White (non-Hispanic) HIV/AIDS Prevalence among White (non-Hispanic) persons As of December 31st 2014, there were 3,977 white (non-Hispanic) persons living with HIV/AIDS in Minnesota, representing half (50%) of people living with HIV/AIDS in Minnesota. Of the 3,977 white persons living with HIV in Minnesota, 3,518 (88%) are male and 459 (12%) are female. Of the 3,518 white male cases, 86% were estimated to have a risk of men who have sex with men (MSM), 9% MSM/IDU, 2% IDU and 2% heterosexual contact with someone with or at risk for HIV infection and 1% other risk (hemophilia, transplant, transfusion or mother with HIV or HIV risk). Of the 459 white females living with HIV in Minnesota, 81% have a risk of heterosexual contact with someone with or at risk for HIV infection, 16% IDU, and 3% other (hemophilia, transplant, transfusion or mother with HIV or HIV risk). HIV Diagnoses among White (non-Hispanic) persons White males drove the epidemic in the 1980s and early 1990s, and today white males still account for the largest number of new infections, but the proportion of cases that white males account for is decreasing. In 2014, white males accounted for 40% of all of the new HIV diagnoses, with 122 diagnoses. In the beginning of the epidemic, white women accounted for a majority of newly diagnosed cases among females. However, the number of new infections among women of color has exceeded the number among white women since 1991. In 2014 white women made up 19% of the new infections among women in Minnesota, with 14 new diagnoses. HIV Infections* Among White (non-Hispanic) by Estimated Mode of Exposure 2012 – 2014 Mode of Exposure Of the 376 white males diagnosed between 2012 and 2014, 89% of cases had an estimated mode of exposure of MSM, 7% MSM/IDU, 2% heterosexual contact with someone with or at risk for HIV infection and 2% IDU. Of the 39 white females diagnosed between 2012 and 2014, 86% had an estimated mode of exposure of heterosexual contact with White Males (n = 376) White Females (n = 39) Heterosex 2% IDU 14% IDU 2% MSM/IDU 7% MSM 89% n = Number of persons MSM = Men who have sex with men IDU = Injecting drug use Heterosex = Heterosexual contact with someone with or at risk for HIV Other = Hemophilia, transplant, transfusion, mother w/ HIV or HIV risk * HIV or AIDS at first diagnosis Minnesota HIV/AIDS Epidemiologic Profile—White (non-Hispanic) December 2015 Heterosex 86% someone with or at risk for HIV and 14% IDU. Geography A greater proportion of white persons diagnosed with HIV live in Greater Minnesota than persons of color. Twenty-six percent of white women diagnosed with HIV from 2012-2014 lived in greater Minnesota, compared to 10% of women of color. Eighteen percent of white men diagnosed during the same time period lived in greater Minnesota compared to 10% of men of color. HIV Treatment Cascade among White (non-Hispanic) persons There were 3,835 HIV positive white persons included in the treatment cascade analyses. Compared to the overall HIV treatment cascade in Minnesota, white persons have higher percentages of retention in care as well as viral suppression. White people have the highest percentage of people who achieved viral suppression at 70%. There were 144 cases among white persons reported in 2013 that were included in the linkage to care calculation. Whites have a slightly lower percentage of linkage to care than the overall cascade for Minnesota. Percentage of White (non-Hispanic) persons diagnosed with HIV engaged in selected stages of the continuum of care, 2014 – Minnesota 100% 90% 100% 100% 87% 85% 77% 80% 72% 70% 70% 63% 60% 50% 40% 30% 20% 10% 0% Overall Cascade PLWH n=7,728 Linkage to Care White non-Hispanic Retention in Care Viral Suppression n=3,835 Minnesota HIV/AIDS Epidemiologic Profile—White (non-Hispanic) December 2015
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