AIDS has tightened its grip on the nation’s black community, with vastly higher rates of HIV diagnoses among non-Hispanic blacks than among whites or Hispanics, according to a report released Wednesday.
The study, released on World AIDS Day, is the first government analysis of 125,800 HIV diagnoses from 2000 to 2003 in 32 states — not including populous New York and California — that confidentially report HIV diagnoses to the federal government using patients’ names. Missouri is among the states reporting.
The epidemic is stable with roughly 40,000 new HIV cases each year and as many as 950,000 people living with HIV/AIDS. But HIV diagnoses increased 5 percent among men overall and 11 percent among gay men. Because critical states don’t yet report diagnoses by name, the evidence isn’t conclusive. But it was foreshadowed by three years of rising syphilis rates among gay and bisexual men.
“We cannot say with certainty that this represents an increase in new infections,” says Ronald Valdiserri of the Centers for Disease Control and Prevention. “But we continue to be concerned about it.”
In the U.S., 51 percent of all HIV diagnoses were among blacks, who make up 13 percent of the population. Black men accounted for the highest rate of new HIV diagnoses, 103.5 per 100,000 people, seven times that of white men and triple the rate among Latinos. Among black women, a rate of 53 diagnoses for every 100,000 people was 18 times the rate for white women and five times the rate for Latinas.
Internationally, the infection rate for women is rising. Nearly half the 39.4 million people infected with HIV worldwide are female. “Today the face of AIDS is increasingly young and female,” said Peter Piot, head of United Nations AIDS.
Last year’s tally of 43,171 full-blown AIDS cases represents a 4.6 percent increase over 2003. The amount of money the government devotes to prevention has dropped from 9 percent of the total AIDS budget in 1995 to 5 percent last year, according to an analysis by the Henry J. Kaiser Family Foundation.
“The data tells us the American epidemic is rapidly becoming a disease of black and brown people,” says Phill Wilson of the American AIDS Training and Policy Institute. “It also tells us that many of our strategies of dealing with the disease are failing.”
A report released Wednesday by minority staff of the U.S. House of Representatives Committee on Government Reform found that 11 of 13 of the abstinence-only sexually transmitted disease (STD) prevention programs contain “false information” on the effectiveness of contraception and blur the line between religion and science…"
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