New Jersey HIV/AIDS Epidemiologic Profile 2010

Transcription

1 New Jersey HIV/AIDS Epidemiologic Profile 00

2 Estimated HIV/AIDS Cases, Deaths and Persons Living with HIV/AIDS -- New Jersey, In 008, the latest complete year of diagnosis data, there were 350 new HIV and AIDS diagnoses and 953 deaths. of Cases and of Deaths AIDS reporting only Number of Deaths Person Living w ith HIV/AIDS HIVand AIDS reporting Nam ed HIV reporting started Newly Diagnosed Cases of HIV/AIDS 0 of Persons Living with HIV/AIDS

3 HIV/AIDS in New Jersey As of December 3, 00, 75,00 cumulative HIV/AIDS cases have been diagnosed and reported in New Jersey including,355 pediatric cases (those < years of age) and 3,85 cases diagnosed among inmates. More than half (39,5) of the cumulative HIV/AIDS cases have died, leaving 35,688 persons living with HIV/AIDS in New Jersey which includes,575 incarcerated persons.

4 Persons Living with HIV/AIDS by Sex New Jersey, 00 N=35,688 Women, Men 3,339 65

5 Population by Race/Ethnicity -- New Jersey, 00 Population New Jersey, 009 N=8,707,739 Persons Living with HIV/AIDS New Jersey, 00 N=35,688 Asian/Pac 695,08 8 Othr 7,3,45,84 7 Asian/Pac 350 White 7,903 Othr 38 8,047 3 Black,73,997 3 White 5, Black 9,50 54

6 HIV/AIDS and Race/Ethnicity Blacks and s comprise more than three-quarters of persons living with HIV/AIDS in New Jersey. However, the disparity of HIV/AIDS among Blacks and s relative to the population has been consistent for the last few years. The number of cases among Asian Pacific Islanders rose from 77 between 99 to 995, to 95 between 996 and 000, between 00 to 005, and 3 between 006 and 00*. Nonetheless, the rate of HIV/AIDS per,000 population among Asians and Pacific Islanders in NJ remains the lowest by race/ethnicity among all groups including Whites. Rates by race/ethnicity are even more disparate for women compared with men. Data for 009 and 00 are incomplete.

7 Percentage Persons Living with HIV/AIDS by Sex and Race/Ethnicity -- New Jersey, 00 Male (N=3,339) Female (N=,349) White, 5,738 5 Asian/Pac Isl 55 Other 53 5,37 4 White,980 6 Asian/Pac Isl 95 Othr/Unk 85,406 9 Black,,9 49 Black 7,783 63

8 Rate per,000 Persons Living with HIV/AIDS by Race/Ethnicity -- New Jersey, 00 Black, non-, White, non- 47 Asian/Pac Isl

9 Rate per,000 Persons Living with HIV/AIDS by Sex and Race/Ethnicity New Jersey, 00 Race Male Rate Female Rate Total Rate Black, non-,367 49,039 7,783 63,6 9,50 54,63 5, , White, non- 5,93 5 7, , Asian/Pac Isl Other Total 3, , , Note: Population data as of July 009 Bridged-Race estimates

10 Rate per,000 Persons Living with HIV/AIDS by Sex and Race/Ethnicity -- New Jersey, 00,000,039,600,00,6 Black White Asian/Pac Isl Males Females 7

11 HIV/AIDS and Country of Birth Status Immigration status is not contained in the HIV/AIDS registry. Foreign-born is the closest proxy available to track infections among persons living with HIV/AIDS who were not born in the Unites States*. Overall, 5,764 (7) of 35,688 persons living with HIV/AIDS in New Jersey were born in the United States, followed by,773 (4) in Puerto Rico, 606 () in Haiti (), and 3,77 () all other. Country of birth is unknown in 8 of cases. Foreign-born status varies by race/ethnicity. * United States does not include US dependencies.

12 Persons Living with HIV/AIDS By Race/Ethnicity* and Foreign-Born Status -- New Jersey, 00 Place of Birth White non- Black non- Asian/ Pac Isl Total United States ,65 7 Not United States ,085 0 Missing/Unknown ,69 8 Total 7,903 9,50 8, ,450 * This chart does not include 38 persons living with HIV/AIDS of other and unknown race/ethnicity.

13 New HIV/AIDS Diagnoses by Foreign Born Status and Year of Diagnosis New Jersey, US Born Not US Born /Unknown Total Year 000, ,846 00, ,385 00, ,07 003, , , ,08 005, ,89 006, , , , , ,350

14 Major HIV/AIDS Adult and Adolescent Transmission Categories In the 980s, the CDC established a hierarchy to categorize transmission risk for persons reported with HIV/AIDS based on the likelihood the exposure would lead to infection. For surveillance purposes, cases are counted only once in the hierarchy with the exception of MSM/IDU. Persons with more than one reported risk exposure are listed in the category that appears first.. Men who have sex with men;. Injection drug use; 3. Men who have sex with men and inject drugs; 4. High risk heterosexual contact with a person with, or at, increased risk for HIV infection.

15 HIV/AIDS and Transmission The proportion of cases reported in New Jersey without risk transmission information has been steadily increasing. Roughly half of all cases are currently reported with no transmission risk and 3 of all prevalent cases do not have risk information. Beginning in 004, New Jersey began using a modified risk hierarchy because of the large percentage of cases reported with no risk information. Cases with no reported risk where heterosexual contact with a person of unknown HIV status is indicated are now recoded as heterosexual contact with a person of unknown HIV risk.

16 Persons Living with HIV/AIDS by Sex and Unmodified versus Recoded Transmission New Jersey, 00 Unknown,046 3 N=35,688 MSM 7,80 Unknown 3,75 0 Other 86 N=35,688 MSM 7,80 Other 86 Het sex 6,990 0 MSM/IDU 800 IDU 8,70 3 Het sex 4,3 40 MSM/IDU 800 IDU 8,70 3

17 Persons Living with HIV/AIDS by Sex and Recoded Transmission New Jersey, 00 Male (N=3,339) Het sex 6,37 7 Othr/Unk 3,30 3 MSM, 7,80 34 Female (N=,349) Othr/Unk,457 IDU,953 4 MSM/IDU IDU 5,7 Het sex 7,939 64

18 Estimated Persons Living with HIV/AIDS by Sex and Recoded Transmission Category -- New Jersey, 00 Transmission Category Male Female Total Male-to-male sex 7,80 34 N/A N/A 7,80 Injection Drug Use 5,7, ,70 3 MSM/IDU N/A N/A 800 Heterosexual sex with -Injection Drug User 383,75 0, Bisexual male N/A N/A HIV+ partner with other risk,0 9 3,84 6 5,06 5 -Partner with unknown risk 3, , ,3 Pediatric Exposure Other/Unknown 36, , ,845 Total 3,339,349 35,688

19 Estimated Males Living with HIV/AIDS by Race/Ethnicity and Recoded Transmission Category -- New Jersey, 00 Exposure Category Male-to-male sex Injection Drug Use MSM/IDU White non- 3, Black non-,847, ,838, Other/ Unknown a ,43 5,49 80 Total 34 3 Heterosexual sex with -Injection Drug User HIV+ partner with other risk 8 5, , Partner with unknown risk 63, ,775 7 Pediatric exposure Other/Unknown b , ,504 Total 5,93,367 5, ,339 a. Other includes Asian/Pacific Islander and American Indian/Alaska Native. The categories of unknown race/ethnicity and other race/ethnicity are combined due to the small number of cases in the other category. b. The categories of other exposure and unknown exposure are combined due to the small number of cases in the other category.

20 Estimated Females Living with HIV/AIDS By Race/Ethnicity and Recoded Transmission Category -- New Jersey, 00 Exposure Category White non- Black non- Other/ Unknown a Total Injection Drug Use , ,953 4 Heterosexual sex with -Injection Drug User ,75 0 -Bisexual Male HIV+ partner with other risk 4, ,84 6 -Partner with unknown risk 406, ,354 7 Pediatric Exposure Other/Unknown b , Total,980 7,783,406 80,349 a. Other includes Asian/Pacific Islander and American Indian/Alaska Native. The categories of unknown race/ethnicity and other race/ethnicity are combined due to the small number of cases in the other category. b. The categories of other exposure and unknown exposure are combined due to the small number of cases in the other category.

21 HIV/AIDS and Transmission Diagnoses among male IDUs sharply declined between 999 and 008 (9 to 7) while the percentage of MSMs increased from 9 in 999 to 40 in 008. Differences exist in the age at diagnosis for MSMs by race/ethnicity. A greater number of new diagnoses between 006 to 00 were reported among young African American MSM ages 3-4 years than any other age-race/ethnicity group of MSM. In contrast, the highest number of new HIV diagnoses among White MSM occurred in those age with an almost equal number of diagnoses among White MSM over age 45. Diagnoses attributed to IDU decreased dramatically for women between 999 and 008 decreasing from 6 of cases in 999 to 8 of cases in 008.

22 Number Adult/Adolescent Male HIV/AIDS Diagnoses by Recoded Transmission -- New Jersey, MSM IDU MSM/IDU Het sex Othr/Unk

23 Cumulative Overview of Adult/Adolescent Diagnoses New Jersey, YEAR MSM MSM IDU IDU HETRO HET UNKN UNKN TOTAL

24 Number HIV/AIDS Diagnoses among MSMs by Race/Ethnicity and Age -- New Jersey, N=, Black White Asian/Pac Isl

25 Number Adult/Adolescent Female HIV/AIDS Diagnoses by Recoded Transmission -- New Jersey, IDU Het sex Othr/Unk

26 HIV/AIDS and Age Seventy-nine percent of prevalent cases are ages 40 or older. Between , the percentage of diagnoses decreased among persons ages 5-34 and decreased more dramatically among persons ages dropping from 40 of all cases in 999 to 6 of cases in 008. In contrast, the percentage of diagnoses increased slightly for persons 55+ and increased more notably among persons 3-4 from 6 of diagnoses in 999 to 5 of diagnoses in 008; 85 of diagnoses for 3-4 year olds in this time period were among Blacks and s. Diagnoses remained stable for persons ages Overall during this period, diagnoses among 3-4 and 55+ comprised <0 of diagnoses each, persons 5-34 and comprised just under a quarter of diagnoses each, and persons ages comprised about one-third of all diagnoses.

27 Percentage Adult/Adolescents Living with HIV/AIDS by Age Group -- New Jersey, , , , ,7 36

28 Number New Adult/Adolescent HIV/AIDS Diagnoses by Age Group -- New Jersey,

29 New HIV/AIDS Diagnoses Persons Ages 3-4 by Sex and Race/Ethnicity -- New Jersey, Persons Ages 3 4 Race/Ethnicity Males Females Total White non Black non Asian/Pacific Islander Other/Unknown Total

30 HIV Perinatal Exposures by Birth Year and Infection Status -- New Jersey, Birth Year * 00* Infected () Total Reported *Years 009 and 00 data is incomplete

31 HIV/AIDS by Locality The overall HIV/AIDS prevalence rate as of December 3, 00 is 40 per,000 population in New Jersey. Nationally, NJ is one of 5 states with name-based reporting that had an HIV/AIDS prevalence rate of 400 or greater in 008. Prevalence is highest in Essex and Hudson counties. One and a quarter percent of persons in Essex County are living with HIV/AIDS as of December 3, 00. More than of the population of Newark and East Orange are living with HIV/AIDS and prevalence of persons living with HIV/AIDS in Irvington and Atlantic City are approaching.

32 Persons Living with HIV/AIDS in 00 by Planning Area Prevalence Rate: Persons Living with HIV/AIDS per,000 population by Planning Area Statewide rate= 40 per, Data as of /3/ Planning Area: Prevalence Rate Jersey City EMA 769 Newark EMA Atlantic-Cape May Mercer Area Cumberland EMA 40 6 Bergen-Passaic EMA 96 7 Southern NJ Area 30 8 Middlesex-Somerset-Hunterdon 9 Monmouth-Ocean Area 04

33 HIV/AIDS Cases Diagnosed in 008 by Planning Area New HIV/AIDS Cases Diagnosed in CY008 per,000 population, by Planning Area Statewide rate= 5.6 per, Data as of /3/ Planning Area: New Cases Rate Jersey City EMA 5. Newark EMA Mercer Area Cumberland EMA Atlantic-Cape May 3. 6 Southern NJ Area Bergen-Passaic EMA 0. 8 Middlesex-Somerset-Hunterdon Monmouth-Ocean Area 8.4

34 Persons Living with HIV/AIDS in 00 by County Prevalence Rate: Persons Living with HIV/AIDS per,000 population Statewide rate= per, Counties: Prevalence Rates Essex 53. Hudson Atlantic Passaic Union Mercer Cumberland Camden Monmouth Middlesex 55. Salem 45.7 Cape May Bergen Somerset Burlington Morris Warren Hunterdon Gloucester Ocean.9 Sussex.5 Data as of /3/00

35 HIV/AIDS Cases Diagnosed in 008 by County New HIV/AIDS Cases Diagnosed in CY008 per,000 population Statewide rate= 5.6 per, Data as of /3/ Counties: New Case Rates Essex 47.6 Hudson 5. 3 Mercer Cumberland Union Passaic 6. 7 Atlantic 5. 8 Camden Monmouth. 0 Somerset 0.5 Middlesex 9.4 Burlington Gloucester Salem Cape May Bergen Morris Hunterdon Ocean Warren.8 Sussex.3

36 Persons Living with HIV/AIDS in 00 in Impact Cities Data as of /3/ Ten Impact Initiative Cities Prevalence Rates: Newark 0.7 East Orange Irvington Atlantic City Trenton Jersey City Paterson Plainfield Camden Elizabeth 863.6

37 Prepared by Charlotte Sadashige Epidemiologic Unit Division of HIV/AIDS, STD, TB Services (609)