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Epidemiologic Profile Preview

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This presentation was provided to the Philadelphia EMA HIV Integrated Planning Council by Briana Morgan of the Office of HIV Planning. It includes data related to population-level data, race/ethnicity, STIs, risk behaviors, HIV, and more.

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Epidemiologic Profile Preview

  1. 1. Epi Profile Preview Philadelphia EMA HIV Integrated Planning Council April 12, 2018
  2. 2. Whatisthe“epiprofile”? How is it different from surveillance reports? 300pp+ resource Varied data sources U.S. Census Bureau CDC SAMHSA Foundations State & local agencies Health departments Who uses it?
  3. 3. General Population
  4. 4. EMAPopulation=5,393,548 New Jersey Burlington County 450,236 Camden County 511,145 Gloucester County 291,285 Salem County 64,504 Pennsylvania Bucks County 626,220 Chester County 512,028 Delaware County 562,316 Montgomery County 815,876 Philadelphia County 1,559,938 Source: United States Census Bureau, American Community Survey 2016 5-year estimates, Table B03002
  5. 5. 63% 20% 0% 6% 0% 0% 2% 9% EMA-wide White (not Hispanic) Black (not Hispanic) American Indian and Alaskan Native (not Hispanic) Asian (not Hispanic) Native Hawaiian and Pacific Islander (not Hispanic) Other (not Hispanic) Two or More Races (not Hispanic) Hispanic (all Races) Source: United States Census Bureau, American Community Survey 2016 5-year estimates, Table B03002 Race/EthnicityfortheGeneralPopulationofthePhiladelphiaEMA,2016
  6. 6. Source: United States Census Bureau, American Community Survey 2016 5-year estimates, Table B03002 35% 42% 0% 7% 0% 0% 2% 14% Philadelphia White Black American Indian and Alaskan Native Asian Native Hawaiian and Pacific Islander Other Two or More Races Hispanic 78% 9% 0% 6% 0%0% 2% 5% PA Counties White Black American Indian and Alaskan Native Asian Native Hawaiian and Pacific Islander Other Two or More Races Hispanic 67% 15% 0% 5% 0% 0% 3% 10% NJ Counties White Black American Indian and Alaska Native Asian Native Hawaiian and Pacific Islander Other Two or More Races Hispanic Race/EthnicityfortheGeneralPopulation,2016
  7. 7. PovertyforMalesandFemalesintheGeneralPopulationofthePhiladelphiaEMA,2016 New Jersey Burlington County Camden County Gloucester County Salem County Pennsylvania Bucks County Chester County Delaware County Montgomery County Philadelphia County Percentage People Below Poverty 10.86% 6.49% 13.27% 8.10% 13.77% 13.32% 5.93% 7.19% 10.85% 6.57% 25.86% Percentage Males Below Poverty 9.76% 5.82% 11.67% 7.25% 12.80% 12.12% 4.90% 6.30% 9.75% 5.92% 24.50% Percentage Females Below Poverty 11.91% 7.13% 14.76% 8.91% 14.68% 14.46% 6.92% 8.05% 11.85% 7.19% 27.09% 0.00% 5.00% 10.00% 15.00% 20.00% 25.00% 30.00% PercentageBelowPoverty Source: United States Census Bureau, American Community Survey 2016 5-year estimates, Table S1701
  8. 8. PovertyRatebyEducationLevel,EMA-wide,2016 (25yearsandolder) 18.6% 9.2% 5.9% 3.1% 23.8% 12.5% 9.3% 3.8% 0.0% 5.0% 10.0% 15.0% 20.0% 25.0% Less than High School High School Graduate (includes equivalency) Some College, or an Associate Degree Bachelor's Degree or Higher Males Females Source: United States Census Bureau, American Community Survey 2016 5-year estimates, Table S1501
  9. 9. MedianEarningsinthePast12Months,2016 (25yearsandolder) New Jersey Burlington Camden Gloucester Salem Pennsylvania Bucks Chester Delaware Montgomery Philadelphia Total $46,297 $50,093 $41,711 $49,728 $42,319 $37,795 $47,231 $51,638 $42,776 $50,313 $34,137 Male $54,025 $57,328 $49,362 $59,167 $51,071 $45,156 $56,006 $62,651 $51,512 $58,706 $36,748 Female $38,035 $40,995 $35,399 $40,515 $33,289 $31,208 $39,434 $41,181 $36,533 $41,222 $31,833 $0 $10,000 $20,000 $30,000 $40,000 $50,000 $60,000 $70,000 Dollars Source: United States Census Bureau, American Community Survey 2016 5-year estimates, Table S2001
  10. 10. UninsuredIndividualsintheGeneralPopulationfortheUnitedStates, Pennsylvania,andNewJersey, 2013 –2016 2013 2014 2015 2016 United States 13% 10% 9% 9% Pennsylvania 10% 8% 6% 5% New Jersey 12% 11% 8% 8% 0% 2% 4% 6% 8% 10% 12% 14% United States Pennsylvania New Jersey Source: Kaiser Family Foundation, Health Insurance Coverage of the Total Population
  11. 11. Risk
  12. 12. PainRelieverMisuse&HeroinUseintheGeneral Population,2015 –2016 18 or Older 12 to 17 18 to 25 26 or Older New Jersey 3.87% 2.57% 7.06% 3.39% Pennsylvania 4.52% 2.91% 7.65% 4.03% United States 4.54% 3.72% 7.82% 4.00% Heroin Use in Past Year, 2015-2016Pain Reliever Misuse in Past Year, 2015-2016 18 or Older 12 to 17 18 to 25 26 or Older New Jersey 0.55% 0.09% 0.92% 0.50% Pennsylvania 0.47% 0.11% 0.84% 0.41% United States 0.36% 0.07% 0.64% 0.31% Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 - 2016
  13. 13. PercentageofPhiladelphiaEMABRFSSRespondentsWhoReportedEverHaving anHIVTestbyGenderandAgeGroup,2016 (n=1,905) 18 to 24 25 to 34 35 to 44 45 to 54 55 to 64 65+ Male 31% 61% 70% 53% 42% 22% Female 43% 68% 78% 54% 33% 15% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% Male Female Source: Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System 2016
  14. 14. PercentageofPhiladelphiaYRBSRespondents WhoReportedDrugandAlcohol Use,2015 10.80% 21.60% 4.60% 7.50% 4.20% 3.30% 3.80% 13.10% 2.50% 26.10% 0.00% 5.00% 10.00% 15.00% 20.00% 25.00% 30.00% Source: Centers for Disease Control and Prevention, Youth Risk Behavior Surveillance System
  15. 15. PhiladelphiaSexuallyTransmittedInfections,2010 –2016 667 698 798 961 892 916 1089 6,533 6,761 7,293 6,303 5,961 6,260 6,967 6,673 6,865 7,106 6,843 6,789 7,013 7,524 0 1000 2000 3000 4000 5000 6000 7000 8000 2010 2011 2012 2013 2014 2015 2016 Syphilis Gonorrhea Chlamydia Source: City of Philadelphia, Department of Public Health
  16. 16. HIV/AIDS
  17. 17. EMAPeopleLivingwithHIV/AIDS, 2016 =26,752 Southern NJ 3,350 PA Counties 4,289 Philadelphia 19,113
  18. 18. HIV/AIDS Prevalence,EMA-Wide,2016 GENDER Male 71% Female 28% Transgender 1% RACE/ETHNICITY White 23% Black 58% Hispanic 15% Other 4% Source: City of Philadelphia, Department of Public Health, AIDS Activities Coordinating Office
  19. 19. HIV/AIDS Prevalence,EMA-Wide,2016 AGE GROUP <13 0% 13 - 19 0% 20 - 24 3% 25 - 29 7% 30 - 39 16% 40 - 49 22% 50+ 52% TRANSMISSION MODE MSM 37% PWID 20% MSM/PWID 3% Heterosexual 35% Other 0% No Identified Risk 3% Perinatal 2% Source: City of Philadelphia, Department of Public Health, AIDS Activities Coordinating Office
  20. 20. ComparisonofGeneralPopulationandPeopleLivingwithHIV,Philadelphia,2016 White 35% Black 42% Hispanic 14% Other 9% General Population – Philadelphia White 18% Black 64% Hispanic 15% Other 3% People Living with HIV/AIDS - Philadelphia Source: U.S. Census Bureau, American Community Survey 2016 5-year estimates & City of Philadelphia, Department of Public Health, AIDS Activities Coordinating Office
  21. 21. ComparisonofGeneralPopulationandPeopleLivingwithHIV,PACounties,2016 White 78% Black 9% Hispanic 5% Other 8% General Population – PA Counties White 41% Black 42% Hispanic 10% Other 7% People Living with HIV/AIDS - PA Counties Source: U.S. Census Bureau, American Community Survey 2016 5-year estimates & City of Philadelphia, Department of Public Health, AIDS Activities Coordinating Office
  22. 22. ComparisonofGeneralPopulationandPeopleLivingwithHIV,SouthernNJ,2016 White 67% Black 16% Hispanic 10% Other 7% General Population – Southern NJ White 28% Black 45% Hispanic 22% Other 5% People Living with HIV/AIDS – Southern NJ Source: U.S. Census Bureau, American Community Survey 2016 5-year estimates & City of Philadelphia, Department of Public Health, AIDS Activities Coordinating Office
  23. 23. Thefullepiprofileincludesdataon: Race/Ethnicity Age Gender Education Poverty Income Languages spoken at home General assistance Disability Cause of death Tuberculosis Drug & alcohol use HIV testing behaviors Sex & drug use among high schoolers Now with sexual identity data Arrests Sexually transmitted infections (STIs) Now featuring maps with hot spots HIV/AIDS Newly-diagnosed HIV/AIDS cases By gender, race/ethnicity, age, and exposure category HIV/AIDS prevalence By gender, race/ethnicity, age, and exposure category Cumulative HIV/AIDS cases By gender, race/ethnicity, age, and exposure category HIV/AIDS deaths HIV testing Including testing location type, gender, race/ethnicity, age, risk category, and test results Service utilization ADAP client data Concurrent HIV/AIDS diagnoses Unmet need frameworks
  24. 24. Visit hivphilly.org for more info. 2018 Epi Profile coming soon!

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