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HIV/AIDS Surveillance in Women
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Please Note: Some slides in this set were revised on June 28, 2007. For more information on the reasons for this revision visit http://www.cdc.gov/hiv/datarevision.htm.

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Slide 1: Estimated Number and Proportion of AIDS Cases among Female Adults and Adolescents 1985–2005—United States and Dependent Areas The proportion of AIDS cases among female adults and adolescents (age >13 years) increased from 7% in 1985 to 27% in 2005. AIDS incidence among female adults and adolescents rose steadily through 1993, when the AIDS surveillance case definition was expanded, and leveled off at approximately 13,000 AIDS cases each year from 1993 through 1996. In 1996, incidence among women and adolescent girls began to decline, primarily because of the success of antiretroviral therapies. The data have been adjusted for reporting delays.
Slide 1
Estimated Number and Proportion of AIDS Cases among Female Adults and Adolescents 1985–2005—United States and Dependent Areas
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Slide 2: Estimated Number of AIDS Cases and Rates for Female Adults and Adolescents, by Race/Ethnicity 2005—50 States and DC For female adults and adolescents, in 2005 the AIDS diagnosis rate (AIDS cases per 100,000) for non-Hispanic blacks (45.5) was nearly 23 times higher than that for non-Hispanic whites (2.0). The estimated number of AIDS cases diagnosed among females in 2005 was similar for Hispanics and non-Hispanic whites; however, the rate for Hispanics (11.2) was more than 5 times higher than for non-Hispanic whites. Relatively few cases were diagnosed among Asian/Pacific Islander and American Indian/Alaska Native females, although the rate for American Indian/Alaska Natives (4.4) was more than 2 times the rate for non-Hispanic white females. The data have been adjusted for reporting delays.
Slide 2
Estimated Number of AIDS Cases and Rates for Female Adults and Adolescents, by Race/Ethnicity 2005—50 States and DC
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Slide 3: Proportion of AIDS Cases among Female Adults and Adolescents, by Transmission Category 2005—United States and Dependent Areas CDC estimates that 71% of the 10,774 AIDS cases diagnosed among female adults and adolescents in 2005 were attributed to high-risk heterosexual contact: 12% of these cases were from high-risk heterosexual contact with an injection drug user and 59% from sexual contact with high-risk partners such as bisexual men or HIV-infected men with unidentified risk factors. Of the cases in female adults and adolescents, 27% were attributed to injection drug use and 2% to other or unidentified risk factors. Data have been adjusted for reporting delays and cases without risk factor information were proportionally redistributed.
Slide 3
Proportion of AIDS Cases among Female Adults and Adolescents, by Transmission Category 2005—United States and Dependent Areas
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Slide 4: Proportion of AIDS Cases among Female Adults and Adolescents, by Transmission Category and Age at Diagnosis, 2005—United States and Dependent Areas Most of the AIDS cases diagnosed in 2005 among females age 13 years or older were attributed to high-risk heterosexual contact. Of AIDS cases among women age 35 and older, approximately 30% were attributed to injection drug use, compared with 13% of cases in females aged 13-19 years, 17% in women aged 20-24 years, and 20% in women age 25-34. Among females age 13-19 years, 23% were exposed to HIV through perinatal transmission, and are included in the “other/not identified” transmission category. Data have been adjusted for reporting delays and cases without risk factor information were proportionally redistributed.
Slide 4
Proportion of AIDS Cases among Female Adults and Adolescents, by Transmission Category and Age at Diagnosis, 2005—United States and Dependent Areas
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Slide 5: AIDS Rates for Female Adults and Adolescents Reported in 2005—United States and Dependent Areas Rates of reported AIDS cases per 100,000 female adults and adolescents are shown for each state, the District of Columbia, and U.S. dependent areas. The highest rates were found in the District of Columbia, Maryland, New York, and Florida. Rates were lowest in states in the Midwest. Nearly every state reported some AIDS cases among females in 2005. As the District of Columbia is a metropolitan area, use caution when comparing its AIDS rate to state AIDS rates. Rates were not calculated for states reporting fewer than 5 AIDS cases in females in 2005.
Slide 5
AIDS Rates for Female Adults and Adolescents Reported in 2005—United States and Dependent Areas
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Slide 6: AIDS Cases among Female Adults and Adolescents From 2001 through 2005, an estimated 51,046 AIDS cases diagnosed among female adults and adolescents were attributed to either injection drug use or high-risk heterosexual contact. High-risk heterosexual contact accounted for the majority of AIDS cases among females, particularly in the South. Most AIDS cases were among female adults and adolescents who reside in the Northeast and South. Data have been adjusted for reporting delays and cases without risk factor information were proportionally redistributed. Regions of residence are defined as follows: Northeast—Connecticut, Maine, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, Vermont Midwest—Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, North Dakota, Ohio, South Dakota, Wisconsin South—Alabama, Arkansas, Delaware, District of Columbia, Florida, Georgia, Kentucky, Louisiana, Maryland, Mississippi, North Carolina, Oklahoma, South Carolina, Tennessee, Texas, Virginia, West Virginia West—Alaska, Arizona, California, Colorado, Hawaii, Idaho, Montana, Nevada, New Mexico, Oregon, Utah, Washington, Wyoming
Slide 6
AIDS Cases among Female Adults and Adolescents Attributed to Injection Drug Use or High-Risk Heterosexual Contact, by Region, 2001–2005—50 States and DC
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Slide 7: Reported AIDS Cases among Female Adults and Adolescents, by Region and Race/Ethnicity, 2005 50 States and DC Most reported AIDS cases among female adults and adolescents were among those who resided in the South and the Northeast. The majority of cases were among non-Hispanic black female adults and adolescents in the South, Northeast, and Midwest regions. In the West, there was less disparity in the AIDS case counts among white, black, and Hispanic female adults and adolescents. Data are not shown for Asian/Pacific Islander and American Indian/Alaska Native female adults and adolescents because the numbers reported in 2005, when stratified by region of residence, were small. Regions of residence are defined as follows: Northeast—Connecticut, Maine, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, Vermont Midwest—Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, North Dakota, Ohio, South Dakota, Wisconsin South—Alabama, Arkansas, Delaware, District of Columbia, Florida, Georgia, Kentucky, Louisiana, Maryland, Mississippi, North Carolina, Oklahoma, South Carolina, Tennessee, Texas, Virginia, West Virginia West—Alaska, Arizona, California, Colorado, Hawaii, Idaho, Montana, Nevada, New Mexico, Oregon, Utah, Washington, Wyoming
Slide 7
Reported AIDS Cases among Female Adults and Adolescents, by Region and Race/Ethnicity, 2005 50 States and DC
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Slide 8: Female Adults and Adolescents 15 to 44 Years of Age Reported to be Living with HIV Infection (not AIDS), 2005—43 Areas N=47,986* In 2005, there were 47,986 female adults and adolescents 15 to 44 years of age reported to be living with HIV infection (not AIDS) in the 43 areas with confidential name-based HIV infection reporting for adults and adolescents. These women are of childbearing age and in the years of highest fertility. In most states with HIV surveillance, the number of reported HIV infected female adults and adolescents who have not progressed to AIDS exceeds the number of female adults and adolescents with AIDS (see slide 9). Together these numbers indicate the burden of HIV and the number of persons in need of HIV-related medical and social services for themselves and to prevent transmission of HIV to their children. States with integrated HIV and AIDS surveillance data may be better able to target programs and services to reduce transmission to newborns. The numbers presented here are an underestimate of female adults and adolescents living with HIV, since many reside in states without integrated HIV/AIDS surveillance. In addition, there may be many infected females who have not been tested or not reported in areas with relatively new HIV infection surveillance systems.
Slide 8
Female Adults and Adolescents 15 to 44 Years of Age Reported to be Living with HIV Infection (not AIDS), 2005—43 Areas N=47,986*
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Slide 9: Female Adults and Adolescents 15 to 44 Years of Age Reported to be Living with AIDS, 2005—United States and Dependent Areas N=53,281* In 2005, there were 53,281 female adults and adolescents 15 to 44 years of age reported to be living with AIDS in the United States and dependent areas. These women are of childbearing age and in the years of highest fertility. In most states with HIV surveillance, the number of reported HIV infected female adults and adolescents who have not progressed to AIDS exceeds the number of female adults and adolescents with AIDS (see slide 8). Together these numbers indicate the burden of HIV and the number of persons in need of HIV-related medical and social services for themselves and to prevent transmission of HIV to their children. States with integrated HIV and AIDS surveillance data may be better able to target programs and services to reduce transmission to newborns.
Slide 9
Female Adults and Adolescents 15 to 44 Years of Age Reported to be Living with AIDS, 2005—United States and Dependent Areas N=53,281*
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Slide 10: Proportion of HIV/AIDS Cases among Female Adults and Adolescents, by Transmission Category 2005—33 States Among females diagnosed with HIV/AIDS in 2005, 80% of the 9,708 HIV/AIDS cases were attributed to high-risk heterosexual contact, 19% to injection drug use and 1% to other or unidentified risk factors. The following 33 states have had laws or regulations requiring confidential name-based HIV infection surveillance since at least 2001: Alabama, Alaska, Arizona, Arkansas, Colorado, Florida, 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. Data have been adjusted for reporting delays and cases without risk factor information were proportionally redistributed.
Slide 10
Proportion of HIV/AIDS Cases among Female Adults and Adolescents, by Transmission Category 2005—33 States
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Slide 11: Proportion of HIV/AIDS Cases and Population among Female Adults and Adolescents, by Race/Ethnicity 2005—33 States The pie chart on the left illustrates the distribution of HIV/AIDS cases diagnosed among females in 2005 in 33 states by racial/ethnic group. The pie chart on the right shows the distribution of the female population of the 33 states in 2005. In 2005, non-Hispanic black females made up 13% of the female population but accounted for 66% of HIV/AIDS cases among females. Hispanic females made up 11% of the female population but accounted for 15% of HIV/AIDS cases among females. Non-Hispanic whites made up 72% of the female population but accounted for 17% of HIV/AIDS cases among females. The following 33 states have had laws or regulations requiring confidential name-based HIV infection surveillance since at least 2001: Alabama, Alaska, Arizona, Arkansas, Colorado, Florida, 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.
Slide 11
Proportion of HIV/AIDS Cases and Population among Female Adults and Adolescents, by Race/Ethnicity 2005—33 States
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Slide 12: Proportion of HIV/AIDS Cases among Female Adults and Adolescents, by Transmission Category and Age at Diagnosis, 2005—33 States The majority of HIV/AIDS cases diagnosed in 2005 among females age 13 years or older were attributed to high-risk heterosexual contact. Approximately one-fifth of cases among women age 35 years and older were attributed to injection drug use, compared with 14% of cases in females age 13–19 years, 14% in women age 20–24 years, and 17% in women age 25-34. The following 33 states have had laws or regulations requiring confidential name-based HIV infection surveillance since at least 2001: Alabama, Alaska, Arizona, Arkansas, Colorado, Florida, 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 cases without risk factor information were proportionally redistributed.
Slide 12
Proportion of HIV/AIDS Cases among Female Adults and Adolescents, by Transmission Category and Age at Diagnosis, 2005—33 States
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Slide 13: Diagnosis Rates of HIV/AIDS for Female Adults and Adolescents, 2005—33 States In the 33 states with confidential name-based HIV infection reporting, the diagnosis rate of HIV/AIDS among female adults and adolescents was 12.2 per 100,000 population in 2005. The rate for female adults and adolescents diagnoses with HIV/AIDS ranged from zero per 100,000 in North Dakota and Wyoming to 26.6 per 100,000 in Florida. The following 33 states have had laws or regulations requiring confidential name-based HIV infection surveillance since at least 2001: Alabama, Alaska, Arizona, Arkansas, Colorado, Florida, 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.
Slide 13
Diagnosis Rates of HIV/AIDS for Female Adults and Adolescents, 2005—33 States
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Slide 14: Estimated Number of HIV/AIDS Cases and Rates for Female Adults and Adolescents, by Race/Ethnicity 2005—33 States This slide shows diagnosis rates for HIV/AIDS cases among female adults and adolescents residing in 33 states with confidential name-based HIV infection surveillance. This slide shows diagnosis rates for HIV/AIDS cases among female adults and adolescents residing in 33 states with confidential name-based HIV infection surveillance. For female adults and adolescents, the rate (HIV/AIDS cases per 100,000) for non-Hispanic blacks (61.4) was more than 20 times higher than that for non-Hispanic whites (3.0). The number of HIV/AIDS cases reported in 2005 was similar for Hispanics and non-Hispanic whites, but the rate for Hispanics (16.1) was more than 5 times higher than the rate for non-Hispanic whites. Relatively few cases were diagnosed among Asian/Pacific Islander and American Indian/Alaska Native females; however, the rates for both groups were higher than the rate for non-Hispanic white females. The following 33 states have had laws or regulations requiring confidential name-based HIV infection reporting since at least 2001: Alabama, Alaska, Arizona, Arkansas, Colorado, Florida, 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.
Slide 14
Estimated Number of HIV/AIDS Cases and Rates for Female Adults and Adolescents, by Race/Ethnicity 2005—33 States
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Last Modified: June 28, 2007
Last Reviewed: June 28, 2007
Content Source:
Divisions of HIV/AIDS Prevention
National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention
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