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U.S. Department of Health and Human Services

Office of Minority Health

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HIV/AIDS and Native Hawaiians/Other Pacific Islanders

  • While Native Hawaiians and Pacific Islanders (NHPI) represent 0.4 percent of the total population in the United States, the HIV case rate for Native Hawaiians/Pacific Islanders was over twice that of the white population in 2019.
  • In 2019, Native Hawaiians/Pacific Islanders were 2.4 times more likely to be diagnosed with HIV infection, as compared to the white population.
  • In 2019, Native Hawaiian/Pacific Islander women were 2.5 times more likely to die from HIV infection as compared to white women.

 

HIV Infection Cases and Rates (Adults)

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

 
# Cases
Rate
Native Hawaiian/Pacific Islander /
White Ratio
Native Hawaiian/Pacific Islander males
57
23.2
2.6
White males
7,498
8.9
 
 
Native Hawaiian/Pacific Islander females
9
3.7
2.2
White females
1,508
1.7
 
 
Native Hawaiian/Pacific Islander (total, all ages)
66
11.1
2.4
White (total, all ages)
9,013
4.6
 

Source: CDC 2021. HIV Surveillance Report: Diagnoses of HIV Infection in the United States and Dependent Areas, 2019, v.32. Tables 1a and 3a.
https://www.cdc.gov/hiv/pdf/library/reports/surveillance/cdc-hiv-surveillance-report-2018-updated-vol-32.pdf [PDF | 19.7MB]

 

HIV Infection Cases and Rates (Children <13 years)

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

 
# Cases
Rate
Native Hawaiian/Pacific Islander
0
0.0
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
Native Hawaiian/Pacific Islander
66
0.2
White
9,013
24.7
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
Native Hawaiian/Pacific Islander
153.0
912
0.09
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
Native Hawaiian/Pacific Islander /
White Ratio
Native Hawaiian/Pacific Islander males
18
7.3
1.9
White males
3,190
3.8
 
 
Native Hawaiian/Pacific Islander females
3
1.3
1.6
White females
685
0.8
 
 
Native Hawaiian/Pacific Islander (both sexes)
21
4.3
1.9
White (both sexes)
3,875
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
Native Hawaiian/Pacific Islander
860
0.07
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

 
Native Hawaiian/Pacific Islander
White
Native Hawaiian/Pacific Islander /
White Ratio
All ages, Men
3.7
5.0
0.7
All ages, Women
2.0
0.8
2.5
 
Total Population
2.3
2.5
0.9

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
Native Hawaiian/Pacific Islander
12
2.3
428
0.6
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

 
Native Hawaiian/Pacific Islander
White
Native Hawaiian/Pacific Islander /
White Ratio
Ever tested
44.4
39.9
1.1
Never tested
55.6
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

 

HIV Infection Cases - Pacific Territories

Estimated number of cases and rates (per 100,000) of HIV, 1984-2012 (U.S. Territories)

Region
Number of HIV/AIDS cases, Cumulative
HIV Cumulative Rate
U.S. National-White**
--
6.7
U.S. All Native Hawaiian/Pacific Islander**
--
15.1
American Samoa
3
4.0
Federated States of Micronesia
38
37.0
Guam
244
127.0
Northern Mariana Islands
34
54.0
Republic of Palau
10
48.0
Republic of Marshall Islands
25
45.0

** Data represents all ages in the United States, 2012 annual only. More recent, comparable data is not available; this is for illustration only.

Source: Secretariat of the Public Community 2013. HIV Surveillance in Pacific Island Countries and Territories: 2012 Report. Table 2.
http://www.mfed.gov.ki/sites/default/files/SPC HIV Data report-2012_0.pdf

Source (U.S. National): CDC 2014. HIV Surveillance Report: Diagnoses of HIV Infection in the United States and Dependent Areas, 2012, v.24. Table 3a.
https://www.cdc.gov/hiv/pdf/library/reports/surveillance/cdc-hiv-surveillance-report-2012-vol-24.pdf [PDF | 3.00MB]

Estimated number persons living with HIV infection and rate (per 100,000, by area of residence 2019

Region
# Cases
Rate
Native Hawaiian/Pacific Islander (U.S.)
912
153.0
American Samoa
1
2.0
Guam
108
64.2
Northern Mariana Islands
16
30.9
Republic of Palau
9
41.7
White National (U.S.)
303,701
153.9
Total Population (U.S.)
1,044,977
318.4

Source: CDC 2021. HIV Surveillance Report: Diagnoses of HIV Infection in the United States and Dependent Areas, 2019, v.32. Tables 16a and 20.
https://www.cdc.gov/hiv/pdf/library/reports/surveillance/cdc-hiv-surveillance-report-2018-updated-vol-32.pdf [PDF | 19.7MB]

 

AIDS Cases – Pacific Territories

Estimated number of persons living with AIDS and rate (per 100,000), by area of residence, 2019

Region
# Cases
Rate
Native Hawaiian/Pacific Islander (U.S.)
413
84.2
American Samoa
0
0
Guam
40
31.3
Northern Mariana Islands
11
27.1
Republic of Palau
--
--
White National (U.S.)
151,285
88.3
Total Population (U.S.)
532,426
192.9

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

 

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

7/8/2021 1:02:00 PM