HIV/AIDS and Native Hawaiians/Other Pacific Islanders

In 2022, non-Hispanic Native Hawaiians/Pacific Islanders were nearly three times more likely to be diagnosed with HIV infection than non-Hispanic whites.1
From the beginning of the epidemic through 2022, non-Hispanic Native Hawaiians/Pacific Islanders account for less than 1% of classifications of persons with Stage 3 (AIDS).2

HIV Infection

Diagnoses of HIV infection among persons age 13 and older, rate per 100,000 population, 2022
	Non-Hispanic Native Hawaiian/Pacific Islander	Non-Hispanic White	Non-Hispanic Native Hawaiian/Pacific Islander / Non-Hispanic White Ratio
Male	26.9	8.7	3.1
Female	4.6	1.9	2.4
Total	13.1	4.6	2.8

Source: 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

Diagnoses of HIV infection among persons age 13 and older by U.S. affiliated territory, rate per 100,000 population, 2022
	Population	Non-Hispanic White (U.S. National)	Population / Non-Hispanic White Ratio
American Samoa	0.0	4.6	--
Guam	0.0	4.6	--
Northern Mariana Islands	0.0	4.6	--
Palau	0.0	4.6	--

Source: 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 1a and 20.
https://stacks.cdc.gov/view/cdc/156509

Diagnoses of HIV infection among children age 12 and under, rate per 100,000 population, 2022
Non-Hispanic Native Hawaiian/Pacific Islander	Non-Hispanic White	Non-Hispanic Native Hawaiian/Pacific Islander / Non-Hispanic White Ratio
0.0	0.0	--

Source: 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. Table 2a.
https://stacks.cdc.gov/view/cdc/156509

Diagnoses of HIV infection, by number of cases and percentage, 2022
	Cases	Percent of Total Cases
Total	37,663	100.0
Non-Hispanic Native Hawaiian/Pacific Islander	83	0.2
Non-Hispanic White	9,110	24.2

Source: 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. Table 1a.
https://stacks.cdc.gov/view/cdc/156509

Persons living with diagnosed HIV infection, rate per 100,000 population, 2022
Non-Hispanic Native Hawaiian/Pacific Islander	Non-Hispanic White	Non-Hispanic Native Hawaiian/Pacific Islander / Non-Hispanic White Ratio
153.5	156.5	1.0

Source: 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. Table 15a.
https://stacks.cdc.gov/view/cdc/156509

Persons living with diagnosed HIV infection by U.S.-affiliated territory, rate per 100,000 population, 2022
	Population	Non-Hispanic White (U.S. National)	Population / Non-Hispanic White Ratio
American Samoa	2.2	156.5	--
Guam	64.5	156.5	0.4
Northern Mariana Islands	29.1	156.5	0.2
Palau	41.5	156.5	0.3

Source: 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 15a and 20.
https://stacks.cdc.gov/view/cdc/156509

AIDS

Prevalence of AIDS among persons age 13 and older, rate per 100,000 population, 2022
	Non-Hispanic Native Hawaiian/Pacific Islander	Non-Hispanic White	Non-Hispanic Native Hawaiian/Pacific Islander / Non-Hispanic White Ratio
Male	127.9	150.9	0.8
Female	25.8	21.7	1.2
Both Sexes	77.3	85.6	0.9

Source: CDC. National Center for HIV, Viral Hepatitis, STD, and Tuberculosis Prevention (NCHHSTP) Atlas Plus.
https://gis.cdc.gov/grasp/nchhstpatlas/tables.html

Prevalence of AIDS among persons age 13 and older by U.S. affiliated territory, rate per 100,000 population, 2022
	Population	Non-Hispanic White (U.S. National)	Population / Non-Hispanic White Ratio
American Samoa	0.0	85.6	--
Guam	33.2	85.6	0.4
Northern Mariana Islands	24.1	85.6	0.3
Palau	27.0	85.6	0.3

Source: CDC. National Center for HIV, Viral Hepatitis, STD, and Tuberculosis Prevention (NCHHSTP) Atlas Plus.
https://gis.cdc.gov/grasp/nchhstpatlas/tables.html

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
Non-Hispanic Native Hawaiian/Pacific Islander	877	0.1
Non-Hispanic White	452,648	33.5
*Cumulative data are from the beginning of the epidemic through 2022.

Source: CDC, 2024. HIV Surveillance Report: Diagnoses, Deaths, and Prevalence of HIV in the United States and 6 Territories and Freely Associated States, 2022. Slide Set: HIV Infection, Stage 3 (AIDS) 2022. Slide 4.
https://www.cdc.gov/hiv-data/media/pdfs/nhss/nhss-surveillance-slideset-stage-3-infection-2022.pdf

Deaths of persons with diagnosed HIV infection, rate per 100,000 population, 2022
	Non-Hispanic Native Hawaiian/Pacific Islander	Non-Hispanic White	Non-Hispanic Native Hawaiian/Pacific Islander / Non-Hispanic White Ratio
Male	3.0	6.0	0.5
Female	0.4	1.0	0.4
Total Population	1.4	3.0	0.5

Source: 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

Deaths of persons age 13 and older with AIDS, rate per 100,000 population, 2022
Non-Hispanic Native Hawaiian/Pacific Islander	Non-Hispanic White	Non-Hispanic Native Hawaiian/Pacific Islander / Non-Hispanic White Ratio
1.0	2.5	0.4

Source: CDC. NCHHSTP Atlas Plus.
https://gis.cdc.gov/grasp/nchhstpatlas/tables.html

HIV Testing

HIV testing status among persons age 18 and over, age-adjusted percentage, 2018
	Native Hawaiian/Pacific Islander	Non-Hispanic White	Native Hawaiian/Pacific Islander / Non-Hispanic White Ratio
Ever tested	44.4	39.9	1.1
Never tested	55.6	60.1	0.9

Source: CDC, 2021. Summary Health Statistics for U.S. Adults: 2018. Table A-20a.

Adults age 18 and over who had ever been tested for HIV, by Native Hawaiian/Pacific Islander single race subgroup, age-sex-adjusted percentage, 2014
	Population	Population / All NH/PI Ratio	Population / White Ratio
White	36.2	1.2	--
All NH/PI	29.7	--	0.8
Native Hawaiian	34.1	1.1	0.9
Pacific Islander	27.2	0.9	0.8
Samoan	31.4	1.1	0.9
Guamanian or Chamorro	32.2	1.1	0.9
Other Pacific Islander	26.5	0.9	0.7

Source: CDC, 2017. National Center for Health Statistics. Health Care Access and Utilization Among Native Hawaiian and Pacific Islander Persons in the United States, 2014. Table 9.

1 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 to top)

2 CDC, 2024. HIV Surveillance Report: Diagnoses, Deaths, and Prevalence of HIV in the United States and 6 Territories and Freely Associated States, 2022. Slide Set: HIV Infection, Stage 3 (AIDS) 2022. Slide 4. https://www.cdc.gov/hiv-data/media/pdfs/nhss/nhss-surveillance-slideset-stage-3-infection-2022.pdf (Back to top)