• DSHS HIV/STD Program

    Post Office Box 149347, MC 1873
    Austin, Texas 78714

    Phone: (512) 533-3000

    E-mail the HIV/STD Program

    E-mail data requests to HIV/STD Program - This email can be used to request data and statistics on HIV, TB, and STDs in Texas. It cannot be used to get treatment or infection history for individuals, or to request information on programs and services. Please do not include any personal, identifying health information in your email such as HIV status, Date of Birth, Social Security Number, etc.

    For treatment/testing history, please contact your local Health Department.

    For information on HIV testing and services available to Persons Living with HIV and AIDS, please contact your local HIV services organization.

Epi Profile Section 1 - Executive Summary

 

This epidemiologic profile was created to assist planners, public health professionals, policy makers and other stakeholders at the local and state level. It is a snapshot of the Human Immunodeficiency Virus (HIV) epidemic in Texas at the end of 2015. The data are drawn primarily from routine disease and vital statistics surveillance systems, and supplemented by studies on special populations at high-risk for HIV and persons living with HIV who are currently in HIV medical care. More detailed information on data sources can be found in Data Sources Used for this Profile.

The face of HIV in Texas is increasingly young, Black or Hispanic, and male. The vast majority of new infections and diagnoses occur in gay or other men who have sex with men (MSM). For the past 10 years, the rate of new diagnoses in young persons, especially young MSM of color, has increased compared to other demographic groups. In Texas, we estimate that over 4% of young Black MSM age 18-24 were infected with HIV in 2015 (see section Men who have sex with Men).

Racial disparities permeate the HIV epidemic in Texas. Black and Hispanic Texans have higher rates of HIV diagnoses than White Texans. Black Texans living with HIV experience higher rates of STD co-infections (see section Co-Morbidities), which has a negative impact on their health and increases the risk of transmitting HIV to others. Once Black and Hispanic Texans are infected with HIV, they face challenges in accessing regular medical care and achieving viral suppression (see section The HIV Care Continuum in Texas), a condition where the levels of HIV virus in the body are undetectable to most commercially available diagnostic tests. Persons with suppressed viral loads are much less likely to transmit HIV to others. A detailed exploration of factors which contribute to racial disparities in the HIV epidemic is outside the scope of this report. More information can be found at CDC National Center for HIV/AIDS, Viral Hepatitis, STDs and TB Prevention's website.

Over 82,000 Texans are known to be living with HIV. This does not include the nearly 14,315 persons (17.3% of all persons living with HIV) [ CDC] the CDC estimates to be living with HIV and unaware of their infection . The longer persons with HIV live, the longer they will need to practice HIV prevention methods which reduce the risk of HIV transmission. In the past, HIV prevention methods focused on reducing high-risk behaviors, with a focus on condomless sex. However, these behavioral risk reduction programs are resource-intensive to implement and difficult to scale to a population level, and permanent behavior change at the individual level can be difficult to achieve and sustain over time (see section Indicators of HIV-risk in Persons living with HIV currently in care).

A variety of methods to prevent HIV are now available in addition to behavioral risk reduction and barrier methods (i.e. condoms). A once-daily pill, called Pre-exposure Prophylaxis (or PrEP) can be used by HIV-negative persons to greatly reduce their risk of contracting HIV through any mode of transmission, including injection drug use and sexual contact. New evidence also shows that PLWH who have suppressed viral loads are much less likely to transmit the virus to others. Our current challenge is to ensure that all PLWH and persons at high risk of acquiring HIV can access and afford the prevention methods most appropriate for them.

This report does not describe all aspects of the HIV epidemic in Texas. Our goal is to provide a broad overview and basic understanding of where we are today. Persons interested in more detailed analysis or data on specific populations are welcome to send their data requests to the HIV/STD/TB Epidemiology team at  TBHIVSTDdata@dshs.texas.gov.

 


Epi Profile

Table of Contents1. Executive Summary | 2. New HIV Diagnoses | 3. Persons Living with HIV | 4. Co-Morbidities | 5. HIV/AIDS Deaths | 6. HIV Incidence | 7. Targeted and Routine HIV Testing | 8. Indicators of HIV Risk in HIV-negative Persons at High Risk for HIV | 9. Indicators of HIV Risk in PLWH Currently in Care | 10. Men Who Have Sex With Men (MSM) | 11. HIV Treatment Cascade | Data Sources and Notes


Last updated March 6, 2017