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Us Cities With Highest Hiv Rates
The HIV epidemic in the United States began as a bicoastal epidemic centered on large cities but, over the span of four decades, the epidemiology of HIV has changed. Public health surveillance data can provide insight into the evolution of the HIV epidemic in terms of the most affected populations and geographic areas. We analyzed HIV surveillance data and publicly available census data to determine: current HIV prevalence and new HIV diagnoses by region, race or ethnicity, and age; trends in HIV diagnosis over time based on risk of HIV acquisition and age; and distribution of HIV prevalence by geographic area. We reviewed the published literature to examine the causes for the current distribution of HIV incidence and significant differences in HIV prevalence. We identified opportunities to improve public health surveillance systems and use data to plan and monitor public health responses. The current HIV epidemic in the United States is characterized by a geographic concentration in the southern United States and by stark disparities between regions and by race or ethnicity. HIV prevalence varies in rural areas; rural areas in the South are more likely to have higher HIV prevalence than rural areas in other US Census Bureau regions. Persistent HIV disparities in the South are likely driven by limited Medicaid expansion, shortage of health care workers, low health literacy, and HIV stigma. HIV diagnoses decreased overall in 2009-18, but HIV diagnoses among people aged 25 to 34 increased over the same period. HIV diagnoses decreased for all risk groups in 2009-18; among men who have sex with men (MSM), new diagnoses decreased overall and remained stable for white MSM, black MSM, and increased for Hispanic or Latino MSM. Surveillance data show deep and persistent disparities in HIV incidence, with a disproportionate impact among people of the South, racial or ethnic minorities, and MSM.
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Examines the challenges of ending the HIV epidemic in the United States. People belonging to racial, gender and sexual minorities are affected by HIV at significantly higher rates than whites, a disparity also evident in the COVID-19 pandemic. Originally posted on Advocate.com Sep 22, 2014 at 6:00am Source ET.
Presentation on theme: "The 25 US Cities With the Highest HIV Infection Rates by Daniel Reynolds - Originally published on Advocate.com September 22, 2014 6:00 PM ET Source."— Presentation transcript:
1 25 U.S. Cities With The Highest HIV Infection Rates by Daniel Reynolds - Originally published on Advocate.com Sep:00AM ET Source URL: , Links:  1. Miami 9. New York City (includes N.Y. , N.J. and Pa.) 18. Tampa–St. Petersburg-Clearwater, Fla. 2. New Orleans-Metairie-Kenner, La. 19. Los Angeles 3. Baton Rouge, Los Angeles. 10. Jacksonville, Florida. 20. Greensboro–High Point, N.C. 4. Jackson, miss. 11. Orlando, Fla. 21. San Francisco 5. Washington, DC (includes suburbs of Va., Md., and W.Va.) 12. Houston-Baytown-Sugar Land, Texas 22. Charleston–North Charleston, S.C. 13. San Juan –Caguas–Guaynabo, Puerto Rico 23. Virginia Beach–Norfolk–Newport News, Va.–N.C. 6. Baltimore-Towson, Maryland. 14. Charlotte–Gastonia–Concord, NC–SC 7. Memphis, Tennessee. (includes Miss. and Ark. counties) 15. Columbia, S.C. 24. Philadelphia (including Pa., N.J., Del., and surrounding Md.) 16. Dallas 8. Atlanta–Sandy Springs–Marietta, Ga. 17. Birmingham–Hoover, Ala. 25. Richmond, Va.
Global Hiv Programme
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Number of people living with HIV in the United States per 100,000 people, broken down by county. AIDSVu
The disease quickly became an epidemic, but medical advances since then have made HIV controllable with medication, especially when caught early.
About 1.1 million Americans are currently living with HIV in the United States, yet thousands die of AIDS every year.
AIDSVu, a project run by Emory University's Rollins School of Public Health in collaboration with biotechnology company GileadSciences, has been mapping HIV by county since 2010.
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On Wednesday, it released its latest data: a graph showing HIV prevalence since 2014, as well as new diagnoses from 2008 to 2015. Here's what the researchers found.
AIDSVu obtains its data from state and city health departments that collect information locally. This graph looks at the number of new HIV diagnoses, with a darker shade indicating more diagnoses in a given county.
By tracking HIV rates on a regional scale, public health officials can get an idea of which groups may be most targeted (based on geography or demographics). Here's a breakdown of Seattle by zip code—the first time AIDSVu has compiled this comprehensive city information.
Dr. In this map, darker red indicates areas with more than 381 diagnoses per 100,000 people.
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In fact, the five cities with the highest rates of new diagnoses are all in the South: Miami, Jackson, New Orleans, Baton Rouge and Atlanta. Here's a breakdown of Atlanta by zip code: Darker purple represents areas that had more than 114 new diagnoses per 100,000 people in 2015.
Sullivan also said that one age group is experiencing a disproportionate number of new diagnoses: those aged 13 to 24. Here's what the number of HIV cases looks like across the country for 13- to 24-year-olds (although data hasn't been released for some counties).
This group accounted for 25% of all new diagnoses, an increase of 2% from the previous year. New diagnoses decreased overall by 18% over the 7-year period.
In addition to providing a breakdown of HIV prevalence in the United States, the project also maps where testing centers are located, as well as where people can access preventative treatments. The CDC recommends that people ages 13 to 64 be tested at least once. The full impact of the COVID-19 pandemic on HIV in the United States will not be known for some time. However, data has shown a decline in HIV prevention, including a steep decline in HIV testing and diagnosis from 2019 to 2020. and reductions in testing and collaborative services as public health workers turn to HIV COVID-19 response.
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Prescriptions for oral contraceptives (PrEP) have also increased at a slower rate than before COVID-19 and not at the rate required to meet federal goals.
The nation must accelerate efforts to protect health, expand access to proven HIV prevention tools, and rapidly implement national goals to end the HIV epidemic.
Due to constraints in testing and clinical care services, it is not possible to estimate new HIV infections ("HIV incidence") for 2020 or provide HIV trends through 2020. "HIV prevalence" ); or knowledge of HIV status.
There are an estimated 1.2 million people living with HIV in the United States as of 2019. New HIV infections have decreased in recent years after a period of general stability. Overall, new infections decreased by 8%, from 37,800 in 2015 to 34,800 in 2019.
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Much of this growth is due to major declines among gay and bisexual youth (ages 13-24) in recent years. From 2015 to 2019, new infections decreased by 33% among this population.
There are promising signs of progress in HIV prevention, but progress remains uneven and HIV continues to hit some groups hard and inexorably.
Gay and bisexual men continue to account for the majority of new HIV infections (66%), and disparities in HIV among some racial and ethnic minority groups remain acute. Black or African Americans (hereafter referred to as blacks) face eight times higher rates of infection than whites, Hispanics and Latinos, and nearly four times higher rates. Hispanics and Latinos can be of any race.
Geographically, the South is disproportionately affected. The region accounts for more than half (53%) of new HIV infections
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