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American Indians & Alaska Natives and HIV

Education Packet 

American Indians & Alaska Natives and HIV – This packet is a compilation of several recent fact sheets and other resources. You may wish to customize it to meet the needs or interests of particular groups, such as event participants, providers, patients, clients, or the general public. So please feel free to distribute all or part of this packet as either a printout or PDF.   

Fact Sheets, Infographics, and Web Pages 

HIV and American Indians and Alaska Natives (CDC) – This fact sheet includes information about HIV trends among American Indians and Alaska Natives in the U.S., prevention challenges, and steps CDC is taking to reduce new infections and improve HIV treatment and care in this group.

HIV/AIDS and American Indians/Alaska Natives (Office of Minority Health) – This web page has detailed statistical information about HIV testing, HIV and AIDS cases, and death rates among American Indians and Alaska Natives. 

HIV in Indian Country (Indian Health Service) – This fact sheet summarizes statistics and trends in HIV testing and diagnoses among American Indians and Alaska Natives in the U.S. and the ongoing efforts to prevent HIV transmission and improve health outcomes for persons already living with HIV and AIDS. 

American Indian/Alaska Native Clients: Ryan White HIV/AIDS Program, 2018 (Health Resources and Services Administration) – This fact sheet summarizes selected demographic characteristics of American Indian/Alaska Native clients in the Ryan White HIV/AIDS Program (RWHAP). About one in two hundred (0.5%) of the approximately 519,000 RWHAP clients in 2018 were American Indians/Alaska Natives. Among American Indian/Alaska Native clients, about 44% were age 50 years or older, about two-thirds (68%) lived at or below the federal poverty level, and 87% were virally suppressed. More detailed information is provided about these and other demographic characteristics.  

Infographics from the AIDSVu Website: 


National Native HIV/AIDS Awareness Day Website (NNHAAD) – This is the official website for NNHAAD, which is a national community mobilization effort designed to encourage American Indians, Alaska Natives, and Native Hawaiians across the U.S. and territorial areas to get educated, tested, involved in prevention, and treated for HIV.  This site provides background information about the day, together with links to fact sheets, other educational materials, and products to promote HIV/AIDS awareness. 

HIV Surveillance Reports and Data Analyses 

Diagnoses of HIV Infection in the United States and Dependent Areas, 2018 (updated) (CDC) – This 119-page report includes detailed information about new HIV diagnoses, deaths, and prevalence among American Indians and Alaska Natives and other racial and ethnic groups.  Breakdowns are also provided by age, gender, transmission category, and geographic region. Tables 2a, 2b, 11a, 11b, 15a, 15b, and 19 focus specifically on HIV diagnoses, deaths, and prevalence by race/ethnicity. In addition, some other tables that focus on different characteristics also include race/ethnicity breakdowns.    

Epidemiology of HIV Infection 2018 (preliminary) (CDC) – This slide set includes numerous tables, charts, graphs, and maps with recent and historical information on HIV and AIDS diagnoses, including breakdowns by race/ethnicity, mode of exposure, gender, age, and state or territory. Some of the slides include data for American Indians and Alaska Natives.

HIV Surveillance by Race/Ethnicity 2018 (preliminary) (CDC) – This slide set focuses specifically on racial and ethnic patterns and disparities in different racial/ethnic groups, including American Indians and Alaska Natives.

HIV Surveillance in Urban and Nonurban Areas 2018 (preliminary) (CDC) – This slide set presents data on regional variations in diagnoses of HIV and AIDS among adults and adolescents in the United States. Several slides in this set focus on HIV diagnoses in different racial/ethnic groups – including American Indians and Alaska Natives – in large metropolitan areas, smaller metropolitan areas, and nonmetropolitan areas.

Selected Recent Reports from CDC’s Morbidity and Mortality Weekly Report 

Each of these recent reports includes a discussion of racial/ethnic disparities in HIV testing, prevention, and/or care, including data for American Indians and Alaska Natives. 

Behavioral and Clinical Characteristics of American Indian/Alaska Native Adults in HIV Care – Medical Monitoring Project, United States, 2011-2015 

Vital Signs: Deaths Among Persons with Diagnosed HIV Infection, United States, 2010-2018 

Vital Signs: Status of Human Immunodeficiency Virus Testing, Viral Suppression, and HIV Preexposure Prophylaxis – United States, 2013-2018

Additional Resources 

National HIV Curriculum: HIV in Racial and Ethnic Minority Populations (AIDS Education and Training Center, University of Washington, and other partners, 2020) – This is the sixth lesson in the Curriculum’s Key Populations module. It has detailed information on many topics, including:

  • Introduction
  • Overview of HIV Epidemiology in Racial and Ethnic Minorities
  • HIV Epidemiology Data by Racial and Ethnic Populations
  • Comparison of Racial/Ethnic Groups in the HIV Care Continuum
  • Health Outcomes and Death
  • Factors Associated with Health Inequities
  • Future Directions for Reducing HIV-Related Disparities 

Native Gay Men and Two Spirit People: HIV/AIDS and Viral Hepatitis Programs and Services (NASTAD) – This issue brief from NASTAD examines factors that affect the risks for HIV, sexually transmitted diseases, and viral hepatitis among Native gay men and Two Spirit people. It provides guidance to help state and local health departments collaborate effectively with Tribal communities, Native agencies, and Native gay men and Two Spirit people in addressing these risks. 

Celebrate Native Heritage Month! (CDC) This resource page includes information about health indicators and health disparities among American Indians/Alaska Natives, and discusses strategies for reducing health disparities. Native Heritage month is commemorated in November. 

American Indian and Alaska Native Health (MedlinePlus) – This web page has links to many health resources focusing specifically on American Indian and Alaska Native communities.