There are many terms that can be used to describe Hispanic, Latino, Latinx, and Latine identities. For the purposes of this toolkit and the accompanying infographic, AIDSVu will be utilizing “Hispanic/Latinx/Latine” communities.
HIV has a disproportionate impact on the Hispanic/Latinx/Latine population. In 2022, Hispanic/Latinx/Latine people represented 32% of new HIV diagnoses, despite making up only 19% of the U.S. population. Hispanic/Latinx/Latine communities faces unique cultural and societal challenges in HIV prevention, treatment, and care, including language barriers and mistrust of the health care system.
These challenges can also delay HIV testing and necessary treatment. In 2022, 21% of new HIV diagnoses among Hispanic/Latinx/Latine people were diagnosed late, meaning those individuals were diagnosed with stage 3 HIV (AIDS) within 3 months of their initial HIV diagnosis. In the same year, only an estimated 45% of Hispanic/Latinx/Latine individuals reported ever being tested for HIV. Research also suggests that undocumented Hispanic/Latinx/Latine immigrants are also more likely to be diagnosed late.
Health Disparities among Hispanic/Latinx People
HIV-related health disparities are significant among Hispanic/Latinx/Latine communities. Not only are Hispanic/Latinx/Latine people disproportionately impacted by HIV, but they also experience social determinants of health that often lead to poorer health outcomes. For example:
- In 2022, 17% of Hispanic/Latinx/Latine people in the U.S. were living in poverty, compared to 13% of the overall U.S. population
- In 2022, 18% of Hispanic/Latinx/Latine people lacked health insurance, compared to just 9% of the overall U.S. population
- In 2022, 3% of all Hispanic/Latinx/Latine people in the U.S. were living with food insecurity, compared to 12% of the overall U.S. population.
Additionally, concern for immigration status can place pressure on many minority and immigrant communities to avoid health services because they fear the impact that an HIV diagnosis can have on their residential security in the U.S. (CDC).
PrEP use among Hispanic/Latinx Communities
PrEP, or pre-exposure prophylaxis, is when people at risk for HIV take or receive HIV medicine regularly to lower their chances of acquiring HIV. In 2023, Hispanic/Latinx/Latine people had the lowest rate of PrEP use among all races/ethnicities despite accounting for 32% of new HIV diagnoses.
Another measure of the relative need for PrEP in a population is the PrEP-to-Need Ratio (PnR), which is the ratio of the number of PrEP users to the number of people newly diagnosed with HIV. The PnR among Hispanic/Latinx/Latine people is four times lower than for White individuals, demonstrating a higher unmet need for PrEP in the Hispanic/Latinx/Latine community.
These disparities also vary by region. Depending on the region, the PrEP-to-Need Ratio among Hispanic/Latinx/Latine individuals is 3-6 times lower than White individuals, demonstrating a higher unmet need among Hispanic/Latinx/Latine people.
Learn From Experts
Read our series of Q&A’s with leading experts to learn more about HIV among Hispanic/Latinx/Latine people.
