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HIV, AIDS and HIGH RISK BEHAVIORS among BEHAVIORAL RISK GROUPS in LOS ANGELES COUNTY

HIV, AIDS and HIGH RISK BEHAVIORS among BEHAVIORAL RISK GROUPS in LOS ANGELES COUNTY. As presented by Dr. Douglas Frye to the PPC on January 6, 2004 ~ Revised to include Transgender BRG ~ HIV Epidemiology Program Los Angeles County Department of Health Services Public Health.

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HIV, AIDS and HIGH RISK BEHAVIORS among BEHAVIORAL RISK GROUPS in LOS ANGELES COUNTY

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  1. HIV, AIDS and HIGH RISK BEHAVIORS among BEHAVIORAL RISK GROUPS in LOS ANGELES COUNTY As presented by Dr. Douglas Frye to the PPC on January 6, 2004 ~ Revised to include Transgender BRG ~ HIV Epidemiology Program Los Angeles County Department of Health Services Public Health

  2. Outline • Estimates of BRG populations • HIV and AIDS Estimates for BRGs based on HARS • New HIV Infections at State-funded Testing Sites • Distribution of persons living with AIDS by BRG, Service Planning Area, and Race/Ethnicity • High risk behaviors in BRGs • Transgendered persons • American Indians/Alaskan Natives

  3. Estimates of BRG Populations in Los Angeles County

  4. Estimated Population Size of Behavioral Risk Groups - LAC, as of 2000

  5. HIV and AIDS Estimates for BRGs Based on HARS(HIV/AIDS Reporting System)

  6. Persons Living with AIDS by Behavioral Risk Group - LAC HARS, as of 2/28/03

  7. Estimated Number of Persons Living with HIV (including AIDS) by BRG 28,400 # BRG with AIDS 6,400 4,200 4,200 3,100 1,700 1,700

  8. Proportion of Persons Living with HIV and AIDS by BRG - LAC, 2003 3% 4% 3% 6% 8% 55% 8% 12%

  9. Proportion of Estimated Annual HIV Incidence by BRG - LAC, 2003 3.5% 6% 8.5% 3% 6% 53.5% 6% 13.5%

  10. Estimated Annual HIV Incidence Proportion of All BRGs - LAC, 2003 4% 9% 3% 6% 6% 57% 15%

  11. Number of Persons Living with AIDS in LAC by BRG and Service Planning Area * *HARS data as of 2002; does not include 801 cases with unknown SPA.

  12. Source: Data Analysis Unit, HIV Epidemiology Program

  13. Persons Living with AIDS in LAC Percent BRG by Service Planning Area* *HARS data as of 2002; does not include 801 cases with unknown SPA.

  14. Estimated HIV Seroprevalence (including AIDS) by BRG in LAC - as of 2/28/03 % living with AIDS 18% 17% 13% 8.7% 6.5% 3.9% 2.1% Source: HIV Epidemiology Program, LAC/DHS.

  15. New HIV Infections at State-funded Testing Sites

  16. Rate of New HIV Infections among Repeat Testers at State-funded Test Sites by BRG - LAC, 1997 - 2001 N= 48 N= 653 N= 113 N= 20 N= 10 N= 81 N= 36 Behavioral Risk Group Source: OAPP and HIV Epidemiology Program. *TG refers to new infections among transgendered females. There were no new infections among transgendered males.

  17. Rate of New HIV Infectionsamong Repeat Testers at State-funded HIV Test Sites by Race/Ethnicity and BRG - LAC, 1997 - 2001 White * Black * Latino * * * * *= Statistically higher rate than non-starred race/ethnicity within BRG Source: OAPP and HIV Epidemiology Program, LAC/DHS.

  18. 1 2 3 4 5 6 7 8 Percent Tested and Testing Positive at State-funded Test Sites by SPA - LAC, 2001 Tested (N = 44,951) Testing Positive (N = 614) Service Planning Area Source: OAPP, LAC/DHS.

  19. Percent Tested and Testing Positive at State-funded Test Sites by BRG - LAC, 2001 Tested (N = 44,967) Testing Positive (N = 657) Source: OAPP, LAC/DHS.

  20. Percent Tested and Testing Positive at State-funded Test Sites by Race/Ethnicity - 2001 Tested (N = 44,967) Testing Positive (N = 657) Race/Ethnicity Source: OAPP, LAC/DHS.

  21. Men who have sex with men (MSM)

  22. Persons Living with HIV and AIDS Proportion by Behavioral Risk GroupLos Angeles County, 2003 54% MSM

  23. MSM Living with AIDS by SPA and Race/Ethnicity - as of 12/31/02 N=4,516 N=1,826 N=1,346 N=576 N=636 N=649 N=538 N=81

  24. MSM Living with AIDS by SPA and Race/Ethnicity - as of 12/31/02

  25. Men who have sex with men and women (MSM/W)

  26. Persons Living with HIV and AIDS Proportion by Behavioral Risk GroupLos Angeles County, 2003 MSM/W 12%

  27. MSM/W Living with AIDS by SPA and Race/Ethnicity - LAC, as of 12/31/02 N=627 N=352 N=259 N=247 N=184 N=148 N=81 N=27

  28. MSM/W Living with AIDS by SPA and Race/Ethnicity - LAC, as of 12/31/02

  29. Men who have sex with men and are injection drug users (MSM/IDU)

  30. Persons Living with HIV and AIDS Proportion by Behavioral Risk GroupLos Angeles County, 2003 MSM- IDU 6%

  31. MSM-IDU Living with AIDS by SPA and Race/Ethnicity - LAC, as of 12/31/02 N=407 N=225 N=121 N=75 N=46 N=58 N=43 N=12

  32. MSM - IDU Living with AIDS by SPA and Race/Ethnicity - LAC, as of 12/31/02

  33. Heterosexual male injection drug users (HMIDU)

  34. Persons Living with HIV and AIDS Proportion by Behavioral Risk GroupLos Angeles County, 2003 8% HMIDU

  35. HMIDU Living with AIDS by SPA and Race/Ethnicity - LAC, as of 12/31/02 N=261 N=245 N=144 N=141 N=91 N=64 N=40 N=27

  36. HMIDU Living with AIDS by SPA and Race/Ethnicity - LAC, as of 12/31/02

  37. Female injection drug users (FIDU)

  38. Persons Living with HIV and AIDS Proportion by Behavioral Risk GroupLos Angeles County, 2003 3% FIDU

  39. FIDU Living with AIDS by SPA and Race/Ethnicity - LAC, as of 12/31/02 N=107 N=101 N=81 N=62 N=57 N=30 N=21 N=8

  40. FIDU Living with AIDS by SPA and Race/Ethnicity - LAC, as of 12/31/02

  41. Women at Sexual Risk (WSR)

  42. Persons Living with HIV and AIDS Proportion by Behavioral Risk GroupLos Angeles County, 2003 8% WSR

  43. WSR Living with AIDS by SPA and Race/Ethnicity - LAC, as of 12/31/02 N=236 N=221 N=222 N=157 N=134 N=97 N=45 N=21

  44. WSR Living with AIDS by SPA and Race/Ethnicity - LAC, as of 12/31/02

  45. High-Risk Behaviorsin BRGs

  46. MSMIDU, MSM*, MSMW*: Unprotected Anal Receptive Sex in Last 6 Months by BRG LA Young Men’s Survey, 1999 - 2000 * MSMW self-identified as bisexual; MSM as gay or homosexual.

  47. Percent MSM Living with AIDS Reporting Unprotected Anal Intercourse (UAI) at Last Sex and Reporting 10+ Sex Partners in Last Year Los Angeles SHAS, 1998 - 2003  = UAI at last sex  = 10+ partners/year (4)

  48. Percent Unprotected Anal Receptive Sex Last 12 Months Among PLWA by BRGLos Angeles SHAS, 2000 - 2003

  49. MSMIDU, MSM, MSMW: Percent Having Sex by Type of Partner - APLA, 2001 Note: “Gay” = MSM; “Bisexual” = MSMW; “Gay IDU” = MSMIDU

  50. Percent Ever had an STDby Behavioral Risk Group Los Angeles SHAS, 2000 - 2003

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