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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, 2019 (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 568,000 RWHAP clients in 2019 were American Indians/Alaska Natives. Among American Indian/Alaska Native clients, about 46.2% were age 50 years or older, more than two-thirds (69.9%) lived at or below the federal poverty level, and 87.8% 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, 2019 (CDC) – This 123-page surveillance report includes detailed information about new HIV diagnoses, prevalence, and deaths among American Indians and Alaska Natives and other racial and ethnic groups.  Breakdowns are also provided by age, gender, transmission category, and geographic region. In addition, Tables 2a, 2b, 7a, 7b, 9a, 9b, 12a, 12b, 16a, 16b, 21a, and A2 focus specifically on HIV diagnoses, deaths, and prevalence by race/ethnicity. Some other tables that focus on different characteristics also include race/ethnicity breakdowns.

Estimated HIV Incidence and Prevalence in the United States, 2015-2019 (CDC) – This report provides estimates of the number of new HIV infections and the total number of persons living with HIV during each year from 2015 through 2019. It begins with a commentary section that summarizes highlights of the report, followed by 13 tables that present data on HIV incidence and prevalence among adults and adolescents, with breakdowns by race/ethnicity, sex at birth, age, transmission category, and region of residence. The race/ethnicity data include statistics for American Indians and Alaska Natives. An appendix focuses on the estimated incidence and prevalence of HIV infection among adults and adolescents living in Ending the HIV Epidemic (EHE) Phase 1 jurisdictions.

Monitoring Selected National HIV Prevention and Care Objectives by Using HIV Surveillance Data United States and 6 Dependent Areas, 2019 (CDC) – This report presents the results of focused analyses of U.S. HIV surveillance data to measure progress toward ending the HIV epidemic. It includes information on the stage of HIV disease at time of diagnosis, linkage to HIV medical care, viral suppression, prevalence-based HIV care continuum, HIV deaths and survival, use of pre-exposure prophylaxis (PrEP), and perinatal HIV infections. The report also includes a series of Special Focus Profiles highlighting six populations of particular interest to HIV prevention programs in state and local health departments. For some measures, data are broken down by race/ethnicity, as well as gender, age, transmission category, and area of residence.

Estimated HIV Incidence and Prevalence in the United States, 2010-2019 (CDC) – This slide set summarizes trends in HIV incidence during the 2010s, with breakdowns by race/ethnicity, age, sex, transmission category, and region. Data for 2019 is also provided on knowledge of HIV status, as well as HIV prevalence in the 50 states, District of Columbia, and Puerto Rico.

HIV Infection, Stage 3 (AIDS), 2019 (CDC) – This slide set summarizes trends in AIDS diagnoses and deaths from 1985 to 2019, with breakdowns by race/ethnicity, age, sex, transmission category, and region. Data on cumulative AIDS diagnoses and deaths through 2019, and AIDS data for Metropolitan Statistical Areas are also provided.
 

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.

 

The contents listed on this page are those of the author(s) and do not necessarily represent the official views of, nor an endorsement by, the New England AIDS Education and Training Center.