Epidemiological Profile of HIV/AIDS in Minnesota
HIV/AIDS Prevalence in Greater MN
As of December 31st 2014, there were 1,128 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 14% 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 73% when compared to the TGA at 77%.
HIV Diagnoses in Greater Minnesota
In 2014, there were 36 cases of HIV diagnosed in greater Minnesota. While new HIV/AIDS diagnoses in 2014 were concentrated in the TGA (88%), 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 between 2012 and 2014 attributed to MSM, MSM/IDU and heterosexual contact with some with or at risk for HIV are similar in the TGA and Greater Minnesota. However, IDU account for a slightly greater percentage of cases in Greater Minnesota (5.5%) than in the TGA (1.9%). Additionally, the percentage of cases with an unspecified risk is slightly lower in Greater MN (20%) than in the TGA (23%).
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 6% of Greater Minnesota cases and 25% of TGA cases and African-born persons accounted for 13% 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 (61% and 43%, respectively). The proportion of 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 they accounted for 19% of the new cases in the TGA between 2012 and 2014. There is also a slight difference in persons diagnosed over the age of 45 in Greater Minnesota compared to the TGA, as they accounted for 30% of new diagnoses in Greater Minnesota between 2012 and 2014 compared to 27% of the cases in the TGA during this time period.
HIV Treatment Cascade among people living in Greater Minnesota
There were 1,068 HIV positive people living in Greater Minnesota included in the treatment cascade analyses. Compared to the HIV Treatment Cascade for the TGA, Greater Minnesota has a lower percentages of linkage to care. However, there is little difference in retention in care and viral suppression in Greater Minnesota compared to the TGA cascade.