HIV 101














The African American Community & HIV -
Reasons Why The African American Community Is So Affected By HIV And Why Itís Important To Know...

If you are a member of the African American community, you need to know that your racial/ethnic group accounts for a higher proportion of new HIV diagnoses in the United States than any other racial or ethnic group. To follow, are some statistics (yes, usually boring but these are meaningful) on how HIV has so affected the African American community; Reasons why it's believed this particular group has been hit so hard and then, most importantly, armed with this data, what you can do to protect yourself, your partners and your friends from HIV.

Knowledge is power - especially when it comes to HIV!

The Statistics

According to a recent Centers For Disease Control And Prevention (CDC) study:

  • In 2014, 44% (19,540) of estimated new HIV diagnoses in the United States were among African Americans, who comprise 12% of the US population.
  • Among all African Americans diagnosed with HIV in 2014, an estimated 73% (14,305) were men and 26% (5,128) were women.
  • Among all African Americans diagnosed with HIV in 2014, an estimated 57% (11,201) were gay or bisexual men.†Of those gay and bisexual men, 39% (4,321) were young men aged 13 to 24.
  • From 2005 to 2014, the number of new HIV diagnoses among African American women fell 42%, though it is still high compared to women of other races/ethnicities. In 2014, an estimated 1,350 Hispanic/Latino women and 1,483 white women were diagnosed with HIV, compared to 5,128 African American women.
  • From 2005 to 2014, the number of new HIV diagnoses among African American gay and bisexual men increased 22%. But that number stabilized in recent years, increasing less than 1% since 2010.
  • From 2005 to 2014, the number of new HIV diagnoses among young African American gay and bisexual men (aged 13 to 24) increased 87%. But that trend has leveled off recently, with the number declining 2% since 2010.
  • In 2014, an estimated 48% (10,045) of those diagnosed with AIDS in the United States were African Americans. By the end of 2014, 42% (504,354) of those ever diagnosed with AIDS were African Americans.
  • At the end of 2012, an estimated 496,500 African Americans were living with HIV, representing 41% of all Americans living with the virus. Of African Americans living with HIV, around 14% do not know they are infected.
  • Of African Americans diagnosed with HIV in 2013, 79% were linked to HIV medical care within 3 months, but only 51% were retained in HIV care (receiving continuous HIV medical care).
  • Only 37% of African Americans living with HIV at the end of 2012 were prescribed antiretroviral therapy, the medicines used to treat HIV, and only 29% had achieved viral suppression.

The take-away here is that some of these rampant percentages have leveled off over the past couple of years but the danger of infection still exists. That's why these statistics are so important to realize because HIV has the ability to affect all people within the community.

The How And Why

-Awareness of HIV status and late diagnosis. Individuals that are unaware of their HIV status or are diagnosed late or later while having the disease can unknowingly spread the disease among the community. A 2010 study conducted by the CDC found that almost 85,000 people infected with HIV in the African American community were unaware of their HIV status.

-Prevalence within the community. Starting out with a high percentage of community members with HIV increases the probability of infection to others. People of the same race/ethnicity, in this case African American, tend to have sex with the same race and ethnicity so that increases the risk of infection with a new sex partner.

-Socioeconomic contributing factors. Lower socioeconomic status, which is prevalent in some African American communities, can have a negative effect on education and access to adequate healthcare. Lack of insurance and ability to pay for care and treatment can impede everyeverything from initial diagnosis through long term continuing care.

-Discrimination and stigma. While stigma and fear of HIV and the diagnosis of being HIV positive may not be any more prevalent than in other races and ethnicities, it still exists and is no less either. Also, members of the African American community are no stranger to discrimination of all types. This is a major challenge to early diagnosis, acknowledgement and treatment.

-Injected drug usage. According to a 2011 CDC Surveillance Report, injected drug use counts for more HIV infections among African Americans than any other ethnic group. It's also the third most likely route to HIV transmission. Injected drug use can directly transmit through the sharing of needles and secondarily or indirectly be transmitted through being sexually involved with an IV drug user.

Now What Can You Do?

If you are African American and HIV-positive or at risk, what you need to do to help protect yourself or others from contracting the HIV virus isn't different from other races or ethnicities. Things like practicing safe sex with your partner, not using a dirty or shared needle if you are a drug user, getting tested and knowing your partner's status are all essential.

What is different though, because you live in a community that has such a high incidence of HIV, is the level of awareness that you need to have.

For starters, your awareness needs to begin with you. If you are HIV-positive, let your partner(s) know. If you haven't been tested and think you might be at risk - no question - get tested. If you have a partner, get tested with him or her. Doing that gives you peace of mind of your partner's status too.

Educate not only yourself but close friends and family members who might not be as careful and knowledgeable as you and may also be at a higher risk.

Getting tested and being educated can help stop the spread of HIV to you and can also mean you not spreading it to others.

African Americans are able to access the help and resources available to anyone with HIV but if you would like to seek out programs, services and information that is more specifically geared toward the African American community, here are some ideas of where to start:

General Information:

-Begin with the Centers for Disease Control and Prevention (CDC) website at www.CDC.gov. For HIV in general go to www.cdc.gov/hiv/. For information specific to the African American community, go to www.cdc.gov/hiv/risk/racialethnic/aa/index.html. There you'll have access to podcasts, factsheets, funding information, statistics and much more.

-The Black AIDS Institute. 1833 West 8th Street #200; Los Angeles, CA 90057-4920; 213-353-3610; www.blackaids.org

-National Black Leadership Commission on AIDS. 215 W. 125th Street; Suite 2; New York, NY 10027; 212-614-0023; www.nblca.org

-National Minority AIDS Council. 1000 Vermont Ave., NW; Suite 200; Washington, DC 20005; 202-870-0918; www.nmac.org

Local Information

-Contact your local AIDS Service Organization (ASO). ASOs will have local and community based information to point you in the right direction.

-Contact your State or local HIV hotline. Try other sources for information first (if a non-emergency) but sometimes hotlines will have local information and sources specific to the African American community.

Faith-Based Information

-The Balm in Gilead. 620 Moorefield Park Dr.; Suite 150; Midlothian, VA 23236; 804-644-2256; www.balmingilead.org

-The Black Church and HIV (NAACP). 410-580-5777; www.theblackchurchandhiv.org






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