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Local Data: Alabama

In 2019, there were 13,875 people living with HIV in Alabama.
In 2019, 638 people were newly diagnosed with HIV.

HIV Prevalence

Number of people living with HIV, 2019 13,875

Rate of people living with HIV per 100,000 population, 2019 336

Percent of people living with HIV, by Sex, 2019

72.7% 27.3%
  • Male
  • Female

Percent of people living with HIV, by Race/Ethnicity, 2019

63.2% 3.6% 26.8%
  • Black
  • Hispanic/Latinx
  • White

Percent of people living with HIV, by Age, 2019

4.4% 19.7% 20.0% 25.0% 31.0%
  • 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, 2019

500 400 300 200 100 0 336 State 451 Region 380 United States

New HIV Diagnoses

Number of new HIV diagnoses, 2019 638

Rate of new HIV diagnoses per 100,000 population, 2019 16

Percent of people newly diagnosed with HIV, by Sex, 2019

78.4% 21.6%
  • Male
  • Female

Percent of people newly diagnosed with HIV, by Race/Ethnicity, 2019

71.6% 2.0% 23.8%
  • Black
  • Hispanic/Latinx
  • White

Percent of people newly diagnosed with HIV, by Age, 2019

26.0% 34.6% 18.5% 11.8% 9.1%
  • Aged 13-24
  • Aged 25-34
  • Aged 35-44
  • Aged 45-54
  • Aged 55+

Number of New HIV Diagnoses, 2008-2019

Number of New HIV Diagnoses 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 600 700 800 703 689 682 676 663 630 664 663 653 650 607 638

Rate of people newly diagnosed with HIV per 100,000 population, by Geography, 2019

20 16 12 8 4 0 16 State 18 Region 13 United States

PrEP (Pre-Exposure Prophylaxis)

Number of PrEP users, 2019 2,504

Rate of PrEP users per 100,000 population, 2019 61

Percent of PrEP users, by Sex, 2019

93.8% 6.9%
  • Male
  • Female

Percent of PrEP users, by Age, 2019

15.3% 44.2% 21.1% 14.7% 6.9%
  • 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 1,300 2,600 76 135 212 573 857 1,317 1,876 2,504

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 4.13

PNR, by Sex, 2019 Male: 4.82 Female: 1.46

PNR, by Age, 2019 Aged 13-24: 2.06 Aged 25-34: 5.38 Aged 35-44: 5.75 Aged 45-54: 4.78 Aged 55+: 3.78

PNR, 2012-2019

PNR 2012 2013 2014 2015 2016 2017 2018 2019 0.00 2.50 5.00 0.11 0.21 0.32 0.87 1.31 2.03 3.09 4.13

HIV Continuum of Care, 2019

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 21.8% Late Diagnoses 79.2% Linked to Care 78.0% Receipt of Care 66.7% Viral Suppression Diagnoses-based HIV Continuum Care, 2019

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, 2019 139

Percent of new HIV diagnoses that were diagnosed late, 2019 21.8%

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, 2019 505

Percent of people diagnosed with HIV and linked to HIV care, 2019 79.2%

Receipt of HIV Care

Receipt of HIV care is defined as those living with diagnosed HIV who received medical care for HIV and had at least one CD4 count or HIV viral load test in that year.

Number of people living with HIV who received HIV care, 2019 10,325

Percent of people living with HIV who received HIV care, 2019 78.0%

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, 2019 8,837

Percent of people living with HIV who were virally suppressed, 2019 66.7%

HIV Mortality

Number of deaths of people with HIV, 2019 268

Rate of deaths of people with HIV per 100,000 population, 2019 7

Percent of deaths of people with HIV, by Sex, 2019

75.4% 24.6%
  • Male
  • Female

Percent of deaths of people with HIV, by Race/Ethnicity, 2019

63.1% 1.9% 25.4%
  • Black
  • Hispanic/Latinx
  • White

Percent of deaths of people with HIV, by Age, 2019

0.4% 10.8% 14.9% 21.6% 52.2%
  • Aged 13-24
  • Aged 25-34
  • Aged 35-44
  • Aged 45-54
  • Aged 55+

Demographics, 2019

Total Population 4,903,185

State Population by Race/Ethnicity

  • American Indian / Alaska Native (0.6%)
  • Asian (1.5%)
  • Black (26.5%)
  • Hispanic / Latinx (4.6%)
  • Native Hawaiian / Other Pacific Islander (0.1%)
  • White (65.3%)
  • Multiple Race (1.6%)

HIV Prevalence Rate Ratios, by Race/Ethnicity, 2019

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 3.8 times that of White females.

Late HIV Diagnoses, 2019

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

State

78.2% 21.8%

Region

79.8% 20.2%

United States

79.6% 20.4%
  • Diagnosed with HIV
  • Diagnosed with AIDS

People Living with HIV, by Transmission Category, 2019

Percent of People Living with HIV, by Transmission Category, 2019

Male Transmission Categories

  • Injection Drug Use (5.3%)
  • Heterosexual Contact (10.6%)
  • Male-to-Male Sexual Contact (77.7%)
  • Male-to-Male Sexual Contact & Injection Drug Use (5.8%)
  • Other* (0.6%)

Female Transmission Categories

  • Injection Drug Use (13.9%)
  • Heterosexual Contact (84.2%)
  • Other* (1.9%)

*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, 2019

Percent of People Newly Diagnosed with HIV, by Transmission Category, 2019

Male Transmission Categories

  • Injection Drug Use (14.1%)
  • Heterosexual Contact (38.4%)
  • Male-to-Male Sexual Contact (28.3%)
  • Male-to-Male Sexual Contact & Injection Drug Use (17.2%)
  • Other* (2.0%)

Female Transmission Categories

  • Injection Drug Use (10.1%)
  • Heterosexual Contact (89.9%)

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

HIV Mortality Rates, 2017-2019

  • State
  • Region
  • United States
8.8 7.2 5.6 4 2.4 0.8 6.4 7.8 6.0 2017 5.7 7.1 5.9 2018 6.5 7.5 5.6 2019 Age-adjusted rates of Death due to HIV per 100,000 population, 2017-2019

HIV Testing, 2019

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 39.9% Overall Men 42.9% Women 46.1% By Sex 18-24 40.6% 25-34 61.0% 35-44 67.2% 45-54 54.6% 55-64 35.6% 65+ 18.5% By Age White 37.6% Black 63.4% Hispanic/ Latinx 43.2% American Indian/ Alaskan Native 58.4% Multiple Race 63.9% By Race/Ethnicity

Social Determinants of Health, 2019

  • State
  • Region
  • United States
87.1% 86.8% 88.6%

Percent of Population with a High School Education, 2019

0.474 0.483 0.481

Income Inequality (Gini Coefficient), 2019

15.6% 13.6% 12.3%

Percent of Population Living in Poverty, 2019

$51,771 $60,566 $65,712

Median Household Income, 2019

11.6% 14.3% 10.4%

Percent of Population Lacking Health Insurance, 2019

5.4% 3.5% 3.7%

Percent of Population Unemployed, 2019

13.9% 11.2% 10.5%

Percent of Population Living with Food Insecurity, 2019

11.8% 13.1% 13.7%

Percent of Population Living in Unstable Housing, 2019

Medicaid Expansion, 2020

Not Adopted Adopted but Not Implemented Adopted and Implemented

Status of state action on the Medicaid expansion decision as of October 8, 2021.

HIV Federal Funding/Programs, Federal HIV/AIDS Grant Funding, FY 2019

Substance Abuse & Mental Health Services Administration, FY 2019 $2,270,298

Ryan White HIV/AIDS Program, FY 2019 $33,464,827

Housing Opportunities for Persons With AIDS, FY 2019 $3,220,057

Total Funding, FY 2019 $38,955,182

Sexually Transmitted Diseases, 2019

700 560 420 280 140 0 638.9 570.2 551.1 Chlamydia 296.5 204.0 187.8 Gonnorhea 12.6 11.9 11.9 Syphilis Rates of Sexually Transmitted Diseases per 100,000 Population, 2019
  • 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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