HIV and American Indian/Alaska Native People: What CDC Is Doing

CDC is pursuing a high-impact HIV prevention approach to maximize the effectiveness of HIV prevention interventions and strategies. Funding state, territorial, and local health departments and community-based organizations (CBOs) to develop and implement tailored programs is CDC’s largest investment in HIV prevention. This includes longstanding successful programs and new efforts funded through the Ending the HIV Epidemic in the U.S. initiative. In addition to funding health departments and CBOs, CDC is also strengthening the HIV prevention workforce and developing HIV communication resources for consumers and health care providers.

  • Under the integrated HIV surveillance and prevention cooperative agreement, CDC awards around $400 million per year to health departments for HIV data collection and prevention efforts. This award directs resources to the populations and geographic areas of greatest need, while supporting core HIV surveillance and prevention efforts across the US.
  • In 2019, CDC awarded $12 million to support the development of state and local Ending the HIV Epidemic in the U.S. plans in 57 of the nation’s priority areas. To further enhance capacity building efforts, CDC uses HIV prevention resources to fund the National Alliance of State and Territorial AIDS Directors (NASTAD) with $1.5 million per year to support strategic partnerships, community engagement, peer-to-peer technical assistance, and planning efforts.
  • In 2020, CDC awarded $109 million to 32 state and local health departments that represent the 57 jurisdictions across the United States prioritized in the Ending the HIV Epidemic in the U.S. This award supports the implementation of state and local Ending the HIV Epidemic in the U.S. plans.
  • Under the flagship community-based organization cooperative agreement, CDC awards about $42 million per year to community organizations. This award directs resources to support the delivery of effective HIV prevention strategies to key populations.
  • In 2019, CDC awarded a cooperative agreement to strengthen the capacity and improve the performance of the nation’s HIV prevention workforce. New elements include dedicated providers for web-based and classroom-based national training, and technical assistance tailored within four geographic regions.
  • Through its Let’s Stop HIV Together campaign, CDC offers resources about HIV stigma, testing, prevention, and treatment and care. This campaign is part of the Ending the HIV Epidemic in the U.S. initiative.

In addition, CDC works with tribal governments to tribal support activities to help ensure that AI/AN communities receive public health services that keep them safe and healthy.

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  2. CDC. Diagnoses of HIV infection in the United States and dependent areas, 2018 (updated). HIV Surveillance Report 2020;31.
  3. CDC. Estimated HIV incidence and prevalence in the United States, 2014-2018. pdf icon[PDF – 3 MB] HIV Surveillance Supplemental Report 2020;25(1).
  4. CDC. High-impact HIV prevention: CDC’s approach to reducing HIV infections in the United States pdf icon[PDF – 400 KB].
  5. CDC. HIV infection risk, prevention, and testing behaviors among persons who inject drugs—National HIV Behavioral Surveillance: injection drug use, 23 U.S. Cities, 2018 pdf icon[PDF – 2 MB].  HIV Surveillance Special Report 2020;24.
  6. CDC. Improving HIV surveillance among American Indians and Alaska Natives in the United States pdf icon[PDF – 553 KB].
  7. CDC. Monitoring selected national HIV prevention and care objectives by using HIV surveillance data—United States and 6 dependent areas, 2018 pdf icon[PDF – 4 MB]. HIV Surveillance Supplemental Report 2020;25(2).
  8. CDC. Selected national HIV prevention and care outcomespdf icon (slides). Accessed April 14, 2021.
  9. Bertolli J, Lee LM, Sullivan PS, American Indian/Alaska Native Race/Ethnicity Data Validation Workgroup. Racial misidentification of American Indians/Alaska Natives in the HIV/AIDS reporting systems of five states and one urban health jurisdiction, US, 1984–2002. Public Health Rep2007;122(3):382-92. PubMed Abstractexternal icon.
  10. Bureau of Indian Affairs. Indian entities recognized and eligible to receive services from the United States Bureau of Indian Affairsexternal iconFed Regist2020;85(20):5462-67.
  11. Kaiser Family Foundation. Key facts on health and health care by race and ethnicityexternal icon. Accessed April 14, 2021.
  12. Kaiser Family Foundation. Poverty rate by race/ethnicityexternal icon. Accessed April 14, 2021.
  13. National Center for Education Statistics. Status and trends in the education of racial and ethnic groupsexternal icon. Accessed April 14, 2021.
  14. United States Bureau of Labor Statistics. Labor force characteristics by race and ethnicity, 2019external icon. Accessed April 14, 2021.
  15. United States Census Bureau. QuickFacts United States: American Indians and Alaska Natives. external iconAccessed April 14, 2021.
  16. Walters KL, Simoni JM, Evans-Campbell T. Substance use among American Indians and Alaska Natives: incorporating culture in an ‘indigenist’ stress-coping paradigm. Public Health Rep2002;117(1):s104-17. PubMed Abstractexternal icon.

a Adult and adolescent AI/AN people aged 13 and older.
b Percentage of AI/AN people reporting only one race. The US Census Bureau’s population estimates include the 50 states, the District of Columbia, and Puerto Rico.
c American Samoa, Guam, the Northern Mariana Islands, Puerto Rico, the Republic of Palau, and the US Virgin Islands.