Interpretation: For males and females, one third were under 25 years of age, one third were 25 to 44 years old, and one tenth were at least 65 years old.

Interpretation: A greater proportion (about 61%) of the population consisted of whites; about 25% consisted of blacks. Hispanics accounted for another 6% and Asians for 5%. The racial/ethnic distribution of males was similar to that of females.

Interpretation: Compared with the populations of County B and County C, a larger proportion of persons residing in County A were white, and a smaller proportion were black. County A also had a higher proportion of Hispanics than did the other counties.

Interpretation: Much higher proportions of the population were under the poverty level in Bibb, Clayton, DeKalb, Fulton, and Macon counties than in Cobb, Forsyth, Gwinnett, and Henry counties.

Interpretation: The proportion of the population at least 25 years old with a high school diploma or higher was similar among MSAs but was slightly lower in the state as a whole and therefore lower in rural areas. The proportion of the population with at least a bachelor’s degree was substantially higher in the Atlanta MSA than in the other MSAs and the rest of the state.

Interpretation: The proportion of the population without health insurance was much greater among Hispanics than among whites or blacks.

Interpretation: In 2000, HIV was diagnosed for 5,773 persons of whom 4,066 (70%) were male and 1,707 (30%) were female. By race/ethnicity, 3,286 (56%) were black, 1,605 (28%) were white, 792 (14%) were Hispanic, 64 (1%) were Asian/Pacific Islander, and 26 (<1%) were American Indian/Alaska Native.

Interpretation: In 2000, a diagnosis of HIV was made for 5,838 persons in State X. Most of the diagnoses (66%) were for males aged 25–44 years.

Interpretation: By risk exposure category, 2,095 (36%) persons were classified as infected through male-to-male sex, 1,955 (33%) through heterosexual contact, 1,492 (26%) through injection drug use, and 297 (9%) through other exposures. Among the 4,107 males with HIV infection, the predominant mode of exposure was male-to-male sex (51%), followed by injection drug use (25%) and heterosexual contact (18%). Among the 1,732 females with HIV infection, the predominant mode of exposure was heterosexual contact (70%), followed by injection drug use (27%).

Dash indicates cell size of ≤ 3.

Interpretation: The distribution of risk differs by race/ethnicity. Male-to-male sex was much higher for whites than for other racial/ethnic groups; injection drug use was higher for blacks and Hispanics. Exposure through heterosexual contact for blacks, Asians, and American Indians/Alaska Natives was more than double the proportion for whites and 1.5 times the proportion for Hispanics.

Note. A small proportion of deaths of persons with HIV/AIDS included here are due to causes unrelated to HIV infection, such as motor vehicle accidents or lung cancer.

Interpretation: Rates of death of persons with HIV infection or AIDS were much greater among males than among females and greater among blacks than among whites. The rate for Hispanics was intermediate between the rate for whites and the rate for blacks.

Interpretation: HIV disease (including AIDS) was the third leading cause of death in 1999 among persons 25–44 years old in State X, accounting for 12% of all deaths in this age group.

Interpretation: From January 1994 through December 2000, HIV infection with or without AIDS was diagnosed for 128,813 persons in the 25 states. AIDS was the initial diagnosis for 33,144 (26%); HIV infection without AIDS was the initial diagnosis for 95,699 (74%). The number of new diagnoses for HIV infected persons (without AIDS) declined 21% over the period of the analysis, from 15,945 in 1994 to 12,612 in 2000. A larger relative decline of 31% occurred in the number of infected persons for whom the first diagnosis was AIDS, from 5,760 in 1994 to 3,987 in 2000. However, during the last 3 years of this period, the number of reported cases remained essentially constant.

Over time, the proportion of persons for whom the first diagnosis was AIDS changed little. In 1994, the proportion was 27%; by 2000, it was 24%. However, the proportion of infected persons who also had a diagnosis of AIDS differed by demographic subgroup and mode of exposure. More of the persons with AIDS at the time of the first diagnosis were older males. A first diagnosis of AIDS was made for fewer blacks (23%) and Native Americans (22%) than for whites (29%), Hispanics (29%), or Asians/Pacific Islanders (34%). Of newly diagnosed HIV infections with and without AIDS, 55% were in blacks. Male-to-male sex was the exposure category for the highest proportion of new diagnoses of AIDS (28%). Heterosexual contact was the exposure category for the lowest proportion of new diagnoses (20%).

The surveillance data on HIV diagnoses with and without AIDS from these 25 states suggest that the number of diagnosed infections declined during the mid-1990s but that these counts stabilized during the latter part of the decade. Most of the decline occurred among infected persons aged 25–44 years, and heterosexual contact took on greater prominence as a mode of exposure.

The 2000 rate of diagnosed AIDS cases was 12 per 100,000 in State X. The rate for males was almost 3 times the rate for females (17/100,000 compared with 6/100,000). By race/ethnicity, rates were highest for blacks (53/100,000) compared with Hispanics (24/100,000), American Indians/Alaska Natives (9/100,000), whites (4/100,000), and Asians/Pacific Islanders (3/100,000). Compared with the rates by sex and race/ethnicity for all other groups, those rates were higher for black and Hispanic males (74/100,000 and 37/100,000, respectively). The third highest rate (33/100,000) was that for black females.

Interpretation: In 2000, AIDS diagnosis was made for 3,853 persons in State X. More of the persons with AIDS were males in the 25–44 age group. Overall, most of the persons with AIDS (67%) were in the age group 25–44 years.

Interpretation: By risk exposure category, 1,371 (36%) were persons classified as infected through male-to-male sex, 1,104 (29%) through heterosexual contact, 1,116 (29%) through injection drug use, 176 (5%) through male-to-male sex and injection drug use, and 67 (1%) through other exposures. AIDS diagnoses were made for 2,805 males, among whom the predominant mode of exposure was male-to-male sex (49%) followed by injection drug use (27%) and heterosexual contact (16%). AIDS diagnoses were made for 1,045 females, among whom the predominant mode of exposure was heterosexual contact (62%) followed by injection drug use (34%).

Interpretation: The distribution of risk differs by race/ethnicity. For male-to-male sex, injection drug use, and heterosexual contact, proportions of AIDS cases were 55%, 19%, and 17% among white persons; 27%, 33%, and 35% among blacks; 31%, 35%, and 26% among Hispanics; 35%, 19%, and 42% among Asians/Pacific Islanders; and 21%, 29%, and 43% among American Indians/Alaska Natives, respectively.

Interpretation: Rates of death of persons with AIDS were much greater among males than among females and greater among blacks (28/100,000) than among whites (2/100,000). The rate among Hispanics (10/100,000) was intermediate between the rates for whites and blacks.

Note. Restricted to groups with at least 50 deaths from all causes and excluding causes of death that resulted in 3 or fewer deaths per group. HIV disease not listed if it either was not among the top 10 causes or caused 3 or fewer deaths. The appendixes contain additional examples of vital statistics mortality data.

Interpretation: HIV disease (including AIDS) was the third leading cause of death in 1999 among persons 25–44 years old in State X, accounting for 12% of all deaths in this age group.

^aIncludes all persons who had at least 1 visit for an eligible service during the reporting period. Client counts are duplicated at the grantee level (state or eligible metropolitan area).

Interpretation: This table shows that the Ryan White CARE Act is serving a greater proportion of persons from communities of color compared with the proportion of persons with AIDS in State X. In addition, although most of the clients being served by the Ryan White CARE Act are male, the proportion of females being served is greater than the proportion of females with AIDS. The CARE Act is serving a greater proportion of persons less than 13 years of age and more than 45 years of age compared with the proportion of persons with AIDS in these age groups.

^aData based on valid reports only. Valid data defined as providers’ reports of complete data both for the number of clients served and the number of visits. Because providers may offer multiple services, a provider may be included in more than 1 service category.

Interpretation: For the 387 medical care providers who supplied data on valid numbers of clients and visits, the average number of visits per client in 2000 was 8.7 (median, 5.4; range, 1.0 to 365.0). The average number of visits for dental care was 3.8 (median, 2.7). For the 167 providers of dental care who supplied valid data, the number of visits per client ranged from 1.0 to 71.9. In 2000, the average number of visits for mental health counseling and treatment was 9.9 (median, 6.9; range, 1.0 to 128.4). Among clients receiving substance abuse counseling and treatment, the average number of visits was 29.4. This figure must be interpreted with caution: visits for substance abuse services include outpatient and residential care. In a residential treatment setting, visits are often counted in terms of inpatient days. The median number of visits for substance abuse treatment was 9.6 (average, 9.8; range, 1.0 to 384.1). Visits with case-management providers averaged 9.8 (median, 5.6; range, 1.0 to 317.0).

Note. Data based on valid reports only. Valid data defined as providers’ reports of complete data both for the number of clients and the number of visits. The actual number of providers is higher than shown for each type of service. Because providers may offer multiple services, a provider may be included in more than one service category.

Interpretation: In 2000, the average number of visits per client to the 414 medical care providers who supplied valid numbers of clients and visits was 5.3 (median, 4.1). The average number of visits for dental care was 2.5 (median, 2.0); among the 312 providers of dental care who supplied valid data, the number of visits per client ranged from 1.0 to 16.7. The average number of visits for mental health counseling and treatment services was 8.6 (median, 4.8; range, 1.0 to 455.2). The average number of visits per client for substance abuse counseling and treatment was 16.2. This number must be interpreted with caution: visits for substance abuse services include outpatient and residential care. In a residential treatment setting, visits are often counted in terms of inpatient days. The median number of visits for substance abuse treatment was 4.4, and the number of visits per client ranged from 1.0 to 240.0. Visits with case-management providers averaged 8.6 (median, 5.9; range, 1.0 to 194.0).