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A CDC Data Brief on HIV prevalence in the general U.S population ages 18-49, released January 29, 2008, states that two percent of non-Hispanic black adults ages 18-49 were infected with HIV compared to 0.23 percent of white adults and 0.3 percent of Mexican-American adults.
The June 2006 Kaiser Family Foundation Report on AIDS notes that AIDS case rates are highest among blacks and that blacks account for more than half of all new AIDS cases. Although HIV death rates have decreased over time for all racial/ethnic groups, disparities have become more pronounced, particularly for black men and women aged 25-44 compared to their white counterparts.
Blacks had the highest AIDS rate in 2005 with 54.1 cases per 100,000 people, 9.1 times the rate for whites, and accounted for 48% of estimated cases among adults and adolescents diagnosed with AIDS in 50 states and the District of Columbia. For female adults and adolescents, in 2005 the AIDS diagnosis rate (AIDS cases per 100,000) for non-Hispanic blacks (45.5) was nearly 23 times higher than that for non-Hispanic whites (2.0)
However, the most daunting HIV statistic on African Americans, taken from the 2005 HIV/AIDS Surveillance Supplemental Report, indicated that in 2004 more African American children under age 13 were living with AIDS than were children of all other races and ethnicities combined.
By December 2003, an estimated 195,891 African Americans with AIDS had died.
Blacks accounted for 51% or 80,187 of persons with HIV/AIDS (68% females and 44% males) (CDC, 2005).
African American women are most likely (76% of the time) to be infected with HIV as a result of sex with men (CDC 2003). They may be unaware of their male partnerâ€™s history of possible risks for HIV infection such as unprotected sex with multiple partners, bisexuality, or injection drug use (US Census Bureau, 2003).
In a study of HIV-infected persons, 34% of African American men who have sex with men (MSM) reported having had sex with women, even though only 6% of African American women reported having had sex with a bisexual man (HIV/AIDS Surveillance Supplemental Report, 2005).
Injection drug use is the second leading cause of HIV infection for African American women and the third leading cause of HIV infection for African American men (CDC, 2003).
In 2004, almost three quarters of all diagnoses of perinatally acquired HIV/AIDS were for African Americans (CDC unpublished data, 2005).
The highest rates of sexually transmitted diseases (STDs) are those for African Americans. Partly because of physical changes caused by STDs, including genital lesions that can serve as an entry point for HIV, the presence of certain STDs can increase an individual’s chance of contracting HIV 3- to 5-fold (CDC, 2004).
Only 28% of adult study respondents reported being asked about STDs by their health care providers during routine checkups. Responses from 3,390 adults were analyzed (American Journal of Preventive Medicine, 2000).
The success of potent antiretroviral therapy in reducing HIV disease morbidity and mortality over the last 6 years has resulted in more people with HIV disease living longer--and living with an improved health status, sense of well-being, and energy. These benefits have allowed many to continue to pursue normal life activities, including sex (CDC, 2003).
A variety of recent data indicate that there has been an upsurge in high-risk sex practices. For example, Chen et al. reported (XIV Int AIDS Conf, 2002) steady increases in unprotected anal sex in general and with multiple partners among men who have sex with men (MSM) over the past several years in San Francisco.
U.S. Statistics by Region and State