In 2007, of adults and adolescents diagnosed with HIV/AIDS in 34 states with confidential name-based HIV infection surveillance, 51% were black/African American, 30% were white, 18% were Hispanic/Latino, 1% were Asian, and less than 1% each were American Indian/Alaska Native and Native Hawaiian/other Pacific Islander. The following 34 states have had laws or regulations requiring confidential name-based HIV infection surveillance since at least 2003: Alabama, Alaska, Arizona, Arkansas, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming. The data have been adjusted for reporting delays. Asian/Pacific Islander legacy cases are cases that were collected under the old race/ethnicity classification system. Asian/Pacific Islander legacy cases are included in the totals for Asians. Hispanics/Latinos can be of any race. Slides containing more information on HIV and AIDS in racial and ethnic minorities are available at http://www.cdc.gov/hiv/topics/surveillance/resources/slides/race-ethnicity/index.htm.
In 2007, an estimated 13,627 HIV/AIDS cases diagnosed in 34 states with confidential name-based HIV infection surveillance were attributed to high-risk heterosexual contact. More than half of the cases associated with high-risk heterosexual contact were in blacks/African Americans (69%). Most of the remaining cases were in whites (14%) or Hispanics/Latinos (15%). Asians accounted for 1% of cases. American Indians/Alaska Natives and Native Hawaiians/other Pacific Islanders each accounted for less than 1% of all cases. The following 34 states have had laws or regulations requiring confidential name-based HIV infection surveillance since at least 2003: Alabama, Alaska, Arizona, Arkansas, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming. The data have been adjusted for reporting delays and missing risk-factor information. Asian/Pacific Islander legacy cases are cases that were collected under the old race/ethnicity classification system. Asian/Pacific Islander legacy cases are included in the totals for Asians. Hispanics/Latinos can be of any race.
Zip codes with the highest incidence and prevalence rates of HIV/AIDS were selected for this study Excluding one zip code which include the prison populations Characteristics of the zip codes Located in the heart of downtown in the major metropolitan area Zip code 1 Total population (2000 census)-27,181 and 97% of population African American Median household income-$19,438 Families below poverty level-32.7% Individuals below poverty level-36.9% Median home value-$64,100 Zip Code 2 Total populations (2000 census)-87,600 and 69% of populations African American Median household income-$28,589 Families below poverty level-27.4% Individuals below poverty level-31.4% Median home value-$87,600
“ Well, the circulation. When you say its most in this area, than in any other area, [its] because of the circulation. Everybody in this neighborhood pretty much stays in this neighborhood. A majority of people in this neighborhood don’t come out this neighborhood so you have the users, the working people, you know what I am saying, and you go the drug dealers. Everybody [in] some type of way is connecting with somebody. If the user is not doing something with a victim or a trick you got other victims getting down with other victims. You got a lot of victims that might do favors for drug dealers so the drug dealers sleep with his old lady and it’s a circulations. Everybody in the neighborhood is touching somebody.”
“ I have seen, in broad daylight, I see folks walking around with their [cocaine] and I have never seen nothing like that in m life…before I moved down here.” “ If you drop this pen around these parts, and close your eyes, its gone. That’s just how it is…and it [doesn’t have to be a] pen either. It can be anything. They will still anything.” “ Half of the people that come in come in to buy drugs, sell [sex], buy [sex]…but they don’t live here. But, they come back…so they do their dirty work here.”
“… some know and some don’t know. They know, they just don’t want to do nothing about it. But they really don’t know the real [low] down on what is really happening with it.” “ I can kind of see why they don’t want to know. And then, again, it might not be the right time, you know. If I got it, I don’t think I would want to worry nobody with my problems. If I got it, I don’t think I would want to worry nobody with my problems. If I go get tested, and if I got it, then [others] being to worry Stress will kill you, it will kill you. And that’s why a lot of people don’t want to know. Everyday they live; they are going to worry about it. But see, then again, I think its bad because you should want to know…you can go out here and give it to an innocent person, and take their life and you will still be here. So you got two sides to everything.” “ You really don’t know the truth unless somebody comes out and says something to you about it. And 9 times out of 10, a log of these folds are not going to say something to you about them having [HIV]. You know what I am saying. And that’s about 3 or 4 women that I know personally that folks say they got AIDS, and when they come take a test, I know they don’t’ have that.” “ What’s that basketball payer’s name, Magic Johnson? He caught it from…well look, he got money to pay for the cure…he has gained more weight…they say he is not sick, he ain’t sick no more…because he had money to pay for the cure.” “ Somebody got out there and [said] the Black Panthers are putting drugs in the community. The next thing you know, one person tells another person and somebody is going to believe it. The government has…they always want to control us…its another form of war, just like in a test-tube.”
“ Now we know that you are not only having sex with that person, you are also having sex with that person’s partner and the partners of the partners. It’s just a big [tree]…the tree is like way out. So, it don’t take but one on the family tree to kill the hold root.”
“ Sometimes [cheating] does make you appreciate what you got back at home…either one of two things. You are like, hell, after you get through doing it, a lot of times, you have that guilt of why did I do that and when you go back home, it will be a long time before you do it at again…your conscious will be like man, I got a little old lady back at home.”
Kimberly A. Parker, PhD, MPH, CHES Assistant Professor, Texas Woman’s University