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Native Hawaiians & Other Pacific Islanders and HIV

Education Packet

Native Hawaiians & Other Pacific Islanders 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, Infographics, and Web Pages

HIV in the United States by Race/Ethnicity (CDC) – This web page links to data on HIV among different racial and ethnic groups, including Native Hawaiians and other Pacific Islanders. Information is provided on HIV risk behaviors, pre-exposure prophylaxis (PrEP) coverage, HIV incidence, HIV diagnoses, knowledge of HIV status, viral suppression rates, and what CDC is doing to address HIV in different racial/ethnic groups.

HIV/AIDS and Native Hawaiians/Other Pacific Islanders (Office of Minority Health) – This web page has detailed statistical information about HIV testing, HIV and AIDS cases, and death rates among Native Hawaiians and other Pacific Islanders.

Native Hawaiian/Pacific Islander Clients: Ryan White HIV/AIDS Program, 2020 (Health Resources and Services Administration) – This fact sheet summarizes selected demographic characteristics of Native Hawaiian/Pacific Islander clients in the Ryan White HIV/AIDS Program (RWHAP). About one in five hundred (0.2%) of the nearly 562,000 RWHAP clients in 2020 were Native Hawaiians/Pacific Islanders. Among Native Hawaiian/Pacific Islander clients, about 40% were age 50 years or older, over half (59%) lived at or below the federal poverty level, and 91% were virally suppressed. More detailed information is provided about these and other demographic characteristics.

HIV Among Asian Americans and Pacific Islanders – A Problem Too Often in the Shadows (amfAR) – In this interview, the CEO of the San Francisco Community Health Center discusses challenges and barriers in the testing, prevention, and treatment of HIV infection in Asian Americans and Pacific islanders.

National Asian and Pacific Islander HIV/AIDS Awareness Day (HIV.gov) – This web page has links to information and resources about HIV/AIDS in this community.

Infographics on Native Hawaiians, Pacific Islanders, Asian Americans, and HIV (CDC and AIDSVu):

 

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 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 Native Hawaiians/other Pacific Islanders, 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 Native Hawaiians and other Pacific Islanders. 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, 2019 (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), 2019 (CDC) – This slide set summarizes trends in AIDS diagnoses and deaths from 1985 to 2019, with breakdowns by race/ethnicity, age, sex, transmission category, and region. Data on cumulative AIDS diagnoses and deaths through 2019, and AIDS data for Metropolitan Statistical Areas are also provided.

 

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 Native Hawaiians and Other Pacific Islanders.

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

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

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

 

Selected Resources from AIDS Education and Training Centers (AETCs)

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

 

Case Studies to Improve Asian American, Native Hawaiian, and Pacific Islander HIV/AIDS Data Collection, Reporting, and Dissemination (Asian and Pacific Islander American Health Forum) – This 2013 report includes in-depth case studies of three jurisdictions – New York, Hawaii, and San Francisco – which each have significant Asian American & Native Hawaiian and Pacific Islander populations and significant HIV/AIDS rates in those groups.

Ten Reasons to Address HIV/AIDS in Asian American and Pacific Islander Communities (White House archives, 2014) – The reasons cited include low HIV testing rates and late testing, high HIV stigma, and lack of awareness of HIV status among Asian Americans and Pacific Islanders.

BESAFE:  A Cultural Competency Model for Asians and Pacific Islanders (National Minority AIDS Education and Training Center and Howard University) – This workbook outlines a framework to help healthcare providers become culturally competent in the care of Asian and Pacific Islander persons with HIV.