Katie Kosko

Urban Health Today

Disparities in HIV diagnoses among Black and White populations have decreased since 2017 across the United States, according to new research <a href="https://www.croiconference.org/abstract/trends-in-black-white-disparities-in-hiv-diagnosis-2017-2021-united-states/">presented</a> during the Conference on Retroviruses and Opportunistic Infections. However, some subpopulations showed increases in certain disparities.The study, led by epidemiologist Andr&eacute; Dailey of the Centers for Disease Control and Prevention (CDC), included data from the CDC&rsquo;s National HIV Surveillance System. The team of researchers examined temporal trends in absolute and relative disparities in HIV diagnosis between Black and White people. Estimated annual percentage change (EAPC) and 95% CIs were calculated to assess trends by selected characteristics over a 4-year period (2017-2019, 2021).They discovered a decrease in absolute disparities in Black-White HIV diagnosis in both men and women. Among men, diagnoses went from 65.7 per 100,0000 population to 57.6 per 100,000 population (absolute: EAPC, &minus;3.2; 95% CI, &minus;3.6 to &minus;2.7). The researchers observed a decrease in diagnoses among women from 22.5 per 100,000 population to 17.7 per 100,000 population (absolute: EAPC, &minus;5.8; 95% CI, &minus;6.5 to &minus;5.0).Furthermore, there was a decrease in relative disparities among women&mdash;15.1 per 100,000 population to 10.8 per 100,000 population (EAPC, &minus;7.2; 95% CI, &minus;8.4 to &minus;5.9). Among men, relative disparities remained the same.However, during the same period, disparities increased in men whose HIV was attributed to male-to-male sexual contact (absolute: EAPC, 1.2; 95% CI, 0.8-1.5; relative: EAPC, 1.5; 95% CI, 1.0-1.9). Moreover, relative disparities increased among men aged 13 to 24 years and men who lived in the West.&ldquo;Overall, Black-White HIV diagnosis disparities mostly decreased in the United States, indicating progress toward eliminating disparities,&rdquo; the researchers said.Although the federal government has created initiatives for HIV prevention, including the 2025 National HIV/AIDS Strategy, which has a focus on health equity and a goal to end the HIV epidemic in the United States by 2030, the researchers feel efforts must be accelerated to eliminate Black-White HIV diagnosis disparities.

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Disparities in HIV Diagnoses Among Black, White Populations

Disparities in HIV diagnoses among Black and White populations have decreased since 2017.

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