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SOUTH CAROLINA EPIDEMIOLOGIC PROFILE 2009

SOUTH CAROLINA EPIDEMIOLOGIC PROFILE 2009. Data available in an Integrated Epidemiologic Profile. Core Epi Section Socio-demographic characteristics of the general population in South Carolina Scope of the HIV/AIDS epidemic Indicators of risk for HIV infection in the population

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SOUTH CAROLINA EPIDEMIOLOGIC PROFILE 2009

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  1. SOUTH CAROLINA EPIDEMIOLOGIC PROFILE2009

  2. Data available in an Integrated Epidemiologic Profile Core Epi Section • Socio-demographic characteristics of the general population in South Carolina • Scope of the HIV/AIDS epidemic • Indicators of risk for HIV infection in the population Ryan White CARE Act (RWCA) Section • Patterns of service utilization of HIV infected persons in South Carolina • Number and characteristics of persons who know they are HIV+ but who are not receiving HIV primary medical care

  3. Question #1:What are the sociodemographic characteristics of the population?

  4. Selected demographic information: South Carolina and United States Sources: U.S. Census Bureau, Kaiser Family Foundation.

  5. Percent of each racial/ethnic pop. living below federal poverty level; S.C., 2008 POVERTY GAPS Source: U.S. Census Bureau

  6. Question #2: What is the impact of HIV/AIDS on the population?

  7. South Carolina HIV/AIDS Rankings • AIDS cases have been reported in S.C. since 1981 and confirmed cases of HIV infections have been reportable since 1986. • In 2007, S.C. ranked 8th among all states and District of Columbia in AIDS case rates at 16.8 per 100,000 population. • In 2007, S.C. ranked 7th among all states and District of Columbia in AIDS case rates among female cases at 13.0 per 100,000 population. Source: www.statehealthfacts.org

  8. South Carolina HIV/AIDS incidence, prevalence, and deaths Number of Cases Note: Number of cases diagnosed in S.C. only; excludes out of state cases returning to S.C.

  9. Disproportionate S.C. HIV impact by gender Source: U.S. Census Data; S.C. DHEC.

  10. Proportion of persons living with HIV/AIDS by race/ethnicity, 2008

  11. Disproportionate HIV impact by race/ethnicity/gender, S.C. Source: U.S. Census Data; S.C. DHEC.

  12. Disproportionate HIV impact by age, S.C.

  13. Proportion of people living with HIV/AIDS by risk exposure, 2008N=11,074 Note: Total excludes cases with no risk identified.

  14. Proportion of HIV/AIDS cases by risk exposure, 2007-2008N=1,006 Note: Total excludes cases with no risk identified.

  15. Proportional distribution of male HIV/AIDS cases by exposure category, diagnosed 1997-2008 Percent of Total Cases with Reported Risk

  16. Figure 2.15: Proportional distribution of female HIV/AIDS cases by exposure category, diagnosed 1997-2008 Percent of Total Cases with Reported Risk

  17. Deaths among persons with AIDS in South Carolina, 1988-2007 Source: Vital Records

  18. Question #3: Who is at risk for becoming infected with HIV/AIDS? Note: Totals Exclude Cases with No Risk Identified; Risk Exposure is self-reported

  19. Number of HIV/AIDS cases by year of diagnosis and risk, 1992 -2008 Number of Cases Excludes persons with no risk reported.

  20. Proportion of men with HIV/AIDS who have sex with men by race/ethnicity, diagnosed 2007-2008N=534

  21. Proportion of heterosexual HIV/AIDS cases by race/sex, diagnosed 2007-2008 N=388

  22. Proportion of injecting drug users diagnosed with HIV/AIDS 2007-2008 by race/sexN=78

  23. Percent of injecting drug users diagnosed with HIV/AIDS 2007-2008 by age groupN=78

  24. Number of children <13 years old diagnosed with HIV/AIDS in South Carolina, 1993-2008 Number of Cases

  25. Other STDs

  26. How S.C. ranks in U.S. for STD rates/100,000 population • #3 for Chlamydia • #2 for Gonorrhea • #26 for Infectious Syphilis Source: Centers for Disease Control Updated: Nov. 2008

  27. South Carolina reported Chlamydia cases by year of diagnosis, 1994 - 2008 Number of Cases Year

  28. South Carolina reported gonorrhea cases by year of diagnosis,1994 - 2008 Number of Cases Year

  29. South Carolina reported Infectious Syphilis cases by year of diagnosis, 1994-2008 Number of Cases

  30. Question #4: What are the patterns of service utilization of persons living with HIV/AIDS?

  31. Characteristics of Ryan White Part B clients compared to S.C. persons living with HIV/AIDS in 2008

  32. South Carolina Ryan White Part B Service Utilization by Service Type, 2008

  33. Question #5: What are the number and characteristics of persons who know they are HIV+ but who are not receiving HIV primary medical care?

  34. “In Care” and “Not in Care” defined: • A person was reported as being “in care” if they had at least one CD4 or viral load test report from January 1, 2008 through December 31, 2008 • A person with no CD4 or viral load test report in this time frame would be defined as “not in care”

  35. 2008 S.C. HIV/AIDS cases estimated not in care vs. in care (N=15,871) Not in Care 42% In Care 58%

  36. S.C. HIV/AIDScases estimated not in care diagnosed through 2008 HIV-only vs. AIDS (N=6,638) HIV-only 60% AIDS 40%

  37. S.C. HIV/AIDScases diagnosed through 2008, comparison within select demographicsestimated percentage not in care 72 69 % 38 30 28 26 22 9 4 <1 1 Male 50+ Female White Black 30-39 40-49 20-29 Hispanic <20 Gender Age Race Other/Unknown

  38. S.C. HIV/AIDScases diagnosed through 2008 comparison within mode of exposurein care vs. not in care N=5269 N=2168 N=4567 N=216 Excludes cases with no risk identified, N=3,651.

  39. S.C. HIV/AIDScases estimated not in care diagnosed through 2008 by location (N=6,571) Rural 28% Urban 72%

  40. S.C. HIV/AIDS cases not in care diagnosed through 2008 by county Percentage 20 to 39 40 to 59 60+

  41. Recommendations Based on Epi Data Continue to focus prevention efforts on: • People living with HIV/AIDS • Men who have Sex with Men (MSM), particularly African-American Males as well as White Males • High Risk Heterosexuals, primarily African-Americans who account for 8 out of every 10 persons living with HIV/AIDS

  42. Jacob Ramsey S.C. DHEC STD/HIV Division 803-898-0711 ramseyjm@dhec.sc.gov

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