HIV/AIDS STATISTICS S.E MICHIAGAN (ABR)#Southeast Michigan includes Lapeer, Macomb, Monroe, Oakland, St. Clair, and Wayne Counties

COMPLETE AND DETA ILED INFORMAT ION CAN BE FOUND

HTTP: / /WWW.MICH IGAN.GOV/DOCUMENTS/MDCH/SEMI_496825_7 .PDF

HTTP: / /WWW.MICH IGAN.GOV/DOCUMENTS/MDCH/MIREPORT15_487766_7 .PDF

HTTP: / /WWW.MICH IGAN.GOV/DOCUMENTS/MDCH/STATEWIDE_496827_7 .PDF

Prevalence Estimate Calculations HIV prevalence estimates include all persons living in SOUTHEAST MICHIGAN at HIV diagnosis (any stage) who: were diagnosed by January 1, 2014, and incorporates an approximation of those not yet diagnosed. All

estimates are rounded to the nearest ten, and the minimum estimate given is 10. Prevalence estimates were most

recently revised by MDHHS in July 2014.

RACE/ ETHNICITY TABLE 1. Demographic Information on Prevalent HIV Infection Cases Living in SOUTHEAST MICHIGAN atDiagnosis [MDHHS]REPORTED PREVALENCE

ESTPREV*

HIVInfectionNon-Stage 3Num

Num Percent

HIV InfectionStage 3 (AIDS)

Total Rates per 100,000

CENSUS 2014ESTIMATES

White 3,170 1,328 27% 1,384 25% 2,712 26% 95 2,850,398 67%

Black 8,290 3,367 67% 3,724 68% 7,091 68% 736 963,956 23%

Hispanic 420 172 3% 187 3% 359 3% 197 181,872 4%Asian/PI 70 30 1% 27 <1% 57 1% 34 166,786 4%Am Indian/AN

20 12 <1% 4 ** 16 <1% 125 12,768 <1%Multi/Other/Unk 280 89 2% 152 3% 241 2% N/A 85,059 2%

SEX TABLE 1. Demographic Information on Prevalent HIV Infection Cases Living in SOUTHEAST MICHIGAN atDiagnosis [MDHHS]REPORTED PREVALENCE

ESTPREV*

HIVInfectionNon-Stage 3Num Num Percent

HIV InfectionStage 3 (AIDS)

Total Rates per 100,000

CENSUS 2014ESTIMATES

Male 9,480 3,879 78% 4,234 77% 8,113 77% 393 2,066,604 49%Female 2,760 1,119 22% 1,244 23% 2,363 23% 108 2,194,235 51%

Risk*TABLE 1. Demographic Information on Prevalent HIV Infection Cases Living in SOUTHEAST MICHIGAN atDiagnosis [MDHHS]REPORTED PREVALENCE

Male-Male sex

1,863 69% 3,400 48% 192 53% 163 52% 5,618 54%

Injection Drug Use

140 5% 621 9% 32 9% 24 8% 817 8%

MSM/IDU 117 4% 182 3% 3 ** 17 5% 319 3%

Blood Products

30 1% 7 <1% 2 ** 1 40 <1%HeterosexualContact (HC)

270 10% 1,528 22% 69 19% 46 15% 1,913 18%

Perinatal 10 <1% 95 1% 5 1% 9 3% 119 1%Undetermined 282 10% 1,258 18% 56 16% 54 17% 1,650 16%

*See front matter page i for descriptions of prevalence estimate calculations and risk category groupings. Risk categories used in Michigan are redefined as of January 2012. NOTE: Heterosexual contact for males includes only males whose sexual partners are known to be HIV infected or at high risk for HIV (HCFR). Heterosexual contact for females includes all females who have had sex with a male regardless of what is known about the male’s HIV status or behaviors (HCM). (this can be found via the first link on the title slide)

White Black Hispanic Other Risk all

Diagnosis By County State of Michigan

HIV/AIDS TRENDS

The number and rate of new HIV diagnoses in Michigan remained stable between 2009 and 2013 for the 5th

consecutive trend report, with an average of 801 new cases per year and an average rate of 8.1.

The highest rates of new HIV diagnoses occurred among: 20 - 24 and 25-29 year olds Black males and females Men who have sex with men (MSM)* SE MI residents

INCREASES in rates occurred among: White females

DECREASES in rates occurred among: Black females

SOUTH EAST MICHIGAN

HIV/AIDS TRENDS

Almost three quarters of Michigan’s new cases among 13 - 24 year olds were residents of SE MI at diagnosis. Of these SE MI young adults, 61% lived in the City of Detroit. 82% of new 13 - 19 year old cases are black (of whom 74% are MSM),

whereas 59% of those aged 20 and older are black

This finding suggests that black teens and young adults in general, and young black MSM in particular, should continue to be the focus of aggressive prevention activities.

Race and sex disparities in rates of new HIV diagnoses remain. Comparing the diagnosis rates of black persons and white persons in 2013: Overall: The rate for black persons was over 13 times higher Males: The rate for black males was over 13 times higher Females: The rate for black females was over 14 times higher

Increases in concurrent diagnoses occurred overall as well as among males overall, black males, and blacks overall.This is the first report to ever show increases in concurrent diagnoses in any race/sex group suggesting a need for increased efforts toward improving early case detection.

SOUTH EAST MICHIGAN