This is a subject that is near and dear to my heart.. when’s AIDS first came out I had a guy I knew in school die from it.. back then it was the gay people disease.. Gods punishment for being homosexual… and like so many I brought into until .. I did the reach for myself.. as you know these are not my thoughts just some facts..
HIV AND AIDS IN THE UNITED STATES OF AMERICA (USA)USA map
Map of the United States of America (USA) and country HIV statistics
The United States of America (USA) currently has around 1.2 million people living with HIV, with one in seven people unaware that they have HIV.1 The size of the epidemic is relatively small compared to the total population, however it is heavily concentrated among several key affected populations and geographically in the southern states – where 49% of all HIV new infections occur. Since the beginning of the HIV and AIDS epidemic, 659,000 people have died of AIDS-related illnesses in the USA.2
Although the USA is the greatest national funder of the HIV epidemic globally, it is still facing a major ongoing HIV epidemic itself, with around 50,000 new infections per year. Stigma and discrimination continue to hamper people’s access to HIV prevention, testing and treatment services, fuelling the cycle of new infections.
The USA lacked a comprehensive plan on HIV until 2010 when President Obama created a National HIV/AIDS Strategy. The latest strategy, released in 2015, is structured around four core aims: reducing new HIV infections; increasing access to care and improving health outcomes for people living with HIV; reducing HIV-related disparities and health inequities and achieving a coordinated national response to the epidemic.3
Key affected populations in the USA
The impact of the HIV epidemic in the USA is more seriously among some groups than others. These key affected populations can be grouped by transmission category i.e. men who have sex with men (MSM), but also by race, with people of colour having significantly higher rates of HIV infection over white Americans.4
A complex set of economic and socioeconomic factors drive risk to these populations, including a lack of access to care, discrimination, homophobia, stigma and poverty.5 Sexual networks is also a major determining factor for HIV risk in the USA, with populations at a high risk to HIV tending to have sexual relations with people in their own communities.
Men who have sex with men in the USA
MSM are the group most affected by HIV in the USA, accounting for 68% of all new HIV infections in 2013.6 The group has seen a rise in new HIV infections between 2009 and 2013 from 28,000 to 31,000.7
Only 66% of MSM living with HIV in 2011 were aware of their infection, and young MSM aged 18-24 were even less likely to know (49%). There are significant disparities by race as well. 86% of white MSM were aware of their status, compared to only 63% of Hispanic/Latino MSM and 54% of black/African American MSM.8
Higher numbers of sexual partners, greater numbers of sexually transmitted infections (STIs) and having unprotected anal sex are some of the reasons why HIV transmission is more common among MSM.9
Black/African Americans in the USA
Black/African Americans accounted for 46% of all new HIV infections in 2013, and make up 43% of the total number of people living with HIV in the USA, despite only making up 13% of the population.10
Between 2009-2013, black/African Americans accounted for:
63% of all HIV infections among women
67% of all HIV infections among children below 13 years old
42% of all HIV infections among males.11
Black/African American men and women are most likely to be infected through unprotected sex with a man, or by injecting drugs. Other factors such as heightened levels of poverty, lack of access to adequate healthcare, and stigma surrounding MSM also increase this group’s risk of HIV infection.
Young black/African American MSM (aged 13 to 24) are most affected.12 In 2010, they were more than twice as likely to be infected with HIV as young MSM of any other ethnic group.13
High HIV prevalence within this community, and the increased likelihood of black/African Americans to only have sexual relations with others in their community, heightens their risk of HIV.14
PLHIV in USA
Hispanics/Latinos in the USA