Epidemiological Profile of HIV/AIDS in Minnesota
HIV/AIDS Prevalence in Greater MN
As of December 31st 2013, there were 1,033 persons living with HIV/AIDS in Greater Minnesota (defined as living in counties outside of the 11-county metropolitan area of Minneapolis and St. Paul). This accounts for 13% of all persons living with HIV/AIDS in Minnesota.
The gender distribution varies slightly by geography. Males make up a smaller proportion of cases in Greater Minnesota at 72% when compared to the TGA at 77%.
HIV Diagnoses in Greater Minnesota
In 2013, there were 47 cases of HIV diagnosed in greater Minnesota, this represents the highest number of new diagnoses in greater Minnesota in the past decade. While new HIV/AIDS infections in 2013 were concentrated in the TGA (84%), there are notable differences between Greater Minnesota and the TGA in the racial and risk category distribution of those infected.
Mode of Exposure
While most the risk category distributions are similar for Greater MN and the TGA there are a few interesting differences. The proportion of new diagnoses attributed to MSM/IDU and unspecified modes of exposure are similar in the TGA and Greater Minnesota. However, MSM account for a slightly greater percentage of cases in the TGA (52%) than in Greater MN (48%). Additionally, the percentage of heterosexual cases is slightly higher in Greater MN (25%) than in the TGA (22%).
Similarly, looking at the racial/ethnic distribution of the new infections over the past three years, there are differences between Greater Minnesota and the TGA. The main differences occur in African American, and White communities. African Americans accounted for 7% of Greater Minnesota cases and 26% of TGA cases and African-born persons accounted for 10% of Greater Minnesota cases and 15% of TGA cases. In contrast white persons made up a greater percentage of new infections in Greater Minnesota than the TGA (68% and 43%, respectively). The proportion of African-born, Hispanic, American Indian and Asian cases was the very similar in both the TGA and Greater Minnesota.
Age at Diagnosis
Persons aged 13-24 years made up 14% of the new cases in Greater Minnesota while accounting for 19% of the new cases in the TGA between 2011 and 2013. However there is no difference in persons diagnosed over the age of 45, as they accounted for 28% of new diagnoses in both Greater Minnesota and the TGA cases during this time period.
HIV Treatment Cascade among people living in Greater Minnesota
Compared to the overall HIV Treatment Cascade, Greater Minnesota has a lower percentages of retention in care and viral suppression. However, there is little difference in linkage to care in Greater Minnesota compared to the overall cascade.