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Local Data: Missouri

In 2018, there were 12,622 people living with HIV in Missouri.
In 2018, 447 people were newly diagnosed with HIV.

HIV Prevalence

Number of people living with HIV, 2018 12,622

Rate of people living with HIV per 100,000 population, 2018 246

Percent of people living with HIV, by Sex, 2018

82.1% 17.9%
  • Male
  • Female

Percent of people living with HIV, by Race/Ethnicity, 2018

43.8% 6.2% 45.7%
  • Black
  • Hispanic/Latinx
  • White

Percent of people living with HIV, by Age, 2018

3.8% 16.7% 19.3% 27.7% 32.4%
  • Aged 13-24
  • Aged 25-34
  • Aged 35-44
  • Aged 45-54
  • Aged 55+

Rate of people living with HIV per 100,000 population, by Geography, 2018

400 320 240 160 80 0 246 State 214 Region 375 United States

New HIV Diagnoses

Number of new HIV diagnoses, 2018 447

Rate of new HIV diagnoses per 100,000 population, 2018 9

Percent of people newly diagnosed with HIV, by Sex, 2018

82.3% 17.7%
  • Male
  • Female

Percent of people newly diagnosed with HIV, by Race/Ethnicity, 2018

47.7% 7.4% 40.5%
  • Black
  • Hispanic/Latinx
  • White

Percent of people newly diagnosed with HIV, by Age, 2018

26.2% 32.2% 20.4% 12.5% 8.7%
  • Aged 13-24
  • Aged 25-34
  • Aged 35-44
  • Aged 45-54
  • Aged 55+

Number of New HIV Diagnoses, 2008-2018

Number of New HIV Diagnoses 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 400 500 600 543 520 568 524 532 465 465 463 509 504 447

Rate of people newly diagnosed with HIV per 100,000 population, by Geography, 2018

20 16 12 8 4 0 9 State 9 Region 14 United States

PrEP (Pre-Exposure Prophylaxis)

Number of PrEP users, 2019 3,039

Rate of PrEP users per 100,000 population, 2019 59

Percent of PrEP users, by Sex, 2019

93.3% 6.4%
  • Male
  • Female

Percent of PrEP users, by Age, 2019

16.1% 37.6% 22.3% 17.7% 9.2%
  • Aged 13-24
  • Aged 25-34
  • Aged 35-44
  • Aged 45-54
  • Aged 55+

Number of PrEP Users, 2012-2019

Number of PrEP Users 2012 2013 2014 2015 2016 2017 2018 2019 0 1,550 3,100 91 189 403 978 1,381 1,805 2,621 3,039

PrEP-to-Need Ratio (PNR)

The 2019 PrEP-to-Need Ratio (PNR) is the ratio of the number of PrEP users in 2019 to the number of people newly diagnosed with HIV in 2018. PNR serves as a measurement for whether PrEP use appropriately reflects the need for HIV prevention. A lower PNR indicates more unmet need.

PNR, 2019 6.80

PNR, by Sex, 2019 Male: 7.70 Female: 2.47

PNR, by Age, 2019 Aged 13-24: 4.18 Aged 25-34: 7.93 Aged 35-44: 7.46 Aged 45-54: 9.61 Aged 55+: 7.18

PNR, 2012-2019

PNR 2012 2013 2014 2015 2016 2017 2018 2019 0.00 3.50 7.00 0.17 0.41 0.87 2.11 2.71 3.58 5.86 6.80

HIV Continuum of Care, 2018

Late Diagnoses and Linked to Care are among people newly diagnosed with HIV and Receipt of Care and Viral Suppression are among all people living with HIV.

100 80 60 40 20 21.7% Late Diagnoses 70.7% Linked to Care 76.7% Receipt of Care 63.6% Viral Suppression Diagnoses-based HIV Continuum Care, 2018

Late HIV Diagnoses

A late HIV diagnosis is defined as having an AIDS diagnosis within three months of initial HIV diagnosis.

Number of new HIV diagnoses that were diagnosed late, 2018 97

Percent of new HIV diagnoses that were diagnosed late, 2018 21.7%

Linked to HIV Care

Linkage to care is defined as having a visit with an HIV health care provider within one month of being diagnosed with HIV.

Number of people diagnosed with HIV and linked to HIV care, 2018 316

Percent of people diagnosed with HIV and linked to HIV care, 2018 70.7%

Receipt of HIV Care

Receipt of HIV care is defined as those living with diagnosed HIV who have recieved medical care for HIV.

Number of people living with HIV who received HIV care, 2018 9,334

Percent of people living with HIV who received HIV care, 2018 76.7%

Viral Suppression

Viral suppression is defined as those living with diagnosed HIV who had suppressed HIV viral load (<200 copies/mL).

Number of people living with HIV who were virally suppressed, 2018 7,746

Percent of people living with HIV who were virally suppressed, 2018 63.6%

HIV Mortality

Number of deaths of people with HIV, 2018 233

Rate of deaths of people with HIV per 100,000 population, 2018 5

Percent of deaths of people with HIV, by Sex, 2018

85.4% 14.6%
  • Male
  • Female

Percent of deaths of people with HIV, by Race/Ethnicity, 2018

42.1% 4.7% 48.1%
  • Black
  • Hispanic/Latinx
  • White

Percent of deaths of people with HIV, by Age, 2018

0.9% 6.9% 10.7% 28.3% 53.2%
  • Aged 13-24
  • Aged 25-34
  • Aged 35-44
  • Aged 45-54
  • Aged 55+

Demographics, 2018

Total Population 6,126,452

State Population by Race/Ethnicity

  • American Indian / Alaska Native (0.4%)
  • Asian (2.1%)
  • Black (11.6%)
  • Hispanic / Latinx (4.3%)
  • Native Hawaiian / Other Pacific Islander (0.1%)
  • White (79.3%)
  • Multiple Race (2.1%)
  • Other* (0.1%)

*Includes other races/ethnicities or missing/suppressed data

HIV Prevalence Rate Ratios, by Race/Ethnicity, 2018

The rate of Black males living with an HIV diagnosis is 6.2 times that of White males.

The rate of Hispanic/Latino males living with an HIV diagnosis is 2.7 times that of White males.

The rate of Black females living with an HIV diagnosis is 13.7 times that of White females.

The rate of Hispanic/Latina females living with an HIV diagnosis is 3.5 times that of White females.

Late HIV Diagnoses, 2018

A late HIV diagnosis is defined as having an AIDS diagnosis within three months of initial HIV diagnosis.

State

78.3% 21.7%

Region

77.5% 22.5%

United States

79.2% 20.8%
  • Diagnosed with HIV
  • Diagnosed with AIDS

People Living with HIV, by Transmission Category, 2018

Percent of People Living with HIV, by Transmission Category, 2018

Male Transmission Categories

  • Injection Drug Use (5.2%)
  • Heterosexual Contact (5.2%)
  • Male-to-Male Sexual Contact (81.1%)
  • Male-to-Male Sexual Contact & Injection Drug Use (7.6%)
  • Other* (0.9%)

Female Transmission Categories

  • Injection Drug Use (15.6%)
  • Heterosexual Contact (82.0%)
  • Other* (2.4%)

*Includes risk factor not reported or identified, along with hemophilia, blood transfusion, perinatal exposure, or missing/suppressed data.

People Newly Diagnosed with HIV, by Transmission Category, 2018

Percent of People Newly Diagnosed with HIV, by Transmission Category, 2018

Male Transmission Categories

  • Injection Drug Use (4.6%)
  • Heterosexual Contact (6.0%)
  • Male-to-Male Sexual Contact (82.3%)
  • Male-to-Male Sexual Contact & Injection Drug Use (7.1%)
  • Other* (1.4%)

Female Transmission Categories

  • Injection Drug Use (11.4%)
  • Heterosexual Contact (86.1%)
  • Other* (2.5%)

*Includes risk factor not reported or identified, along with hemophilia, blood transfusion, perinatal exposure, or missing/suppressed data.

HIV Mortality Rates, 2016-2018

  • State
  • Region
  • United States
7 5.6 4.2 2.8 1.4 0 3.8 3.2 6.1 2016 4.2 3.3 6.0 2017 4.5 3.4 5.6 2018 Age-adjusted rates of Death due to HIV per 100,000 population, 2016-2018

HIV Testing, 2018

These data represent 2018 weighted estimates of HIV testing prevalence by selected demographic characteristics, based on responses to the Behavioral Risk Factor Surveillance System (BRFSS) survey question, "Have you ever been tested for HIV?"

70 56 42 28 14 0 34.1% Overall Men 32.1% Women 36.0% By Sex 18-24 26.3% 25-34 49.8% 35-44 56.6% 45-54 39.7% 55-64 24.3% 65+ 13.7% By Age White 29.7% Black 63.0% Hispanic/ Latinx 36.3% American Indian/ Alaskan Native 39.5% Multiple Race 60.1% By Race/Ethnicity

Social Determinants of Health, 2018

  • State
  • Region
  • United States
90.5% 90.8% 87.7%

Percent of Population with a High School Education, 2018

0.466 0.466 0.482

Income Inequality (Gini Coefficient), 2018

13.2% 12.5% 13.1%

Percent of Population Living in Poverty, 2018

$54,412 $59,657 $61,937

Median Household Income, 2018

11.4% 7.9% 10.4%

Percent of Population Lacking Health Insurance, 2018

3.2% 3.7% 3.9%

Percent of Population Unemployed, 2018

12.0% 10.8% 11.1%

Percent of Population Living with Food Insecurity, 2016-2018

11.6% 12.2% 14.5%

Percent of Population Living in Unstable Housing, 2018

Medicaid Expansion, 2020

Not Adopted Adopted but Not Implemented Adopted and Implemented

Status of state action on the Medicaid expansion decision as of September 1, 2020.

HIV Federal Funding/Programs, Federal HIV/AIDS Grant Funding, FY 2018

Substance Abuse & Mental Health Services Administration, FY 2018 $891,509

Ryan White HIV/AIDS Program, FY 2018 $26,394,183

Housing Opportunities for Persons With AIDS, FY 2018 $3,946,414

Total Funding, FY 2018 $31,232,106

Sexually Transmitted Diseases, 2018

600 480 360 240 120 0 568.1 524.0 539.9 Chlamydia 246.8 184.5 179.7 Gonnorhea 13.2 7.1 10.8 Syphilis Rates of Sexually Transmitted Diseases per 100,000 Population, 2018
  • State
  • Region
  • United States

HIV Criminalization, 2020

States with HIV-Specific Criminal Laws/Statutes

State has HIV-specific criminal laws and/or sentence enhancements applicable to people living with HIV.

States That Have Prosecuted PLWH

State has prosecuted people living with HIV under non-HIV-specific, general criminal laws.

Status of state criminalization laws are as of July 28, 2020. Source: CHLP.

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