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HIV Diagnoses and Prevalence in the Southern Region of the United States, 2007–2010

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Abstract

On a number of leading health indicators, including HIV disease, individuals in the southern states of the United States fare worse than those in other regions. We analyzed data on adults and adolescents diagnosed with HIV infection through December 2010, and reported to the Centers for Disease Control and Prevention (CDC) through June 2011 from 46 states with confidential name-based HIV reporting since January 2007 to describe the impact of HIV in the South. In 2010 46.0 % of all new diagnoses of HIV infection occurred in the South. Compared to other regions, a higher percentage of diagnoses in the South were among women (23.8 %), blacks/African Americans (57.2 %), and among those in the heterosexual contact category (15.0 % for males; 88.5 % for females). From 2007 to 2010 the estimated number and rate of diagnoses of HIV infection decreased significantly in the South overall (estimated annual percentage change [EAPC] = −1.5 % [95 %CI −2.3 %, −0.7 %] and −2.1 % [95 % CI −4.0 %, −0.2 %], respectively) and among most groups of women, but there was no change in the number or rate of diagnoses of HIV infection among men overall. Significant decreases in men 30–39 and 40–49 years of age were offset by increases in young men 13–19 and 20–29 years of age. A continued focus on this area of high HIV burden is needed to yield success in the fight against HIV disease.

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Acknowledgments

The authors would like to acknowledge our partners in state and local health departments for their work in the collection of HIV surveillance data, and R. Luke Shouse, M.D., M.P.H., and Amy Lansky, Ph.D. The Centers for Disease Control and Prevention (CDC) provides funding to state and local health departments to conduct surveillance of HIV disease in accordance with their own disease reporting regulations. CDC provides technical guidance for the collection of data by the state and local health departments and data are sent to CDC for national-level analyses. The analysis methods for this manuscript were developed by CDC. CDC makes all decisions regarding the publication of national surveillance data as a means to describe the HIV epidemic. ICF International, Atlanta, Georgia, United States of America, employs Tian Tang, M.S., and provided scientific analysis services as directed by CDC through a contract with CDC.

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Authors and Affiliations

  1. Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, 1600 Clifton Rd. NE, MS E-47, Atlanta, GA, 30333, USA

    Joseph Prejean & H. Irene Hall

  2. ICF International, Atlanta, GA, USA

    Tian Tang

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  1. Joseph Prejean
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  2. Tian Tang
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  3. H. Irene Hall
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Correspondence to Joseph Prejean.

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The findings and conclusions in this report are those of the authors and do not necessarily represent the views of the Centers for Disease Control and Prevention.

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Prejean, J., Tang, T. & Irene Hall, H. HIV Diagnoses and Prevalence in the Southern Region of the United States, 2007–2010. J Community Health 38, 414–426 (2013). https://doi.org/10.1007/s10900-012-9633-1

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