HIV Surveillance in Urban and Nonurban Areas. National Center for HIV/AIDS, Viral Hepatitis, STD & TB Prevention Division of HIV/AIDS Prevention

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1 HIV Surveillance in Urban and Nonurban Areas National Center for HIV/AIDS, Viral Hepatitis, STD & TB Prevention Division of HIV/AIDS Prevention

2 HIV Infection in Urban and Nonurban Areas Many ways to characterize urban and nonurban areas and populations CDC uses metropolitan statistical areas (MSAs) as defined by the Office of Management and Budget (OMB) OMB subdivides MSAs as: 500,000 population 50, ,999 population Nonmetropolitan (<50,000 population)

3 Diagnoses of HIV Infection among Adults and Adolescents, by Population of Area of Residence, States MSA Population No. Rate 500,000 37, , ,999 5, Nonmetropolitan 3, Note. Data include persons with a diagnosis of HIV infection regardless of stage of disease at diagnosis. All displayed data have been statistically adjusted to account for reporting delays, but not for incomplete reporting. Rates are per 100,000 population. Data exclude persons whose county of residence is unknown.

4 Diagnoses of HIV Infection among Adults and Adolescents, by Population of Area of Residence and Race/Ethnicity, States Note. Data include persons with a diagnosis of HIV infection regardless of stage of disease at diagnosis. All displayed data have been statistically adjusted to account for reporting delays and missing risk-factor information, but not for incomplete reporting. Data exclude persons whose county of residence is unknown. a Hispanics/Latinos can be of any race.

5 Diagnoses of HIV Infection among Adult and Adolescent Males, by Population of Area of Residence and Transmission Category, States Note. Data include persons with a diagnosis of HIV infection regardless of stage of disease at diagnosis. All displayed data have been statistically adjusted to account for reporting delays and missing risk-factor information, but not for incomplete reporting. Data exclude persons whose county of residence is unknown. a Heterosexual contact with a person known to have, or to be at high risk for, HIV infection. b Includes hemophilia, blood transfusion, perinatal exposure, and risk factor not reported or not identified.

6 Diagnoses of HIV Infection among Adult and Adolescent Females, by Population of Area of Residence and Transmission Category, States Note. Data include persons with a diagnosis of HIV infection regardless of stage of disease at diagnosis. All displayed data have been statistically adjusted to account for reporting delays and missing risk-factor information, but not for incomplete reporting. Data exclude persons whose county of residence is unknown. a Heterosexual contact with a person known to have, or to be at high risk for, HIV infection. b Includes blood transfusion, perinatal exposure, and risk factor not reported or not identified.

7 Diagnoses of HIV Infection among Adults and Adolescents, by Population of Area of Residence and Age at Diagnosis, States Note. Data include persons with a diagnosis of HIV infection regardless of stage of disease at diagnosis. All displayed data have been statistically adjusted to account for reporting delays, but not for incomplete reporting. Data exclude persons whose county of residence is unknown.

8 Adults and Adolescents Living with a Diagnosis of HIV Infection, by Population of Area of Residence and Race/Ethnicity, Year-end States MSA of 500,000 MSA of 50, ,999 Nonmetropolitan Race/ethnicity No. Rate No. Rate No. Rate American Indian/Alaska Native 1, Asian a 7, Black/African American 270,910 1, , , Hispanic/Latino b 134, , , Native Hawaiian/Other Pacific Islander White 215, , , Multiple races 9, , Total c 641, , , Note. Data include persons with a diagnosis of HIV infection regardless of stage of disease at diagnosis. All displayed data have been statistically adjusted to account for reporting delays, but not for incomplete reporting. Rates are per 100,000 population. Data exclude persons whose county of residence is unknown. a Includes Asian/Pacific Islander legacy cases. b Hispanics/Latinos can be of any race. c Includes persons of unknown race/ethnicity.

9 AIDS Diagnoses among Adults and Adolescents, by Population of Area of Residence, United States Note. All displayed data have been statistically adjusted to account for reporting delays, but not for incomplete reporting. Data exclude persons whose county of residence is unknown.

10 AIDS Diagnoses among Adults and Adolescents, by Population of Area of Residence and Race/Ethnicity, 2010 United States Note. All displayed data have been statistically adjusted to account for reporting delays, but not for incomplete reporting. Data exclude persons whose county of residence is unknown. a Includes Asian/Pacific Islander legacy cases. b Hispanics/Latinos can be of any race.

11 Regions of the United States

12 AIDS Diagnoses among Adults and Adolescents, by Region and Population of Area of Residence, 2010 United States Note. All displayed data have been statistically adjusted to account for reporting delays, but not for incomplete reporting. Data exclude persons whose county of residence is unknown.

13 AIDS Diagnoses among Adults and Adolescents, by Population of Area of Residence and Region, 2010 United States MSA of 500,000 MSA of 50, ,999 Nonmetropolitan Region of residence No. Rate No. Rate No. Rate Northeast N = 7,531 Midwest N = 4,158 South N = 14,636 West N = 6,266 6, , , , , , Note. All displayed data have been statistically adjusted to account for reporting delays, but not for incomplete reporting. Rates are per 100,000 population. Data exclude persons whose county of residence is unknown.

14 AIDS Diagnoses among Adults and Adolescents in the Northeast, by Population of Area of Residence and Race/Ethnicity, 2010 United States Note. All displayed data have been statistically adjusted to account for reporting delays, but not for incomplete reporting. Rates are per 100,000 population. Data exclude persons whose county of residence is unknown. a Includes Asian/Pacific Islander legacy cases. b Hispanics/Latinos can be of any race.

15 AIDS Diagnoses among Adults and Adolescents in the Midwest, by Population of Area of Residence and Race/Ethnicity, 2010 United States Note. All displayed data have been statistically adjusted to account for reporting delays, but not for incomplete reporting. Rates are per 100,000 population. Data exclude persons whose county of residence is unknown. a Includes Asian/Pacific Islander legacy cases. b Hispanics/Latinos can be of any race.

16 AIDS Diagnoses among Adults and Adolescents in the South, by Population of Area of Residence and Race/Ethnicity, 2010 United States Note. All displayed data have been statistically adjusted to account for reporting delays, but not for incomplete reporting. Rates are per 100,000 population. Data exclude persons whose county of residence is unknown. a Includes Asian/Pacific Islander legacy cases. b Hispanics/Latinos can be of any race.

17 AIDS Diagnoses among Adults and Adolescents in the West, by Population of Area of Residence and Race/Ethnicity, 2010 United States Note. All displayed data have been statistically adjusted to account for reporting delays, but not for incomplete reporting. Rates are per 100,000 population. Data exclude persons whose county of residence is unknown. a Includes Asian/Pacific Islander legacy cases. b Hispanics/Latinos can be of any race.

18 Adults and Adolescents Living with an AIDS Diagnosis, by Population of Area of Residence and Region, Year-end 2009 United States MSA of 500,000 MSA of 50, ,999 Nonmetropolitan Region of residence No. Rate No. Rate No. Rate Northeast N = 136,294 Midwest N = 51,305 South N = 191,029 West N = 95, , , , , , , , , , , , , Note. All displayed data have been statistically adjusted to account for reporting delays, but not for incomplete reporting. Rates are per 100,000 population. Data exclude persons whose county of residence is unknown.

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