HIV/AIDS and American Indians/Alaska Natives

• American Indians/Alaska Natives have over twice the rate of HIV infection as compared to their white counterparts, and they are more likely to die from HIV infection.

Estimated number of cases of HIV infection by year of diagnosis, 2021

	# Cases
American Indians/Alaska Natives	223
White	9,058

HIV Infection Cases and Rates (Adults)

Estimated number of diagnosed cases and rates (per 100,000) of HIV infection, 2021

	# Cases	Rate	American Indian/Alaska Native / White Ratio
American Indian/Alaska Native	223	10.9	2.1
White	9,058	5.3

Source: CDC AtlasPlus 2021. NCHHSTP AtlasPlus  https://gis.cdc.gov/grasp/nchhstpatlas/charts.html [Accessed 8/11/2023]

HIV Infection Cases and Rates (Children

Estimated number of diagnosed cases and rates (per 100,000) of HIV infection, 2019

	# Cases	Rate
American Indians/Alaska Natives	1	0.2
White	7	0.0
Total Population	61	0.1

Source: CDC 2021. HIV Surveillance Report: Diagnoses of HIV Infection in the United States and Dependent Areas, 2019, v.32. Table 2a.
https://www.cdc.gov/hiv/pdf/library/reports/surveillance/cdc-hiv-surveillance-report-2018-updated-vol-32.pdf [PDF | 16.7MB]

HIV Infection Cases (Adults and Children)

Estimated number of cases of HIV infection by year of diagnosis, 2019

	# Cases	% of Total Cases
American Indians/Alaska Natives	210	0.6
White	9,013	24.8
Total Population	36,398

Source: CDC 2021. HIV Surveillance Report: Diagnoses of HIV Infection in the United States and Dependent Areas, 2019, v.32. Table 1a.
https://www.cdc.gov/hiv/pdf/library/reports/surveillance/cdc-hiv-surveillance-report-2018-updated-vol-32.pdf [PDF | 19.7B]

Estimated number of persons living with HIV infection and rates (per 100,000) by year, 2019

	Rate	# Cases	% of Total Cases
American Indians/Alaska Natives	132.0	3,215	0.3
White	153.9	303,701	29.0
Total Population	318.4	1,044,977

Source: CDC 2021. HIV Surveillance Report: Diagnoses of HIV Infection in the United States and Dependent Areas, 2019, v.32. Table 16a.
https://www.cdc.gov/hiv/pdf/library/reports/surveillance/cdc-hiv-surveillance-report-2018-updated-vol-32.pdf [PDF | 19.7MB]

AIDS Cases and Rates (Adults)

Estimated number of cases and rates (per 100,000) of AIDS, 2019

	# Cases	Rate	American Indians/Alaska Natives / White Ratio
American Indians/Alaska Natives males	48	4.9	1.3
White males	3,190	3.8
American Indians/Alaska Natives females	17	1.7	2.1
White females	685	0.8
American Indians/Alaska Natives (both sexes)	65	3.3	1.4
White (both sexes)	3,975	2.3

Source: CDC 2021. NCHHSTP Atlas Plus.
https://www.cdc.gov/nchhstp/atlas/index.htm [Accessed 06/16/2021]

Estimated number of cases of AIDS by year of diagnosis, 2019

	Cumulative # Cases*	% of Total Cases
American Indian/Alaska Native	3,562	0.3
White	444,613	34.0
Total Population	1,307,283

Source: CDC 2021. HIV Surveillance Report: Diagnoses of HIV Infection in the United States and Dependent Areas, 2019. Slide Set: HIV Infection, Stage 3 (AIDS) 2019. Slide 43.
https://www.cdc.gov/hiv/pdf/library/slidesets/cdc-hiv-infection-stage-3-2019.pdf [PDF | 6.6MB]

Death Rate

HIV infection death rates per 100,000 population. 2019

	American Indian/Alaska Native	White	American Indian/Alaska Native / White Ratio
All ages, Men	3.4	5.0	0.7
All ages, Women	1.8	0.6	2.3
Total Population	2.1	2.5	0.8

Source: CDC 2021. HIV Surveillance Report: Diagnoses of HIV Infection in the United States and Dependent Areas, 2019, v.32. Table 12a.
https://www.cdc.gov/hiv/pdf/library/reports/surveillance/cdc-hiv-surveillance-report-2018-updated-vol-32.pdf[PDF | 19.7MB ]

AIDS Deaths

Estimated number of deaths, and death rates, of persons with AIDS by year of death, 2019

	# Deaths 2019	Rate 2019	Cumulative # Deaths*	% of Total Cases
American Indian/Alaska Native	41	2.1	2,087	0.3
White	3,637	2.1	293,444	38.3
Total Population	11,899	4.3	766,380

Source: CDC 2021. NCHHSTP Atlas Plus
https://www.cdc.gov/nchhstp/atlas/index.htm [Accessed 06/16/2021]

Source: CDC 2021. HIV Surveillance Report: Diagnoses of HIV Infection in the United States and Dependent Areas, 2019. Slide Set: HIV Infection, Stage 3 (AIDS) 2019. Slide 43.
https://www.cdc.gov/hiv/pdf/library/slidesets/cdc-hiv-infection-stage-3-2019.pdf [PDF | 6.6MB]

HIV Testing

Age-adjusted percent of HIV testing status among persons 18 years of age and over, 2018

	American Indian/Alaska Native	Non-Hispanic White	American Indian/Alaska Native / Non-Hispanic White Ratio
Ever tested	46.6	39.9	1.2
Never tested	53.4	60.1	0.9

Source: CDC 2021. Summary Health Statistics for U.S. Adults: 2018. Table A-20a.
http://www.cdc.gov/nchs/nhis/SHS/tables.htm

* Cumulative data are from the beginning of the epidemic through 2019.