Epidemiological Profile of HIV/AIDS in Minnesota
Risk Populations: African Americans
HIV/AIDS Prevalence among African Americans
While African Americans account for 4% of the total population in Minnesota, they make up 22% of the number of people living with HIV/AIDS in Minnesota. As of December 31st, 2014 there were 1,719 African Americans living with HIV/AIDS in Minnesota.
HIV Diagnoses among African Americans
In 2014, there were 61 HIV diagnoses among African Americans in Minnesota accounting for 20% of all HIV infection diagnoses.
Of the 61 HIV diagnoses among African Americans in Minnesota in 2014, 45 (74%) were males while 16 (26%) were females. During the past decade, the number of cases among African American males has fluctuated from year to year, with 45 new HIV diagnoses in 2014. This represents a 22% decrease among African American males from 2013 to 2014. Since 2005, the annual number of new infections diagnosed among African American females has decreased overall. However, in 2014 there was a slight increase to 16 cases diagnosed among African American women, compared to 13 in 2013.
Mode of Exposure
Of the 160 African American males diagnosed between 2012 and 2014, 87% of cases had an estimated mode of exposure of MSM, 10% heterosexual contact to someone with or at risk for HIV, 2% IDU, and 1% other mode of exposure that includes hemophilia, transplant, transfusion or mother with HIV or HIV risk.
Of the 45 African American females diagnosed between 2012 and 2014, 93% of cases had an estimated mode of exposure of heterosexual contact to someone with or at risk for HIV, 3% had a risk of IDU, and 4% other mode of exposure that includes hemophilia, transplant, transfusion or mother with HIV or HIV risk.
Age at Diagnosis
African American men and women are diagnosed at a younger age compared to other race/ethnicities. The average age at diagnosis for African American men diagnosed between 2012 and 2014 was 31 years old compared to 39 years old among African-born and white men. The average age at diagnosis for African American women diagnosed between 2012 and 2014 was 35 years old compared to 39 years old among white women and 37 years old among Hispanic and American Indian women. African American women are diagnosed at a slightly younger age than African-born women, who are diagnosed at an average age of 36 between 2012 and 2014.
HIV Treatment Cascade among African Americans
There were 1,639 HIV positive African Americans included in the HIV Treatment Cascade analyses. African Americans living with HIV in Minnesota have lower percentages of engagement of care at every step of the HIV treatment cascade when compared to the overall cascade in Minnesota. African Americans have the lowest rate of viral suppression of all the racial/ethnic groups with 55% of PLWHA virally suppressed.
There were 70 cases among African Americans reported in 2013 that were included in the linkage to care calculation. African Americans have the third lowest linkage to care rate compared to other racial/ethnic groups with 87% linked to care.