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Local Data: Alabama

In 2020, there were 14,158 people living with HIV in Alabama.
In 2020, 585 people were newly diagnosed with HIV.

HIV Prevalence

Number of people living with HIV, 2020 14,158

Rate of people living with HIV per 100,000 population, 2020 342

Percent of people living with HIV, by Sex, 2020

72.9% 27.1%
  • Male
  • Female

Percent of people living with HIV, by Race/Ethnicity, 2020

63.2% 3.7% 26.7%
  • Black
  • Hispanic/Latinx
  • White

Percent of people living with HIV, by Age, 2020

4.1% 19.4% 20.2% 23.9% 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, 2020

500 400 300 200 100 0 342 State 453 Region 382 United States

New HIV Diagnoses

Number of new HIV diagnoses, 2020 585

Rate of new HIV diagnoses per 100,000 population, 2020 14

Percent of people newly diagnosed with HIV, by Sex, 2020

76.6% 23.4%
  • Male
  • Female

Percent of people newly diagnosed with HIV, by Race/Ethnicity, 2020

68.7% 4.8% 23.9%
  • Black
  • Hispanic/Latinx
  • White

Percent of people newly diagnosed with HIV, by Age, 2020

27.4% 36.1% 15.9% 11.1% 9.6%
  • Aged 13-24
  • Aged 25-34
  • Aged 35-44
  • Aged 45-54
  • Aged 55+

Number of New HIV Diagnoses, 2008-2020

Number of New HIV Diagnoses 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 500 650 800 701 686 685 672 662 627 660 665 653 647 604 635 585

Rate of people newly diagnosed with HIV per 100,000 population, by Geography, 2020

20 16 12 8 4 0 14 State 15 Region 11 United States

PrEP (Pre-Exposure Prophylaxis)

Number of PrEP users, 2021 2,813

Rate of PrEP users per 100,000 population, 2021 68

Percent of PrEP users, by Sex, 2021

91.4% 8.6%
  • Male
  • Female

Percent of PrEP users, by Race/Ethnicity, 2021

31.6% 3.8% 63.2%
  • Black
  • Hispanic/Latinx
  • White

Percent of PrEP users, by Age, 2021

18.2% 40.3% 17.9% 13.6% 9.9%
  • Aged 13-24
  • Aged 25-34
  • Aged 35-44
  • Aged 45-54
  • Aged 55+

Number of PrEP Users, 2012-2021

Number of PrEP Users 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 100 1,500 2,900 133 137 145 289 617 1,079 1,590 1,891 1,951 2,813

PrEP-to-Need Ratio (PNR)

The 2021 PrEP-to-Need Ratio (PNR) is the ratio of the number of PrEP users in 2021 to the number of people newly diagnosed with HIV in 2020. PNR serves as a measurement for whether PrEP use appropriately reflects the need for HIV prevention. A lower PNR indicates more unmet need.

PNR, 2021 4.81

PNR, by Sex, 2021 Male: 5.74 Female: 1.76

PNR, by Race/Ethnicity, 2021 Black: 2.21 Hispanic/Latinx: 3.82 White: 12.70

PNR, by Age, 2021 Aged 13-24: 3.20 Aged 25-34: 5.38 Aged 35-44: 5.41 Aged 45-54: 5.89 Aged 55+: 4.98

PNR, 2012-2021

PNR 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 0.00 2.50 5.00 0.20 0.22 0.22 0.43 0.94 1.67 2.63 2.98 3.34 4.81

HIV Continuum of Care, 2020

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 79.7% Linked to Care 75.6% Receipt of Care 65.4% Viral Suppression Diagnoses-based HIV Continuum Care, 2020

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, 2020 127

Proportion of people with a late HIV diagnoses, by Race/Ethnicity, 2020 Black: 19.9% Hispanic/Latinx: 25.0% White: 25.7%

Percent of new HIV diagnoses that were diagnosed late, 2020 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, 2020 466

Proportion of people linked to HIV care, by Sex, 2020 Male: 79.7% Female: 79.6%

Proportion of people linked to HIV care, by Race/Ethnicity, 2020 Black: 76.9% Hispanic/Latinx: 78.6% White: 87.1%

Percent of people diagnosed with HIV and linked to HIV care, 2020 79.7%

Proportion of people linked to HIV care, by Age, 2020 Aged 13-24: 77.5% Aged 25-34: 82.5% Aged 35-44: 79.6% Aged 45-54: 78.5% Aged 55+: 76.8%

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, 2020 10,272

Proportion of people linked to HIV care, by Sex, 2020 Male: 75.6% Female: 75.9%

Proportion of people linked to HIV care, by Race/Ethnicity, 2020 Black: 75.4% Hispanic/Latinx: 67.3% White: 76.4%

Percent of people living with HIV who received HIV care, 2020 75.6%

Proportion of people linked to HIV care, by Age, 2020 Aged 13-24: 80.1% Aged 25-34: 76.3% Aged 35-44: 77.1% Aged 45-54: 75.8% Aged 55+: 73.5%

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, 2020 8,875

Proportion of people linked to HIV care, by Sex, 2020 Male: 65.4% Female: 65.3%

Proportion of people linked to HIV care, by Race/Ethnicity, 2020 Black: 63.3% Hispanic/Latinx: 59.0% White: 69.7%

Percent of people living with HIV who were virally suppressed, 2020 65.4%

Proportion of people linked to HIV care, by Age, 2020 Aged 13-24: 67.2% Aged 25-34: 63.5% Aged 35-44: 65.3% Aged 45-54: 66.7% Aged 55+: 65.3%

HIV Mortality

Number of deaths of people with HIV, 2020 268

Rate of deaths of people with HIV per 100,000 population, 2020 7

Percent of deaths of people with HIV, by Sex, 2020

67.5% 32.5%
  • Male
  • Female

Percent of deaths of people with HIV, by Race/Ethnicity, 2020

67.2% 28.0%
  • Black
  • White

Percent of deaths of people with HIV, by Age, 2020

1.9% 8.2% 14.6% 22.4% 53.0%
  • Aged 13-24
  • Aged 25-34
  • Aged 35-44
  • Aged 45-54
  • Aged 55+

Demographics, 2020

Total Population 5,024,803

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 (65.1%)
  • Multiple Race (1.7%)

HIV Prevalence Rate Ratios, by Race/Ethnicity, 2020

The rate of Black males living with an HIV diagnosis is 5.4 times that of White males.

The rate of Hispanic/Latino males living with an HIV diagnosis is 2.0 times that of White males.

The rate of Black females living with an HIV diagnosis is 10.1 times that of White females.

The rate of Hispanic/Latina females living with an HIV diagnosis is 3.6 times that of White females.

Late HIV Diagnoses, 2020

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

State

78.3% 21.7%

Region

78.5% 21.5%

United States

78.4% 21.6%
  • Diagnosed with HIV
  • Diagnosed with AIDS

People Living with HIV, by Transmission Category, 2020

Percent of People Living with HIV, by Transmission Category, 2020

Male Transmission Categories

  • Injection Drug Use (5.3%)
  • Heterosexual Contact (10.5%)
  • Male-to-Male Sexual Contact (77.9%)
  • Male-to-Male Sexual Contact & Injection Drug Use (5.6%)
  • Other* (0.7%)

Female Transmission Categories

  • Injection Drug Use (14.0%)
  • Heterosexual Contact (83.9%)
  • Other* (2.1%)

*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, 2020

Percent of People Newly Diagnosed with HIV, by Transmission Category, 2020

Male Transmission Categories

  • Injection Drug Use (3.1%)
  • Heterosexual Contact (6.2%)
  • Male-to-Male Sexual Contact (88.0%)
  • Male-to-Male Sexual Contact & Injection Drug Use (2.4%)
  • Other* (0.3%)

Female Transmission Categories

  • Injection Drug Use (9.5%)
  • Heterosexual Contact (89.8%)
  • Other* (0.7%)

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

HIV Mortality Rates, 2018-2020

  • State
  • Region
  • United States
9 7.2 5.4 3.6 1.8 0 5.7 7.6 5.9 2018 6.6 7.5 5.9 2019 6.5 8.1 6.5 2020 Mortality Rates of Persons Diagnosed with HIV per 100,000 population, 2018-2020

HIV Testing, 2020

These data represent 2020 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?"

60 48 36 24 12 0 39.0% Overall Men 37.8% Women 40.0% By Sex 18-24 29.5% 25-34 49.0% 35-44 57.9% 45-54 48.4% 55-64 36.1% 65+ 18.9% By Age White 32.3% Black 54.3% Hispanic/ Latinx 45.4% American Indian/ Alaskan Native 52.8% Multiple Race 57.2% By Race/Ethnicity

Social Determinants of Health, 2020

  • State
  • Region
  • United States
86.9% 87.5% 88.5%

Percent of Population with a High School Education, 2020

0.478 0.483 0.482

Income Inequality (Gini Coefficient), 2020

14.9% 14.1% 12.8%

Percent of Population Living in Poverty, 2020

$53,958 $59,816 $64,994

Median Household Income, 2020

11.8% 11.4% 10.4%

Percent of Population (<65) Lacking Health Insurance, 2020

6.5% 7.2% 8.1%

Percent of Population Unemployed, 2020

14.0% 12.3% 10.7%

Percent of Population Living with Food Insecurity, 2020

11.9% 13.4% 14.2%

Percent of Population Living in Unstable Housing, 2020

Medicaid Expansion, 2022

Not Adopted Adopted but Not Implemented Adopted and Implemented

Status of state action on the Medicaid expansion decision as of June 28, 2022.

Sexually Transmitted Diseases, 2020

600 480 360 240 120 0 552.2 529.1 481.3 Chlamydia 294.2 232.1 206.5 Gonnorhea 10.8 13.2 12.7 Syphilis Rates of Sexually Transmitted Diseases per 100,000 Population, 2020
  • State
  • Region
  • United States

HIV Criminalization, 2022

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 June 28, 2022. Source: CHLP.

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

Substance Abuse & Mental Health Services Administration, FY 2018 $2,270,298

Ryan White HIV/AIDS Program, FY 2018 $33,464,827

Housing Opportunities for Persons With AIDS, FY 2018 $3,220,057

Total Funding, FY 2018 $38,955,182

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