BUREAU OF HIV/AIDS Florida Department of Health Division of Disease ControlMobilizing Black Communities:Does it Work?Ronald HendersonStatewide Minority AIDS Coordinator
“The reason for collecting, analyzing and disseminating information on a disease is to control that disease. Collection and analysis should not be allowed to consume resources if action does not follow.”_Foege WH, et al. Int. J of Epidemiology 1976;5:29-37
The Epidemic in Florida 2010 60% White 16% Black Population: 18.8 million 22% Hispanic (4th in nation) 3% Other* Cumulative AIDS cases: 121,161 (3rd in nation) Cumulative pediatric AIDS cases: 1,542 (2nd in nation) Cumulative HIV (not AIDS) cases: 46,795 (since July 1997) Persons living with HIV/AIDS (PLWHAs): 95,335 HIV prevalence estimate: 135,000 HIV incidence estimate: 5,550 (2006)*Other = Asian/Pacific Islanders; American Indians/Alaskan Natives; multi-racial.
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PLWHA “One-in” Statements Top 5 Counties Florida, Through 2005 Whites Blacks HispanicsCounty One in… County One in… County One in…Monroe 119 St. Lucie 35 Monroe 179Miami-Dade 143 Palm Beach 42 Miami-Dade 182Broward 207 Miami-Dade 44 Broward 216Orange 284 Collier 55 Orange 237Hillsborough 375 Broward 58 Palm Beach 252Expressing the PLWHA rates as “one-in statements” canmake it easier to visualize the impact of HIV/AIDS onthe communities. In St. Lucie County, 1 in 35 blacks areliving with HIV/AIDS (reported cases).
Minimum MSM PLWHA Rates 11 Counties, Florida, Through 2006*White At Least Black At Least Hispanic At LeastMSM One in… MSM One in… MSM One in…Miami-Dade 8 Miami-Dade 8 Miami-Dade 12Broward 11 Orange 8 Broward 16Orange 13 Hillsborough 12 Orange 22Hillsborough 22 Duval 13 Pinellas 27Pinellas 26 Palm Beach 13 Palm Beach 29Duval 30 Sarasota 13 Sarasota 30Palm Beach 34 Pinellas 14 Collier 33Osceola 40 St. Lucie 14 Hillsborough 33Sarasota 47 Manatee 15 Osceola 43Volusia 51 Volusia 15 Duval 44Lee 54 Broward 17 Manatee 47PLWHA = Person living with HIV/AIDS (reported case).The one-in statement is an expression of the impact of HIV/AIDS on eachgroup (a prevalence rate). It is assumed that at most 10% of each subgroupare MSM. It is stated “at least…” because the PLWHA rates would be higherto the extent that the percentage of males who are MSM is lower than 10%.*11 counties with at least 15 MSM PLWHAs and at least 500 MSM in eachracial/ethnic group are shown. A total of 19 counties meet both these criteria.
PLWHA Rates Among Women, by Race/Ethnicity Top 12 Counties and State, Florida, Through 2006White Women One in… Black Women One in… Hispanic Women One in…Miami-Dade 482 Saint Lucie 35 Palm Beach 346Broward 892 Palm Beach 40 Osceola 351Duval 979 Miami-Dade 43 Marion 369Hillsborough 1,007 Collier 55 Orange 375Palm Beach 1,032 Broward 55 Hillsborough 403Saint Lucie 1,052 Lee 67 Lee 447Orange 1,057 FLORIDA 68 Miami-Dade 470Polk 1,143 Duval 90 FLORIDA 472FLORIDA 1,281 Hillsborough 92 Brevard 540Escambia 1,305 Sarasota 93 Broward 544Pinellas 1,382 Orange 98 Volusia 548Osceola 1,435 Volusia 98 Pinellas 578Brevard 1,484 Polk 109 Duval 588 The PLWHA rate = the number of women in the population divided by the number of female PLWHAs. Counties are ranked from highest to lowest rate. (In the report, data are shown for 22 counties.)
Sistas Organizing to Survive (SOS) • We encouraged every black woman to take the pledge to get educated, get tested and to educate others about HIV/AIDS. • Goal to test 100,000 black women each year by 2010.
Table 1. PLWHA Rates Among Men Aged 13+ Years, By Countyand Race/Ethnicity, Top Ten Counties, Florida, Through 2008*White Men One in… Black Men One in… Hispanic Men One in…Monroe 55 Miami-Dade 29 Miami-Dade 82Miami-Dade 60 Palm Beach 31 Monroe 90Broward 76 Saint Lucie 32 Broward 98Orange 109 Collier 41 Florida 117Hillsborough 157 Broward 42 Martin 128Pinellas 177 Florida 44 Orange 130Florida 209 Indian River 48 Palm Beach 154Duval 212 Monroe 49 Pinellas 170Escambia 238 Lee 52 Osceola 174Palm Beach 248 Martin 53 Hillsborough 177Osceola 294 Orange 55 Collier 183
Faith Initiative • African Methodist Episcopal (AME) Church • General Baptist State Convention • Florida’s Chapters of the Southern Christian Leadership Conference (SCLC)
Adult HIV Case Rates per 100,000 Population By Race/Ethnicity and Year of DIAGNOSIS, Florida 2001 – 2010 160 140 120 Black, non-Hispanic Rate per 100,000 100 80 White, non-Hispanic Hispanic 60 40 20 0 01 02 03 04 05 06 07 08 09 10 Year of DiagnosisFrom 2001-2010, among blacks there has been an overall 39% decrease in the HIV case rate of newlydiagnosed cases of HIV statewide (and declines in most counties). The racial/ethnic gap has beenclosing: In 2001, the HIV case rate among blacks was 10 times greater than that among whites, but in2010, it was only 6 times greater. Data as of 12/31/10
Community Mobilization Outcomes • St. Lucie County changed school board policy. • In 2010, nearly 104,000 HIV test among black women. • More involvement from churches, fraternities/sororities, civil rights group, HBCUs, and others
Again… “…Collection and analysisof data should not be allowed to consume resources if action does not follow.”
Ronald Henderson 850-245-4433 firstname.lastname@example.org Department of Health Bureau of HIV/AIDShttp://www.doh.state.fl.us/disease_ctrl/aids (Website)