Health Disparities in HIV/AIDS, Viral Hepatitis, STDs, and TB
American Indians and Alaska Natives
Though the overall numbers are small, in 2011, the estimated rate (per 100,000 population) of diagnoses of HIV infection among American Indian/Native American males was greater (18.0) than the rate for white males (14.5). The rate per 100,000 population among American Indian/Native American females was greater (5.5) than for white females (2.0).
Sexually Transmitted Diseases (STD)
In 2010, the gonorrhea rate among American Indians/Alaska Natives was 105.7 cases per 100,000 population, which was 4.6 times the rate among whites. The disparity between gonorrhea rates for American Indians/Alaska Natives and whites was larger for American Indian/Alaska Native women (5.0 times) than for American Indian/Alaska Native men (3.9 times). In 2010, the disparity in gonorrhea rates for American Indians/Alaska Natives was higher in the West and Midwest than in the Northeast or South.
In 2010, the chlamydia rate among American Indians/Alaska Natives was 592.8 cases per 100,000 population, an increase of 7.8% from the 2009 rate of 549.8 cases per 100,000. Overall, the rate of chlamydia among American Indians/Alaska Natives in the United States was more than four times the rate among whites.
During 2009–2010, the rate of primary and secondary (P&S) syphilis among American Indians/Alaska Natives increased 8.7% (from 2.3 to 2.5 cases per 100,000 population). In 2010, 0.5% of all cases reported to CDC were among American Indians/Alaska Natives. The 2010 rate of P&S syphilis for American Indians/Alaska Natives was 1.2 times the rate for whites.
- STD Topic Site
- STDs and Health Disparities
- STD Surveillance Report, 2011
- STDs in Racial and Ethnic Minorities
Acute Hepatitis C
During 2002–2010, the incidence rate of acute hepatitis C remained below 0.5 cases per 100,000 for all racial/ethnic populations except AI/ANs. Rates for AI/ANs have been higher than for other races/ethnicities, especially in 2010 and 2011.
In 2010, 153 of the 11,182 TB cases reported to CDC were among American Indians or Alaska Natives.
Tuberculosis in indigenous peoples in the U.S., 2003-2008. Bloss E, Holtz TH, Jereb J, Redd JT, Podewils LJ, Cheek JE, McCray E. Public Health Rep. 2011 Sep-Oct;126(5):677-89. PMID: 21886328
Patients diagnosed with tuberculosis at death or who died during therapy: association with the human immunodeficiency virus. Marks SM, Magee E, Robison V. Int J Tuberc Lung Dis. 2011 Apr;15(4):465-70. PMID: 21396204
Schneider E. Tuberculosis among American Indians and Alaska Natives in the United States, 1993-2002. American Journal of Public Health. 2005;95(5):873-880