American Indians/Alaska Natives (AI/AN) represent about 1.3%a of the United States population, & about 0.5% of the HIV diagnoses in 2018. However, the number of HIV diagnoses has increased over time.

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New HIV Diagnoses Aý muốn AI/AN in the US và Dependent Areas by Transmission Category and Sex, 2018 d



Source: Diagnoses of HIV infection in the United States & dependent areas, 2018 (Preliminary) pdf icon. HIV Surveillance Report 2019;30.

From 2010 khổng lồ 2017, the annual number of HIV diagnoses increased 39% ahy vọng AI/AN overall, but trends varied by age và gender:

HIV Diagnoses Among mỏi AI/AN in the 50 States & the District of Columbia, 2010-2017*



*Changes in populations with fewer HIV diagnoses can lead lớn a large percentage increase or decrease.Source: NCHHSTP. AtlasPlus. Accessed April 27, 20đôi mươi.

It is important for AI/AN lớn know their HIV status so they can take medicine to lớn treat HIV if they have the virus. Taking HIV medicine every day can make the viral load undetectable. AI/AN who get & keep an undetectable viral load (or stay virally suppressed) have effectively no risk of transmitting HIV khổng lồ HIV-negative sex partners.

Source: HIV incidence & prevalence in the United States 2010–2016pdf inhỏ.HIV Surveillance Supplemental Report2019;24(1).Source: national HIV prevention and care outcomes pdf icon(slides).


During 2017, 39 AI/AN with diagnosed HIV died in the US và dependent areas. These deaths may be due lớn any cause.

Sexually transmitted diseases (STDs). From năm trước khổng lồ 2018, AI/AN had the second highest rates of chlamydia and gonorrhea aước ao all racial/ethnic groups. Having another STD increases a person’s risk for getting or transmitting HIV.

Awareness of HIV status. It is important for everyone to lớn know their HIV status. People who bởi not know they have sầu HIV cannot take advantage of HIV care & treatment và may unknowingly pass HIV lớn others.

Cultural stigma & confidentiality concerns.

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AI/AN gay & bisexual men may face culturally based stigma and confidentiality concerns that could limit opportunities for education và HIV testing, especially among mỏi those who live sầu in rural communities or on reservations.

Difficult khổng lồ create prevention programs. There are more than 574 federally recognized AI/AN tribes và many different languages. Because each tribe has its own culture, beliefs, & practices, creating culturally appropriate prevention programs for each group can be challenging.

Socioeconomic issues. Poverty, including limited access to high-chất lượng housing, directly & indirectly, increases the risk for HIV infection and affects the health of people who have & are at risk for HIV infection. Compared with other racial/ethnic groups, AI/AN have sầu higher poverty rates, have sầu completed fewer years of education, are younger, are less likely khổng lồ be employed, & have lower rates of health insurance coverage.

Alcohol and illicit drug use. Alcohol & substance use can impair judgment and lead lớn behaviors that increase the risk of HIV. Injection drug use can directly increase the risk of HIV through sharing contaminated needles, syringes, & other equipment. Compared with other racial/ethnic groups, AI/AN tkết thúc to use alcohol & drugs at a younger age and use them more often & in higher quantities.

Data limitations. Racial misidentification of AI/AN may lead lớn the undercounting of this population in HIV surveillance systems & may contribute khổng lồ the underfunding of targeted services for AI/AN.

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

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

a Percentage of AI/AN reporting only one race. The US Census Bureau’s population estimates include the 50 states, the District of Columbia, and Puerlớn Rico.b HIV diagnoses refers to the number of people who received an HIV diagnosis during a given time period, not when the people got HIV infection.c Unless otherwise noted, the term United States includes the 50 states, the District of Columbia, & the 6 dependent areas of American Samoa, Guam, the Northern Mariamãng cầu Islands, Puerto lớn Rico, the Republic of Pavệ sinh, and the US Virgin Islands.d The terms male-to-male sexual contactmale-to-male sexual liên hệ và injection drug use are used in the surveillance system. They indicate the behaviors that transmit HIV infection, not how individuals self-identify in terms of their sexuality.