Matthew Facer, PhD

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A Brief Profile of HIV/AIDS Among Latinos in
California

• Matthew Facer, PhD
• Epidemiologic Studies Section, Office of AIDS
• California Department of Public Health

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Part 1
Evolving Demography and HIV/AIDS Among Latinos in
California
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Racial/Ethnic Composition of California
Comparison of 1981 and 2006
All other race/ethnicity categories are
Non-Hispanic
4
Latino Representation within General Population
and Among AIDS Cases in California, 1981-2006
5
Persons Living with AIDS by Race/EthnicityCompar
ing 1996 to 2006
PLWA refers to persons living with AIDS as of
December 31 of 1996 or 2006
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Proportion of Cumulative Latino AIDS Cases by
Reported Ethnicity in California (n 33,759)
Not Specified cases born in the U.S. Other
cases have no information
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Part 2
The Significance of Youth in HIV/AIDS Cases Among
Latinos in California
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Latino Representation in the 20-49 Age Group in
the California Population
Relevance Over 86 of HIV and AIDS cases are
in this age range at diagnosis
9
Gender-Specific Percentage of HIV/AIDS Cases
Younger than 30 at Diagnosis by Race/Ethnicity
Includes only HIV cases reported via non-name
code
10
Age Distribution of Cumulative Latino AIDS Cases
by Reported Ethnicity in California
Ranked by percent younger than 30
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Part 3
The Significance of Men Who Have Sex with Men
(MSM) in HIV/AIDS Cases Among Latinos in
California
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Mode of HIV Exposure Among Cumulative
Adult/Adolescent Male AIDS Cases by Race/Ethnicity
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Reported HIV Exposure of Cumulative Male Latino
AIDS Cases by Ethnicity in California
Ranked by percent in MSM category
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HIV Tests and Results for Latino Male Clients in
California by Risk, 20032006
Note Number of HIV Tests includes clients
with multiple HIV tests
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Part 4
The Significance of Latinas in HIV/AIDS Cases
Among Latinos in California
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Mode of HIV Exposure Among Cumulative
Adult/Adolescent Female AIDS Cases by
Race/Ethnicity
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Proportion of Females Among Cumulative AIDS
Cases Within Each Ethnicity in California
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Reported HIV Exposure of Cumulative Female Latina
AIDS Cases by Ethnicity in California
Ranked by percent in hetero. category
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HIV Tests and Results for Latina Clients in
California by Risk, 20032006
Note Number of HIV Tests includes clients
with multiple HIV tests
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Discussion

• Latino representation in California has increased
  steadily in both the general population and among
  AIDS cases
• Latinos have comprised 35 of the population
  since 2005 and over 35 of AIDS cases diagnosed
  since 2000
• Over the past 10 years, Latinos have accounted
  for the largest increase in the number of persons
  living with AIDS
• Over 55 of Latina AIDS cases have been reported
  with heterosexual contact as the mode of HIV
  exposure, the highest among all racial/ethnic
  groups except Asian/PI
• Latinos are diagnosed with HIV/AIDS at a
  significantly younger age than other
  racial/ethnic groups
• Significant ethnic diversity exists among Latino
  AIDS cases in California, and a one size fits
  all approach to addressing HIV/AIDS among
  Latinos may be ineffective

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Thank You.
Contact information for HIV/AIDS Case Registry
(Michael Donahue) Phone [phone] Email
Michael.Donahue_at_cdph.ca.gov OR Visit the OA
website http//www.dhs.ca.gov/AIDS
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Background Obtaining Ethnic Information for
Latino AIDS Cases

• All Latino AIDS cases diagnosed and reported
  through September 30, 2007 were extracted from
  HARS
• The data field Expanded Race is designed to
  provide ethnic information (e.g., Cuban)
• This field is sometimes left blank by providers
  (not required)
• If Expanded Race was missing, the field Origin
  of Birth was used. This provides country of
  birth if not born the U.S.
• This field is sometimes left blank by providers
  (not required)
• California Vital Statistics Master Death File
• Contains field Hispanic Origin of Descent
• Periodic matches between HARS and this file
  provide ethnic information among AIDS cases that
  have died

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Health Insurance Status and Household Income
Level by Race/Ethnicity in California, 2006
Latinos comprised 56.7 of the 6.75 million
Californians without health insurance in 2006