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Blacks/African Americans and HIV

Education Packet

Blacks/African Americans 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 and Infographics

HIV and African American People (CDC) – This fact sheet includes breakdowns of HIV diagnoses among African Americans by gender, race/ethnicity, and transmission category in 2018. It also discusses trends in new HIV diagnoses among African American men and women during the period from 2014 through 2018, as well as HIV prevalence, the HIV care continuum, and deaths among African Americans diagnosed with HIV. 

HIV in the United States and Dependent Areas (CDC) – This Includes information on the disproportionately high number of new HIV diagnoses among African Americans. Data breakdowns are provided for HIV diagnoses attributed to male-to-male sexual contact, male heterosexual contact, and female heterosexual contact among African Americans. Trends in HIV diagnoses since 2010 for different racial/ethnic groups are also discussed. Also available in Spanish

Black Americans and HIV/AIDS: The Basics (Kaiser Family Foundation) – Updated in 2020, this annotated fact sheet provides detailed information on HIV/AIDS among Black Americans in the following topic areas: key facts, overview, transmission, women and young people, gay and bisexual men, geography, and HIV testing and access to prevention and care. 

HIV and African American Gay and Bisexual Men (CDC) – This fact sheet focuses specifically on the impact of the HIV epidemic on African American men who have sex with men – the group most affected by HIV in the United States.  Data are provided on the number and trends in new HIV diagnoses, HIV prevalence, the HIV continuum of care, and deaths among these men. This fact sheet also discusses prevention challenges among African American gay and bisexual men, including: delays in linkage to medical care, low percentages of viral suppression, and high poverty rates, which may limit access to high-quality health care, housing, and prevention education. 

Black/African American Clients: Ryan White HIV/AIDS Program, 2019 (Health Resources and Services Administration) – This fact sheet summarizes selected demographic characteristics of Blacks/African Americans served by the Ryan White HIV/AIDS Program (RWHAP). Nearly half (46.6%) of the approximately 568,000 RWHAP clients in 2018 were Blacks/African Americans. Among this group of clients, 44.5% were age 50 years or older, 65.9% lived at or below the federal poverty level, and 85.2% were virally suppressed. More detailed information is provided about these and other demographic characteristics. 

Highlighted CDC HIV Prevention Activities Concerning HIV and African American Gay and Bisexual Men (CDC) – This issue brief focuses on HIV prevention, surveillance, awareness-raising, community-engagement, behavioral interventions, research, and other activities to address the HIV epidemic among Black gay and bisexual men. 

Infographics on Black/African Americans and HIV (CDC and AIDSVu):


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 Black/African American persons 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 sex at birth, age, race/ethnicity, transmission category, and region of residence. The race/ethnicity data include statistics for Black/African American persons. 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.

AIDSVu – AIDSVu is an interactive online mapping tool that visualizes the impact of the HIV epidemic on communities across the U.S.  State-by-state data and limited county data for each New England state are available at the following links: Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, and Vermont. The state data include information on new HIV diagnoses, HIV prevalence, HIV testing, and deaths among persons with HIV, with breakdowns by race/ethnicity. Detailed data are also available for the following areas: Boston, the Hartford metropolitan statistical area (MSA); the Bridgeport-Stamford-Norwalk MSA, and the New Haven-Milford MSA

HIV in the United States by Region (CDC) – This web page includes information on HIV diagnoses by race/ethnicity in the following five regions: Northeast, Midwest, South, West, and U.S. Dependent Areas. Highlights are also summarized in a related fact sheet

Maps Based on Data from 2018 HIV Surveillance Report (Preliminary) (CDC) – This set of maps presents state data on HIV and AIDS diagnoses and prevalence, with breakdowns by race/ethnicity and by adult/adolescent and pediatric cases. 


Other 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 disparities affecting Black/African American communities. 

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

Trends in Diagnosis of HIV Infection, Linkage to Medical Care, and Viral Suppression Among Men Who Have Sex with Men, by Race/Ethnicity and Age – 33 Jurisdictions, United States, 2014-2018 

HIV Testing Outcomes Among Blacks or African Americans – 50 Local U.S. Jurisdictions Accounting for the Majority of New HIV Diagnoses and Seven States with Disproportionate Occurrences of HIV in Rural Areas, 2017 

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

Racial/Ethnic Disparities in HIV Preexposure Prophylaxis Among Men Who Have Sex with Men – 23 Urban Areas, 2017 

Changes in HIV Preexposure Prophylaxis Awareness and Use Among Men Who Have Sex with Men – 20 Urban Areas, 2014 and 2017 

Disparities in Incidence of Human Immunodeficiency Virus Infection Among Black and White Women – United States, 2010-2016
 

Selected Resources from AIDS Education and Training Centers (AETCs) 

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 

Engaging Black MSM in Care (Northeast/Caribbean AETC) – On-demand video 

Barriers to HCV Care Among Persons of Color (from HIV/HCV Co-infection AETC National Curriculum) – Slide set from March 2019 webinar with a special focus on people who have experienced incarceration. 

Stigma Can’t Win: HIV and Hep B Among African Immigrants (New England AETC) – Recording from September 2018 webinar (registration required for access). 

Building Providers’ Capacity to Provide Culturally Appropriate Care: African, African-American, and Caribbean Women (Southeast AETC, Georgia AIDS Education and Training Center) – Slide set from August 2016 webinar. 

Cultural Competence in Caring for African Americans with HIV (South Florida AIDS Education and Training Center, Southeast AETC) – Slide set from December 2016 presentation.
 

Selected Organizations and Websites 

Black AIDS Institute – The Black AIDS Institute is a leading organization addressing HIV/AIDS among Black Americans. Their website provides detailed information about the range of programs and services offered by the Institute. 

NMAC – The NMAC website has extensive resources in support of its mission to develop leadership in communities of color to end the HIV/AIDS epidemic.  These include news, program listings, conference information, and a resource library.

 

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.