HIV/AIDS and American Indians/Alaska Natives

From Office of Minority Health

November 29, 2012

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American Indians/Alaska Natives (AI/NA) have a 40% higher rate of AIDS and HIV infection as compared to the white population.
American Indian/Alaska Native men have a 40% higher AIDS rate as compared to white men.
American Indian/Alaska Native women have twice the AIDS rate, and are 3.4 times more likely to die from AIDS, as compared to white women.
In 2009, American Indian/Alaska Native women were 2.8 times more likely to be diagnosed with HIV infection, as compared to the White female population.

At a Glance -- HIV Cases and Rates (Adults)

Estimated number of diagnosed cases and rates (per 100,000) of HIV, 2009 (United States)
	# Cases	Rate	AI/NA/White Ratio
American Indian/Alaska Native males	137	18.4	1.2
White males	10,093	14.8

American Indian/Alaska Native females	51	6.6	2.8
White females	1,699	2.4

American Indian/Alaska Native (both sexes)	189	9.8	1.4
White (both sexes)	11,803	7.2

Source: CDC 2011. HIV Surveillance Report: Diagnoses of HIV infection and AIDS in the United States and Dependent Areas, 2009, v.21. Table 3a.
www.cdc.gov/hiv/surveillance/resources/reports/2009report/pdf/2009SurveillanceReport.pdf [PDF 2MB]

At a Glance -- HIV Infection Cases and Rates (Children <13 Years)

Estimated number of diagnosed cases and rates (per 100,000) of HIV, 2009 (United States)
	# Cases	Rate
American Indians/Alaska Natives	0	0.0
White	11	0.0
Total Population	166	0.4

Source: CDC 2011. HIV Surveillance Report: Diagnoses of HIV infection and AIDS in the United States and Dependent Areas, 2009, v.21. Table 5a.
www.cdc.gov/hiv/surveillance/resources/reports/2009report/pdf/2009SurveillanceReport.pdf [PDF 2MB]

At a Glance -- HIV Cases (Adults and Children)

Estimated number of cases of HIV infection by year of diagnosis, 2009 (40 states with confidential name-based HIV infection reporting)
	# Cases	% of total 2009 cases
American Indians/ Alaska Natives	189	0.4%
White	11,803	28%
Total Population	42,011

Source: CDC 2011. HIV Surveillance Report: Diagnoses of HIV infection and AIDS in the United States and Dependent Areas, 2009, v.21. Table 1a.
www.cdc.gov/hiv/surveillance/resources/reports/2009report/pdf/2009SurveillanceReport.pdf [PDF 2MB]

Estimated number of persons living with HIV infection by year, 2008 (40 states with confidential name-based HIV infection reporting)
	# Cases	% of total 2008 cases
American Indians/Alaska Natives	2,385	0.4%
White	215,720	33%
Total Population	663,084

Source: CDC 2011. HIV Surveillance Report: Diagnoses of HIV infection and AIDS in the United States and Dependent Areas, 2009, v.21. Table 15a.
www.cdc.gov/hiv/surveillance/resources/reports/2009report/pdf/2009SurveillanceReport.pdf [PDF 2MB]

At a Glance -- HIV Cases by Transmission (Adults)

Estimated number of male adults or adolescents (>13 years) living with HIV infection year-end 2008, by transmission category (40 states with confidential name-based HIV infection reporting)
Transmission	# of AI/NA Cases	% of American Indians/Alaska Natives	# of White Cases	% of White
Male-to-male sexual contact	1,121	66%	144,944	80%
Male-to-male sexual contact and injection drug use	243	14%	14,304	4%
Injection drug use	199	12%	13,755	8%
Heterosexual contact	138	8%	7,583	8%
Other	8	0.5%	1,483	0.8%
Estimated Total	1,710		182,069

Source: CDC 2011. HIV Surveillance Report: Diagnoses of HIV infection and AIDS in the United States and Dependent Areas, 2009, v.21. Table 17a
www.cdc.gov/hiv/surveillance/resources/reports/2009report/pdf/2009SurveillanceReport.pdf [PDF 2MB]

Estimated number of female adults or adolescents (>13 years) living with HIV infection year-end 2008, by transmission category (37 states with confidential name-based HIV infection reporting)
Transmission	# of AI/NA Cases	% of American Indians/Alaska Natives	# of White Cases	% of White Cases
Heterosexual contact	432	67%	20,921	65%
Injection drug use	205	32%	10,782	33%
Other	10	2%	504	2%
Estimated Total	647		32,207

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This article was provided by Office of Minority Health. Visit OMH's website to find out more about their activities, publications and services.

Native Americans & HIV/AIDS

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