HIV/AIDS and American Indians/Alaska Natives

• American Indian/Alaska Native males were 1.8 times more likely to have a diagnosis of HIV infection than non-Hispanic white males in 2022.¹
• American Indian/Alaska Native females were 1.6 times more likely to have AIDS in 2022 compared to non-Hispanic white females.¹
• In 2022, American Indian/Alaska Native males were 20% less likely than non-Hispanic white males to die of HIV infection.²
• In 2022, American Indian/Alaska Native females were nearly three times more likely than non-Hispanic white females to die of HIV infection²

HIV Infection

Diagnoses of HIV Infection, rate per 100,000 population, 2022
	American Indian/Alaska Native	Non-Hispanic White	American Indian/Alaska Native/ Non-Hispanic White Ratio
Male	15.8	8.7	1.8
Female	5.5	1.9	2.9
Total	9.0	4.6	2.0

Diagnoses of HIV infection among children age 12 and under, rate per 100,000 population, 2022
American Indian/Alaska Native	Non-Hispanic White	American Indian/Alaska Native / Non-Hispanic White Ratio
0.5	0.0	--

Diagnoses of HIV infection, percentage of total, 2022
American Indian/Alaska Native	Non-Hispanic White	American Indian/Alaska Native / Non-Hispanic White Ratio
0.6	24.2	0.0

Persons living with diagnosed HIV infection, rate per 100,000 population, 2022
American Indian/Alaska Native	Non-Hispanic White	American Indian/Alaska Native / Non-Hispanic White Ratio
135.2	156.5	0.9

AIDS

Prevalence of AIDS among persons age 13 and older, rate per 100,000 population, 2022
	American Indian/Alaska Native	Non-Hispanic White	American Indian/Alaska Native / Non-Hispanic White Ratio
Male	105.8	150.9	0.7
Female	35.1	21.7	1.6
Both Sexes	69.9	85.6	0.8

Classifications of persons with Stage 3 (AIDS), by number of cases and percentage, 2022
	Cumulative Cases*	Percent of Total Cases
Total Population	1,350,998	100.0
American Indian/Alaska Native	3,664	0.3
Non-Hispanic White	452,648	33.5

Deaths of persons with diagnosed HIV infection, rate per 100,000 population, 2022
	American Indian/Alaska Native	Non-Hispanic White	American Indian/Alaska Native / Non-Hispanic White Ratio
Male	4.9	6.0	0.8
Female	2.9	1.0	2.9
Total Population	3.3	3.0	1.1

Deaths of persons age 13 and older with AIDS, rate per 100,000 population, 2022
American Indian/Alaska Native	Non-Hispanic White	American Indian/Alaska Native / Non-Hispanic White Ratio
2.7	2.5	1.1

HIV Testing

HIV testing status among persons age 18 and over, age-adjusted percentage, 2018
	American Indian/Alaska Native	Non-Hispanic White	American Indian/Alaska Native / Non-Hispanic White Ratio
Ever tested	46.6	39.9	1.2
Never tested	53.4	60.1	0.9

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¹ Centers for Disease Control and Prevention (CDC), 2024. HIV Surveillance Report: Diagnoses, Deaths, and Prevalence of HIV in the United States and 6 Territories and Freely Associated States, 2022, v.35. Tables 3a and 1a.
https://stacks.cdc.gov/view/cdc/156509 (back)

² CDC, 2024. HIV Surveillance Report: Diagnoses, Deaths, and Prevalence of HIV in the United States and 6 Territories and Freely Associated States, 2022, v.35. Tables 12a and 11a.
https://stacks.cdc.gov/view/cdc/156509 (back)