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Hispanic/Latino People and HIV

Education Packet

Hispanic/Latino People and HIV – This packet is a compilation of recent fact sheets and other resources. You may wish to customize it to meet the needs or interests of particular groups, such as event participants, providers, patients, clients, or the general public. So please feel free to distribute all or part of this packet as either a printout or PDF.

 

Fact Sheets, Issue Briefs, and Infographics

HIV and Hispanic/Latino People (CDC) – This web page provides a brief overview of HIV health inequities among Hispanic/Latino people in the U.S., and links to related pages with more detailed information on the following topics: HIV risk behaviors, PrEP coverage, HIV incidence, HIV diagnoses, knowledge of HIV status, viral suppression, prevention challenges, and what CDC is doing to reduce stigma, support HIV testing, prevent new infections, and improve HIV treatment and care in Hispanic/Latino people.

HIV and Hispanic/Latino People (CDC) – This fact sheet includes breakdowns of HIV diagnoses among Hispanic/Latino people by sex and transmission category. It also discusses trends in new HIV diagnoses by age and gender during the period from 2015 through 2019, as well as HIV prevalence, the HIV care continuum, challenges that place some Hispanic/Latino people at higher risk for HIV infection, and steps CDC is taking to address HIV among Hispanic/Latino people.

Hispanic/Latino Clients: Ryan White HIV/AIDS Program, 2020 (Health Resources and Services Administration) – This fact sheet summarizes selected demographic characteristics of Hispanic/Latino clients in the Ryan White HIV/AIDS Program (RWHAP). Almost one-quarter (24%) of the nearly 562,000 RWHAP clients in 2020 were Hispanic/Latino people. Among Hispanic/Latino clients, 43% were age 50 years or older, nearly two-thirds (64%) lived at or below the federal poverty level, and 91% were virally suppressed. More detailed information is provided about these and other demographic characteristics. A related slide deck provides an overview of key RWHAP client data by race/ethnicity in a series of graphs.

HIV Prevention for Hispanic/Latino Gay and Bisexual Men (CDC) – This issue brief discusses recent data on HIV among Hispanic/Latino people, with a particular emphasis on gay, bisexual, and other men who have sex with men (MSM). The brief examines the social and structural factors that increase HIV risk among Hispanic/Latino MSM, the HIV care continuum, CDC’s ongoing efforts to intensify prevention activities, and steps state and local health departments, community-based organizations, community and religious leaders, and community members can take to address HIV among Hispanic/Latino people.

HIV in the United States and Dependent Areas (CDC) – This fact sheet – which is also available in Spanish – includes information on the disproportionately high number of new HIV diagnoses among Hispanic/Latino people. Data breakdowns are provided for HIV diagnoses attributed to male-to-male sexual contact and female heterosexual contact among Hispanic/Latino people. Trends in HIV diagnoses for different racial/ethnic groups are also discussed.

HIV’s Impact on Racial and Ethnic Minorities (HIV.gov) – This fact sheet includes information about the proportion of people with HIV by race/ethnicity compared to their proportion in the U.S. population; HIV incidence by race/ethnicity; Ryan White HIV/AIDS Program clients from racial and ethnic minority population groups; and the Minority HIV/AIDS Fund.

HIV and Hispanic/Latino Gay and Bisexual Men (CDC) – This focuses specifically on the impact of the HIV epidemic on Hispanic/Latino gay and bisexual men.  Data are provided on the number and trends in new HIV diagnoses, HIV prevalence, the HIV care continuum, and deaths among these men. This fact sheet also discusses the prevention challenges among Hispanic/Latino gay and bisexual men, including: stigma, homophobia, and discrimination; having older sexual partners; relatively low use of pre-exposure prophylaxis; and socioeconomic factors, such as poverty, migration patterns, lower education levels, and language barriers that make it harder to get HIV testing and care.

The Role of Housing in Ending the HIV Epidemic (CDC) – This issue brief focuses on the importance of housing for people living with, or at risk for, HIV infection. It reviews the ways housing affects health, including the impact of unstable housing on HIV testing, use of HIV PrEP, access and adherence to HIV treatment, and viral suppression rates. It also summarizes data on the high rates of housing instability among several groups that are disproportionally affected by HIV, including Black/African American people, Hispanic/Latino people, young people, and transgender and gender-nonconforming people.

Illuminating the Needs of the Forgotten “Olvidados”: A National Assessment of Latinos Growing Older with HIV (Latino Commission on AIDS and the Hispanic Health Network) – This multi-lingual report describes the results of a nationwide community needs assessment for primarily Spanish-speaking Hispanic/Latino people, aged 50 and older, who are living with HIV/ AIDS.

SPNS Journal Articles on Latinos and HIV Care Engagement (HIV.gov) – Two journal articles on recent HIV care innovation projects funded by HRSA’s RWHAP highlight care insights and challenges for Latino people living with HIV.

HIV Poster Series: “Ending HIV Is at Your Fingertips” (Latino Commission on AIDS) – This resource draws attention to the tools that are already available to help end the HIV epidemic, including the use of pre-exposure prophylaxis (PrEP) and condoms to prevent HIV transmission and, for people with HIV, adhering to HIV treatment to become and remain healthy.

Infographics on Hispanic/Latino People and HIV (AIDSVu)

 

HIV Surveillance Reports and Data Analyses

Diagnoses of HIV Infection in the United States and Dependent Areas, 2020 (CDC) – This surveillance report includes detailed information about new HIV diagnoses, prevalence, and deaths among Hispanic/Latino persons, as well as those in other racial and ethnic groups.  Breakdowns are also provided by age, gender, transmission category, and geographic region. In addition, Tables 2a, 2b, 6a, 6b, 7a, 7b, 9a, 9b, 12a, 12b, 16a, 16b, 21, and A2 focus specifically on HIV diagnoses, deaths, and prevalence by race/ethnicity. Some other tables that focus on different characteristics also include race/ethnicity breakdowns.

Estimated HIV Incidence and Prevalence in the United States, 2015-2019 (CDC) – This report provides estimates of the number of new HIV infections and the total number of persons living with HIV during each year from 2015 through 2019. It begins with a commentary section that summarizes highlights of the report, followed by tables that present data on HIV incidence and prevalence among adults and adolescents, with breakdowns by sex at birth, age, race/ethnicity, transmission category, and region of residence. The race/ethnicity data include statistics for Hispanic/Latino persons. An appendix focuses on the estimated incidence and prevalence of HIV infection among adults and adolescents living in Ending the HIV Epidemic (EHE) Phase 1 jurisdictions.

Monitoring Selected National HIV Prevention and Care Objectives by Using HIV Surveillance Data: United States and 6 Dependent Areas, 2020 (CDC) – This report presents the results of focused analyses of U.S. HIV surveillance data to measure progress toward ending the HIV epidemic. It includes information on the stage of HIV disease at time of diagnosis, linkage to HIV medical care, viral suppression, prevalence-based HIV care continuum, HIV deaths and survival, use of pre-exposure prophylaxis (PrEP), and perinatal HIV infections. The report also includes a series of Special Focus Profiles highlighting six populations of particular interest to HIV prevention programs in state and local health departments. For some measures, data are broken down by race/ethnicity, as well as gender, age, transmission category, and area of residence.

Estimated HIV Incidence and Prevalence in the United States, 2010-2019 (CDC) – This slide set summarizes trends in HIV incidence during the 2010s, with breakdowns by race/ethnicity, age, sex, transmission category, and region. Data for 2019 is also provided on knowledge of HIV status, as well as HIV prevalence in the 50 states, District of Columbia, and Puerto Rico.

HIV Infection, Stage 3 (AIDS), 2020 (CDC) – This slide set summarizes trends in AIDS diagnoses and deaths from 1985 to 2020, with breakdowns by age, sex, race/ethnicity, transmission category, and region. Data on cumulative AIDS diagnoses and deaths through 2020, and AIDS data for Metropolitan Statistical Areas (MSAs) are also provided.

HIV Mortality: 2020 (CDC) – This slide set presents an analysis – in a series of charts, graphs, and maps – of trends in the rates and distribution of deaths among people with HIV. Breakdowns are provided by race/ethnicity, age, gender, and geographic region.

AIDSVu – AIDSVu is an interactive online mapping tool that visualizes the impact of the HIV epidemic on communities across the United States.  State-by-state data and limited county data for each New England state are available at the following links: Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, and Vermont. The state data include information on new HIV diagnoses, HIV prevalence, HIV testing, and deaths among persons with HIV, with breakdowns by race/ethnicity. Detailed data are also available for the following areas: Boston, the Hartford-East Hartford-Middletown metropolitan statistical area (MSA); the Bridgeport-Stamford-Norwalk MSA, and the New Haven-Milford MSA.

HIV in the United States by Region (CDC) – This web page includes information on HIV diagnoses by race/ethnicity in the following five regions: Northeast, Midwest, South, West, and U.S. Dependent Areas. 

Maps Based on Data from 2018 HIV Surveillance Report (Preliminary) (CDC) – This map set presents state data on HIV and AIDS diagnoses and prevalence, with breakdowns by race/ethnicity and by adult/adolescent and pediatric cases. 

 

Selected Resources from AIDS Education and Training Centers (AETCs) and HRSA

National HIV Curriculum: HIV in Racial and Ethnic Minority Populations (AIDS Education and Training Center, University of Washington, and other partners, updated 2021) – This is the sixth lesson in the Curriculum’s Key Populations module. It has detailed information on many topics, including:

  • Introduction
  • Overview of HIV Epidemiology in Racial and Ethnic Minorities
  • HIV Epidemiology Data by Racial and Ethnic Populations
  • Comparison of Racial/Ethnic Groups in the HIV Care Continuum
  • Health Outcomes and Death
  • Factors Associated with Health Inequities
  • Future Directions for Reducing HIV-Related Disparities

HIV & Oral Health Webinar Series Part 2: Emerging Viral Diseases: Implications for People with HIV (New England AETC, January 2023) – Presenters in this webinar discuss: 1) the importance of vaccination for disease prevention and/or elimination of severe disease and death; 2) methods to mitigate the spread of emerging viral infections in the dental setting; and 3) how providers can access the latest data about the impact of emerging viral diseases in their community.

HIV & Oral Health Webinar Series Part 1: Trauma Informed Dental Care (New England AETC, December 2022) – This webinar provides: 1) an overview of the approach used by a Part F Community-Based Dental Partnership to integrate/implement trauma-informed care into their program; and 2) examples of strategies participants can apply to create a more trauma-informed practice to improve the delivery of dental care.

Mental Health and HIV Webinar Series Part 4: Trauma and Stressor-Related Disorders (New England AETC, June 2022) – This webinar provides information about the pervasiveness of trauma among people with HIV and the principles of care necessary to avoid doing harm. The diagnosis and treatment of specific trauma disorders, including PTSD, are also discussed.

Mental Health and HIV Webinar Series Part 2: Pharmacotherapy for Depression (New England AETC, May 2022) – This webinar provides information about the most commonly prescribed antidepressants, including their impact on the management of HIV. Strategies for adjusting, switching, or augmenting antidepressant medications are also discussed.

Latinx HIV Case Finding and Prevention Pocket Guide (MidAtlantic AETC, March 2022) – This pocket guide provides information about interventions to decrease barriers to the engagement of Latinx populations in HIV testing; HIV-related messaging; and taking a sexual health history.

Substance Use and Mortality: How the COVID-19 Pandemic is Affecting People with HIV & Communities of Color (Northeast/Caribbean AETC, January 2022) – These training slides review pre-COVID-19 rates of substance use disorders (SUD) and overdose deaths, as well as pre-COVID-19 rates of HIV prevalence and prevention efforts, in order to understand the impact of the COVID-19 pandemic on the HIV and SUD epidemics among communities of color.

The State of Mental Health for People of Color with HIV in the LGBTQ+ Community during the COVID-19 Pandemic (Northeast/Caribbean AETC, December 2021) – These training slides cover the combined impact of HIV and COVID-19 on LGBTQ+ people of color.

Revisiting the Invisible Latino HIV Crisis: Examining Progress and Identifying Remaining Gaps in the National Response (Mountain West AETC, December 2021) – These training slides examine the HIV epidemic in the U.S. Latino community. Topics include: progress & gaps in serving the Latino community; prevention and treatment disparities and implications for the Ending the HIV Epidemic Initiative; and the Latino community response to HIV.

Evidence-Informed Interventions for Women of Color with HIV (Special Projects of National Significance Models of Care and others, October 2021) – This resource includes enhanced tools for patient navigation and for peer linkage and re-engagement into HIV care.

ConnQuER HepC App: Educational and Care Companion App (New England AETC, October 2021) – This educational tool “is useful for patients, case managers, and community health workers. It is designed to inform about the clinical condition of hepatitis C and foster more efficient conversations between patients and healthcare providers.” It is part of the ConnQuer HepC project aimed at curing hepatitis C among people of color with HIV.

The Psychological Implications of COVID-19 on People of Color with HIV/AIDS (Northeast/Caribbean AETC, October 2021) – These training slides cover the mental, emotional, and behavioral impact of COVID-19 on people of color with HIV, and discuss how the pandemic exposed racial and ethnic disparities in accessing behavioral health care. Strategies to help patients discuss, identify, and effectively manage their mental health during the pandemic and beyond are shared.

New Pandemic, Old Inequities: Impacts of COVID-19 and HIV on Marginalized Populations (MidAtlantic AETC,  Pacific AETC, AETC National Coordinating Resource Center, March 2021) – This webinar covers “intersectional structural discrimination and its relevance and context in the landscape of HIV and COVID-19 as it pertains to the health and wellbeing of marginalized populations, particularly LGBTQ+ and racial/ethnic minority populations.”

 

Selected Recent Reports from CDC’s Morbidity and Mortality Weekly Report

Each of these recent reports includes data on, or a discussion of, racial/ethnic disparities in HIV testing, prevention, care or other health indicators (such as COVID-19 vaccination status), including information for Hispanic/Latino people.

HIV Services and Outcomes During the COVID-19 Pandemic – United States, 2019-2021

HIV Stigma and Health Care Discrimination Experienced by Hispanic or Latino Persons with HIV – United States, 2018-2020

Clusters of Rapid HIV Transmission Among Gay, Bisexual, and Other Men Who Have Sex with Men – United States, 2018-2021

HIV and Sexually Transmitted Infections Among Persons with Monkeypox – Eight U.S. Jurisdictions, May 17-July 22, 2022

HIV Testing Before and During the COVID-19 Pandemic – United States, 2019-2020

Factors Associated with Use of HIV Prevention and Health Care Among Transgender Women – Seven Urban Areas, 2019-2020

Notes from the Field: COVID-19 Vaccination Among Persons Living with Diagnosed HIV Infection – New York, October 2021

Vital Signs: HIV Infection, Diagnosis, Treatment, and Prevention Among Gay, Bisexual, and Other Men Who Have Sex with Men – United States, 2010-2019

Racial, Ethnic, and Gender Disparities in Awareness of Preexposure Prophylaxis Among HIV-Negative Heterosexually Active Adults at Increased Risk for HIV Infection – 23 Urban Areas, United States, 2019

HIV Infection and HIV-Associated Behaviors Among Persons Who Inject Drugs – 23 Metropolitan Statistical Areas, United States, 2018

HIV Preexposure Prophylaxis Awareness and Referral to Providers Among Hispanic/Latino Persons – United States, 2019

Increasing Access to HIV Testing Through Direct-to-Consumer HIV Self-Test Distribution – United States, March 31, 2020-March 30, 2021

Estimated Annual Number of HIV Infections – United States, 1981–2019

Vital Signs: Deaths Among Persons with Diagnosed HIV Infection, United States, 2010-2018

Barriers to Antiretroviral Therapy Adherence Among HIV-Positive Hispanic and Latino Men Who Have Sex with Men – United States, 2015-2019

Trends in Diagnosis of HIV Infection, Linkage to Medical Care, and Viral Suppression Among Men Who Have Sex with Men, by Race/Ethnicity and Age – 33 Jurisdictions, United States, 2014-2018

Vital Signs: Status of Human Immunodeficiency Virus Testing, Viral Suppression, and HIV Preexposure Prophylaxis – United States, 2013-2018

Trends in Sexual Risk Behaviors Among Hispanic/Latino Men Who Have Sex with Men – 19 Urban Areas, 2011-2017

 

Selected Organizations and Websites

Latino Commission on AIDS – The Latino Commission was founded in 1990 to promote HIV education, develop model prevention programs for high-risk communities, and build capacity in community organizations. Its bilingual website includes descriptions and links to a range of HIV and viral hepatitis services, programs, and trainings focusing on Hispanic/Latino communities.

NMAC – The NMAC website has extensive resources in support of its mission to develop leadership in communities of color to end the HIV/AIDS epidemic.  These include news, program listings, conference information, and a resource library.

 

The contents listed on this page are those of the author(s) and do not necessarily represent the official views of, nor an endorsement by, the New England AIDS Education and Training Center.