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This report complements the information in the 2004
HIV/AIDS Surveillance Report and updates the detailed information in the previous surveillance supplemental report on race/ethnicity during 1998–2002. The
Surveillance Supplemental Report: Cases of HIV Infection and AIDS in the United States, by Race/Ethnicity, 2000–2004 presents estimated numbers of cases of HIV infection, including cases that have progressed to AIDS. These data are stratified by the following races/ethnicities: white (non-Hispanic), black (non-Hispanic), Hispanic, Asian/Pacific Islander, and American Indian/Alaska Native.
In this report, HIV/AIDS is used to refer to 3 categories of cases: (1) new diagnoses of HIV infection (not AIDS), (2) new diagnoses of HIV infection with later diagnosis of AIDS, and (3) concurrent diagnoses of HIV infection and AIDS. For analyses of HIV/AIDS, data were used from the 35 areas (i.e., 33 states, Guam, and the U.S. Virgin Islands) that have had confidential name-based HIV infection reporting long enough (i.e., since at least 2000) for data collection to stabilize and for adjustment of the data to monitor trends. This report summarizes the diagnoses and the prevalence of HIV/AIDS by race/ethnicity. For analysis of diagnoses of AIDS, we used data from the 50 states, the District of Columbia, and U.S. dependencies, possessions, and associated nations.
The following are highlights of this report.
- From 2001 through 2004, the number of HIV/AIDS cases in the 35 areas with confidential name-based HIV infection reporting increased among whites, Asians/Pacific Islanders, and American Indians/Alaska Natives. The number of cases among Hispanics and blacks decreased; however, blacks accounted for 50% of all new diagnoses of HIV/AIDS in 2004.
- From 2001 through 2004, the number of HIV/AIDS cases in males increased among whites, Asians/Pacific Islanders, and American Indians/Alaska Natives and decreased among blacks and Hispanics. The number of cases in females increased among Asians/Pacific Islanders and American Indians/Alaska Natives and decreased among whites, blacks, and Hispanics.
- In 2003, the proportion of HIV infections that progressed to AIDS in adults and adolescent within 12 months after HIV infection were 38% among whites, 40% among blacks, and 40% among Hispanics. The proportions among Asians/Pacific Islanders and American Indians/Alaska Natives were 38% and 35% respectively.
- From 2000 through 2004, the estimated number of AIDS cases increased among all racial/ethnic groups; however, the number of AIDS cases in white, black, and Hispanic children (<13 years) decreased.
- In 2004, rates of AIDS cases ranged from 72.1 per 100,000 among black adults and adolescents to 4.4 per 100,000 among Asian/Pacific Islander adults and adolescents.
- In 2004, rates of HIV/AIDS cases from 33 states ranged from 97.2 per 100,000 among black adults and adolescents to 8.9 per 100,000 among Asian/Pacific Islander adults and adolescents.
- At the end of 2004, an estimated 212,572 persons were known to be living with HIV (not AIDS) in the 35 areas with confidential name-based HIV infection reporting since 2000: 49% were black, 34% white, 15% Hispanic, and 1% each were American Indian/Alaska Native and Asian/Pacific Islander.
- At the end of 2004, approximately 415,193 persons in the United States were living with AIDS: 43% were black, 35% white, 20% Hispanic, and <1% each were American Indian/Alaska Native and Asian/Pacific Islander.
- Through 2004, an estimated 283,807 persons of all races/ethnicities were living with HIV/AIDS in Ryan White CARE Act–eligible metropolitan areas with confidential name-based HIV infection reporting. Of these persons, 47% were black, 31% white, 22% Hispanic, and <1% each were Asian/Pacific Islander and American Indian/Alaska Native.
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