HIV/AIDS and Native Hawaiians/Other Pacific Islanders

From Office of Minority Health

December 16, 2011

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While Native Hawaiians and Other Pacific Islanders (NHOPI) represent 0.3% of the total population in the United States, the AIDS case rate for NHOPI was twice that of the White population in 2009.
In 2009, Native Hawaiians/Pacific Islanders were almost three times more likely to be diagnosed with HIV infection, as compared to the White population.
Hawaiian/Part-Hawaiians represent 8.6% of Hawaii's population, but accounted for 11% of the total reported AIDS cases up to 2008. From 2000 to 2007, the percentage Native Hawaiian cases, of the total reported cases for HIV, has increased.¹
In most of the U.S. Pacific Territories, the HIV infection rate is higher than the national rate for Whites.

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

Estimated number of diagnosed cases and rates (per 100,000) of HIV, 2009 (United States)
	# Cases	Rate	NHOPI/ White Ratio
Native Hawaiian/Pacific Islander males	26	41.2	2.8
White males	10,093	14.8

Native Hawaiian/Pacific Islander females	8	13.3	5.5
White females	1,699	2.4

Native Hawaiian/Pacific Islander (both sexes)	34	21.0	2.9
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
Native Hawaiian/Pacific Islander	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]

Estimated number of cases of HIV infection by year of diagnosis, 2009 (40 states with confidential name-based HIV infection reporting)
	# Cases	% of total cases
NHOPI	34	--
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	Rate	NHOPI/White Ratio
NHOPI	295	187.5	1.4
White	215,720	131.3	--
Total Population	663,084	276.5	--

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 Infection 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	# NHOPI Cases	% of NHOPI Cases	# White Cases	% of White Cases
Male-to-male sexual contact	197	85%	144,944	80%
Heterosexual contact	18	8%	7,583	4%
Injection drug use	9	4%	13,755	8%
Male-to-male sexual contact and injection drug use	8	3%	14,304	8%
Other	1	0.4%	1,483	0.8%
Estimated Total	233		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 % of female adults or adolescents (>13 years) living with HIV infection year-end 2008 by transmission
Transmission	# NHOPI Cases	% of NHOPI Cases	# White Cases	% of White Cases
Heterosexual contact	48	77%	20,921	65%
Injection drug use	11	18%	10,782	33%
Other	2	3%	504	2%
Estimated Total	62		32,207

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