HIV/AIDS and Native Hawaiians/Other Pacific Islanders

  • While Native Hawaiians and Pacific Islanders (NHPI) represent 0.4 percent of the total population in the United States, the HIV case rate for Native Hawaiians/Pacific Islanders was over twice that of the white population in 2019.
  • In 2019, Native Hawaiians/Pacific Islanders were 2.4 times more likely to be diagnosed with HIV infection, as compared to the white population.
  • In 2019, Native Hawaiian/Pacific Islander women were 2.5 times more likely to die from HIV infection as compared to white women.

HIV Infection Cases and Rates (Adults)

# Cases
Rate
Native Hawaiian/Pacific Islander /
White Ratio
Native Hawaiian/Pacific Islander males5723.22.6
White males7,4988.9
Native Hawaiian/Pacific Islander females93.72.2
White females1,5081.7
Native Hawaiian/Pacific Islander (total, all ages)6611.12.4
White (total, all ages)9,0134.6
Estimated number of diagnosed cases and rates (per 100,000) of HIV infection, 2019

Source: CDC 2021. HIV Surveillance Report: Diagnoses of HIV Infection in the United States and Dependent Areas, 2019, v.32. Tables 1a and 3a.
https://www.cdc.gov/hiv/pdf/library/reports/surveillance/cdc-hiv-surveillance-report-2018-updated-vol-32.pdf [PDF | 19.7MB]

HIV Infection Cases and Rates (Children

# Cases
Rate
Native Hawaiian/Pacific Islander00.0
White70.0
Total Population610.1
Estimated number of diagnosed cases and rates (per 100,000) of HIV infection, 2019

Source: CDC 2021. HIV Surveillance Report: Diagnoses of HIV Infection in the United States and Dependent Areas, 2019, v.32. Table 2a.
https://www.cdc.gov/hiv/pdf/library/reports/surveillance/cdc-hiv-surveillance-report-2018-updated-vol-32.pdf [PDF | 16.7MB]

HIV Infection Cases (Adults and Children)

# Cases
% of Total Cases
Native Hawaiian/Pacific Islander660.2
White9,01324.7
Total Population36,398
Estimated number of cases of HIV infection by year of diagnosis, 2019

Source: CDC 2021. HIV Surveillance Report: Diagnoses of HIV Infection in the United States and Dependent Areas, 2019, v.32. Table 1a.
https://www.cdc.gov/hiv/pdf/library/reports/surveillance/cdc-hiv-surveillance-report-2018-updated-vol-32.pdf [PDF | 19.7B]

Rate
# Cases
% of Total Cases
Native Hawaiian/Pacific Islander153.09120.09
White153.9303,70129.0
Total Population318.41,044,977
Estimated number of persons living with HIV infection and rates (per 100,000) by year, 2019

Source: CDC 2021. HIV Surveillance Report: Diagnoses of HIV Infection in the United States and Dependent Areas, 2019, v.32. Table 16a.
https://www.cdc.gov/hiv/pdf/library/reports/surveillance/cdc-hiv-surveillance-report-2018-updated-vol-32.pdf [PDF | 19.7MB]

AIDS Cases and Rates (Adults)

# Cases
Rate
Native Hawaiian/Pacific Islander /
White Ratio
Native Hawaiian/Pacific Islander males187.31.9
White males3,1903.8
Native Hawaiian/Pacific Islander females31.31.6
White females6850.8
Native Hawaiian/Pacific Islander (both sexes)214.31.9
White (both sexes)3,8752.3
Estimated number of cases and rates (per 100,000) of AIDS, 2019

Source: CDC 2021. NCHHSTP Atlas Plus.
https://www.cdc.gov/nchhstp/atlas/index.htm [Accessed 06/16/2021]

Cumulative # Cases*
% of Total Cases
Native Hawaiian/Pacific Islander8600.07
White444,61334.0
Total Population1,307,283
Estimated number of cases of AIDS by year of diagnosis, 2019

Source: CDC 2021. HIV Surveillance Report: Diagnoses of HIV Infection in the United States and Dependent Areas, 2019. Slide Set: HIV Infection, Stage 3 (AIDS) 2019. Slide 43.
https://www.cdc.gov/hiv/pdf/library/slidesets/cdc-hiv-infection-stage-3-2019.pdf [PDF | 6.6MB]

Death Rate

Native Hawaiian/Pacific Islander
White
Native Hawaiian/Pacific Islander /
White Ratio
All ages, Men3.75.00.7
All ages, Women2.00.82.5
Total Population2.32.50.9
HIV infection death rates per 100,000 population. 2019

Source: CDC 2021. HIV Surveillance Report: Diagnoses of HIV Infection in the United States and Dependent Areas, 2019, v.32. Table 12a.
https://www.cdc.gov/hiv/pdf/library/reports/surveillance/cdc-hiv-surveillance-report-2018-updated-vol-32.pdf[PDF | 19.7MB ]

AIDS Deaths

# Deaths 2019
Rate 2019
Cumulative # Deaths*
% of Total Cases
Native Hawaiian/Pacific Islander122.34280.6
White3,6372.1293,44438.3
Total Population11,8994.3766,380
Estimated number of deaths, and death rates, of persons with AIDS by year of death, 2019

Source: CDC 2021. NCHHSTP Atlas Plus
https://www.cdc.gov/nchhstp/atlas/index.htm [Accessed 06/16/2021]

Source: CDC 2021. HIV Surveillance Report: Diagnoses of HIV Infection in the United States and Dependent Areas, 2019. Slide Set: HIV Infection, Stage 3 (AIDS) 2019. Slide 43.
https://www.cdc.gov/hiv/pdf/library/slidesets/cdc-hiv-infection-stage-3-2019.pdf [PDF | 6.6MB]

HIV Testing

Native Hawaiian/Pacific Islander
White
Native Hawaiian/Pacific Islander /
White Ratio
Ever tested44.439.91.1
Never tested55.660.10.9
Age-adjusted percent of HIV testing status among persons 18 years of age and over, 2018

Source: CDC 2021. Summary Health Statistics for U.S. Adults: 2018. Table A-20a.
http://www.cdc.gov/nchs/nhis/SHS/tables.htm

HIV Infection Cases - Pacific Territories

Region
Number of HIV/AIDS cases, Cumulative
HIV Cumulative Rate
U.S. National-White**--6.7
U.S. All Native Hawaiian/Pacific Islander**--15.1
American Samoa34.0
Federated States of Micronesia3837.0
Guam244127.0
Northern Mariana Islands3454.0
Republic of Palau1048.0
Republic of Marshall Islands2545.0
Estimated number of cases and rates (per 100,000) of HIV, 1984-2012 (U.S. Territories)

** Data represents all ages in the United States, 2012 annual only. More recent, comparable data is not available, this is for illustration only.

Source: Secretariat of the Public Community 2013. HIV Surveillance in Pacific Island Countries and Territories: 2012 Report. Table 2.
http://www.mfed.gov.ki/sites/default/files/SPC HIV Data report-2012_0.pdf

Source (U.S. National): CDC 2014. HIV Surveillance Report: Diagnoses of HIV Infection in the United States and Dependent Areas, 2012, v.24. Table 3a.
https://www.cdc.gov/hiv/pdf/library/reports/surveillance/cdc-hiv-surveillance-report-2012-vol-24.pdf [PDF | 3.00MB]

Region
# Cases
Rate
Native Hawaiian/Pacific Islander (U.S.)912153.0
American Samoa12.0
Guam10864.2
Northern Mariana Islands1630.9
Republic of Palau941.7
White National (U.S.)303,701153.9
Total Population (U.S.)1,044,977318.4
Estimated number persons living with HIV infection and rate (per 100,000, by area of residence 2019

Source: CDC 2021. HIV Surveillance Report: Diagnoses of HIV Infection in the United States and Dependent Areas, 2019, v.32. Tables 16a and 20.
https://www.cdc.gov/hiv/pdf/library/reports/surveillance/cdc-hiv-surveillance-report-2018-updated-vol-32.pdf [PDF | 19.7MB]

AIDS Cases – Pacific Territories

Region
# Cases
Rate
Native Hawaiian/Pacific Islander (U.S.)41384.2
American Samoa00
Guam4031.3
Northern Mariana Islands1127.1
Republic of Palau----
White National (U.S.)151,28588.3
Total Population (U.S.)532,426192.9
Estimated number of persons living with AIDS and rate (per 100,000), by area of residence, 2019

Source: CDC 2021. NCHHSTP Atlas Plus.
https://www.cdc.gov/nchhstp/atlas/index.htm [Accessed 06/16/2021]

* Cumulative data are from the beginning of the epidemic through 2019.