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Impact of HIV Disease by Country of Birth in Florida, Reported through 2013

To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts. Impact of HIV Disease by Country of Birth in Florida, Reported through 2013. Florida Department of Health HIV/AIDS Section

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Impact of HIV Disease by Country of Birth in Florida, Reported through 2013

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  1. To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts. Impact of HIV Disease by Country of Birth in Florida,Reported through 2013 Florida Department of Health HIV/AIDS Section Division of Disease Control and Health Protection Annual data trends as of 12/31/2013 Living (Prevalence) data as of 06/30/2014 Created: 12/27/13 Revision: 10/02/14

  2. HIV and AIDS Case Data • Adult cases represent ages 13 and older, pediatric cases are those under the age of 13. For data by year, the age is by age of diagnosis. For living data, the age is by current age at the end of the most recent calendar year, regardless of age at diagnosis. • Unless otherwise noted, whites are non-Hispanic and blacks are non-Hispanic. • Total statewide data will include Department of Correction Cases (DOC) unless otherwise noted. County data will exclude DOC cases. • HIV prevalence data are generated later in the year, usually in July, when most of the “expected” death data are complete. • Unless otherwise note, cases with an unknown or blank country of birth were eliminated from these analyses.

  3. Florida Areas Area 1 Escambia Okaloosa Santa Rosa Walton 3 HOLMES JACKSON WALTON OKALOOSA ESCAMBIA SANTA ROSA WS GD NASSAU HM JF MD CN LEON DUVAL LIBERTY BAY BK 1 SW CB 4 WK TAYLOR Area 2a Bay Calhoun Gulf Holmes Jackson Washington GF LF UN BF CLAY ST J FK 2 Area 2b Franklin Gadsden Jackson Jefferson Leon Liberty Madison Taylor Wakulla AL GC DIXIE PT FG 12 LEVY Area 7 Brevard Orange Osceola Seminole MARION VL 13 CT Area 3 Alachua Bradford Columbia Dixie Gilchrest Hamilton Lafayette Levy Putnam Suwannee Union LAKE ST SM HN Area 6 Hernando Hillsborough Manatee ORANGE 7 PASCO BREVARD OSCEOLA Area 4 Baker Clay Duval Nassau St Johns 5 HB POLK Area 5 Pasco Pinellas PN 14 IR 15 MA HR 6 OB ST LUCIE HG Area 11a Dade SS DESOTO MARTIN CHARLOTTE GLADES Area 8A Charlotte DeSoto Glades Sarasota Hendry Collier Lee Area 9 Palm Beach 9 HENDRY PALM BEACH LEE Area 11b Monroe Area 10 Broward 10 8 BROWARD COLLIER Area 14 Hardee Highlands Polk Area 15 Indian River Martin Okeechobee St Lucie Area 13 Citrus Lake Marion Sumter DADE MONROE 11 Area 12 Flagler Volusia

  4. Definitions of Mode of Exposure Categories • MSM = Men who have sex with men • IDU = Injection Drug User • MSM/IDU = Men who have sex with men & Injection Drug User • Heterosexual = Heterosexual contact with person with HIV/AIDS or known HIV risk • OTHER = includes hemophilia, transfusion, perinatal, other pediatric risks and other confirmed risks. • NIR = Cases reported with No Identified Risk • Redistribution of NIRs = This illustrates the effect of statistically assigning (redistributing) the NIRs to recognized exposure (risk) categories by applying the proportions of historically reclassified NIRs to the unresolved NIRs.

  5. Florida’s Population* By Country of Birth (2012 U.S. Census) * U.S. Census Bureau, 2012 American Community Survey 1-year Estimate http://factfinder2.census.gov/faces/nav/jsf/pages/index.xhtml

  6. Male HIV Infection Cases by Race/Ethnicity and Country of Birth* and Year of Diagnosis, 2004-2013, Florida Note: Among U.S.-born males, each year the majority of HIV cases were U.S.-born blacks, followed by U.S.-born whites. Among Foreign-born males, each year the majority of HIV cases with a known country of birth were foreign-born Hispanics followed by Foreign-born blacks. *FB=Foreign Born, USB=US Born

  7. Female HIV Infection Cases by Race/Ethnicity and Country of Birth* and Year of Diagnosis, 2004-2013, Florida Note: Among U.S.-born females, each year the majority of HIV cases were among U.S.-born black females. Likewise, among foreign-born females, each year the majority of AIDS cases were among foreign-born black females. *FB=Foreign Born, USB=US Born

  8. Male AIDS Cases by Race/Ethnicity and Country of Birth* and Year of Diagnosis, 2004-2013, Florida Note: Among U.S.-born males, each year the majority of AIDS cases were U.S.-born blacks, followed by U.S.-born whites. Among Foreign-born males, each year the majority of AIDS cases with a known country of birth were foreign-born Hispanics, followed by foreign-born blacks. *FB=Foreign Born, USB=US Born

  9. Female AIDS Cases by Race/Ethnicity and Country of Birth* and Year of Diagnosis, 2004-2013, Florida Note: Among U.S.-born females, each year the majority of AIDS cases were among U.S.-born black females. Likewise, among foreign-born females, each year the majority of AIDS cases were among foreign-born black females. *FB=Foreign Born, USB=US Born

  10. Adult HIV/AIDS Cases, Known Dead, Regardless of Cause, by Race/Ethnicity and Country of Birth* and Year of Death, 2004-2013, Florida Note: Among U.S.-Born HIV/AIDS cases, each year the majority of cases deaths were U.S.-born blacks. Meanwhile among foreign-born HIV/AIDS cases, each year the majority of case deaths were foreign-born Hispanics. *FB=Foreign Born, USB=US Born

  11. Impact of HIV DiseaseAmong Blacks, by Country of Birth in Florida,Reported through 2013

  12. Black Foreign-Born Adults Living with HIV Disease by Country of Birth and Year of Report, 2004-2013, Florida Note: Each year, the majority of black foreign born adults living with HIV disease were Haitian born. Enhanced reporting laws were implemented in Nov. 2006, leading to an artificial spike in HIV infection cases between 2007 and 2008, then a subsequent artificial dip between 2008 and 2009.

  13. Black Foreign-Born, Adult HIV Infection Cases, Known Dead, Regardless of Cause,by Country of Birth and Year of Death, 2004-2013, Florida Note: Each year, the majority of black foreign born HIV/AIDS case deaths were Haitian born. Enhanced reporting laws were implemented in Nov. 2006, leading to an artificial spike in HIV cases between 2007 and 2008.

  14. Foreign-Born US-Born Unknown* Black Adults Living with HIV Disease, by Country of Birth and Sex, Reported through 2013, Florida Males N=28,425 Females N=20,588 Note: The majority (77% males and 76% females) of blacks living with HIV disease in Florida were born in the United States.

  15. 0 Cases 1-50 Cases 51-100 Cases Over 100 Cases Black Adults Living with HIV Disease, by Selected Country of Birth, Reported through 2013, Florida Haiti N=7,455 Jamaica N=985 Living HIV/AIDS Cases

  16. Non-U.S. Born Blacks Living with HIV Disease,by Country of Birth and Reporting Area, Reported through 2013, Florida N=9,813

  17. Black Adults Living with HIV Disease, by Country of Birth*, Reported through 2013, for Florida and Selected South Florida Counties** *Data sorted by foreign country of birth by number of cases, and excludes cases whose country of birth is unknown. **County data exclude Department of Correction cases.

  18. Black Adults Living with HIV Disease, by Country of Birth, Reported through 2013, Florida and South Florida Counties Miami-Dade (N=11,602) Florida (N=47,439) Broward (N=7,942) Palm Beach (N=4,792)

  19. Black Adults Living with HIV Disease, by Country of Birth and Sex, Reported through 2013, Florida and South Florida Females (N=20,005) Males (N=27,434) Florida Females (N=11,157) Males (N=13,179) South Florida* *South Florida = Dade, Broward, and Palm Beach Counties (excl DOC)

  20. Black Adults Living with HIV Disease, by Country of Birth and Sex, Reported through 2013, Florida and Central Florida Females (N=20,005) Males N=27,434) Florida Females (N=1,395) Males (N=2,181) Central Florida* *Central Florida = Orange, Osceola and Seminole Counties (excl DOC)

  21. Black Adults Living with HIV Disease, by Country of Birth and Sex, Reported through 2013, Florida and Southwest Florida Females (N=20,005) Males (N=27,434) Florida Females (N=1,554) Males (N=2,286) Southwest Florida* *Southwest Florida = Hernando, Hillsborough, Pasco and Pinellas Counties (excl DOC)

  22. Black Adult Males Living with HIV Disease,by Selected Country of Birth and Mode of Exposure,Reported through 2013, Florida U.S. Born N=21,971 Haiti N=4,064 Jamaica N=610 Note: NIRs redistributed. Heterosexual contact is a much more common risk factor among male cases born in Haiti and Jamaica, compared to US-born cases.

  23. Black Adults Females Living with HIV Disease,by Selected Country of Birth and Mode of Exposure,Reported through 2013, Florida Haiti N=3,391 Jamaica N=393 U.S. Born N=15,564 Note: NIRs redistributed. Injection drug use is a more common risk factor among female U.S.-Born cases than their Haitian-Born or Jamaican-Born counterparts.

  24. Black Adult Males Living with HIV Disease,by Selected Country of Birth and Mode of Exposure,Reported through 2013, South Florida* Haiti N=3,176 Jamaica N=452 U.S. Born N=9,073 Note: NIRs redistributed. Heterosexual contact is a much more common risk factor among male cases born in Haiti and Jamaica, compared to US-born cases. *South Florida = Dade, Broward, and Palm Beach Counties (excl DOC). Note: NIRs redistributed.

  25. Black Adult Females Living with HIV Disease,by Selected Country of Birth and Mode of Exposure,Reported through 2013, South Florida* Jamaica N=320 Haiti N=2,689 U.S. Born N=7,758 Note: NIRs redistributed. Injection drug use is a more common risk factor among female U.S.-Born cases than their Haitian-Born or Jamaican-Born counterparts. *South Florida = Dade, Broward, and Palm Beach Counties (excl DOC). Note: NIRs redistributed.

  26. Black Adult Males Living with HIV Disease,by Selected Country of Birth and Mode of Exposure,Reported through 2013, Central Florida* U.S. Born N=1,728 Haiti N=311 Jamaica N=43 Note: NIRs redistributed. Heterosexual contact is a much more common risk factor among male cases born in Haiti and Jamaica, compared to US-born cases. *Central Florida = Orange, Osceola and Seminole Counties (excl DOC). Note: NIRs redistributed.

  27. Black Adult Females Living with HIV Disease,by Selected Country of Birth and Mode of Exposure,Reported through 2013, Central Florida* Jamaica N=22 Haiti N=286 U.S. Born N=990 Note: NIRs redistributed. Injection drug use is a more common risk factor among female U.S.-Born cases than their Haitian-Born or Jamaican-Born counterparts. *Central Florida = Orange, Osceola and Seminole Counties (excl DOC). Note: NIRs redistributed.

  28. Black Adult Males Living with HIV Disease,by Selected Country of Birth and Mode of Exposure,Reported through 2013, Southwest Florida* U.S. Born N=2,134 Haiti N=57 Jamaica N=29 Note: NIRs redistributed. Heterosexual contact is a much more common risk factor among male cases born in Haiti and Jamaica, compared to US-born cases. *Southwest Florida = Hernando, Hillsborough, Pasco and Pinellas Counties (excl DOC).

  29. Black Adult Females Living with HIV Disease,by Selected Country of Birth and Mode of Exposure,Reported through 2013, Southwest Florida* Jamaica N=15 Haiti N=38 U.S. Born N=1,448 Note: NIRs redistributed. Injection drug use is a more common risk factor among female U.S.-Born cases than their Haitian-Born or Jamaican-Born counterparts. *Southwest Florida = Hernando, Hillsborough, Pasco, and Pinellas Counties (excl DOC).

  30. Black Adults Living with HIV Diseaseby Country of Birth, Mode of Exposure* and Sex,Reported through 2013, Florida Note: Heterosexual risk is the most common mode of transmission of HIV among foreign-born black males compared to US-born black males. However, US-born black males have a greater proportion of transmission by way of MSM risk and IDU risk. Although, heterosexual risk is the most common mode of transmission of HIV among both US-born and foreign-born females, US-born black females have a greater proportion of transmission by way of injection drug use compared to foreign-born black females.

  31. Impact of HIV DiseaseAmong Hispanics, by Country of Birth in Florida,Reported Through 2013

  32. Hispanic Foreign-Born Adults Living with HIV Disease by Country of Birth and Year of Report, 2004-2013, Florida Note: For most of the years, the majority of Hispanic foreign-born HIV/AIDS cases with a known country of birth were Cuban-born followed by Puerto Rican-born.

  33. Hispanic Foreign-Born, HIV/AIDS Cases Known Dead, Regardless of Cause, by Country of Birth and Year of Death, 2004-2013, Florida Note: Each year, the majority of Hispanic foreign born HIV/AIDS case deaths with a known country of birth were Cuban born, followed by Puerto Rican born.

  34. Foreign-Born US Born Unknown Hispanic Adults Living with HIV Disease, by Country of Birth and Sex, Reported through 2013, Florida Males N=17,057 Females N=4,074 Note: The majority (59% for males and 53% for females) of Hispanics living with HIV disease in Florida were foreign-born.

  35. 0 Cases 1-50 Cases 51-100 Cases Over 100 Cases Living HIV/AIDS Cases Hispanic Adults Living with HIV Disease, by Selected Country of Birth, Reported through 2013, Florida Cuba N=3,294 Puerto Rico N=2,055

  36. Non-U.S. Born Hispanics Living with HIV Disease,by Country of Birth, by Reporting Area,Reported through 2013, Florida

  37. Hispanic Adults Living with HIV Disease, by Country of Birth*, Reported through 2013,for Florida and Selected South Florida Counties** *Data sorted by foreign country of birth by number of cases, and excludes cases whose country of birth is unknown. **County data exclude Department of Correction cases.

  38. Living Hispanic Adults Living with HIV Disease by Country of Birth, Reported through 2013,Florida and South Florida Counties Florida (N=18,752) Miami-Dade (N=9,427) Palm Beach (N=918) Broward (N=2,104)

  39. Hispanic Adults Living with HIV Disease by Country of Birth and Sex,Reported through 2013, Florida and South Florida Females (N=3,695) Males (N=15,057) Florida Females (N=2,072) Males (N=10,377) South Florida* *South Florida = Dade, Broward, and Palm Beach Counties (excl DOC)

  40. Hispanic Adults Living with HIV Disease by Country of Birth and Sex,Reported through 2013, Florida and Central Florida Females (N=3,695) Males (N=15,057) Florida Males (N=1,519) Females (N=550) Central Florida* *Central Florida = Orange, Osceola and Seminole Counties (excl DOC)

  41. Hispanic Adults Living with HIV Disease by Country of Birth and Sex,Reported through 2013, Florida and Southwest Florida Females (N=3,695) Males (N=15,057) Florida Females (N=412) Males (N=1,054) Southwest Florida* *Southwest Florida = Hernando, Hillsborough, Pasco and Pinellas Counties (excl DOC)

  42. Hispanic Adult Males Living with HIV Disease,by Selected Country of Birth and Mode of Exposure, Reported through 2013, Florida Cuba N=3,040 Puerto Rico N=1,552 U.S. Born N=4,994 Note: NIRs redistributed. Injection drug use is a much more common risk factor among male Puerto Rican-Born cases than their U.S.-Born or Cuban-Born counterparts.

  43. Hispanic Adult Females Living with HIV Disease, by Selected Country of Birth and Mode of Exposure, Reported through 2013, Florida Puerto Rico N=570 U.S. Born N=1,550 Cuba N=314 Note: NIRs redistributed. Injection drug use is a less common risk factor among female Cuban-Born cases than their U.S.-Born or Puerto Rican-Born counterparts.

  44. Hispanic Adult Males Living with HIV Diseaseby Selected Country of Birth and Mode of Exposure, Reported through 2013, South Florida* Cuba N=2,761 U.S. Born N=2,746 Puerto Rico N=715 Note: NIRs redistributed. Injection drug use is a much more common risk factor among male Puerto Rican-Born cases than their U.S.-Born or Cuban-Born counterparts. *South Florida = Dade, Broward, and Palm Beach Counties (excl DOC)

  45. Hispanic Adult Females Living with HIV Diseaseby Selected Country of Birth and Mode of Exposure, Reported through 2013, South Florida* Puerto Rico N=211 Cuba N=284 U.S. Born N=661 Note: NIRs redistributed. Injection drug use is a less common risk factor among female Cuban-Born cases than their U.S.-Born or Puerto Rican-Born counterparts. *South Florida = Dade, Broward, and Palm Beach Counties (excl DOC)

  46. Hispanic Adult Males Living with HIV Diseaseby Selected Country of Birth and Mode of Exposure, Reported through 2013, Central Florida* Cuba N=40 U.S. Born N=768 Puerto Rico N=382 Note: NIRs redistributed. Injection drug use is a much more common risk factor among male Puerto Rican-Born cases than their U.S.-Born or Cuban-Born counterparts. *Central Florida = Orange, Osceola and Seminole Counties (excl DOC)

  47. Hispanic Adult Females Living with HIV Diseaseby Selected Country of Birth and Mode of Exposure, Reported through 2013, Central Florida* U.S. Born N=307 Puerto Rico N=150 Cuba N=4 Note: NIRs redistributed. Injection drug use is a less common risk factor among female U.S.-Born cases than their Cuban-Born or Puerto Rican-Born counterparts. *Central Florida = Orange, Osceola and Seminole Counties (excl DOC)

  48. Hispanic Adult Males Living with HIV Diseaseby Selected Country of Birth and Mode of Exposure, Reported through 2013, Southwest Florida* Cuba N=73 Puerto Rico N=160 U.S. Born N=586 Note: NIRs redistributed. Note: NIRs redistributed. Injection drug use is a much more common risk factor among male Puerto Rican-Born cases than their U.S.-Born or Cuban-Born counterparts. *Southwest Florida = Hernando, Hillsborough, Pasco and Pinellas Counties (excl DOC)

  49. Hispanic Adult Females Living with HIV Diseaseby Selected Country of Birth and Mode of Exposure, Reported through 2013, Southwest Florida* U.S. Born N=225 Puerto Rico N=96 Cuba N=18 Note: NIRs redistributed. Injection drug use is a less common risk factor among female Cuban-Born cases than their U.S.-Born or Puerto Rican-Born counterparts. *Southwest Florida = Hernando, Hillsborough, Pasco and Pinellas Counties (excl DOC)

  50. Hispanic Adults Living with HIV Disease by Country of Birth, Mode of Exposure* and Sex,Reported through 2013, Florida

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