The Black Epidemic By the Numbers
A Statistical Snapshot of Today's African American Epidemic
By Gil Gerald and Kai Wright
From Black AIDS Institute
September 2007
Who's Getting Infected in America
By Percent
Racial/Ethnic Percentages of New HIV/AIDS Diagnoses in 2004
Black: 50 percent
White: 30 percent
Latino: 18 percent
Other Ethnicities: 2 percent |
 Source: CDC. HIV/AIDS Surveillance Report, 2004. Vol. 16, Table 1. Data based on 35 states with long-term HIV tracking systems that count infections by recording patients' names.
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In Numbers
Number of New HIV/AIDS Diagnoses by Race/Ethnicity in 2004
Black: 19,206
White: 11,806
Latino: 6,970
Other Ethnicities: 602
Total: 38,584 |
 Source: CDC. HIV/AIDS Surveillance Report, 2004. Vol. 16, Table 1. Data based on 35 states with long-term HIV tracking systems that count infections by recording patients' names.
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20 Years of Diagnoses
Racial/Ethnic Percentages of Annual AIDS Diagnoses, 1985-2004
Positive Americans
Racial/Ethnic Percentages of All People Living with HIV/AIDS (as of 2004)
Black: 48 percent
White: 34 percent
Latino: 17 percent
Other Ethnicities: 1 percent |
 Source: CDC. HIV/AIDS Surveillance Report, 2004. Vol. 16, Table 9. Data based on 35 states with long-term HIV tracking systems that count infections by recording patients' names.
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Where Newly HIV+ Live
Regional Percentages of New HIV Diagnoses, 2001-2004
South: 55 percent
Northeast: 29 percent
Midwest: 11 percent
West: 5 percent |
 Source: CDC. Trends in HIV/AIDS Diagnoses -- 33 States, 2001-2004. Morbidity and Mortality Weekly Report, Nov. 18, 2005.
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An Up-Close Look at Today's Infections
Women
New HIV Infections Among Women in 2004
Black: 67 percent
White: 17 percent
Latino: 13 percent
Other Ethnicities: 2 percent |
 Source: CDC. HIV/AIDS Surveillance by Race/Ethnicity online slide set, Slide 16. Data based on 33 states with HIV tracking systems that count infections by recording patients' names since at least 2000.
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Men
New HIV Infections Among Men in 2004
Black: 43 percent
White: 36 percent
Latino: 20 percent
Other Ethnicities: 1 percent |
 Source: CDC. HIV/AIDS Surveillance by Race/Ethnicity online slide set, Slide 15. Data based on 33 states with HIV tracking systems that count infections by recording patients' names since at least 2000.
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Youth
New HIV/AIDS Cases Among Teens in 2004
Black: 70 percent
White: 15 percent
Latino: 13 percent
Other Ethnicities: 2 percent |
 Source: CDC. HIV/AIDS Surveillance in Adolescents and Young Adults online slide set, Slide 6. Data based on 33 states with HIV tracking systems that count infections by recording patients' names since at least 2000.
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How Black Americans Get Infected
Men
Transmission Routes of HIV Diagnoses Among Black Men, 2001-2004
Sex with men: 49 percent
Sex with women: 25 percent
Injection drug use: 19 percent
Sex with men and injection drug use: 5 percent
Other: 1 percent |
 Source: CDC. Trends in HIV/AIDS Diagnoses -- 33 States, 2001-2004. Morbidity and Mortality Weekly Report, Nov. 18, 2005.
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Women
Transmission Routes of HIV Diagnoses Among Black Women, 2001-2004
Sex with men: 78 percent
Injection drug use: 19 percent
Other: 3 percent |
 Source: CDC. Trends in HIV/AIDS Diagnoses -- 33 States, 2001-2004. Morbidity and Mortality Weekly Report, Nov. 18, 2005.
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Unanswered Questions
HIV Risk of Male Sex Partners of Black Women Who Tested Positive in 2004
Unknown: 77 percent
Injection drug use: 17 percent
Sex with men: 6 percent
Other: Less than 1 percent |
 Source: CDC. HIV/AIDS Surveillance Report, 2004. Vol. 16, Table 22. Data based on 42 states with long-term HIV tracking systems that count infections by recording patients' names in 2004.
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Who's Still Dying of AIDS in America
A Record of Lives Lost
Annual AIDS Deaths by Race/Ethnicity, 1985-2004
| Year of Death |
White, not Hispanic |
Black, not Hispanic |
Hispanic |
Other Ethnicities |
All Groups |
Percent Black |
| 1985 |
4,005 |
1,757 |
1,021 |
36 |
6,819 |
25.77% |
| 1986 |
7,011 |
3,029 |
1,807 |
74 |
11,921 |
25.41% |
| 1987 |
8,886 |
4,554 |
2,492 |
106 |
16,038 |
28.40% |
| 1988 |
10,930 |
6,108 |
3,500 |
199 |
20,692 |
29.52% |
| 1989 |
14,452 |
8,028 |
4,625 |
143 |
27,328 |
29.38% |
| 1990 |
16,434 |
9,107 |
5,208 |
238 |
30,987 |
29.39% |
| 1991 |
18,719 |
10,939 |
6,173 |
319 |
36,150 |
30.26% |
| 1992 |
20,157 |
13,205 |
7,064 |
326 |
40,752 |
32.40% |
| 1993 |
21,300 |
15,278 |
7,604 |
413 |
44,595 |
34.26% |
| 1994 |
22,538 |
17,806 |
8,759 |
516 |
49,477 |
35.99% |
| 1995 |
21,968 |
19,062 |
9,136 |
539 |
50,705 |
37.59% |
| 1996 |
14,558 |
15,894 |
6,904 |
386 |
37,742 |
42.11% |
| 1997 |
7,351 |
10,464 |
4,079 |
231 |
22,125 |
47.02% |
| 1998 |
6,082 |
8,997 |
3,371 |
186 |
18,636 |
48.28% |
| 1999 |
5,620 |
8,860 |
3,232 |
184 |
17,896 |
49.51% |
| 2000 |
5,310 |
8,560 |
3,010 |
159 |
17,039 |
50.24% |
| 2001 |
5,184 |
8,962 |
3,188 |
178 |
17,512 |
51.18% |
| 2002 |
5,205 |
8,929 |
3,103 |
175 |
17,412 |
51.28% |
| 2003 |
5,081 |
8,905 |
3,529 |
154 |
17,669 |
50.40% |
| 2004 |
4,309 |
7,939 |
3,212 |
173 |
15,633 |
50.78% |
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| Cumulative |
225,100 |
196,383 |
91,017 |
4,770 |
517,270 |
37.96% |
Source: CDC. Deaths among Adults and Adolescents with AIDS by Race/Ethnicity, 1985-2004, United States. Black AIDS Institute requested data.
Blacks' Share
Blacks as Percentage of Total AIDS Deaths (as of 2004)
Whites: 43 percent
Blacks: 38 percent
Latinos: 18 percent
Other Ethnicities: 1 percent |
 Source: CDC. Deaths among Adults and Adolescents with AIDS by Race/Ethnicity, 1985-2004, United States. Black AIDS Institute requested data.
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No. 2 Cause
Five Leading Causes of Death Among Blacks, Ages 25-44 (as of 2002)
- Heart Disease
- HIV Infection
- Unintentional Injury
- Assault
- Malignant Tumors
Source: CDC. National Vital Statistics Reports, Deaths: Leading Causes for 2002. Public Health Service, 2003 (Vol. 53, No. 17)
The National Picture: Black AIDS State-by-State
Percentage of people living with AIDS in each state who is African American, as of 2004. In 15 states, more than half of the population of people living with AIDS is Black.
Source: Statehealthfacts.org. All percentages have been rounded.

Click on image to enlarge.
State-by-State Black AIDS Rates vs. Black Census Figures
| |
% of AIDS Cases |
% of Black Pop. |
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% of AIDS Cases |
% of Black Pop. |
| Alabama |
63% |
26% |
Missouri |
41% |
11% |
| Alaska |
10% |
3% |
Montana |
4% |
<1% |
| Arizona |
9% |
3% |
Nebraska |
25% |
4% |
| Arkansas |
40% |
16% |
Nevada |
22% |
7% |
| California |
19% |
6% |
New Hampshire |
12% |
1% |
| Colorado |
14% |
4% |
New Jersey |
55% |
13% |
| Connecticut |
33% |
9% |
New Mexico |
4% |
2% |
| Delaware |
68% |
19% |
New York |
46% |
15% |
| District of Columbia |
82% |
57% |
North Carolina |
69% |
21% |
| North Dakota |
16% |
1% |
| Florida |
49% |
15% |
Ohio |
42% |
12% |
| Georgia |
70% |
29% |
Oklahoma |
21% |
7% |
| Hawaii |
5% |
2% |
Oregon |
7% |
2% |
| Idaho |
4% |
<1% |
Pennsylvania |
53% |
10% |
| Illinois |
52% |
15% |
Rhode Island |
27% |
5% |
| Indiana |
33% |
8% |
South Carolina |
73% |
29% |
| Iowa |
18% |
2% |
South Dakota |
16% |
1% |
| Kansas |
21% |
6% |
Tennessee |
52% |
16% |
| Kentucky |
31% |
7% |
Texas |
35% |
11% |
| Louisiana |
66% |
32% |
Utah |
8% |
1% |
| Maine |
6% |
1% |
Vermont |
10% |
1% |
| Maryland |
80% |
27% |
Virginia |
59% |
19% |
| Massachusetts |
29% |
6% |
Washington |
14% |
3% |
| Michigan |
58% |
14% |
West Virginia |
22% |
3% |
| Minnesota |
31% |
4% |
Wisconsin |
37% |
6% |
| Mississippi |
73% |
37% |
Wyoming |
3% |
1% |
Sources: Centers for Disease Control and Prevention, Division of HIV/AIDS Prevention-Surveillance and Epidemiology, Special Data Request, November 2005. Urban Institute and Kaiser Commission on Medicaid and the Uninsured. Estimates based on the Census Bureau's March 2004 and 2005 Current Population Survey (CPS: Annual Social and Economic Supplements).
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