health HIV/AIDS Surveillance.

HIV Surveillance by Race/Ethnicity National Center for HIV/AIDS, Viral Hepatitis, STD & TB Prevention Division of HIV/AIDS Prevention.

HIV/AIDS Prevalence & Mortality Report, 2001 Minnesota Department of Health HIV/AIDS Surveillance System Minnesota Department of Health HIV/AIDS Surveillance.

Franklin, Gadsden, Jefferson, Leon, Liberty, Madison, Taylor and Wakulla Counties Excluding Dept. of Corrections HIV/AIDS Epidemiology Partnership 2b Florida.

Broward County Excluding Dept. of Corrections HIV/AIDS Epidemiology Partnership 10 Florida Department of Health HIV/AIDS & Hepatitis Section Annual data.

Florida Department of Health HIV/AIDS & Hepatitis Section Annual data trends as of 12/31/2012 Living (Prevalence) data as of 05/16/2012 Epidemiology of.

Florida Department of Health HIV/AIDS Section Division of Disease Control and Health Protection Annual data trends as of 12/31/2013 Living (Prevalence)

HIV Infection Among Those with an Injection Drug Use*- Associated Risk, Florida, 2012 Florida Department of Health HIV/AIDS and Hepatitis Section Division.

Epidemiology of HIV among Asians & Pacific Islanders Reported in Florida, Through 2012 Florida Department of Health HIV/AIDS and Hepatitis Section Annual.

Epidemiology of HIV Among Asians and Pacific Islanders Reported in Florida, Through 2014 Florida Department of Health HIV/AIDS Section Division of Disease.

Impact of HIV Disease, Among the Caribbean-Born, Reported in Florida, Through 2013 Florida Department of Health HIV/AIDS Section Division of Disease Control.

HIV Surveillance Report, 2012 Minnesota Department of Health HIV/AIDS Surveillance System Minnesota Department of Health HIV/AIDS Surveillance System.

African Americans and HIV: CA Office of AIDS Response Michelle Roland, MD Chief, Office of AIDS California Department of Public Health.

Franklin, Gadsden, Jefferson, Leon, Liberty, Madison, Taylor and Wakulla Counties Excluding Dept. of Corrections Florida Department of Health HIV/AIDS.

HIV/STD Epidemiology in Oklahoma HIV/STD Service Division of Prevention and Preparedness Oklahoma State Department of Health.

Franklin, Gadsden, Jefferson, Leon, Liberty, Madison, Taylor and Wakulla Counties Excluding Dept. of Corrections HIV/AIDS Epidemiology Partnership 2b Florida.

HIV-Infected Women: An Update June 28, 2007 Kathleen McDavid, PhD, MPH HIV Incidence and Case Surveillance Branch Division of HIV/AIDS Prevention, CDC.

HIV, AIDS and HIGH RISK BEHAVIORS among BEHAVIORAL RISK GROUPS in LOS ANGELES COUNTY As presented by Dr. Douglas Frye to the PPC on January 6, 2004 ~ ~

Highlights from the HIV Surveillance Report, 2008 Minnesota Department of Health HIV/AIDS Surveillance System Minnesota Department of Health HIV/AIDS Surveillance.

Epidemiology of HIV Among Hispanics Reported in Florida, Through 2012 Florida Department of Health HIV/AIDS and Hepatitis Section Division of Disease Control.

Wisconsin Department of Health Services HIV/AIDS Surveillance Annual Review New diagnoses, prevalent cases, and deaths through December 31, 2013 April.

Impact of HIV Disease, Among the Caribbean-Born, Reported in Florida, Through 2012 Florida Department of Health HIV/AIDS and Hepatitis Section Division.

Epidemiology of HIV Among Women in Florida, Reported through 2012 Florida Department of Health HIV/AIDS and Hepatitis Section Division of Disease Control.

Data Trends: FPAR & HIV Prevention Project OPA/OFP HIV Prevention Project Annual Technical Support Conference June 12, 2007 Presented by Kelly Morrison.

Epidemiology of HIV Among Men in Florida, Reported through 2013 Florida Department of Health HIV/AIDS Section Division of Disease Control and Health Protection.

1 PHSKC 4/01 Epidemiology of HIV/AIDS Seattle-King County, WA HIV/AIDS Epidemiology Program Public Health - Seattle & King Co. (206) On the web.

California and U.S. Teen Birth Rates, U.S. California Year Sources: Teen births: Birth Statistical Master File, years , Health Information.

Epidemiology of HIV Among Men in Florida, Reported through 2012 Florida Department of Health HIV/AIDS and Hepatitis Section Division of Disease Control.

Aidsnet.org Miami-Dade County HIV/AIDS Epidemiological Data October 25, 2011 Data provided by the Florida Department of Health HIV/AIDS Surveillance Program.

Quarterly HIV/AIDS Analysis for Michigan July 1, 2006 Michigan Department of Community Health HIV/STD & Other Bloodborne Infections Surveillance Section.

HIV Care Continuum, Georgia, United States, 2011 Presented to American Public Health Association, Annual Meeting Presented by Deepali Rane, MBBS, MPH,

Pasco and Pinellas Counties Excluding Dept. of Corrections HIV/AIDS Epidemiology Partnership 5 Florida Department of Health HIV/AIDS & Hepatitis Section.

HIV Infection Among Those with an Injection Drug Use*-Associated Risk, Florida, 2014 Florida Department of Health HIV/AIDS Section Division of Disease.

Florida Department of Health HIV/AIDS and Hepatitis Section Division of Disease Control and Health Protection Annual data trends as of 12/31/2012 Living.

HIV Surveillance Report, 2010 Minnesota Department of Health HIV/AIDS Surveillance System Minnesota Department of Health HIV/AIDS Surveillance System.

HIV Care Continuum Persons Living With HIV, Georgia, 2012.

Matthew Facer, PhD Epidemiologic Studies Section, Office of AIDS California Department of Public Health A Brief Profile of HIV/AIDS Among Latinos in California.

HIV/AIDS Epidemiology Partnership 1 Escambia, Okaloosa, Santa Rosa and Walton Counties Excluding Dept. of Corrections Florida Department of Health HIV/AIDS.

Citrus, Lake, Marion and Sumter Counties Excluding Dept. of Corrections HIV/AIDS Epidemiology Partnership 13 Florida Department of Health HIV/AIDS & Hepatitis.

Epidemiology of HIV Among Hispanics Reported in Florida, Through 2013 Florida Department of Health HIV/AIDS Section Division of Disease Control and Health.

SOUTH CAROLINA EPIDEMIOLOGIC PROFILE What is the Epi Profile? The HIV/AIDS Epidemiologic Profile is a document that: Describes the HIV/AIDS epidemic.

HIV/AIDS Prevalence & Mortality Report, 2012 Minnesota Department of Health HIV/AIDS Surveillance System Minnesota Department of Health HIV/AIDS Surveillance.

AIDS Cases with TB Florida 2013 TB Created: 12/27/13 Revision: 10/16/14 To protect, promote and improve the health of all people in Florida through integrated.

Epidemiology of HIV Infection Trends Among Adults Living in Rural and Non-Rural Counties in Florida (excl DOC*) Reported through 2012 Created:12/21/12.

Epidemiology of HIV Infection Trends Among Adults Living in Rural and Non-Rural Counties in Florida (excl DOC*) Diagnosed through 2014 Created:12/04/14.

Florida Department of Health HIV/AIDS Section Division of Disease Control and Health Protection Annual data trends as of 12/31/2014 Living (Prevalence)

Florida Department of Health HIV/AIDS Section Division of Disease Control and Health Protection Annual data trends as of 12/31/2014 Living (Prevalence)

Florida Department of Health HIV/AIDS and Hepatitis Section Division of Disease Control and Health Protection Annual data trends as of 12/31/2012 Living.

Florida Department of Health HIV/AIDS & Hepatitis Program Annual data trends as of 12/31/2011 Living (Prevalence) data as of 05/16/2012 Epidemiology of.

HIV Surveillance in Urban and Nonurban Areas through 2013 National Center for HIV/AIDS, Viral Hepatitis, STD & TB Prevention Division of HIV/AIDS Prevention.

Florida Department of Health HIV/AIDS Section Division of Disease Control and Health Protection Annual data trends as of 12/31/2013 Living (Prevalence)

HIV Surveillance by Race/Ethnicity

Chicago Department of Public Health Richard M. Daley Mayor Bechara Choucair, MD Commissioner CDPH – STI/HIV Surveillance, Epidemiology and Research Section.

Monroe County Excluding Dept. of Corrections HIV/AIDS Epidemiology Partnership 11b Florida Department of Health HIV/AIDS & Hepatitis Section Annual data.

Epidemiology of HIV Among Men in Florida, Reported through 2014 Florida Department of Health HIV/AIDS Section Division of Disease Control and Health Protection.

Quarterly HIV/AIDS Analysis for Michigan January 1, 2007 Michigan Department of Community Health HIV/STD & Other Bloodborne Infections Surveillance Section.

Epidemiology of HIV Among Men in Florida, Reported through 2011 Florida Department of Health HIV/AIDS & Hepatitis Program Annual data as of 12/31/2011.

Viral load distribution 2012 among persons living with HIV and persons newly diagnosed Georgia, 2011.

AIDS Cases with Tuberculosis – Florida, 2014 TB Created: 09/25/15 Revision: 01/26/16 To protect, promote and improve the health of all people in Florida.

Indian River, Martin, Okeechobee and St. Lucie Counties Excluding Dept. of Corrections HIV/AIDS Epidemiology Partnership 15 Florida Department of Health.

Hardee, Highlands and Polk Counties Excluding Dept. of Corrections HIV/AIDS Epidemiology Partnership 14 Florida Department of Health HIV/AIDS & Hepatitis.

Epidemiology of HIV Among Asians and Pacific Islanders Reported in Florida, Through 2012 Florida Department of Health HIV/AIDS and Hepatitis Section Division.

Epidemiology of HIV among Women in Florida, Reported through 2011 Florida Department of Health HIV/AIDS & Hepatitis Program Annual data as of 12/31/2011.

Katarina Grande, HIV Surveillance Coordinator Casey Schumann, HIV Epidemiologist Wisconsin Department of Health Services Statewide Action Planning Group.

Impact of HIV Disease, Among the Caribbean-Born, Florida, 2014 Florida Department of Health HIV/AIDS Section Division of Disease Control and Health Protection.

HIV/AIDS Surveillance System HIV Surveillance Report, 2015 Sexually Transmitted Diseases, HIV and Tuberculosis Section, Epidemiology and Surveillance Unit.

Presentation transcript:

Office of AIDS California Department of Public Health HIV/AIDS Among African- Americans in California: Epidemiologic Data and Research Overview Christopher Krawczyk, Ph.D. Chief – HIV Prevention Research and Evaluation Section

General Population Statistics CaliforniaUSA Female (%) White/non-Hispanic (%) Black/non-Hispanic (%) Hispanic/Latino (%) Amer. Indian/AK Native (%) Asian (%) Native Hawaiian/ Pac. Isl. (%) U.S. Census Bureau. State & County QuickFacts

New HIV Diagnoses, 2005 – All Cases Asian/Pacific Islander 3% Hispanic 35% American Indian/ Alaska Native <1% Black 20% White 39% No. = 3,312 California CDC – 33 States CDPH, Office of AIDS. HIV/AIDS Case Registry.CDC, HIV/AIDS Among African-Americans.

Office of AIDS California Department of Public Health HIV/AIDS Among African- Americans in California: Rate Disparity

California New HIV Diagnoses, Males Asian/Pacific Islander 3% Hispanic 36% American Indian/ Alaska Native <1% Black 18% White 42% No. = 2842 HIV Number HIV Rate CDPH, Office of AIDS. HIV/AIDS Case Registry. Hispanic 21.0 Asian/Pacific Islander 5.3 American Indian/ Alaska Native 19.8 Black 55.9 White 17.0 Total = 19.2

California New HIV Diagnoses, Females Asian/Pacific Islander 3% Hispanic 33% American Indian/ Alaska Native 1% Black 36% White 25% No. = 470 HIV Number HIV Rate CDPH, Office of AIDS. HIV/AIDS Case Registry. Hispanic 3.4 Asian/Pacific Islander 0.6 American Indian/ Alaska Native 7.4 Black 17.9 White 1.6 Total = 3.1

HIV and AIDS rates, California (2005) Men Women Data sources: California Department of Public Health, Office of AIDS, HIV/AIDS Case Registry; data as of March 31, 2006; State of California, Department of Finance, Race/Ethnic Population with Age and Sex Detail , Sacramento, California, July 2007.

California New HIV/AIDS Diagnoses, Aged 13 to 19 Years of Age Asian/Pacific Islander 1% Hispanic 45% American Indian/ Alaska Native 0% Black 27% White 19% No. = 116 HIV Number HIV Rate CDPH, Office of AIDS. HIV/AIDS Case Registry. Hispanic 3.1 Asian/Pacific Islander 0.2 American Indian/ Alaska Native 0.0 Black 10.8 White 1.5 Total = 2.7 Unknown 8%

Office of AIDS California Department of Public Health HIV/AIDS Among African- Americans in California: Risk Factors

African American Risks Reported in State Funded Test Sites 19,339 African American tests (2006) % HIV Positive % of AA Tests HIV-infected sex partner 5.4%4.4% Men who have sex with men 4.3%12.7% MSM and inject drugs 3.1%1.3% Sex for drugs or money 2.0%12.8% Hepatitis C diagnosis 2.0%4.7% Injection drug user (non-MSM) 1.9%8.1% Sexually transmitted infection 1.8%17.8%

African American Risks Reported in State Funded Test Sites 2006: 19,339 African American tests % HIV Positive % of AA Tests IDU sex partner 1.7%12.2% Transgender sex partner 1.6%2.2% Stimulant drug use 1.6%32.7% Transfusion, job related 1.6%3.2% Use drugs with sex 1.4%57.7% Sex worker sex partner 1.3%11.4% No identifiable risk or unknown 0.9%23.2%

Mode of Exposure, 2005 African- American Males Heterosexual 9% IDU 8% MSM-IDU 3% Other/ NIR 27% MSM 54% No. = 2842 HIV California HIV/AIDS CDC – 33 States CDPH, Office of AIDS. HIV/AIDS Case Registry. CDC. Fact Sheet: HIV/AIDS among African Americans. June 2007

Mode of Exposure, 2005 African- American Females Heterosexual 56% IDU 18% Other/ NIR 26% No. = 470 HIV California HIV/AIDS CDC – 33 States CDPH, Office of AIDS. HIV/AIDS Case Registry. CDC. Fact Sheet: HIV/AIDS among African Americans. June 2007

Female HIV Positivity by Risk Groups Hierarchical Risk Groups White African American Latina HIV+ partner* IDU Sex with IDU* Sex for drugs/$ MSM partner* Multiple partners Monogamous partnership No risk reported Unknown risk (missing/declined) Prepared by: Prevention Research and Evaluation Section, California DPH, Office of AIDS. *does not include oral sex HIV+

Office of AIDS California Department of Public Health HIV/AIDS Among African- Americans in California: Transgender People

2003 HIV Counseling & Testing Data: 2003 HIV Counseling & Testing Data: 1203 tests among self-identified transgenders 1203 tests among self-identified transgenders 36 of 126 AA transgender tests were positive 36 of 126 AA transgender tests were positive Positivity: 28.6% Positivity: 28.6%

Office of AIDS California Department of Public Health HIV/AIDS Among African- Americans in California: Geographic Influence

African-American MSM at OA Funded C&T Sites – Geographic Role Tier 2 10% Tier 3 3% Tier 1 87% No. = 8307 Tested Prepared by: Prevention Research and Evaluation Section, California DPH, Office of AIDS. Tier 1 Tier 2 AlamedaBerkeley Contra Costa Fresno Long Beach Kern Los Angeles Orange RiversidePasadena Sacramento San Joaquin San Bernardino San Mateo San Diego Santa Clara San Francisco Solano

African-American MSM at OA Funded C&T Sites – Geographic Role Tier 2 10% Tier 3 3% Tier 1 87% No. = 8307 TestedPositive Tier % Tier 2 7.9% Tier 3 3% Tier % Tier 2 7.9% Tier 3 1.6% Prepared by: Prevention Research and Evaluation Section, California DPH, Office of AIDS. No. = 621

Proportion of HIV+ Females Concentrated in Urban Areas Prepared by: Prevention Research and Evaluation Section, California DPH, Office of AIDS. 81%72% 56% African AmericanLatinaWhite

Female HIV-positivity: Urban vs. Non-urban Prepared by: Prevention Research and Evaluation Section, California DPH, Office of AIDS. P<.01

Office of AIDS California Department of Public Health HIV/AIDS Among African- Americans in California: Delayed HIV Diagnosis

Time to AIDS diagnosis (in months) from first HIV diagnosis in 2005 Source: California Department of Public Health, Office of AIDS, HIV/AIDS Case Registry; data as of March 31, * Averaged over all race/ethnicities. MenWomen nMedian 75 th Percentile nMedian Black Asian69020 Excluded – small n Hispanic White Total

Time to AIDS diagnosis (in months) from first HIV diagnosis in 2005 Source: California Department of Public Health, Office of AIDS, HIV/AIDS Case Registry; data as of March 31, * Averaged over all race/ethnicities. MenWomen nMedian 75 th Percentile nMedian Black Asian69020 Excluded – small n Hispanic White Total

Office of AIDS California Department of Public Health HIV/AIDS Among African- Americans in California: HIV/AIDS Care

ProgramYear Total (n) Total AA (n) AA (%) AA Aged (%) AA AIDS non-HIV (%) AA MSM (%) AA Female (%) ADAP FY 06/07 31,2214, n/a15.0 CMP FY 05/06 1, n/a 30.0 EIP FY 05/06 8,6551, n/a CSP/CADR CY ,1919, n/a CARE/HIPP FY 06/ n/a CMP age range is CSP numbers include duplicated clients Care Program Client Statistics

Office of AIDS California Department of Public Health HIV/AIDS Among African- Americans in California: Office of AIDS Research

Office of AIDS Research - Males National HIV Behavioral Surveillance (NHBS) Project National HIV Behavioral Surveillance (NHBS) Project Partners Project Partners Project Health Evaluation of Young Men (HEY Man) Study Health Evaluation of Young Men (HEY Man) Study Interpersonal/Social HIV Risk Among African American and White Male Inmates Interpersonal/Social HIV Risk Among African American and White Male Inmates Developing a Tailored Case Management Intervention for MSM (HOLLA) Developing a Tailored Case Management Intervention for MSM (HOLLA) HIV Prevention for African American Down Low Men (BRUTHAS) HIV Prevention for African American Down Low Men (BRUTHAS) HIV Prevention for African-American MSM Who Do Not Identify as Gay (MAALES) HIV Prevention for African-American MSM Who Do Not Identify as Gay (MAALES) Community Collaborative award for African-American MSM or African-American MSM who do not identify as gay Community Collaborative award for African-American MSM or African-American MSM who do not identify as gay

Office of AIDS Research - Females National HIV Behavioral Surveillance (NHBS) Project National HIV Behavioral Surveillance (NHBS) Project Partners Project Partners Project Females of African American Legacy Empowering Self (FemAALES) Project: Reducing HIV Risk Behaviors and Increasing Sexual Communication Skills in African American Women with At-Risk Male Partners Females of African American Legacy Empowering Self (FemAALES) Project: Reducing HIV Risk Behaviors and Increasing Sexual Communication Skills in African American Women with At-Risk Male Partners

CHOICE Website – Intervention Dissemination

Office of AIDS California Department of Public Health HIV/AIDS Among African- Americans in California: Thank You