Marsha Lillie Blanton Slides HIVAIDS and African American Women by sof13907

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									HIV/AIDS and African American Women



           Marsha Lillie-Blanton, Dr.P.H.
           Vice President in Health Policy
       The Henry J. Kaiser Family Foundation



        National Black Women’s Health Project
    National Colloquium on Black Women’s Health
                     April 11, 2003
                   Washington, DC
Fact 1                        In 2000, HIV was the leading cause of death for
                              African American women ages 25-34


                                            Women                     20-24                25-34               35-44

                                  African American                       5th                  1st                 3rd

                                  White                                   *                   7th                 9th

                                  Latinas                                 *                   4th                 4rd

                                               Men                    20-24                25-34               35-44

                                  African American                       6th                  3rd                 1st

                                  White                                   *                   6th                 5th

                                  Latino                                 8th                  4th                 2nd




 Note: *HIV does not appear among the top 10 leading causes of death in these categories. White and African American
 groups do not include those of Hispanic origin.
 Source: Centers for Disease Control and Prevention, National Center for Health Statistics, National Vital Statistics System,
 National Vital Statistics Reports, Leading Causes of Death for 2000, Vol. 50, No. 16, September 2002.
Fact 2         Almost two-thirds of estimated new HIV
               infections among women are Black women




                                                                Latino
              African
                                                                   18%
             American
               64%
                                                                             White
                                                                               18%




                                                      N = 12,000



         Source: Centers for Disease Control and Prevention, HIV/AIDS Update, February 2002
Fact 3          In 2001, a third (34%) of newly reported AIDS
                cases among African Americans were women*



         100%
                                                                                                                    Men
                                                                                                                    Women
           75%
                                        85%                                           66%

           50%



           25%
                                                                                      34%
                                       15%
            0%
                                      White                                African American

                                     N= 13,204                                       N=20,918


         Note: *Includes reported cases among women 13 years of age and older. White and African American
         groups do not include those of Hispanic origin.
         Source: Centers for Disease Control and Prevention, HIV/AIDS Surveillance Report, Year-End Edition 2001,
         Vol. 13, No. 2.
Fact 4                  In 2001, the case rate among African American
                        women was five times the case rate among
                        women of all racial/ethnic groups

     Rate per
     100,000 Women

              50                                               47.8


              40



              30


              20
                                                                                  12.9
                           9.1
              10
                                                                                                     4.9
                                             2.4                                                                        1.5
                0
                       All Women            White         African American        Latina           American         Asian/Pacific
                                                                                                 Indian/Alaska        Islander
                                                                                                    Native



         Note: Includes reported cases among women 13 years of age and older. White and African American groups do not include
               those of Hispanic origin.
         Source: Centers for Disease Control and Prevention, HIV/AIDS Surveillance Report, Year-End Edition 2001, Vol. 13, No. 2.
Fact 5                HIV is primarily transmitted by heterosexual
                      contact among African American women


                  African American
                       Women                                                          White Women



                                                                                            Heterosexual
                          Heterosexual
                                                                                             Contact 59%
                           Contact 67%




     Injection Drug Use                                                    Injection Drug Use
                                                                                                               Risk not Reported
          (IDU) 30%                                                             (IDU) 38%
                                         Risk not Reported                                                      or Identified 4%
                                          or Identified 3%


                      Total = 7,040                                                      Total = 1,751




            Note: Includes estimated cases diagnosed in 2001 among those 13 years of age and older, after the reclassification
            of cases where cause for exposure was not reported or identified; Whites do not include those of Hispanic origin.
            Source: Centers for Disease Control and Prevention, HIV/AIDS Surveillance Report, Year-end Edition 2001,
            Vol. 13, No.2.
Why is the Impact of the Epidemic Greater Among
 African American Women than Other Women?


• Multiple, interrelated factors
   – Prevalence of HIV/AIDS among African American men
   – Social & economic conditions of African American women
   – Prevalence of other STDs among African American women
   – Health care access & quality of care
   – Perceptions of risk and risk factors
   – Stigma around sexuality, including being identified as gay or
     bisexual
             Why is it Imperative to Act?



HIV/AIDS
   – Affects children, families, communities
   – Is having its greatest impact on the next generation of adults
   – Can be prevented and treated

Rising Trend of HIV disease
    – is not NEW,
    – is getting worse, and
    – is generally overlooked

								
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