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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 population, 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/Ethnicity, 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+

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

500 400 300 200 100 0 330 State 444 Region 375 United States

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

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

20 16 12 8 4 0 15 State 19 Region 14 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, 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 20.9% Late Diagnoses 80.4% Linked to Care 77.4% Receipt of Care 65.9% 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 127

Percent of new HIV diagnoses that were diagnosed late, 2018 20.9%

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 488

Percent of people diagnosed with HIV and linked to HIV care, 2018 80.4%

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 10,037

Percent of people living with HIV who received HIV care, 2018 77.4%

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 8,550

Percent of people living with HIV who were virally suppressed, 2018 65.9%

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% 26.8%
  • Male
  • Female

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

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

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

1.6% 15.0% 12.6% 27.6% 43.3%
  • Aged 13-24
  • Aged 25-34
  • Aged 35-44
  • Aged 45-54
  • 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%)

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.

State

79.1% 20.9%

Region

79.8% 20.2%

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 (5.4%)
  • 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

  • State
  • Region
  • United States
8.8 7.2 5.6 4 2.4 0.8 6.2 7.9 6.1 2016 6.3 7.8 6.0 2017 3.1 7.1 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?"

60 48 36 24 12 0 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

Social Determinants of Health, 2018

  • State
  • Region
  • United States
86.6% 87.2% 87.7%

Percent of Population with a High School Education, 2018

0.486 0.486 0.482

Income Inequality (Gini Coefficient), 2018

16.8% 14.5% 13.1%

Percent of Population Living in Poverty, 2018

$49,881 $56,882 $61,937

Median Household Income, 2018

11.9% 13.9% 10.4%

Percent of Population Lacking Health Insurance, 2018

3.9% 3.8% 3.9%

Percent of Population Unemployed, 2018

14.7% 12.0% 11.1%

Percent of Population Living with Food Insecurity, 2016-2018

12.4% 13.8% 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 $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

Sexually Transmitted Diseases, 2018

600 480 360 240 120 0 583.4 565.2 539.9 Chlamydia 261.4 194.4 179.7 Gonnorhea 9.8 11.1 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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