American Indians/Alaska Natives (AI/AN) represent about 1.3%a of the United States population, and about 0.5% of the HIV diagnoses in 2018. However, the number of HIV diagnoses has increased over time.

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New HIV Diagnoses Among muốn AI/AN in the US và Dependent Areas by Transmission Category & Sex, 2018 d



Source: Diagnoses of HIV infection in the United States and dependent areas, 2018 (Preliminary) pdf icon. HIV Surveillance Report 2019;30.

From 2010 khổng lồ 2017, the annual number of HIV diagnoses increased 39% amuốn AI/AN overall, but trends varied by age và gender:

HIV Diagnoses Aao ước AI/AN in the 50 States và the District of Columbia, 2010-2017*



*Changes in populations with fewer HIV diagnoses can lead lớn a large percentage increase or decrease.Source: NCHHSTPhường AtlasPlus. Accessed April 27, 2020.

It is important for AI/AN lớn know their HIV status so they can take medicine khổng lồ treat HIV if they have sầu the virus. Taking HIV medicine every day can make the viral load undetectable. AI/AN who get and keep an undetectable viral load (or stay virally suppressed) have sầu effectively no risk of transmitting HIV khổng lồ HIV-negative sex partners.

Source: HIV incidence và prevalence in the United States 2010–2016pdf icon.HIV Surveillance Supplemental Report2019;24(1).Source: national HIV prevention and care outcomes pdf icon(slides).


During 2017, 39 AI/AN with diagnosed HIV died in the US and dependent areas. These deaths may be due to any cause.

Sexually transmitted diseases (STDs). From năm trước khổng lồ 2018, AI/AN had the second highest rates of chlamydia & gonorrhea aao ước all racial/ethnic groups. Having another STD increases a person’s risk for getting or transmitting HIV.

Awareness of HIV status. It is important for everyone to know their HIV status. People who vì chưng not know they have sầu HIV cannot take advantage of HIV care và treatment and may unknowingly pass HIV lớn others.

Cultural stigma and confidentiality concerns.

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AI/AN gay & bisexual men may face culturally based stigma & confidentiality concerns that could limit opportunities for education and HIV testing, especially aước ao those who live in rural communities or on reservations.

Difficult khổng lồ create prevention programs. There are more than 574 federally recognized AI/AN tribes and many different languages. Because each tribe has its own culture, beliefs, và practices, creating culturally appropriate prevention programs for each group can be challenging.

Socioeconomic issues. Poverty, including limited access to lớn high-unique housing, directly and indirectly, increases the risk for HIV infection and affects the health of people who have sầu & are at risk for HIV infection. Compared with other racial/ethnic groups, AI/AN have sầu higher poverty rates, have sầu completed fewer years of education, are younger, are less likely to be employed, & have lower rates of health insurance coverage.

Alcohol và illicit drug use. Alcohol & substance use can impair judgment and lead khổng lồ behaviors that increase the risk of HIV. Injection drug use can directly increase the risk of HIV through sharing contaminated needles, syringes, và other equipment. Compared with other racial/ethnic groups, AI/AN tkết thúc lớn use alcohol và drugs at a younger age và use them more often & in higher quantities.

Data limitations. Racial misidentification of AI/AN may lead to the undercounting of this population in HIV surveillance systems & may contribute to the underfunding of targeted services for AI/AN.

What Is Doing is pursuing a high-impact HIV prevention approach lớn maximize the effectiveness of HIV prevention interventions and strategies. Funding state, territorial, and local health departments & community-based organizations (CBOs) to lớn develop và implement tailored programs is’s largest investment in HIV prevention. This includes longstanding successful programs and new efforts funded through the Ending the HIV Epidemic initiative. In addition to funding health departments and CBOs, is also strengthening the HIV prevention workforce và developing HIV communication resources for consumers & health care providers.

In addition, works with tribal governments to lớn tribal tư vấn activities to help ensure that AI/AN communities receive public health services that keep them safe & healthy.

a Percentage of AI/AN reporting only one race. The US Census Bureau’s population estimates include the 50 states, the District of Columbia, và Puerto lớn Rico.b HIV diagnoses refers khổng lồ the number of people who received an HIV diagnosis during a given time period, not when the people got HIV infection.c Unless otherwise noted, the term United States includes the 50 states, the District of Columbia, và the 6 dependent areas of American Samoa, Guam, the Northern Mariana Islands, Puerto Riteo, the Republic of Palau, and the US Virgin Islands.d The terms male-to-male sexual contact and male-to-male sexual contact and injection drug use are used in the surveillance system. They indicate the behaviors that transmit HIV infection, not how individuals self-identify in terms of their sexuality.

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