quarterly hiv/aids analysis for michigan january 1, 2007 michigan department of community health...

Quarterly HIV/AIDS Analysis for Michigan

January 1, 2007

Michigan Department of Community Health HIV/STD & Other Bloodborne Infections Surveillance Section

Division of Communicable DiseaseBureau of Epidemiology

MDCH/Bureau of Epidemiology/HIV/AIDS Surveillance Program / January 1, 2007

This estimate is calculated using several data sources, including:

• Persons who have not yet been tested • Persons tested but not yet reported to MDCH • Persons reported by name and living with HIV• Persons reported by name and living with AIDS

Estimate of HIV Prevalence


• All living persons confidentially reportedwith HIV infection, excluding those with AIDS.

Reported Living with AIDS:

Reported Living with HIV/not AIDS:

• All living persons confidentially reported who meet the AIDS case definition.

Reported Living with HIV/AIDS:

•All living persons confidentially reportedwith HIV infection, including those with AIDS.


Behavior Groups

•Behaviors facilitate transmission.

•It is the frequency of particular behaviors combined with the HIV prevalence in sexual or drug using networks that determines one’s risk for becoming infected.

•Demographic descriptors further describe those at risk.


Persons living with HIV/AIDS by Behavior Group

0

1000

2000

3000

4000

5000

6000

7000

8000

MSM IDU MSM/IDU Blood High RiskHetero

Perinatal Undeterm

Estimate ofHIVPrevalenceReportedLiving withAIDSReportedLiving withHIV not AIDS

# pe

rson

s est

. or

repo

rted

livi

ng w

ith H

IV/A

IDS


Estimate of HIV Prevalence:Partner Behaviors for “High Risk” Heterosexually

Infected Persons, Michigan (n=2,220)

30%

6%

3%

61%

Partner IDU

Partner Bisexual

Partner Rec'd Blood

Partner HIV+, otherrisk unk


Estimate of HIV Prevalence:Injecting Drug Use Behavior, (n=2,170)

47%

53%

IDU with HRH

IDU withoutHRH


Males Reported Living with HIV/AIDS by Race & Behavior (n=9,685)

0

500

1000

1500

2000

2500

3000

MSM IDU MSM/IDU BloodRec.

High RiskHetero

Perinatal Undeterm

White, Non-Hispanic

Black, Non-Hispanic

Hispanic

Other/Unk

# R

epor

ted

Cas

es


Females Reported Living with HIV/AIDS by Race & Behavior (n=2,918)

0

100

200

300

400

500

600

700

800

900

IDU Blood Rec. High RiskHetero

Perinatal Undeterm

White, Non-Hispanic

Black, Non-Hispanic

Hispanic

Other/Unk

# R

epor

ted

Cas

es


MSM47%

IDU13%

Undeterm, Other5%

High Risk Hetero13%

MSM/IDU4%Blood

1%

Undeterm, Presum Hetero16%

Perinatal1%

Persons Living with HIV/AIDS by Mode of Transmission (n=12,603)


Blood1%

High Risk Hetero

7%

Undeterm, Other6%

Undeterm, Presumed

Hetero15%

Perinatal1%

MSM51%

MSM/IDU6%

IDU14%

Black Males Living with HIV/AIDS,by Mode of Transmission (n =5,231)


MSM75%

Perinatal0%

MSM/IDU6%

IDU4%

Undeterm, Other

4%

Blood2%

High Risk Hetero

2%

Undeterm, Presumed

Hetero6%

White Males Living with HIV/AIDS,by Mode of Transmission (n =3,928)


IDU23% Blood

0%

High Risk Hetero38%Perinatal

2%

Undeterm, Presumed

Hetero31%

Undeterm, Other

6%

Black Females Living with HIV/AIDS,by Mode of Transmission (n =2,154)


Undeterm, Other5%

High Risk Hetero

52%

Blood2%

IDU18%

Undeterm, Presumed

Hetero21%

Perinatal2%

White Females Living with HIV/AIDS,by Mode of Transmission (n =594)


Prevalence Estimates of Persons Living with HIV/AIDS in MI by Sex and Race January 1, 2007

010002000300040005000600070008000

Bla

ckm

ales

Whi

tem

ales

Bla

ckfe

mal

es

Whi

tefe

mal

es

His

pani

cm

ales

His

pani

cfe

mal

es

Pre

vale

nce

Estim

ate


0150300450600750900

10501200

Bla

ckm

ales

Whi

tem

ales

Bla

ckfe

mal

es

Whi

tefe

mal

es

His

pani

cm

ales

His

pani

cfe

mal

es

Rat

es P

er 1

00,0

00 P

opul

atio

n Estimated Prevalence Rates of Persons living with HIV/AIDS in MI by Sex and Race Jan 1, 2007


Persons living with HIV/AIDS by Sex

0

2000

4000

6000

8000

10000

12000

14000

16000

18000

Total Male Female

Estimate of HIVPrevalence

Reported Livingwith AIDS

Reported Livingwith HIV notAIDS

# pe

rson

s est

. or

repo

rted

livi

ng w

ith H

IV/A

IDS


Persons living with HIV/AIDS by Age at Diagnosis, ages 0-39

0

500

1000

1500

2000

2500

3000

3500

0-12 13-19 20-24 25-29 30-34 35-39



Reported Livingwith HIV not AIDS

# pe

rson

s est

. or

repo

rted

livi

ng w

ith H

IV/A

IDS


Persons living with HIV/AIDS by Age at Diagnosis, ages 40+

0

500

1000

1500

2000

2500

3000

3500

40-44 45-49 50-54 55-59 60-64 65 & over



Reported Livingwith HIV not AIDS

# pe

rson

s est

. or

repo

rted

livi

ng w

ith H

IV/A

IDS


Persons living with HIV/AIDSby Race & Ethnicity

0

1000

2000

3000

4000

5000

6000

7000

8000

9000

10000

White, Non-Hispanic

Black, Non-Hispanic

Hispanic Asian AmericanIndian

Other/Unk

Estimate ofHIVPrevalence

ReportedLiving withAIDS

ReportedLiving withHIV notAIDS

# pe

rson

s est

. or

repo

rted

livi

ng w

ith H

IV/A

IDS


Num

ber o

f Dea

ths

Year of Death

HIV Related Deaths in Michigan, All Ages, by Race and Sex: 1987-2005

11/13/06

0

100

200

300

400

500

1987

1989

1991

1993

1995

1997

1999

2001

2003

2005

Black Males White Males Black Females White Females


Leading Causes of Death Among Black Men in MI, Ages 25-44: 1990-2005

0

50

100

150

200

250

300

350

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

1.Homicide

2.Heart Dis

3.Accidents

4.Cancer

5.HIV Dis

6.Suicide

Num

ber o

f Dea

ths

Year11/13/06


Leading Causes of Death Among White Men in MI, Ages 25-44: 1990-2005

0

100

200

300

400

500

600

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

1.Accidents

2. Suicide

3.Heart Dis

4.Cancer

5.Cirrhosis

9.HIV Dis

Num

ber o

f Dea

ths

Year11/13/06


Leading Causes of Death Among Black Women in MI, Ages 25-44:1990-2005

0

20

40

60

80

100

120

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

1.Cancer

2.Heart Dis

3.Accidents

4.Homicide

7.HIV Dis

Num

ber o

f Dea

ths

Year11/13/06


Leading Causes of Death Among White Women in MI, Ages 25-44: 1990-2005

0

50

100

150

200

250

300

350

400

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

1.Cancer2.Accidents3.Heart Dis4.Suicide

5.Cirrhosis13.HIV Dis

Num

ber o

f Dea

ths

Year 11/13/06


Leading Causes of Death Among Hispanics in MI, Ages 25-44: 2005

11/13/06

Males age 25-44110 total deaths:

• 29 accidents• 14 heart disease• 12 suicide• 11 homicide• 6 cancer • 6 liver

disease/cirrhosis• 3 AIDS

Females age 25-4435 total deaths:

5 cancer 5 accidents 4 suicide 3 homicide 0 AIDS

quarterly hiv/aids analysis for michigan january 1, 2007 michigan department of community health...

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