# Presentation: 743196

## Slide 1

**Notes:**
The bars in this graph represent the estimated number of AIDS cases diagnosed in the United States and dependent areas during 1985–2006 among men who have sex with men (MSM). The number of AIDS cases among MSM peaked in 1992 and steadily decreased until 2001.  
The line in this graph represents the proportion of all AIDS cases among adults and adolescents that is attributed to male-to-male sexual contact. In 1985, MSM accounted for 64% of cases, but by 2000, MSM accounted for 39% of cases. During 2001–2006, the proportion of AIDS cases attributed to male-to-male sexual contact remained relatively stable.
Note:
1)  The age category for adults and adolescents comprises persons aged 13 years and older.

## Slide 2

**Notes:**
Through 2006, AIDS had been diagnosed for a cumulative estimated total of 973,354 persons in the 50 States and District of Columbia.  Most (81%) AIDS cases in adults and adolescents have been in males. Among males with AIDS, 59% were attributed to male-to-male sexual contact. The proportion of AIDS cases among males attributed to male-to-male sexual contact was even larger among those aged 13 to 24 years.
During 2006, male-to-male sexual contact was the most frequently reported transmission category—accounting for 43% of all AIDS cases diagnosed that year.
Note:
1)  The age category for adults and adolescents comprises persons aged 13 years and older.

## Slide 3

**Notes:**
The upper line represents the estimated number of AIDS cases diagnosed in the United States and dependent areas during 1985–2006 among men who have sex with men (MSM). The lower line represents the estimated number of deaths among the same group during the same period.
The peak in new AIDS diagnoses among MSM during 1992–1993 was associated with the expansion of the AIDS surveillance case definition, which was implemented in January 1993.  
Among MSM, the overall decline in new AIDS cases and deaths is due in part to the success of highly active antiretroviral therapy, which became widely available during the mid-1990s.
Note:
1)  The age category for adults and adolescents comprises persons aged 13 years and older.

## Slide 4

**Notes:**
This graph shows the trends, by transmission category, in the estimated number of new HIV/AIDS cases diagnosed from 1994 through 2006 among adults and adolescents in 25 states with confidential name-based HIV reporting during that period. For each of those years, the largest number of cases was in men who have sex with men (MSM).

Throughout the late 1990s, the number of cases attributed to male-to-male sexual contact declined steadily. However, from 1999 through 2006, the number of new cases attributed to that transmission category increased.
Note:
The age category for adults and adolescents comprises persons aged 13 years and older.
The 25 states that have had laws or regulations requiring confidential name-based HIV infection reporting since at least 1994: Alabama, Arizona, Arkansas, Colorado, Idaho, Indiana, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Nevada, New Jersey, North Carolina, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Utah, Virginia, West Virginia, Wisconsin, and Wyoming.
In this presentation, the term HIV/AIDS is used to refer to 3 categories of diagnoses collectively: (1) a diagnosis of HIV infection (not AIDS), (2) a diagnosis of HIV infection with a later diagnosis of AIDS, and (3) concurrent diagnoses of HIV infection and AIDS.
The transmission category “Other” includes hemophilia, blood transfusion, perinatal exposure, and risk factor not reported or not identified. 

## Slide 5

**Notes:**
In 2006, half (50%, or 17,465) of all estimated HIV/AIDS cases in 33 states with confidential name-based HIV were attributed to male-to-male sexual contact. High-risk heterosexual contact was the second largest transmission category: 33% of cases.
Note:
The age category for adults and adolescents comprises persons aged 13 years and older.
The 33 states that have had laws or regulations requiring confidential name-based HIV infection reporting since at least 2001: Alabama, Alaska, Arizona, Arkansas, Colorado, Florida, Idaho, Indiana, Iowa, Kansas, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming.
In this presentation, the term HIV/AIDS is used to refer to 3 categories of diagnoses collectively: (1) a diagnosis of HIV infection (not AIDS), (2) a diagnosis of HIV infection with a later diagnosis of AIDS, and (3) concurrent diagnoses of HIV infection and AIDS.
The transmission category other includes hemophilia, blood transfusion, perinatal exposure, and risk factor not reported or not identified. 

## Slide 6

**Notes:**
This graph shows the racial/ethnic trends in estimated AIDS diagnoses in the United States and dependent areas during 1985–2006 among men who have sex with men (MSM). Rates by race and ethnicity, important for understanding the impact of the epidemic on racial/ethnic groups, are not presented in this presentation due to the difficulty in obtaining the total number of MSM in each race/ethnicity category.
Noteworthy is the decline from 1992 through 2001 in AIDS diagnoses among white MSM. Despite this decline, the largest number of AIDS diagnoses each year was for white MSM.
The second largest number of AIDS cases was in black MSM, followed by Hispanic MSM. Despite the lower numbers of AIDS cases in MSM who were black, Hispanic, or American Indian/Alaska Native, the rates of AIDS in the general population are higher for these races/ethnicities, so it is likely that the rates would be higher for MSM in these races/ethnicities.
Note:
1)  The age category for adults and adolescents comprises persons aged 13 years and older.

## Slide 7

**Notes:**
The racial/ethnic distribution of HIV/AIDS cases among men who have sex with men (MSM) has changed over time. In the 25 states with confidential name-based HIV reporting since 1994, the proportion of white MSM decreased from 53% to 43% of all MSM with HIV/AIDS. The proportion of black MSM with HIV/AIDS increased slightly—from 40% to 43%. The proportion of Hispanic MSM with HIV/AIDS doubled—from 6% in 1994 to 12% in 2006.
Although the number of HIV/AIDS cases in American Indian/Alaska Native MSM is small, the proportion of cases in American Indian/Alaska Native MSM doubled (from 0.4 to 0.8%), and the proportion of cases in Asian/Pacific Islander MSM quadrupled (0.3 to 1.2%) during 1994 through 2006.
Note:
The age category for adults and adolescents comprises persons aged 13 years and older.
The 25 states that have had laws or regulations requiring confidential name-based HIV infection reporting since at least 1994: Alabama, Arizona, Arkansas, Colorado, Idaho, Indiana, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Nevada, New Jersey, North Carolina, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Utah, Virginia, West Virginia, Wisconsin, and Wyoming.
In this presentation, the term HIV/AIDS is used to refer to 3 categories of diagnoses collectively: (1) a diagnosis of HIV infection (not AIDS), (2) a diagnosis of HIV infection with a later diagnosis of AIDS, and (3) concurrent diagnoses of HIV infection and AIDS.

## Slide 8

**Notes:**
This table shows the estimated number of adult and adolescent men who have sex with men (MSM) living with HIV/AIDS, by race and ethnicity, for the years 2001 through 2006 in 33 states with confidential name-based HIV reporting during that period. Overall, the number of MSM living with HIV/AIDS in each racial/ethnic category increased every year.
Among MSM living with HIV/AIDS, the largest racial/ethnic group is whites, followed by blacks, Hispanics, Asians/Pacific Islanders, and American Indians/Alaska Natives.
Notes:
The age category for adults and adolescents comprises persons aged 13 years and older.
The 33 states that have had laws or regulations requiring confidential name-based HIV infection reporting since at least 2001: Alabama, Alaska, Arizona, Arkansas, Colorado, Florida, Idaho, Indiana, Iowa, Kansas, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming.
In this presentation, the term HIV/AIDS is used to refer to 3 categories of diagnoses collectively: (1) a diagnosis of HIV infection (not AIDS), (2) a diagnosis of HIV infection with a later diagnosis of AIDS, and (3) concurrent diagnoses of HIV infection and AIDS.

## Slide 9

**Notes:**
In 2006, white men who have sex with men (MSM) accounted for an estimated 41% of adult and adolescent MSM who had a diagnosis of HIV/AIDS in 33 states with confidential name-based HIV reporting.  Black MSM accounted for 38%, and Hispanic MSM accounted for 19%. Asian/Pacific Islander MSM accounted for 1% and American Indian/Alaska Native MSM for less than 1%.
Note:
The age category for adults and adolescents comprises persons aged 13 years and older.
The 33 states that have had laws or regulations requiring confidential name-based HIV infection reporting since at least 2001: Alabama, Alaska, Arizona, Arkansas, Colorado, Florida, Idaho, Indiana, Iowa, Kansas, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming. 
In this presentation, the term HIV/AIDS is used to refer to 3 categories of diagnoses collectively: (1) a diagnosis of HIV infection (not AIDS), (2) a diagnosis of HIV infection with a later diagnosis of AIDS, and (3) concurrent diagnoses of HIV infection and AIDS.

## Slide 10

**Notes:**
This bar graph shows the estimated number of AIDS cases among adult and adolescent men who have sex with men (MSM) by their race/ethnicity and the region of the United States where they were living at the time of diagnosis.
The South had nearly twice as many AIDS cases among MSM — 6,939 cases diagnosed in 2006 as any of the other regions. The largest group of MSM with AIDS in the South was blacks, followed by whites and Hispanics. 
In the West and the Northeast, the estimated number of cases among MSM was 3,765 and 3,220, respectively. In the Midwest, an estimated 2,150 cases among MSM were diagnosed in 2006.
In the West, the largest group of the MSM with AIDS diagnosed in 2006 was whites, followed by Hispanics, blacks, Asians/Pacific Islanders, and American Indians/Alaska Natives. 
In the Northeast and the Midwest, most of the MSM with AIDS were whites, followed by blacks, Hispanics, Asians/Pacific Islanders, and American Indians/Alaska Natives.
Notes:
The age category for adults and adolescents comprises persons aged 13 years and older.
Regions of residence are defined as follows: Northeast—Connecticut, Maine, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, and Vermont; Midwest—Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, North Dakota, Ohio, South Dakota, and Wisconsin; South—Alabama, Arkansas, Delaware, District of Columbia, Florida, Georgia, Kentucky, Louisiana, Maryland, Mississippi, North Carolina, Oklahoma, South Carolina, Tennessee, Texas, Virginia, and West Virginia; West—Alaska, Arizona, California, Colorado, Hawaii, Idaho, Montana, Nevada, New Mexico, Oregon, Utah, Washington, and Wyoming.

## Slide 11

**Notes:**
From 2001 through 2006 in 33 states with confidential name-based HIV reporting, the estimated number of HIV/AIDS cases increased among adult and adolescent men who have sex with men (MSM) in the age groups 13-24 and 45-54 years while remaining relatively stable in the remaining age groups. The largest number of cases was seen among MSM aged 35–44 years, followed by those aged 25–34 years.  MSM aged 13-24 had the greatest proportional increase in cases from 2001 to 2006 and exceeded the number of cases among those aged 45-54 by 2006.
Notes:
The age category for adults and adolescents comprises persons aged 13 years and older.
The 33 states that have had laws or regulations requiring confidential name-based HIV infection reporting since at least 2001: Alabama, Alaska, Arizona, Arkansas, Colorado, Florida, Idaho, Indiana, Iowa, Kansas, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming.
In this presentation, the term HIV/AIDS is used to refer to 3 categories of diagnoses collectively: (1) a diagnosis of HIV infection (not AIDS), (2) a diagnosis of HIV infection with a later diagnosis of AIDS, and (3) concurrent diagnoses of HIV infection and AIDS.

## Slide 12

**Notes:**
This graph displays the racial/ethnic trends during 2001–2006 in the estimated number of HIV/AIDS cases diagnosed in 33 states with confidential name-based HIV reporting among young men who have sex with men (MSM) in 33 states with confidential name-based HIV reporting. Although the highest number of new diagnoses among all MSM was for whites, among young MSM, the racial/ethnic group most affected by HIV/AIDS was blacks, followed by whites, Hispanics, Asians/Pacific Islanders, and American Indians/Alaska Natives. And although cases among young MSM of all races/ethnicities increased, young black MSM experienced the largest increase—from 938 cases in 2001 to 1,811 cases in 2006.
Notes:
The 33 states that have had laws or regulations requiring confidential name-based HIV infection reporting since at least 2001: Alabama, Alaska, Arizona, Arkansas, Colorado, Florida, Idaho, Indiana, Iowa, Kansas, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming.
In this presentation, the term HIV/AIDS is used to refer to 3 categories of diagnoses collectively: (1) a diagnosis of HIV infection (not AIDS), (2) a diagnosis of HIV infection with a later diagnosis of AIDS, and (3) concurrent diagnoses of HIV infection and AIDS.

## Slide 13

**Notes:**
This pie chart displays the proportions by race/ethnicity of young men who have sex with men (MSM) for whom HIV/AIDS was diagnosed during 2006 in 33 states with confidential name-based HIV reporting. Of all MSM aged 13–24 years with a diagnosis of HIV/AIDS, more than half (59%) were blacks, followed by whites (23%) and Hispanics (16%). This breakdown differs from the proportional breakdown in which all ages were considered: whites accounted for 42% of cases among all adult and adolescent MSM, and blacks accounted for 36%.
Notes:
The 33 states that have had laws or regulations requiring confidential name-based HIV infection reporting since at least 2001: Alabama, Alaska, Arizona, Arkansas, Colorado, Florida, Idaho, Indiana, Iowa, Kansas, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming.
 In this presentation, the term HIV/AIDS is used to refer to 3 categories of diagnoses collectively: (1) a diagnosis of HIV infection (not AIDS), (2) a diagnosis of HIV infection with a later diagnosis of AIDS, and (3) concurrent diagnoses of HIV infection and AIDS.

## Slide 14

**Notes:**
This table shows the estimated number of HIV/AIDS cases among adult and adolescent men who have sex with men (MSM) in 33 states with confidential name-based HIV reporting, by race/ethnicity and the population of the area where they resided at the time of their diagnosis. For each racial and ethnic group, the largest number of MSM resided in an area with a population equal to or greater than 500,000. At the time of diagnosis, 7% of white MSM and 8% of black MSM were residing in nonmetropolitan areas. In contrast, 21% American Indian/Alaska Native MSM were living in a nonmetropolitan area (56 of the 91 were living in a large metropolitan area).
Notes:
The age category for adults and adolescents comprises persons aged 13 years and older.
The 33 states that have had laws or regulations requiring confidential name-based HIV infection reporting since at least 2001: Alabama, Alaska, Arizona, Arkansas, Colorado, Florida, Idaho, Indiana, Iowa, Kansas, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming.
 In this presentation, the term HIV/AIDS is used to refer to 3 categories of diagnoses collectively: (1) a diagnosis of HIV infection (not AIDS), (2) a diagnosis of HIV infection with a later diagnosis of AIDS, and (3) concurrent diagnoses of HIV infection and AIDS.