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In the United States, the HIV/AIDS epidemic was
first detected in a few large cities in 1981, and has
since spread throughout the country. All states and
large cities have been affected, as well as many
smaller cities, towns, and communities. Public health
planners, policy makers, and legislators need to know
the extent of the epidemic within their jurisdiction for
program planning, resource allocation, and evaluation
of prevention and care services. To best direct scarce
resources toward those communities in greatest
need, health planners frequently prioritize need by
comparing the magnitude and impact of the epidemic
in one area with that in another.
This report presents the number of AIDS cases reported
in 2000 and cumulatively through 2000, AIDS
rates (cases reported per 100,000 population) for
2000, and estimates of AIDS prevalence at the end of
2000, for each state (table 1) and metropolitan statistical
area (MSA) over 500,000 population (table 5) in
the United States. Data are stratified by sex (tables 2
and 6), race/ethnicity (tables 3 and 7), and exposure
category (tables 4 and 8) for states and MSAs. Estimates
of incidence (tables 4 and 8) and prevalence
(tables 1 through 8) are based on reported AIDS cases
(or deaths) which have been statistically adjusted
for reporting delays. Exposure category for cases initially
reported without risk was statistically redistributed
for presentation in tables 4 and 8.
Areas are ranked in descending order of the number
of AIDS cases in all tables (see technical notes);
however, the numbers also should be considered in
the context of the population size of each state or metropolitan
area. Tables 1 and 5 include AIDS rates
(cases reported per 100,000 population) to allow for
such comparisons. Ranking states by AIDS rates
shifts the order of the states, moving some of the
smaller jurisdictions such as Puerto Rico, the U.S. Virgin
Islands, and Delaware considerably up the list.
Readers are cautioned to interpret values in the context
of population size.
Highlighted findings:
- New York, California, Florida, New Jersey and
Texas ranked the highest in total AIDS cases reported
in 2000 in most of the states tables.
- New York ranked first in cumulative AIDS cases,
AIDS cases reported in 2000, in persons living
with AIDS, among non-Hispanic black men and
women.
- Puerto Rico ranked third in number of AIDS cases
reported in Hispanic men and second in Hispanic
women.
- Hawaii ranked high in number of cases in Asian/
Pacific Islander men and women.
- Arizona, Oklahoma and Washington ranked high
in American Indian/Alaska Native men and women.
- Among metropolitan areas, New York City, Los
Angeles, San Francisco and Washington, DC,
ranked the highest in most strata.
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