Explain how you as a health care provider would apply the data from the document in your intervention.

After reading the 2015 HIV Surveillance Data (found in the Discussion Question Reading Material folder), answer the following questions.  Create a separate thread for each question.  Please look at the Discussion Questions Instructions to find out how your responses will be graded, and don’t forget to submit your answers on time because it will be part of the Final Exam grade.

1)  List one intervention (screening, health fair, health education class, commercial, etc.) that can be used to promote HIV prevention and/or awareness.  Explain why your chose this intervention and not the others.

2)  Explain how you as a health care provider would apply the data from the document in your intervention.

2015 HIV

SURVEILLANCE

DATA

IN THE U.S.

In 2014, an estimated 44,073 people were diagnosed with HIV infection in the

United States. 1 in 8 individuals living with HIV don’t know their status. (cdc.gov,

June 2016)

IN TEXAS

As of 2015, 82,745 individuals were known to be living with HIV in Texas.

In 2015, 4,486 cases of HIV were newly diagnosed in Texas.

DISPARITIES

Gay and Bisexual men continue to be most affected by the HIV epidemic in the

U.S.

At current rates.

• 1 in 6 MSM will be diagnosed with HIV in their lifetime,

• 1 in 2 black MSM

• 1 in 4 Latino MSM

• 1 in 11 white MSM (Center for Disease Control and Prevention 2016)

HIV DIAGNOSIS RATES BY SEX,

RACE/ETHNICITY AND AGE

GROUP, 2004-2015

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate*

Sex

Female 962 8.4 905 7.7 980 8.2 939 8 965 8 992 8 888 7 840 6 816 6 823 6 842 6.1

Male 3,368 29.8 3,071 26.5 3,139 26.6 3,239 27 3,405 28 3,485 28 3,422 27 3,520 27 3,541 27 3,582 27 3644 26.7

Total 4,330 3,976 4,119 4,178 4,370 4,477 4,310 4,360 4,357 4,405 4,86

Race

White 1,190 10.6 995 8.8 961 8.4 976 9 944 8 923 8 879 8 909 8 935 8 919 8 940 7.8

Black 1,598 60.7 1,604 57.9 1,616 57.4 1,696 59 1,735 59 1,764 59 1,595 52 1,595 51 1,634 51 1,649 51 1657 49.8

Hispanic 1,366 17.1 1,233 14.8 1,347 15.6 1,333 15 1,475 16 1,555 16 1,585 16 1,638 16 1,581 16 1,650 16 1706 16

Other 36 4.1 35 3.8 42 4.3 47 5 44 4 58 5 73 6 64 5 78 6 83 6 94 6.5

Unknown 140 0.0 109 0.0 153 0.0 126 0 172 0 177 0 178 0 154 0 129 0 104 0 89

Age Group

0 – 9 12 0.3 12 0.3 23 0.6 17 0.45 19 0.5 14 0.36 24 0.62 16 0.41 14 0.36 12 0.3 13 0.3

10 – 14 5 0.3 8 0.5 5 0.3 2 0.11 6 0.32 5 0.27 5 0.26 9 0.46 6 0.31 7 0.35 4 .02

15 – 19 143 8.2 172 9.6 186 10.2 197 10.67 254 13.55 252 13.38 230 12.23 242 12.86 206 10.89 215 11.29 221 11.4

20 – 24 491 28.1 495 28.1 563 31.9 664 37.35 724 40.27 797 43.86 800 42.64 812 41.94 823 41.71 917 45.84 876 43.4

25 – 29 662 40.3 618 36.3 657 37.4 675 37.29 691 37.52 676 36.48 692 36.85 734 38.6 810 42.13 847 43.04 851 42.1

30 – 34 665 40.2 580 35.0 571 34.2 577 34.23 628 36.42 644 36.58 564 31 632 33.8 639 33.32 594 30.34 691 34.7

35 – 39 735 45.3 602 36.0 619 36.0 592 33.86 549 31.13 532 30.17 494 28.22 466 26.5 450 25.34 488 26.96 503 27.0

40 – 44 649 37.9 583 34.2 554 32.8 512 30.53 518 30.86 509 30.03 464 26.53 458 25.62 417 23.04 404 22.14 366 20

45+ 968 13.1 906 11.8 941 11.8 942 11.49 981 11.61 1048 12.14 1037 11.65 991 10.88 992 10.65 921 9.66 961 9.8

Unknown 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Total 4330 19.0 3976 17.0 4119 17.3 4178 17.19 4370 17.62 4477 17.8 4310 16.8 4360 16.71 4357 16.44 4405 16.34 4,486 16.3

* Rates represent cases per 100,000 population.

HIV DIAGNOSIS RATES BY SEX

AND YEAR OF DIAGNOSIS, 2005-

2014

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015

Female 8.4 7.6 8.1 7.6 7.7 7.8 6.9 6.3 6.1 6.1 6.1

Male 29.8 26.2 26.2 26.5 27.6 27 27 27.2 26.8 27 26.7

0

5

10

15

20

25

30

35

C a

s e

s p

e r

1 0

0 ,0

0 0

Rates per Year

Chart Title

HIV DIAGNOSIS RATES BY

AGE AT DIAGNOSIS, 2015

0-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45+

Rate 0.3 0.2 11.4 43.4 42.1 34.7 27 20 9.8

0

5

10

15

20

25

30

35

40

45

C a

s e

s p

e r

1 0

0 ,0

0 0

Age Groups

Rate

NEW HIV DIAGNOSES BY MODE

OF TRANSMISSION, 2005-2015

NEW HIV DIAGNOSES BY MODE

OF TRANSMISSION AND SEX,

2015

14.8%

83.8%

[VALUE]

Female

IDU

Heterosexual

Pediatric

86.2%

3.4%

3.5% 6.8%

0.2%

Male

MSM

IDU

MSM/IDU

Heterosexual

Pediatric

NEW DIAGNOSES BY MODE OF

TRANSMISSION FOR EMA/TGA*, 2015

*Emerging Metropolitan Areas (EMAs) and Transitional Grant Areas (TGAs) are Metropolitan areas consisting of

several counties designated by the Ryan White Program for funding purposes

PEOPLE LIVING WITH HIV

(PLWH) IN TEXAS

PLWH BY SEX, RACE/ETHNICITY

AND AGE GROUP, 2015

Through

December 31,

2015

PEOPLE LIVING WITH HIV

Cases Rates (Per

100,000)

Sex

Male 64,897 475.9

Female 17,848 129.0

Unknown 82,745

Race

White 22,222 184.6

Black 31,009 932.7

Hispanic 25,937 243.1

Other 905 63.0

Unknown 2,672

Age Group (As

of 12/31/15)

Cases Rates

(Per

100,000)

0-9 139 3.5

10-14 135 6.7

15-19 493 25.4

20-24 3,484 172.7

25-29 7,316 361.7

30-34 8,450 424.7

35-39 9,514 510.2

40-44 10,228 559.1

45+ 42,986 439.6

Unknown 82,745

PREVALENCE RATE OF PLWH

BY GENDER, 2005-2015

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015

Female 99.6 102.4 105.9 109.2 113.2 117.7 119.9 121.9 125.3 127.8 129

Male 357.7 366.2 377.3 388.9 406.2 421.7 431.9 440.2 455.4 468.7 475.9

0

50

100

150

200

250

300

350

400

450

500

0

100

200

300

400

500

R a

te p

e r

1 0

0 ,0

0 0

Chart Title

PLWHA BY MODE OF

TRANSMISSION, 2015

59%

10%

5%

24%

1% 0%

Transmission Category

MSM

IDU

MSM/ID U Heteros exual

REGIONAL DATA

NEW HIV DIAGNOSES AND RATES BY

PUBLIC HEALTH REGION, 2015

Public

Health

Region

HIV Infection People Living with HIV Cumulative HIV

Diagnoses AIDS

Cases Rate Cases Rate Cases Cases Rate

Region 1 97 11.2 1,044 120.2 1,830 35 4.0

Region 2 26 4.7 539 98.0 981 13 2.4

Region 3 1,285 17.3 25,469 343.3 39,381 627 8.5

Region 4 111 9.8 1,907 168.2 2,938 69 6.1

Region 5 86 11.1 1,628 210.1 2,929 46 5.9

Region 6 1,450 21.2 27,838 407.8 49,513 639 9.4

Region 7 438 13.3 7,475 226.9 11,476 166 5.0

Region 8 395 13.8 6,673 232.8 10,310 166 5.8

Region 9 48 7.5 613 95.9 1,033 16 2.5

Region 10 100 11.6 2,045 238.0 2,983 45 5.2

Region 11 220 9.8 3,298 147.4 5,064 137 6.1

TDCJ 86 3,423 4,134 20

State Total 4,486 16.3 82,745 301.2 133,450 2,027 7.4

COUNTIES WITH THE HIGHEST CASE COUNTS,

2015

Rank HIV Diagnoses People Living with HIV

County Number County Number

1 Harris 1,231 Harris 23846

2 Dallas 791 Dallas 16,387

3 Bexar 363 Bexar 5,763

4 Travis 288 Tarrant 5,038

5 Tarrant 264 Travis 4422

6 El Paso 99 El Paso 2023

7 Hidalgo 79 Collin 1544

8 Denton 76 Fort Bend 1,274

9 Collin 76 Hidalgo 1,203

10 Fort Bend 62 Denton 1,157

11 Cameron 61 Galveston 923

12 Galveston 54 Jefferson 836

Rank HIV Diagnoses People Living with HIV

County Number County Number

13 Lubbock 44 Cameron 776

14 Nueces 39 Montgomery 690

15 Jefferson 38 Bell 645

16 Montgomery 37 Williamson 622

17 Gregg 34 Nueces 620

18 Bell 33 Brazoria 547

19 Webb 26 Gregg 459

20 Potter 26 Lubbock 454

21 Brazoria 26 McLennan 411

22 Brazos 23 Webb 397

23 McLennan 22 Smith 395

24 Williamson 21 Brazos 352

25 Smith 20 Hays 272

COUNTIES WITH THE HIGHEST CASE RATES*,

2015

*Rates are cases per 100,000 Pop.

Rank HIV Diagnoses People Living with HIV

County Rate County Rate

1 Willacy 32.0 Dallas 641.8

2 Dallas 31.0 Harris 525.5

3 Bosque 27.9 Houston 390.6

4 Gregg 27.4 Travis 375.8

5 Harris 27.1 Gregg 369.8

6 Travis 24.5 Jefferson 328.7

7 Matagorda 245 Bexar 303.7

8 Houston 21.9 Galveston 286.4

9 Potter 21.3 Tarrant 254.1

10 Polk 19.2 El Paso 242.1

11 Bexar 19.1 Garza 233.8

12 Anderson 19.1 Culberson 223.6

Rank HIV Diagnoses People Living with HIV

County Rate County Rate

13 Bowie 18.2 Willacy 219.1

14 Cherokee 17.5 Potter 215.1

15 Galveston 16.8 Bowie 209.9

16 Walker 15.6 Polk 198.0

17 Jefferson 14.9 Kinney 197.2

18 Lubbock 14.7 Bell 192.6

19 Cameron 14.4 Austin 189.4

20 Tarrant 13.3 Matagorda 184.9

21 Ector 12.5 Cameron 183.8

22 Caldwell 12.3 Childress 183.4

23 El Paso 11.8 Trinity 180.5

24 Nueces 10.8 Navarro 178.0

25 Randall 10.7 Fort Bend 177.9

EL PASO COUNTY

NEW DIAGNOSES, 2010-2015: EL PASO

COUNTY

(sex at

birth)

2010 2011 2012 2013 2014 2015

Total

Femal

e 9 12 12 20 10 10 63

Male 104 95 127 97 99 89 522

Total 113 107 139 117 109 99 585

Data Source: TDSHS, 2015. Charts & Tables Made for HIV Community Mobilization Team

Women represented: Men

8% of new diagnoses in 2010 92%

11% in 2011 89%

9% in 2012 91%

17% in 2013 83%

9% in 2014 91%

10% in 2015 90%

NEW DIAGNOSES BY AGE

GROUP, EL PASO COUNTY

Age

grou

p

2010 2011 2012 2013 2014 2015 Total

2-12 0 0 0 1 0 0 1

13-24 27 27 45 27 24 21 171

25-34 38 33 48 41 44 34 238

35-44 18 23 23 15 19 24 122

45-54 20 12 17 17 22 8 96

55+ 10 12 6 16 N/A 12 56

Total 113 107 139 117 109 99 684

PLWHA BY GENDER, EL PASO

COUNTY 2015

268

1755

2023 Persons Living with HIV 2015 Female Male

PLWHA BY AGE GROUP, EL

PASO COUNTY, 2015

4 84

344

438

626

527

2023 Persons Living with HIV 2015

0-12

13-24

25-34

35-44

45-54

55+

Age

Group

s

NEW HIV DIAGNOSES BY AGE

GROUP, EL PASO COUNTY 2015

21

34

24

8

12

Total number of New Diagnosis is 99

13-24

25-34

35-44

45-54

55+

Age

Group

s

NEW HIV DIAGNOSES BY RACE/

ETHNICITY, EL PASO COUNTY

2015

7 11

79

1 1 0

10

20

30

40

50

60

70

80

90

White Black Hispanic Other Unknown

109 Newly Diagnosis Counts in El Paso County

# of New dx

NEW HIV DIAGNOSES BY

TRANSMISSION CATEGORY, EL

PASO COUNTY 2015

11

77

6 5

Mode of Transmission

Heterosexua l MSM

MSM/IDU

Transmission

Category

REFERENCES

1. Texas HIV Surveillance Report, 2015 Annual Report,

www.dshs.state.tx.us/hivstd/reports/default.shtm

2. Center for Disease Control and Prevention: Lifetime Risk of HIV Diagnosis, Feb

23, 2016 www.cdc.gov/nchhstp/newsroom/2016/croi-press-release-risk.html

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