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Local Data: Alabama

In 2018, there were 13,579 people living with HIV in Alabama.
In 2018, 607 people were newly diagnosed with HIV.

HIV Prevalence

Number of people living with HIV, 2018

13,579

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

330

Percent of people living with HIV, by Sex, 2018

72.8% 27.2%
  • Male
  • Female

Percent of people living with HIV, by Race, 2018

63.2% 3.5% 27.0%
  • Black
  • Hispanic/Latinx
  • White

Percent of people living with HIV, by Age, 2018

4.6% 19.8% 20.1% 26.4% 29.1%
  • Aged 13-24
  • Aged 25-34
  • Aged 35-44
  • Aged 45-54
  • Aged 55+

New HIV Diagnoses

Number of new HIV diagnoses, 2018

607

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

15

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

80.4% 19.6%
  • Male
  • Female

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

71.7% 2.6% 21.9%
  • Black
  • Hispanic/Latinx
  • White

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

30.6% 33.9% 15.2% 12.7% 7.6%
  • 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 600 700 800 704 688 681 678 662 629 667 661 655 649 607

PrEP (Pre-Exposure Prophylaxis)

Number of PrEP users, 2018

1,876

Rate of PrEP users per 100,000 population, 2018

46

Percent of PrEP users, by Sex, 2018

95.0% male | 6.8% female

Percent of PrEP users, by Age, 2018

15.7% aged 13-24 | 41.5% aged 25-34 | 21.6% aged 35-44 | 17.1% aged 45-54 | 6.0% aged 55+

Number of PrEP Users, 2012-2018

Number of PrEP Users 2012 2013 2014 2015 2016 2017 2018 0 950 1,900 76 135 212 573 857 1,317 1,876

PrEP-to-Need (PNR)

The 2018 PrEP-to-Need Ratio (PNR) is the ratio of the number of PrEP users in 2018 to the number of people newly diagnosed with HIV in 2017. PNR serves as a measurement for whether PrEP use appropriately reflects the need for HIV prevention. A lower PNR indicates more unmet need.

PNR, 2018

2.87

PNR, by Sex, 2018

3.45 male | 0.93 female

PNR, by Age, 2018

1.58 aged 13-24 | 3.57 aged 25-34 | 3.69 aged 35-44 | 3.82 aged 45-54 | 2.09 aged 55+

PNR, 2012-2018

PNR 2012 2013 2014 2015 2016 2017 2018 0 5 10 0.11 0.21 0.32 0.86 1.29 2.02 2.87

HIV Mortality

Number of deaths of people with HIV, 2018

127

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

3

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

73.2% male | 26.8% female

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

61.4% Black | 2.4% Hispanic/Latinx | 30.7% White

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

1.6% aged 13-24 | 15.0% aged 25-34 | 12.6% aged 35-44 | 27.6% aged 45-54 | 43.3% aged 55+

Demographics, 2018

Total Population

4,887,871

State Population by Race/Ethnicity

  • American Indian / Alaska Native (0.6%)
  • Asian (1.5%)
  • Black (26.5%)
  • Hispanic / Latinx (4.4%)
  • Native Hawaiian / Other Pacific Islander (0.1%)
  • White (65.4%)
  • Multiple Race (1.6%)
  • Other* (0.0%)

*Includes other races/ethnicities or missing/suppressed data

People living with HIV, 2018

Rate of People Living with HIV per 100,000 population 330 444 375
  • State
  • Region
  • United States

People newly diagnosed with HIV, 2018

Rate of People Newly Diagnosed with HIV per 100,000 population 15 19 14
  • State
  • Region
  • United States

HIV Prevalence Rate Ratios, by Race/Ethnicity, 2018

The rate of Black males living with an HIV diagnosis is 5.3 times that of White males.

The rate of Hispanic/Latino males living with an HIV diagnosis is 1.9 times that of White males.

The rate of Black females living with an HIV diagnosis is 10.4 times that of White females.

The rate of Hispanic/Latina females living with an HIV diagnosis is 3.7 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.

Alabama

20.9% 79.1%

United States

20.8% 79.2%
  • 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 (5.4%)
  • Heterosexual Contact (10.8%)
  • Male-to-Male Sexual Contact (77.1%)
  • Male-to-Male Sexual Contact & Injection Drug Use (5.9%)
  • Other* (0.8%)
Female Transmission Categories
  • Injection Drug Use (14.4%)
  • Heterosexual Contact (83.9%)
  • Other* (1.7%)

*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 (2.7%)
  • Heterosexual Contact (9.6%)
  • Male-to-Male Sexual Contact (85.5%)
  • Male-to-Male Sexual Contact & Injection Drug Use (2.2%)
Female Transmission Categories
  • Injection Drug Use (9.2%)
  • Heterosexual Contact (90.8%)

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

HIV Mortality Rates, 2016-2018

Age-adjusted Rates of Death Due to HIV per 100,000 Population, 2016-2018 6.2 7.9 6.1 2016 6.3 7.8 6.0 2017 3.1 7.1 5.6 2018
  • State
  • Region
  • United States

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?"

10 20 30 40 50 60 70 80 90 100 39.4% Overall Men – 37.8% Women – 40.8% By Sex 18-24 – 35.3% 25-34 – 57.1% 35-44 – 59.8% 45-54 – 45.8% 55-64 – 30.9% 65+ – 15.8% By Age White – 31.8% Black – 56.9% Hispanic / Latinx – 57.4% American Indian/Alaskan Native – 57.0% Multiple Race – 44.1% By Race/ Ethnicity

HIV Continuum of Care, 2018

100 80 60 40 20 20.9% Late Diagnoses 80.4% Linked to Care 77.4% Receipt of Care 65.9% Viral Suppression Percent of all people living with diagnosed HIV Diagnoses-based HIV Continuum Care, 2018

Social determinants of health, 2018

High School Education

Percent of Population with a High School Education, 2018 86.6 87.2 87.7
  • State
  • Region
  • United States

Income Inequality

Income Inequality (Gini Coefficient), 2018 0.486 0.486 0.482
  • State
  • Region
  • United States

Living in Poverty

Percent of Population Living in Poverty, 2018 16.8 14.5 13.1
  • State
  • Region
  • United States

Median Household Income

Median Household Income, 2018 49,881 56,882 61,937
  • State
  • Region
  • United States

Uninsured

Percent of Population Lacking Health Insurance, 2018 11.9 13.9 10.4
  • State
  • Region
  • United States

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

Substance Abuse & Mental Health Services Administration

$2,270,298

Ryan White HIV/AIDS Program

$33,464,827

Housing Opportunities for Persons With AIDS

$3,220,057

Total Funding

$38,955,182

Sexually Transmitted Diseases, 2018

0 150 300 450 600 Rates of Sexually Transmitted Diseases per 100,000 Population, 2018 Chlamydia Gonorrhea Syphilis 583.4 565.2 539.9 261.4 194.4 179.7 9.8 11.1 10.8
  • State
  • Region
  • United States

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