hiv/std epidemiology in oklahoma hiv/std service division of prevention and preparedness oklahoma...

HIV/STD Epidemiology in Oklahoma

HIV/STD ServiceDivision of Prevention and PreparednessOklahoma State Department of Health

Cumulative HIV/AIDS in Oklahoma

HIV/AIDS in Oklahoma

• As of December 31, 2010, 8,462 cases had been diagnosed with HIV/AIDS in Oklahoma:– 4,908 were living with HIV and/or AIDS– 3,013 were HIV infections and 5,449 were AIDS cases – 85.3% were male, while 14.7% were female.

• Since 1982, 3,554 deaths were among people diagnosed with HIV/AIDS, 86 of these deaths occurred in 2010.

• In 2010, 208 HIV cases and 92 AIDS cases reported.

HIV/AIDS in Oklahoma • By Age Group (Age at Diagnosis):

– 30-39 years (3,213; 38.0%),– 20-29 years (2,652; 31.3%),– 40-49 years (1,582; 18.7%),– 50-59 years (508; 6%),– 13-19 years (224; 2.7%), and– All other ages (less than 3%).

• By Race:– Whites (5,441; 64.4%)– Blacks (1,794; 21.2%)– American Indian/Alaska Natives (536; 6.3%)– Hispanics (504; 6.0%)– Asian/Pacific Islander (46; 0.5%)

• By Risk:– Approximately 2/3 of all cases were Men Who Have Sex with Men (MSM) or

MSM and Injection Drug Use (IDU).

New HIV/AIDS Cases in Oklahoma

New HIV/AIDS Cases in 2010

• 300 cases of HIV/AIDS were diagnosed in 2010:– HIV: 208– AIDS : 92

• From 2006-2010:– There was a downward trend in AIDS cases (from 188 to

92 cases), and a– Upward trend in newly diagnosed HIV (not AIDS) cases

(from 157 to 208 cases).

• Of the 86 deaths in 2010, 11 were diagnosed and died in the same year.

HIV/AIDS in Oklahoma by Sex

Males account for:• 49.5% of Oklahoma population• 83% of new HIV/AIDS cases• Newly diagnosed rate of 13.4 per 100,000

Females account for:• 50.5% of Oklahoma population• 17% of new HIV/AIDS cases• Newly diagnosed rate of 2.7 per 100,000

• 20-29 years: 35.0% (105 cases)

• 30-39 years: 25.7% (77 cases)

• 40-49 years: 22.0% (66 cases)

• 50-59 years: 10.0% (30 cases)

• 60-69 years: 3.3% (10 cases) • Teenagers (13-19 years):

3.0% (9 cases)• Children (12 and younger):

1.0% (3 cases)

New HIV/AIDS by Age

Newly Diagnosed HIV/AIDS Cases by Age Group, Oklahoma 2010

20-29

30-39

40-49

50-59

13-19

Other

New HIV/AIDS Cases by Race• Whites (72.2% of OK population)

– 46% of new HIV/AIDS cases– Newly diagnosed rate of 5.1 per 100,000

• Blacks (7.4% of OK population)– 35% of new HIV/AIDS cases– Newly diagnosed rate of 37.8 per 100,000 (7

times higher than Whites)

• Hispanics (8.9% of OK population)– 8% of new HIV/AIDS cases– Newly diagnosed rate of 7.2 per 100,000 (1.4

times higher than Whites)

• AI/AN (8.6% of OK population)– 7% of new HIV/AIDS cases– Newly diagnosed rate of 6.5 per 100,000

Newly Diagnosed HIV/AIDS Cases by Race/Ethnicity, Oklahoma

2010

Black

White

Hispanic

AI/AN

Asian/Other

New HIV/AIDS Cases in Oklahoma among MSM

• Race:– Whites (51.9%)

• 3.0 cases per 100,000– Blacks (32.7%)

• 18.4 cases per 100,000 • Age Groups:

– 20-29 years (67, 42.9%)– 30-39 years (36, 23.1%) – 40-49 years (30, 19.2%) – 50-59 years (14, 9.0%) – Teenagers 13-19 years

(7, 4.5%)

Newly Diagnosed HIV/AIDS MSM Rates per 100,000 Population by Race/Ethnicity, Oklahoma 2010

Black

White

Hispanic

AI/AN

New HIV/AIDS Cases in Oklahoma among Heterosexuals• Second largest transmission group (63, 21%).

• Age Groups:– 20-29 years (20, 31.7%)– 30-39 years (19, 30.2%) – 40-49 years (13, 20.6%) – 50-59 years (7, 11.1%)– 60 and over (4, 6.3%)

• Racial and Ethnic Groups:– Blacks (105 cases, 44%, 10.1 per 100,000)

(14 times the rate of Whites)– Whites (18 cases, 28.6%, 0.7 cases per 100,000)– Hispanics (9 cases, 14.3%, 2.7 cases per 100,000) – Asian/Pacific Islanders

(3 cases, 4.8%, 4.3 cases per 100,000)– AI/AN and Multiple Race not released due to

confidentiality concerns.

Newly Diagnosed HIV/AIDS Het-erosexual Cases by Race/Ethnicity,

Oklahoma 2010

Black

White

Hispanic

Asian/Other

Deaths among HIV/AIDS Cases in Oklahoma


• There has been a total of 3,554 deaths among persons diagnosed with HIV/AIDS :– HIV: 461– AIDS: 3,049

• 42% of Oklahomans diagnosed with HIV/AIDS were classified as dead by the end of 2010.

• Deaths of persons with a diagnosis of HIV infection may be due to any cause.


• By Sex:– Males: 88.7%– Females: 11.3%

• By Risk:– MSM (1,969; 55.4%)– IDU (458; 12.9%)– MSM & IDU (441; 12.4%)– Hetero (375; 10.6%)– NRR (199; 5.6%)– Blood Products (98; 2.8%)– Perinatal (14; 0.4%)

• By Race/Ethnicity:– Whites (2,528; 71.1%)

– Blacks (624; 17.6%)

– AI/ANs (241; 6.8%)

– Hispanics (123; 3.5%)

– Multiple Races (28; 0.8%)

– Asian/PI (10; 0.3%)


• In 2010, 86 deaths occurred at a rate of 2.3 deaths per 100,000.

• 16 occurred within one year of HIV diagnosis (11 diagnosed in 2010).

• Males accounted for 87.2%, while females accounted for 12.8% of deaths.

Chlamydia Cases in Oklahoma

Oklahoma Chlamydia Cases

• In 2010, a total of 14,302 cases were reported.– In 1988, there were only 2,714– In 2010, Chlamydia accounted for 76% of all reported

STDs.– Incidence rate of 381.2 per 100,000 in 2010

• The rate of Chlamydia among females was 2.5 times higher than males– Females: 552.1 per 100,000 (72% of cases)– Males: 219.4 per 100,000

Oklahoma Chlamydia Cases• By Age Group

– Highest Rates

• 15-19: 1,936.6 per 100,000

• 20-24: 2,031.8 per 100,000

– Highest Percent Increase

• 45-49: 19.6% increase from 2009 (23.6 per 100,000)

• By Race/Ethnicity– Black: 1,594.5 per 100,000

– White: 249.9 per 100,000

– American Indian/Alaska Native: 499.6 per 100,00

– Asian/Pacific Islander: 227.5 per 100,000

– Hispanic: 415.1 per 100,000


• By County– Oklahoma: 483.9 per 100,000– Tulsa: 521.4 per 100,000– Comanche: 963.8 per 100,000

• Comanche county showed an 15.9% increase, while Oklahoma and Tulsa counties showed a decrease from 2009

Gonorrhea Cases in Oklahoma

Oklahoma Gonorrhea Cases

• In 2010, a total of 4,369 cases were report– In 1943, the beginning of Gonorrhea

Surveillance, there were only 4,715.– Women made up the majority of cases in the

United States and Oklahoma since 2002.– In 2010, Blacks in Oklahoma had the highest rate

of gonorrhea (882 per 100,000).


• By Gender– Males: Made up 43% of Oklahoma cases

– Females: Made up 57% of Oklahoma cases

• By Race/Ethnicity– Black: 882 per 100,000

– American Indian/Alaska Native: 102 per 100,000

– White: 47 per 100,000

– Asian/Pacific Islander: 29 per 100,000

– Hispanic: 59 per 100,000

Gonorrhea Cases By County

• By Number of Cases– Oklahoma County

• 1,460 cases ( 33.4%)

• Decreased by 15.9%

– Tulsa County • 1,329 (30.4%)

• Decreased by 9.7%

– Comanche County • 310 (7.1%)

• Increased rate of 35%

• By Case Rate– Comanche County

• 249.8 per 100,000

– Tulsa County • 220.3 per 100,000

– Okmulgee County • 217.1 per 100,000

• Okmulgee County had a rate increase of 77.9% (from 122 per 100,000 in 2009).

Syphilis Cases in Oklahoma

Early Syphilis in Oklahoma

• Early Syphilis includes primary, secondary, and early latent syphilis

• In 2012, 232 cases of early Syphilis in Oklahoma– Incidence rate of 6.2 per 100,000 – State rate decreased from 2009 (from 7.0 to 6.2 per

100,000)• Nationally the rate has increased annually over the past ten

years. – Primarily among men (from 3.0 cases in 2001 to 7.8 cases in 2009).


• By Gender– 74% of cases were male

– The rate of total cases has decreased since 2009, but the male rate has increased from 3 to 7.8

• By Age Group– Ages 20-24 had a rate of 16.3

per 100,000

– Ages 25-29 had a rate of 16.6 per 100,000

<15 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50+0

5

10

15

20

25

30

35

40

45

50

Oklahoma Syphilis Cases by Age Group for 2010, Number Vs. Rate

Number Rate per 100,000

Age Group (in years)

Nu

mbe

r/R

ate

of C

asee

s


• By Race/Ethnicity– Black: Highest rate at 31.3 per 100,000

• 7 times higher than Whites

– White: 4.4 per 100,000– Asian/Pacific Islander: 7.2 per 100,000

• 1.6 times higher than Whites

– Hispanic: 6.6 per 100,000• 34.8% decrease from 2009


• By County– Oklahoma

• Most cases and highest rate (14.6 per 100,000)

– McCurtain• Second highest rate (12.1 per 100,000)

– Tulsa• Third highest rate (9.9 per 100,000)

• Early Syphilis in Oklahoma county decreased by 11.2%

The End

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