Men who have sex with men (MSM) represent more than two thirds of the newly reported HIV infection and AIDS cases among adult men (ages 13+) in Florida, followed by heterosexual sex and injection drug use (IDU). Since 2011, there has been a 32.5% increase of new HIV infections among MSM, showing an inequity of who the virus is affecting.
Florida Department of Health-Miami Dade County HIV and STI Prevention and Control Program have improved testing and outreach efforts among males to 31.0% in 2014. The exponential testing trend has contributed to identifying 2014 more positive MSMs as depicted in the “Increased Focus on MSM Testing” chart
The 20-29 age range, MSM identified continues to represent majority of new H IV infections, but
has seen a 26.1% decrease over time. The other age groups have shown stability over the time frame.
There have been more MSM positives identified because of increased testing. Overall, there has been a 39.0% increase in testing among Hispanics and a 22.3% among Blacks since 2011, contributing to the higher trend lines of HIV infections seen with these two groups. Hispanics are affected by HIV, followed by Black/ African Americans, and Whites. This health disparity among MSM is a Public Health focus
The standard for linkage to care rate is 85%, defined as an initial HIV medical care visit completed in 90 days of diagnosis.
White MSM have higher linkage to care rates compared to Hispanic / Latinos and African Americans/Black. Hispanics / Latinos MSM are starting to show improvement in linkage to care at 76% in 2014, while Blacks / African Americans linkage rate is 56%.
As the amount of new HIV infections has increased among Black/African American MSM, the linkage to care rate has decreased.
FDOH·MDC recognizes that HIV is disproportionately affecting the MSM population with the majority of new infections in this group, which is creating an expanding margin of health disparities.
There is more testing and outreach events focusing on MSM helping to identify new positives, but the future of HIV is to reduce new infections, continue to improve linkage to care rates, and focus on treatment.
(All statistics from Florida Department of Health, Bureau of HIV/AIDS, Florida HIV/AIDS 2009 Update unless otherwise noted.)
Miami-Dade HIV/AIDS Partnership 2014 Needs Assessment data estimates that there were 26,760 people living with HIV/AIDS in Miami-Dade County in 2013
The number of people living with HIV/AIDS in Miami-Dade County has increased by 23% from 2004 to 2014.
Needs Assessment data from the Miami-Dade HIV/AIDS Partnership for 2014 indicate that while Blacks represent 16% of the general population, they make up 38% and 48% of the HIV/AIDS population respectively.
Hispanics, while they make up 67% of the county’s general population represented 51% and 44% of HIV/AIDS cases reported in 2013 respectively.
- There were approximately 35.3 million people living with HIV/AIDS in 2012.¹
- In 2012, 2.3 million adults were newly infected with HIV, and approximately 1.6 million AIDS related deaths.¹
- HIV continues to be a major global public health issue, having claimed more than 36 million lives so far.¹
- About 50,000 new HIV infections are reported in the U.S. each year.2
- More than 1.1 million people in the U.S. are living with HIV infection, and almost 1 in 6 (15.8%) are unaware of their infection.2
- Since the beginning of the AIDS epidemic in the U.S., approximately 636,000 deaths have been reported.2
- As of January 31, 2014 Miami-Dade County ranks #1 in the state of Florida for number of new HIV cases and AIDS cases. There are 27,035 people living with HIV/AIDS in Miami-Dade County.3
- As of January 31, 2014 Broward County (Ft. Lauderdale) ranks #2 in the state of Florida for number of new HIV cases and AIDS cases. There are 17,632 people living with HIV/AIDS in Broward County.3
- Florida ranks 3rd in the nation in the number of newly diagnosed HIV infections as of 2011.4
- Florida ranks 2nd in the nation in the number of pediatric AIDS cases reported as of 2011.4
- There were 104,554 people living with HIV/AIDS in Florida as of January 31, 2014.5
- Sex: 71% male & 29% female
- Race/Ethnicity: 29% White, 48% Black, 21% Hispanic, & 1% Multiracial
- Age: 4% [0-24], 21% [25-39], 61% [40-59], and 14% [60+]
- In Florida, of those living with HIV/AIDS, the top transmission rates include Men who have Sex with Men (MSM) at 43% and Heterosexual contact at 34%.5
- One in 99 Miami-Dade residents is living with HIV or AIDS (one in 67 male and one in 178 female).6
- Black/African-American residents account for 43% of those living with HIV in Miami-Dade.
- MSM contact accounts for 47.5% of living HIV cases in Miami-Dade County.6
- In Broward County, the age range of 40-59 (male and female combined) accounts for 64% of all those living with HIV/AIDS.7
- MSM contact accounts for 61% of living HIV cases in Broward County among males.7
- Heterosexual contact accounts for 70% of living HIV cases in Broward County among females.7
Older Floridians accounted for 23 percent of the new infections in 2013. Of all cases of HIV in the state, 44 percent are 50 years of age or older.
Young people, ages 13 to 24. Men this age who have sex with other men account for more than two-thirds of all new reports of HIV infection, the Department of Health reports. Doctors who work with this population also say that 60 percent of infected teens and young adults have no idea they are HIV-positive.
Transgender women. There’s little data identifying those in the transgender community living with HIV, but the risks are significant, from homelessness to sex work.
African Americans. While this group accounts for 15 percent of the state’s population, it disproportionately represents Floridians living with HIV, at 48 percent of cases. Stigma and prejudices linger around the disease within the black community, making testing and treatment difficult.
Men who have sex with men. The gay community has been living with the realities of HIV infection since the disease emerged in the 1980s. And while it’s at the forefront of many prevention efforts, infections persist.
Across Florida and the nation, public health educators continue to preach the importance of HIV treatment and prevention. That includes National HIV Testing Day, which is being recognized across Florida with free testing opportunities.
All statistics above are from the following sources:(Please reference appropriate resources below for any updates that may have been made.)
1World Health Organization (WHO), HIV/AIDS – Fact Sheet N°360, October 2013. Link: http://www.who.int/mediacentre/factsheets/fs360/en/
2 Centers for Disease Control and Prevention (CDC), HIV in the United States: At a Glance, December 2013.
3 Florida Department of Health, HIV/AIDS, Surveillance, 2014 Monthly Surveillance Report, February 2014.
4 Florida Department of Health, Epidemiology of HIV Infection Trends in Florida, 2013.
5 Florida Department of Health, HIV/AIDS, Surveillance, 2014 Monthly Surveillance Reports, February 2014.
6 Florida Health Miami Dade County, HIV/AIDS Surveillance, December 2013.
7 Broward County Health Department, January-December 2012, Broward HIV/AIDs Surveillance Report, 2012.