Greater Minnesota HIV/AIDS Prevalence in Greater MN As of December 31st 2014, there were 1,128 persons living with HIV/AIDS in Greater Minnesota (defined as living in counties outside of the 11-county metropolitan area of Minneapolis and St. Paul). This accounts for 14% of all persons living with HIV/AIDS in Minnesota. The gender distribution varies slightly by geography. Males make up a smaller proportion of cases in Greater Minnesota at 73% when compared to the TGA at 77%. HIV Diagnoses in Greater Minnesota In 2014, there were 36 cases of HIV diagnosed in greater Minnesota. While new HIV/AIDS diagnoses in 2014 were concentrated in the TGA (88%), there are notable differences between Greater Minnesota and the TGA in the racial and risk category distribution of those infected. Mode of Exposure While most the risk category distributions are similar for Greater MN and the TGA there are a few interesting differences. The proportion of new diagnoses between 2012 and 2014 attributed to MSM, MSM/IDU and heterosexual contact with some with or at risk for HIV are similar in the TGA and Greater Minnesota. However, IDU account for a slightly greater percentage of cases in Greater Minnesota (5.5%) than in the TGA (1.9%). Additionally, the percentage of cases with an unspecified risk is slightly lower in Greater MN (20%) than in the TGA (23%). New HIV/AIDS Infections* By Mode of Exposure Greater Minnesota & TGA 2012-2014 TGA (n=792) Greater MN (n=128) Unspecified 20% Other 1% MSM 50% Unspecified 23% Other <1% MSM 51% Heterosex 21% Heterosex 21% MSM/IDU IDU 3% 5% MSM/IDU IDU 3% 2% 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—Greater Minnesota December 2015 RACIAL/ETHNIC GROUP Similarly, looking at the racial/ethnic distribution of the new infections over the past three years, there are differences between Greater Minnesota and the TGA. The main differences occur in African American, and White communities. African Americans accounted for 6% of Greater Minnesota cases and 25% of TGA cases and African-born persons accounted for 13% of Greater Minnesota cases and 15% of TGA cases. In contrast white persons made up a greater percentage of new infections in Greater Minnesota than the TGA (61% and 43%, respectively). The proportion of Hispanic, American Indian and Asian cases was the very similar in both the TGA and Greater Minnesota. New HIV/AIDS Infections* By Race/Ethnicity Greater Minnesota & TGA 2012-2014 Greater MN (n=128) Black, Afr born 13% Hispanic/ Latino 11% TGA (n=787) Black, Afr born 15% Am Ind 5% Other 2% Asian/PI 2% Afr Am 6% Other 1% Hispanic/ Latino 11% Am Ind 2% Asian/PI 2% Afr Am 25% White 43% White 61% *HIV or AIDS at first diagnosis Does not include 6 cases with missing race or residence at diagnosis data Age at Diagnosis Persons aged 13-24 years made up 14% of the new cases in Greater Minnesota while they accounted for 19% of the new cases in the TGA between 2012 and 2014. There is also a slight difference in persons diagnosed over the age of 45 in Greater Minnesota compared to the TGA, as they accounted for 30% of new diagnoses in Greater Minnesota between 2012 and 2014 compared to 27% of the cases in the TGA during this time period. Minnesota HIV/AIDS Epidemiologic Profile—Greater Minnesota December 2015 HIV Treatment Cascade among people living in Greater Minnesota There were 1,068 HIV positive people living in Greater Minnesota included in the treatment cascade analyses. Compared to the treatment cascade for the TGA, Greater Minnesota has a lower percentages of linkage to care. However, there is little difference in retention in care and viral suppression in Greater Minnesota compared to the TGA cascade. Percentage of persons diagnosed with HIV engaged in selected stages of the continuum of care, by geography 2014– Minnesota 100% 90% 100% 100% 88% 80% 83% 74% 72% 70% 63% 63% 60% 50% 40% 30% 20% 10% 0% 11 County TGA* PLWH Linkage to Care n=6,532 Retention in Care Greater MN Viral Suppression n=1,068 *Includes Anoka, Carver, Chisago, Dakota, Hennepin, Isanti, Ramsey, Scott, Sherburne, Washington, Wright Counties Minnesota HIV/AIDS Epidemiologic Profile—Greater Minnesota December 2015
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