HIV/AIDS and Native Hawaiians/Other Pacific Islanders

HIV/AIDS

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.

**Estimated number of diagnosed cases and rates (per 100,000) of HIV infection, 2019**
	# Cases	Rate	Native Hawaiian/Pacific Islander / White Ratio
Native Hawaiian/Pacific Islander males	57	23.2	2.6
White males	7,498	8.9

Native Hawaiian/Pacific Islander females	9	3.7	2.2
White females	1,508	1.7

Native Hawaiian/Pacific Islander (total, all ages)	66	11.1	2.4
White (total, all ages)	9,013	4.6

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]

**Estimated number of diagnosed cases and rates (per 100,000) of HIV infection, 2019**
	# Cases	Rate
Native Hawaiian/Pacific Islander	0	0.0
White	7	0.0
Total Population	61	0.1

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]

**Estimated number of cases of HIV infection by year of diagnosis, 2019**
	# Cases	% of Total Cases
Native Hawaiian/Pacific Islander	66	0.2
White	9,013	24.7
Total Population	36,398

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]

**Estimated number of persons living with HIV infection and rates (per 100,000) by year, 2019**
	Rate	# Cases	% of Total Cases
Native Hawaiian/Pacific Islander	153.0	912	0.09
White	153.9	303,701	29.0
Total Population	318.4	1,044,977

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]

**Estimated number of cases and rates (per 100,000) of AIDS, 2019**
	# Cases	Rate	Native Hawaiian/Pacific Islander / White Ratio
Native Hawaiian/Pacific Islander males	18	7.3	1.9
White males	3,190	3.8

Native Hawaiian/Pacific Islander females	3	1.3	1.6
White females	685	0.8

Native Hawaiian/Pacific Islander (both sexes)	21	4.3	1.9
White (both sexes)	3,875	2.3

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

**Estimated number of cases of AIDS by year of diagnosis, 2019**
	Cumulative # Cases*	% of Total Cases
Native Hawaiian/Pacific Islander	860	0.07
White	444,613	34.0
Total Population	1,307,283

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 infection death rates per 100,000 population. 2019**
	Native Hawaiian/Pacific Islander	White	Native Hawaiian/Pacific Islander / White Ratio
All ages, Men	3.7	5.0	0.7
All ages, Women	2.0	0.8	2.5

Total Population	2.3	2.5	0.9

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 ]

**Estimated number of deaths, and death rates, of persons with AIDS by year of death, 2019**
	# Deaths 2019	Rate 2019	Cumulative # Deaths*	% of Total Cases
Native Hawaiian/Pacific Islander	12	2.3	428	0.6
White	3,637	2.1	293,444	38.3
Total Population	11,899	4.3	766,380

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

**Age-adjusted percent of HIV testing status among persons 18 years of age and over, 2018**
	Native Hawaiian/Pacific Islander	White	Native Hawaiian/Pacific Islander / 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.
http://www.cdc.gov/nchs/nhis/SHS/tables.htm

**Estimated number of cases and rates (per 100,000) of HIV, 1984-2012 (U.S. 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 Samoa	3	4.0
Federated States of Micronesia	38	37.0
Guam	244	127.0
Northern Mariana Islands	34	54.0
Republic of Palau	10	48.0
Republic of Marshall Islands	25	45.0

** 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]

**Estimated number persons living with HIV infection and rate (per 100,000, by area of residence 2019**
Region	# Cases	Rate
Native Hawaiian/Pacific Islander (U.S.)	912	153.0
American Samoa	1	2.0
Guam	108	64.2
Northern Mariana Islands	16	30.9
Republic of Palau	9	41.7
White National (U.S.)	303,701	153.9
Total Population (U.S.)	1,044,977	318.4

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]

**Estimated number of persons living with AIDS and rate (per 100,000), by area of residence, 2019**
Region	# Cases	Rate
Native Hawaiian/Pacific Islander (U.S.)	413	84.2
American Samoa	0	0
Guam	40	31.3
Northern Mariana Islands	11	27.1
Republic of Palau	--	--
White National (U.S.)	151,285	88.3
Total Population (U.S.)	532,426	192.9