+ All Categories
Home > Documents > Impact of HIV Disease by Country of Birth in Florida, Diagnosed through 2014 Florida Department of...

Impact of HIV Disease by Country of Birth in Florida, Diagnosed through 2014 Florida Department of...

Date post: 06-Jan-2018
Category:
Upload: barry-ray
View: 214 times
Download: 0 times
Share this document with a friend
Description:
Cases Living with HIV Disease  Unless otherwise noted, data in the following slides represent persons living with HIV/AIDS (PLWHAs), who were living in Florida (regardless where diagnosed) through the most recent calendar year. Living data are also referred to as prevalence cases or living with HIV disease.  HIV prevalence data are generated with data as of June 30 th each year, when most of the “expected” death data are complete.  Adult cases represent ages 13 and older, pediatric cases are those under the age of 13. For data by year, the age is by age of diagnosis. For living data, the age is by current age at the end of the most recent calendar year, regardless of age at diagnosis.  Unless otherwise noted, whites are non-Hispanic and blacks are non- Hispanic.  Total statewide data will include Department of Correction Cases (DOC) unless otherwise noted. County data will exclude DOC cases.  HIV “incidence estimates” are approximations of the numbers of people who are newly infected, which include those whose infection has not yet been diagnosed or reported.
52
Impact of HIV Disease by Country of Birth in Florida, Diagnosed through 2014 Florida Department of Health HIV/AIDS Section Division of Disease Control and Health Protection Annual data trends as of 12/31/2014 Living (Prevalence) data as of 06/30/2015 Created: 12/04/14 Revision: 09/21/15 To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts.
Transcript
Page 1: Impact of HIV Disease by Country of Birth in Florida, Diagnosed through 2014 Florida Department of Health HIV/AIDS Section Division of Disease Control.

Impact of HIV Disease by Country of Birth in Florida,Diagnosed through 2014

Florida Department of HealthHIV/AIDS Section

Division of Disease Control and Health Protection

Annual data trends as of 12/31/2014Living (Prevalence) data as of 06/30/2015

Created: 12/04/14

Revision: 09/21/15

To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts.

Page 2: Impact of HIV Disease by Country of Birth in Florida, Diagnosed through 2014 Florida Department of Health HIV/AIDS Section Division of Disease Control.

HIV and AIDS Case Data Adult cases represent ages 13 and older, pediatric cases are

those under the age of 13. For data by year, the age is by age of diagnosis. For living data, the age is by current age at the end of the most recent calendar year, regardless of age at diagnosis.

Unless otherwise noted, whites are non-Hispanic and blacks are non-Hispanic.

Total statewide data will include Department of Correction Cases (DOC) unless otherwise noted. County data will exclude DOC cases.

HIV prevalence data are generated later in the year, usually in July, when most of the “expected” death data are complete.

Unless otherwise note, cases with an unknown or blank country of birth were eliminated from these analyses.

Page 3: Impact of HIV Disease by Country of Birth in Florida, Diagnosed through 2014 Florida Department of Health HIV/AIDS Section Division of Disease Control.

Cases Living with HIV Disease Unless otherwise noted, data in the following slides represent persons

living with HIV/AIDS (PLWHAs), who were living in Florida (regardless where diagnosed) through the most recent calendar year. Living data are also referred to as prevalence cases or living with HIV disease.

HIV prevalence data are generated with data as of June 30th each year, when most of the “expected” death data are complete.

Adult cases represent ages 13 and older, pediatric cases are those under the age of 13. For data by year, the age is by age of diagnosis. For living data, the age is by current age at the end of the most recent calendar year, regardless of age at diagnosis.

Unless otherwise noted, whites are non-Hispanic and blacks are non-Hispanic.

Total statewide data will include Department of Correction Cases (DOC) unless otherwise noted. County data will exclude DOC cases.

HIV “incidence estimates” are approximations of the numbers of people who are newly infected, which include those whose infection has not yet been diagnosed or reported.

Page 4: Impact of HIV Disease by Country of Birth in Florida, Diagnosed through 2014 Florida Department of Health HIV/AIDS Section Division of Disease Control.

ES

CA

MB

IA

SA

NTA

RO

SA

OK

ALO

OS

A

WA

LTO

N HOLMES

WS

BAY

JACKSON

CN

GF

LIB

ER

TY

FK

GD

LEON

WK

JF

TAYLOR

MD

SW

LF

DIXIE

LEVY

CB

NASSAU

MARION

PASCO

PT

CLAY

BK DUVAL

ST J

VL

ORANGE

BR

EVA

RD

OSCEOLA

POLKHBPN

DESOTO

LEEHENDRY

COLLIER

MARTIN

ST LUCIE

OBHG

10

9

15

7

12

4

3

2

1

13

6

8

14

Florida Areas

SS

Area 5

Pasco

Pinellas

FG

MONROE DADE

PALM BEACH

GLADESCHARLOTTE

IRHR

SMHN

CTST

LAKE

GC AL

BFUN

HM

5

11

Area 4

BakerClay

DuvalNassau

St Johns

Area 3Alachua Bradford

Columbia Dixie Gilchrest Hamilton

Lafayette Levy PutnamSuwannee Union

Area 10Broward

Area 8ACharlotte DeSotoGlades

SarasotaHendry

CollierLee

Area 6Hernando

HillsboroughManatee

Area 2aBay Calhoun

Gulf Holmes JacksonWashington

Area 11aDade

Area 1EscambiaOkaloosa

Santa RosaWalton

Area 9

Palm Beach

Area 7BrevardOrangeOsceola

Seminole

Area 14Hardee

HighlandsPolk

Area 15

Indian RiverMartin

OkeechobeeSt Lucie

Area 12

Flagler

Volusia

Area 13

CitrusLake

MarionSumter

BROWARD

MA

Area 11bMonroe

Area 2bFranklin Gadsden Jackson

Jefferson Leon Liberty Madison Taylor Wakulla

Page 5: Impact of HIV Disease by Country of Birth in Florida, Diagnosed through 2014 Florida Department of Health HIV/AIDS Section Division of Disease Control.

Definitions of Mode of Exposure Categories

MSM = Men who have sex with men or Male-to-male sexual contact with person with HIV/AIDS or known HIV risk

IDU = Injection Drug User MSM/IDU = Men who have sex with men or Male-to-male sexual

contact & Injection Drug User Heterosexual = Heterosexual contact with person with HIV/AIDS or

known HIV risk OTHER = includes hemophilia, transfusion, perinatal, other pediatric

risks and other confirmed risks. NIR = Cases Diagnosed with No Identified Risk Redistribution of NIRs = This illustrates the effect of statistically

assigning (redistributing) the NIRs to recognized exposure (risk) categories by applying the proportions of historically reclassified NIRs to the unresolved NIRs.

Page 6: Impact of HIV Disease by Country of Birth in Florida, Diagnosed through 2014 Florida Department of Health HIV/AIDS Section Division of Disease Control.

Florida’s Population* By Country of Birth (2013 U.S. Census)

* U.S. Census Bureau, 2013 American Community Survey 1-year EstimateForeign-born population excludes population born at sea http://factfinder2.census.gov/faces/nav/jsf/pages/index.xhtml

Colombia1%

Cuba5%

Haiti1%

Jamaica1%

Mexico1%

U.S. Born81%

Other10%

Page 7: Impact of HIV Disease by Country of Birth in Florida, Diagnosed through 2014 Florida Department of Health HIV/AIDS Section Division of Disease Control.

Male HIV Infection Casesby Race/Ethnicity and Country of Birth* and

Year of Diagnosis, 2005-2014, Florida

*FB=Foreign Born, USB=US Born

Note: Among U.S.-born males, each year the majority of HIV cases were U.S.-born blacks, followed by U.S.-born whites. Among Foreign-born males, each year the majority of HIV cases with a known country of birth were foreign-born Hispanics followed by Foreign-born blacks.

2005 2006 2007 2008 2009 2010 2011 2012 2013 20140

200

400

600

800

1,000

1,200

1,400

1,600

FB HispanicUSB HispanicFB BlackUSB BlackFB WhiteUSB White

Year of Diagnosis

Num

ber o

f Cas

es

Page 8: Impact of HIV Disease by Country of Birth in Florida, Diagnosed through 2014 Florida Department of Health HIV/AIDS Section Division of Disease Control.

Female HIV Infection Casesby Race/Ethnicity and Country of Birth* and

Year of Diagnosis, 2005-2014, Florida

*FB=Foreign Born, USB=US Born

Note: Among U.S.-born females, each year the majority of HIV cases were among U.S.-born black females. Likewise, among foreign-born females, each year the majority of AIDS cases were among foreign-born black females.

2005 2006 2007 2008 2009 2010 2011 2012 2013 20140

200

400

600

800

1,000

1,200

FB Hispanic

USB Hispanic

FB Black

USB Black

FB White

USB White

Year of Diagnosis

Num

ber o

f Cas

es

Page 9: Impact of HIV Disease by Country of Birth in Florida, Diagnosed through 2014 Florida Department of Health HIV/AIDS Section Division of Disease Control.

Male AIDS Casesby Race/Ethnicity and Country of Birth* and

Year of Diagnosis, 2005-2014, Florida

*FB=Foreign Born, USB=US Born

Note: Among U.S.-born males, each year the majority of AIDS cases were U.S.-born blacks, followed by U.S.-born whites. Among Foreign-born males, each year the majority of AIDS cases with a known country of birth were foreign-born Hispanics, followed by foreign-born blacks.

2005 2006 2007 2008 2009 2010 2011 2012 2013 20140

200

400

600

800

1,000

1,200

FB HispanicUSB HispanicFB BlackUSB BlackFB WhiteUSB White

Year of Diagnosis

Num

ber o

f Cas

es

Page 10: Impact of HIV Disease by Country of Birth in Florida, Diagnosed through 2014 Florida Department of Health HIV/AIDS Section Division of Disease Control.

Female AIDS Casesby Race/Ethnicity and Country of Birth* and

Year of Diagnosis, 2005-2014, Florida

*FB=Foreign Born, USB=US Born

Note: Among U.S.-born females, each year the majority of AIDS cases were among U.S.-born black females. Likewise, among foreign-born females, each year the majority of AIDS cases were among foreign-born black females.

2005 2006 2007 2008 2009 2010 2011 2012 2013 20140

100200300400500600700800900

FB HispanicUSB HispanicFB BlackUSB BlackFB WhiteUSB White

Year of Diagnosis

Num

ber o

f Cas

es

Page 11: Impact of HIV Disease by Country of Birth in Florida, Diagnosed through 2014 Florida Department of Health HIV/AIDS Section Division of Disease Control.

Adult HIV/AIDS Cases, Known Dead, Regardless of Cause,

by Race/Ethnicity and Country of Birth* and Year of Death, 2005-2014, Florida

*FB=Foreign Born, USB=US Born

Note: Among U.S.-Born HIV/AIDS cases, each year the majority of cases deaths were U.S.-born blacks. Meanwhile among foreign-born HIV/AIDS cases, each year the majority of case deaths were foreign-born Hispanics.

2005 2006 2007 2008 2009 2010 2011 2012 2013 20140

200

400

600

800

1,000

1,200

1,400

1,600

FB Hispanic

USB Hispanic

FB Black

USB Black

FB White

USB White

Year of Death

Num

ber o

f Cas

es

Page 12: Impact of HIV Disease by Country of Birth in Florida, Diagnosed through 2014 Florida Department of Health HIV/AIDS Section Division of Disease Control.

Impact of HIV DiseaseAmong Blacks,

by Country of Birth in Florida,

Diagnosed through 2014

Page 13: Impact of HIV Disease by Country of Birth in Florida, Diagnosed through 2014 Florida Department of Health HIV/AIDS Section Division of Disease Control.

Black Foreign-Born Adults Reported with HIV Disease

by Country of Birth and Year of Report, 2005-2014, Florida

2005 2006 2007 2008 2009 2010 2011 2012 2013 20140

100

200

300

400

500

600

700

Total Foreign-born Cases

Bahamas

Haiti

Jamaica

Other/Unknown

Year of Report

Num

ber o

f Cas

es

Note: Each year, the majority of black foreign born adults reported with HIV disease were Haitian born.Enhanced reporting laws were implemented in Nov. 2006, leading to an artificial spike in HIV infection cases between 2007 and 2008, then a subsequent artificial dip between 2008 and 2009.

Page 14: Impact of HIV Disease by Country of Birth in Florida, Diagnosed through 2014 Florida Department of Health HIV/AIDS Section Division of Disease Control.

Black Foreign-Born, Adult HIV Infection Cases, Known Dead, Regardless of Cause,

by Country of Birth and Year of Death, 2005-2014, Florida

2005 2006 2007 2008 2009 2010 2011 2012 2013 20140

50

100

150

200

250Total Foreign-born Cases

Bahamas

Haiti

Jamaica

Other/Unknown

Year of Death

Num

ber o

f Cas

e D

eath

s

Note: Each year, the majority of black foreign born HIV/AIDS case deaths were Haitian born.Enhanced reporting laws were implemented in Nov. 2006, leading to an artificial spike in HIV cases between 2007 and 2008.

Page 15: Impact of HIV Disease by Country of Birth in Florida, Diagnosed through 2014 Florida Department of Health HIV/AIDS Section Division of Disease Control.

MalesN=30,176

FemalesN=21,179

Black Adults Living with HIV Disease, by Country of Birth and Sex,

Diagnosed through 2014, Florida

19%

77%

4%

22%

75%

3%

Note: The majority (77% males and 75% females) of blacks living with HIV disease in Florida were born in the United States.

Foreign-Born US-Born Unknown*

Page 16: Impact of HIV Disease by Country of Birth in Florida, Diagnosed through 2014 Florida Department of Health HIV/AIDS Section Division of Disease Control.

Black Adults Living with HIV Disease, by Selected Country of Birth,

Diagnosed through 2014, Florida

Over 100 Cases

51-100 Cases1-50 Cases0 Cases

Living HIV/AIDS Cases

HaitiN=7,649

JamaicaN=1,059

Page 17: Impact of HIV Disease by Country of Birth in Florida, Diagnosed through 2014 Florida Department of Health HIV/AIDS Section Division of Disease Control.

Non-U.S. Born Blacks Living with HIV Disease,

by Country of Birth and Partnership Area, Diagnosed through 2014, Florida

1 2A 2B 3 4 5 6 7 8 9 10 11A

11B 12 13 14 15

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Other/UnknownJamaicaHaitiBahamas

Area

Perc

ent o

f Tot

al C

ases

N=10,145

Page 18: Impact of HIV Disease by Country of Birth in Florida, Diagnosed through 2014 Florida Department of Health HIV/AIDS Section Division of Disease Control.

Black Adults Living with HIV Disease, by Country of Birth*,

Diagnosed through 2014, for Florida and Selected South Florida Counties**

*Data sorted by foreign country of birth by number of cases, and excludes cases whose country of birth is unknown. **County data exclude Department of Correction cases.

Country of Birth# % # % # % # %

United States 39,332 79% 7,932 70% 5,839 69% 3,085 65%Haiti 7,649 15% 2,624 24% 1,802 21% 1,470 31%Jamaica 1,059 2% 252 2% 428 5% 102 2%Bahamas 415 1% 190 2% 144 2% 18 <1%Other 1,122 2% 264 2% 244 3% 56 1%TOTAL 49,577 100% 11,262 100% 8,457 100% 4,731 100%

Florida Miami-Dade Broward Palm Beach

Page 19: Impact of HIV Disease by Country of Birth in Florida, Diagnosed through 2014 Florida Department of Health HIV/AIDS Section Division of Disease Control.

79%

1% 15% 2%2%

US Born Bahamas Haiti Jamaica Oth/Unk

70%

2%

23% 2%2%

65%

<1%

31% 2%1%

69%

2%

21% 5%3%

Black Adults Living with HIV Disease, by Country of Birth, Diagnosed through 2014,

Florida and South Florida CountiesFlorida (N=49,577) Miami-Dade (N=11,262)

Broward (N=8,457) Palm Beach (N=4,731)

Page 20: Impact of HIV Disease by Country of Birth in Florida, Diagnosed through 2014 Florida Department of Health HIV/AIDS Section Division of Disease Control.

78%

1%17%

2%2%

81%

1%14%

2%2%

US Born Bahamas Haiti Jamaica Oth/Unk

Black Adults Living with HIV Disease, by Country of Birth and Sex,

Diagnosed through 2014, Florida and South Florida

*South Florida = Dade, Broward, and Palm Beach Counties (excl DOC)

Males (N=29,016) Females (N=20,561)

Florida

Males (N=13,340) Females (N=11,110)

South Florida*69%

1%

24% 3%3%

69%

2%

25% 3%2%

Page 21: Impact of HIV Disease by Country of Birth in Florida, Diagnosed through 2014 Florida Department of Health HIV/AIDS Section Division of Disease Control.

71%

1%

21% 2%6%

80%

<1% 14% 2%4%

81%

1% 14%2%

2%

US Born Bahamas Haiti Jamaica Oth/Unk

78%

1% 17% 2%2%

Black Adults Living with HIV Disease, by Country of Birth and Sex,

Diagnosed through 2014, Florida and Central Florida

*Central Florida = Orange, Osceola and Seminole Counties (excl DOC)

Florida

Males (N=2,417) Females (N=1,547)

Central Florida*

Males N=29,016) Females (N=20,561)

Page 22: Impact of HIV Disease by Country of Birth in Florida, Diagnosed through 2014 Florida Department of Health HIV/AIDS Section Division of Disease Control.

78%

1%17%

2%2%

81%

1%14%

2%2%

US Born Bahamas Haiti Jamaica Oth/Unk

Black Adults Living with HIV Disease, by Country of Birth and Sex,

Diagnosed through 2014, Florida and Southwest Florida

*Southwest Florida = Hernando, Hillsborough, Pasco and Pinellas Counties (excl DOC)

Florida

Males (N=2,534) Females (N=1,700)

Southwest Florida*

93%

2%1%

3%

93%

3%1%

4%

Males (N=29,016) Females (N=20,561)

Page 23: Impact of HIV Disease by Country of Birth in Florida, Diagnosed through 2014 Florida Department of Health HIV/AIDS Section Division of Disease Control.

Black Adult Males Living with HIV Disease,by Selected Country of Birth and

Mode of Exposure,Diagnosed through 2014, Florida

51%

11%

5%

30%2%

25%

4%1%

69%

1%

MSM IDU MSM/IDU Heterosexual Other

HaitiN=4,138

JamaicaN=641

U.S. BornN=23,383

38%

5%1%

55%0%

Note: NIRs redistributed. Heterosexual contact is a much more common risk factor among Haitian-born and Jamaican-born black males, compared to US-born males.

Page 24: Impact of HIV Disease by Country of Birth in Florida, Diagnosed through 2014 Florida Department of Health HIV/AIDS Section Division of Disease Control.

12%

85%

3%3%

96%

1%

IDU Heterosexual Other

Black Adults Females Living with HIV Disease,by Selected Country of Birth and

Mode of Exposure,Diagnosed through 2014, Florida

HaitiN=3,511

JamaicaN=418

U.S. BornN=15,949

3%

95%

1%

Note: NIRs redistributed. Injection drug use is a more common risk factor among U.S.-born black females than their Haitian-born or Jamaican-born black female counterparts.

Page 25: Impact of HIV Disease by Country of Birth in Florida, Diagnosed through 2014 Florida Department of Health HIV/AIDS Section Division of Disease Control.

Black Adult Males Living with HIV Disease,by Selected Country of Birth and

Mode of Exposure,Diagnosed through 2014, South Florida*

47%11%

5%

35%3%

24%

3%1%

71%

1%

MSM IDU MSM/IDU Heterosexual Other

HaitiN=3,171

JamaicaN=454

U.S. BornN=9,196

40%

5%1%

54%1%

Note: NIRs redistributed. Heterosexual contact is a much more common risk factor among Haitian-born and Jamaican-born black males, compared to US-born black males. *South Florida = Dade, Broward, and Palm Beach Counties (excl DOC).

Page 26: Impact of HIV Disease by Country of Birth in Florida, Diagnosed through 2014 Florida Department of Health HIV/AIDS Section Division of Disease Control.

3%

96%

1%

11%

85%

4%

3%

96%

1%

IDU Heterosexual Other

Black Adult Females Living with HIV Disease,by Selected Country of Birth and

Mode of Exposure,Diagnosed through 2014, South Florida*

HaitiN=2,725

JamaicaN=328

U.S. BornN=7,660

Note: NIRs redistributed. Injection drug use is a more common risk factor among U.S.-born black females than their Haitian-born or Jamaican-born counterparts. *South Florida = Dade, Broward, and Palm Beach Counties (excl DOC).

Page 27: Impact of HIV Disease by Country of Birth in Florida, Diagnosed through 2014 Florida Department of Health HIV/AIDS Section Division of Disease Control.

Black Adult Males Living with HIV Disease,by Selected Country of Birth and

Mode of Exposure,Diagnosed through 2014, Central Florida*

38%

6%1%

54% 2%

MSM IDU MSM/IDU Heterosexual Other

67%

12%

5% 15%2%

HaitiN=333

JamaicaN=47

U.S. BornN=1,932

45%

6%2%

47%

Note: NIRs redistributed. Heterosexual contact is a much more common risk factor among Haitian-born and Jamaica-born black males, compared to US-born black males. *Central Florida = Orange, Osceola and Seminole Counties (excl DOC).

Page 28: Impact of HIV Disease by Country of Birth in Florida, Diagnosed through 2014 Florida Department of Health HIV/AIDS Section Division of Disease Control.

15%

82%

3%2%

96%

2%

IDU Heterosexual Other

Black Adult Females Living with HIV Disease,by Selected Country of Birth and

Mode of Exposure,Diagnosed through 2014, Central Florida*

HaitiN=327

JamaicaN=26

U.S. BornN=1,091

4%

96%

Note: NIRs redistributed. Injection drug use is a more common risk factor among female U.S.-Born cases than their Haitian-Born or Jamaican-Born counterparts. *Central Florida = Orange, Osceola and Seminole Counties (excl DOC). Note: NIRs redistributed.

Page 29: Impact of HIV Disease by Country of Birth in Florida, Diagnosed through 2014 Florida Department of Health HIV/AIDS Section Division of Disease Control.

Black Adult Males Living with HIV Disease,by Selected Country of Birth and

Mode of Exposure,Diagnosed through 2014, Southwest Florida*

62%

9%

5%

23%2%

35%

6%

54%3%

MSM IDU MSM/IDU Heterosexual Other

HaitiN=63

JamaicaN=35

U.S. BornN=2,365

43%

6%3%

49%

Note: NIRs redistributed. Heterosexual contact is a much more common risk factor among Haitian-born and Jamaican-born black males, compared to US-born black males. *Southwest Florida = Hernando, Hillsborough, Pasco and Pinellas Counties (excl DOC).

Page 30: Impact of HIV Disease by Country of Birth in Florida, Diagnosed through 2014 Florida Department of Health HIV/AIDS Section Division of Disease Control.

13%

84%

3%4%

93%

2%

IDU Heterosexual Other

Black Adult Females Living with HIV Disease,by Selected Country of Birth and

Mode of Exposure,Diagnosed through 2014, Southwest Florida*

HaitiN=45

JamaicaN=14

U.S. BornN=1,573

100%

Note: NIRs redistributed. Injection drug use is a more common risk factor among U.S.-born black females than their Haitian-born or Jamaican-born counterparts. *Southwest Florida = Hernando, Hillsborough, Pasco, and Pinellas Counties (excl DOC).

Page 31: Impact of HIV Disease by Country of Birth in Florida, Diagnosed through 2014 Florida Department of Health HIV/AIDS Section Division of Disease Control.

Black Adults Living with HIV Diseaseby Country of Birth,

Mode of Exposure* and Sex,Diagnosed through 2014, Florida

Country of BirthMALES # % # % # % # % # %

MSM 11,987 51% 1,048 25% 246 38% 391 46% 13,672 47%IDU 2,663 11% 146 4% 30 5% 46 5% 2,885 10%MSM/IDU 1,260 5% 50 1% 9 1% 30 4% 1,349 5%Heterosexual 7,041 30% 2,863 69% 353 55% 362 42% 10,619 37%Other 432 2% 31 1% 3 1% 25 3% 491 2%TOTAL 23,383 100% 4,138 100% 641 100% 854 100% 29,016 100%

Country of BirthFEMALES # % # % # % # % # %

IDU 1,862 12% 105 3% 14 3% 35 5% 2,016 10%Heterosexual 13,550 85% 3,360 96% 399 95% 632 93% 17,941 87%Other 537 3% 46 1% 5 1% 16 2% 604 3%TOTAL 15,949 100% 3,511 100% 418 100% 683 100% 20,561 100%*NIRS are redistributed

US Haiti Other/Unknown TotalJamaica

Other/Unknown TotalJamaicaUS Haiti

Note: Heterosexual risk is the most common mode of transmission of HIV among foreign-born black males compared to US-born black males. However, US-born black males have a greater proportion of transmission by way of MSM risk and IDU risk. Although, heterosexual risk is the most common mode of transmission of HIV among both US-born and foreign-born females, US-born black females have a greater proportion of transmission by way of injection drug use compared to foreign-born black females.

Page 32: Impact of HIV Disease by Country of Birth in Florida, Diagnosed through 2014 Florida Department of Health HIV/AIDS Section Division of Disease Control.

Impact of HIV DiseaseAmong Hispanics,

by Country of Birth in Florida,

Diagnosed Through 2014

Page 33: Impact of HIV Disease by Country of Birth in Florida, Diagnosed through 2014 Florida Department of Health HIV/AIDS Section Division of Disease Control.

Hispanic Foreign-Born Adults Reported with HIV Disease

by Country of Birth and Year of Report, 2005-2014, Florida

Note: For most of the years, the majority of Hispanic foreign-born HIV/AIDS cases with a known country of birth were Cuban-born followed by Puerto Rican-born.

2005 2006 2007 2008 2009 2010 2011 2012 2013 20140

200

400

600

800

1,000

1,200Total Foreign-Born Cases

Columbia

Cuba

Honduras

Mexico

Puerto Rico

Venezuela

Other/Unknown

Year of Report

Num

ber o

f Cas

es

Page 34: Impact of HIV Disease by Country of Birth in Florida, Diagnosed through 2014 Florida Department of Health HIV/AIDS Section Division of Disease Control.

Hispanic Foreign-Born Adult HIV Infection Cases, Known Dead, Regardless of Cause,

by Country of Birth and Year of Death, 2005-2014, Florida

Note: Each year, the majority of Hispanic foreign born HIV/AIDS case deaths with a known country of birth were Cuban born, followed by Puerto Rican born.

2005 2006 2007 2008 2009 2010 2011 2012 2013 20140

50

100

150

200

250

300Total

Columbia

Cuba

Honduras

Mexico

Puerto Rico

Venezuela

Other/Unknown

Year of Death

Num

ber o

f Cas

es

Page 35: Impact of HIV Disease by Country of Birth in Florida, Diagnosed through 2014 Florida Department of Health HIV/AIDS Section Division of Disease Control.

MalesN=19,011

FemalesN=4,595

Foreign-Born US Born Unknown

59%

30%11%

54%

38%9%

Note: The majority (59% for males and 53% for females) of Hispanics living with HIV disease in Florida were foreign-born.

Hispanic Adults Living with HIV Disease, by Country of Birth and Sex,

Diagnosed through 2014, Florida

Page 36: Impact of HIV Disease by Country of Birth in Florida, Diagnosed through 2014 Florida Department of Health HIV/AIDS Section Division of Disease Control.

CubaN=3,762

Over 100 Cases51-100 Cases1-50 Cases0 Cases

Living HIV/AIDS Cases

Puerto RicoN=2,674

Hispanic Adults Living with HIV Disease, by Selected Country of Birth,

Diagnosed through 2014, Florida

Page 37: Impact of HIV Disease by Country of Birth in Florida, Diagnosed through 2014 Florida Department of Health HIV/AIDS Section Division of Disease Control.

Non-U.S. Born Hispanics Living with HIV Disease,

by Country of Birth and Partnership Area,Diagnosed through 2014, Florida

1 2A 2B 3 4 5 6 7 8 9 10 11A11B 12 13 14 150%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Other/Unknown

Venezuela

Puerto Rico

Mexico

Honduras

Cuba

Columbia

Area

Perc

ent o

f Tot

al C

ases

Page 38: Impact of HIV Disease by Country of Birth in Florida, Diagnosed through 2014 Florida Department of Health HIV/AIDS Section Division of Disease Control.

Country of Birth# % # % # % # %

United States 7,353 35% 2,261 23% 959 37% 348 35%Cuba 3,762 18% 3,068 32% 233 9% 81 8%Puerto Rico 2,674 13% 601 6% 274 10% 117 12%Mexico 1,222 6% 288 3% 121 5% 134 13%Columbia 985 5% 576 6% 183 7% 49 5%Honduras 745 4% 486 5% 76 3% 36 4%Venezuela 735 3% 477 5% 151 6% 15 2%Nicaragua 495 2% 413 4% 30 1% 10 1%Brazil 452 2% 197 2% 146 6% 32 3%Guatemala 366 2% 106 1% 26 1% 66 7%Other/Unknow n 2,302 11% 1,254 13% 414 16% 107 11%TOTAL 21,091 100% 9,727 100% 2,613 100% 995 100%

Florida Miami-Dade Broward Palm Beach

*Data sorted by foreign country of birth by number of cases, and excludes cases whose country of birth is unknown. **County data exclude Department of Correction cases.

Hispanic Adults Living with HIV Disease, by Country of Birth*, Diagnosed through 2014,

for Florida and Selected South Florida Counties**

Page 39: Impact of HIV Disease by Country of Birth in Florida, Diagnosed through 2014 Florida Department of Health HIV/AIDS Section Division of Disease Control.

40%

8%

10%3%

5%

11%

6% 17%

25%

6%34%

5%3%

7%5% 14%

39%

6%9%

4%

15%

13% 2% 12%

37%

5%

19%

4%

6%

14%4% 12% US Born

ColumbiaCubaHondurasMexicoPuerto RicoVenezuelaOther/Unknown

Hispanic Adults Living with HIV Disease by Country of Birth, Diagnosed through 2014,

Florida and South Florida CountiesFlorida (N=21,091) Miami-Dade (N=9,727)

Broward (N=2,613) Palm Beach (N=995)

Page 40: Impact of HIV Disease by Country of Birth in Florida, Diagnosed through 2014 Florida Department of Health HIV/AIDS Section Division of Disease Control.

31%

5%14%

9%3%

10%

2%

26%

26%

6%27%

4%

4%7%

5% 20%

Hispanic Adults Living with HIV Disease by Country of Birth and Sex,

Diagnosed through 2014, Florida and South Florida

Florida

Males (N=11,209) Females (N=2,126)

South Florida*

*South Florida = Dade, Broward, and Palm Beach Counties (excl DOC)

33%

5%20%

3%

6%

11%4% 17%

US BornColumbiaCubaHondurasMexicoPuerto RicoVenezuelaOther/Unknown

Males (N=16,892) Females (N=4,199)

41%

3%8%

6%4%

18%

1% 18%

Page 41: Impact of HIV Disease by Country of Birth in Florida, Diagnosed through 2014 Florida Department of Health HIV/AIDS Section Division of Disease Control.

50%

3%3%

1%4%

27%

2%10%

Central Florida*

53%

1%1%

2%2%

31%1%

9%

Hispanic Adults Living with HIV Disease by Country of Birth and Sex,

Diagnosed through 2014, Florida and Central Florida

Florida

Males (N=1,834) Females (N=723)

*Central Florida = Orange, Osceola and Seminole Counties (excl DOC)

33%

5%20%

3%

6%

11%4% 17%

US BornColumbiaCubaHondurasMexicoPuerto RicoVenezuelaOther/Unknown

Males (N=16,892) Females (N=4,199)

41%

3%8%

6%4%

18%

1% 18%

Page 42: Impact of HIV Disease by Country of Birth in Florida, Diagnosed through 2014 Florida Department of Health HIV/AIDS Section Division of Disease Control.

50%

3%7%

2%

7%

20% 2% 9%

53%2%4%2%

4%

26% 1%8%

Hispanic Adults Living with HIV Disease by Country of Birth and Sex,

Diagnosed through 2014, Florida and Southwest Florida

Florida

Males (N=1,298) Females (N=516)

Southwest Florida*

*Southwest Florida = Hernando, Hillsborough, Pasco and Pinellas Counties (excl DOC)

33%

5%20%

3%

6%

11%

4% 17%

US BornColumbiaCubaHondurasMexicoPuerto RicoVenezuelaOther/Unknown

Males (N=16,892) Females (N=4,199)

41%

3%8%

6%

4%

18%

1% 18%

Page 43: Impact of HIV Disease by Country of Birth in Florida, Diagnosed through 2014 Florida Department of Health HIV/AIDS Section Division of Disease Control.

Hispanic Adult Males Living with HIV Disease,by Selected Country of Birth and

Mode of Exposure, Diagnosed through 2014, Florida

CubaN=3,409

Puerto RicoN=1,922

U.S. BornN=5,613

73%

10%6% 10%

1%

83%

3% 4%11%

<1%

MSM IDU MSM/IDU Heterosexual Other

55%

24%

10% 11%1%

Note: NIRs redistributed. Injection drug use is a much more common risk factor among Puerto Rican-born Hispanic males than their U.S.-born or Cuban-born counterparts.

Page 44: Impact of HIV Disease by Country of Birth in Florida, Diagnosed through 2014 Florida Department of Health HIV/AIDS Section Division of Disease Control.

CubaN=353

Puerto RicoN=752

U.S. BornN=1,740

Hispanic Adult Females Living with HIV Disease, by Selected Country of Birth and

Mode of Exposure, Diagnosed through 2014, Florida

17%77%

6%

7%

92%

1%

IDU Heterosexual Other

20%

77%

2%

Note: NIRs redistributed. Injection drug use is a less common risk factor among Cuban-born Hispanic females than their U.S.-born or Puerto Rican-born counterparts.

Page 45: Impact of HIV Disease by Country of Birth in Florida, Diagnosed through 2014 Florida Department of Health HIV/AIDS Section Division of Disease Control.

Hispanic Adult Males Living with HIV Diseaseby Selected Country of Birth and

Mode of Exposure, Diagnosed through 2014, South Florida*

CubaN=3,076

Puerto RicoN=777

U.S. BornN=2,910

*South Florida = Dade, Broward, and Palm Beach Counties (excl DOC)

81%

4% 5% 9%1%

84%

2% 3%10%

MSM IDU MSM/IDU Heterosexual Other

66%

14%

10% 9%<1%

Note: NIRs redistributed. Injection drug use is a much more common risk factor among Puerto Rican-born Hispanic males than their U.S.-born or Cuban-born counterparts.

Page 46: Impact of HIV Disease by Country of Birth in Florida, Diagnosed through 2014 Florida Department of Health HIV/AIDS Section Division of Disease Control.

CubaN=306

Puerto RicoN=215

U.S. BornN=658

Hispanic Adult Females Living with HIV Diseaseby Selected Country of Birth and

Mode of Exposure, Diagnosed through 2014, South Florida*

*South Florida = Dade, Broward, and Palm Beach Counties (excl DOC)

14%

80%

7%6%

93%

1%

IDU Heterosexual Other

18%

81%

1%

Note: NIRs redistributed. Injection drug use is a less common risk factor among Cuban-born Hispanic females than their U.S.-born or Puerto Rican-born counterparts.

Page 47: Impact of HIV Disease by Country of Birth in Florida, Diagnosed through 2014 Florida Department of Health HIV/AIDS Section Division of Disease Control.

Hispanic Adult Males Living with HIV Diseaseby Selected Country of Birth and

Mode of Exposure, Diagnosed through 2014, Central Florida*

CubaN=50

Puerto RicoN=494

U.S. BornN=914

*Central Florida = Orange, Osceola and Seminole Counties (excl DOC)

69%

17%

6% 6%2%

86%

6%8%

MSM IDU MSM/IDU Heterosexual Other

54%

27%

9% 8%2%

Note: NIRs redistributed. Injection drug use is a much more common risk factor among Puerto Rican-born Hispanic males than their U.S.-born or Cuban-born counterparts.

Page 48: Impact of HIV Disease by Country of Birth in Florida, Diagnosed through 2014 Florida Department of Health HIV/AIDS Section Division of Disease Control.

CubaN=5

Puerto RicoN=226

U.S. BornN=384

Hispanic Adult Females Living with HIV Diseaseby Selected Country of Birth and

Mode of Exposure, Diagnosed through 2014, Central Florida*

*Central Florida = Orange, Osceola and Seminole Counties (excl DOC)

16%

79%

5%

20%

80%

IDU Heterosexual Other

22%

76%

2%

Note: NIRs redistributed. Injection drug use is a less common risk factor among U.S.-born Hispanic females than their Cuban-born or Puerto Rican-born counterparts.

Page 49: Impact of HIV Disease by Country of Birth in Florida, Diagnosed through 2014 Florida Department of Health HIV/AIDS Section Division of Disease Control.

Hispanic Adult Males Living with HIV Diseaseby Selected Country of Birth and

Mode of Exposure, Diagnosed through 2014, Southwest Florida*

CubaN=89

Puerto RicoN=262

U.S. BornN=651

*Southwest Florida = Hernando, Hillsborough, Pasco and Pinellas Counties (excl DOC)

71%

12%5% 10%

1%

79%

7% 4%10%

MSM IDU MSM/IDU Heterosexual Other

45%

31%

6%15%

3%

Note: NIRs redistributed. Injection drug use is a much more common risk factor among Puerto Rican-born Hispanic males than their U.S.-born or Cuban-born counterparts.

Page 50: Impact of HIV Disease by Country of Birth in Florida, Diagnosed through 2014 Florida Department of Health HIV/AIDS Section Division of Disease Control.

CubaN=22

Puerto RicoN=135

U.S. BornN=271

Hispanic Adult Females Living with HIV Diseaseby Selected Country of Birth and

Mode of Exposure, Diagnosed through 2014, Southwest Florida*

*Southwest Florida = Hernando, Hillsborough, Pasco and Pinellas Counties (excl DOC)

24%

70%6%

9%

91%

IDU Heterosexual Other

22%

76%

2%

Note: NIRs redistributed. Injection drug use is a less common risk factor among Cuban-born Hispanic females than their U.S.-born or Puerto Rican-born counterparts.

Page 51: Impact of HIV Disease by Country of Birth in Florida, Diagnosed through 2014 Florida Department of Health HIV/AIDS Section Division of Disease Control.

Hispanic Adults Living with HIV Disease by Country of Birth,

Mode of Exposure* and Sex,Diagnosed through 2014, Florida

Country of Birth# % # % # % # % # %

MSM 4,086 73% 2,828 83% 1,055 55% 4,576 77% 12,545 74%IDU 555 10% 90 3% 452 24% 188 3% 1,285 8%MSM/IDU 343 6% 120 4% 183 10% 173 3% 819 5%Heterosexual 559 10% 369 11% 209 11% 998 17% 2,135 13%Other/Unknown 70 1% 2 <1% 23 1% 13 <1% 108 1%TOTAL 5,613 100% 3,409 100% 1,922 100% 5,948 100% 16,892 100%

Country of Birth# % # % # % # % # %

IDU 298 17% 23 7% 153 20% 70 5% 544 13%Heterosexual 1,342 77% 326 92% 581 77% 1,268 94% 3,517 84%Other/Unknown 100 6% 4 1% 18 2% 16 1% 138 3%TOTAL 1,740 100% 353 100% 752 100% 1,354 100% 4,199 100%

MALES by Country of Birth

FEMALES by Country of Birth

Cuba Puerto Rico Other/Unkn Total

US Cuba Puerto Rico Other/Unkn Total

US

*NIRS are redistributed

Page 52: Impact of HIV Disease by Country of Birth in Florida, Diagnosed through 2014 Florida Department of Health HIV/AIDS Section Division of Disease Control.

For Florida HIV/AIDS Surveillance DataContact: (850) 245-4444

Lorene Maddox, MPH Ext. 2613 Tracina Bush, BSW Ext. 2612 Madgene Moise, MPH Ext. 2373

Visit Florida’s internet site for:Monthly Surveillance Reports

Slide Sets and Fact SheetsAnnual Reports and Epi Profiles

http://www.floridahealth.gov/diseases-and-conditions/aids/surveillance/index.html

Visit CDC’s HIV/AIDS internet site for:Surveillance Reports, fact sheets and slide sets

http://www.cdc.gov/hiv/topics/surveillance/resources/reports/index.htm


Recommended