• 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 2 - New HIV Diagnoses


Figure 2-1. HIV in Texas; People Living with HIV, New HIV Diagnoses,
and Deaths Due to HIV, 2006 - 2015

Figure 2-1. HIV in Texas; People living with HIV, new HIV diagnoses, and deaths due to HIV, 2007 - 2016. Data in following link.
Data on deaths is only available through 2014 due to a 2-year lag
in complete death reporting from the National Social Security Index

Data for Figure 2-1

  • In 2016, 4,493 Texans where newly diagnosed with HIV infection. The annual number of newly diagnosed HIV infections has remained constant for the last 10 years. However, the annual growth of persons living with HIV slowed from 5.2% in 2008 to 4.1% in 2016.

  • Effective treatment has extended the lifespans of people living with HIV (PLWH). As fewer persons living with HIV die from HIV-related causes, the number of PLWH continues to increase as additional persons are diagnosed. The number of deaths in PLWH has remained between 1200 and 1500 people per year within the past 9 years.

  • As of the end of 2016, over 86,000 persons in Texas were known to be living with HIV. The CDC estimates that an additional ~14,000 persons in Texas are living with HIV and are unaware of their infection.*

* Satcher Johnson A, Song R, Hall HI. Estimated HIV Incidence, Prevalence, and Undiagnosed Infections in US States and Washington, DC, 2010-2014. J Acquir Immune Defic Syn. 2017 Oct 1;76(2):116-122.



Figure 2-2. Rate of New HIV Diagnoses in Texas by Race/Ethnicity, 2007 - 2016

Figure 2-2. Rate of New HIV Diagnoses in Texas by Race/Ethnicity, 2007 - 2016. Data in following link.

Data for Figure 2-2

  • Racial disparities in the rate of new HIV diagnoses persist despite the noteworthy decline in the rate of new HIV diagnoses among Black Texans.

  • The rates of new HIV diagnoses have decreased over the past 10 years for Whites and Blacks. These trends are affected by population growth in Texas during this time period. The Black population in Texas increased by 21% since 2007, while the number of new HIV diagnoses in Blacks only increased by 8% - in other words, population growth outpaced new diagnoses. Furthermore, the number of new HIV diagnoses in Hispanics increased by 28%, while the population of Hispanics grew by 26%, resulting in stable rates of new diagnoses.


Table 2-1. New HIV Diagnoses and Rates among Texans by Race/Ethnicity and Sex, 2016

Males

Females

Total

Race/Ethnicity

Number

%

Rate

Number

%

Rate

Number

%

Rate

White

817

22%

13.6

120

16%

2.0

937

21%

7.8

Black

1,199

32%

73.0

424

55%

24.2

1,623

36%

49.8

Hispanic

1,544

42%

28.2

201

26%

3.7

1,745

39%

16.0

Other

70

2%

9.6

10

1%

0.2

80

2%

6.5

Unknown

90

2%

-

18

2%

-

108

2%

-

TOTAL

3,720

83%

26.7

773

17%

6.1

4,493

100%

16.3

  • Although Blacks comprise only 12% of the Texas population, over one-third of all new HIV diagnoses among in Texas were among Blacks.

  • The vast difference in rate of new diagnoses per 100,000 population between Hispanics and Blacks, despite nearly equal numbers of new diagnoses, are a result of the much larger population of Hispanics in Texas. Hispanic persons newly diagnosed with HIV make up a smaller proportion of the Hispanic population compared to Blacks.

  • The racial/ethnic disparity in new HIV diagnoses is most stark among females. Black females have 5.4 times the rate of new diagnoses compared to Hispanic females, the racial/ethnic group with the next highest rate.


Table 2-2. New HIV Diagnoses in Texas by Age Group and Sex, 2016

Males

Females

Total

Age (years)

Number

%

Rate

Number

%

Rate

Number

%

Rate

0-14

8

0.2%

0.3

6

0.8%

0.2

14

0.3%

0.3

15-24

940

25.3%

46.0

93

12.0%

4.8

1,033

23.0%

27.7

25-34

1,458

39.2%

70.3

238

30.8%

11.8

1,696

37.7%

38.4

34-44

610

16.4%

32.8

192

24.8%

10.3

802

17.8%

23.5

45+

704

18.9%

14.8

244

31.6%

4.7

948

21.1%

9.8

TOTAL

3,720

81.3%

26.7

773

18.7%

6.1

4,493

100%

16.3

  • The majority of persons newly diagnosed with HIV are between the ages of 15-34.

  • However, the age profile for persons newly diagnosed varies by sex. This is likely explained by the increase in new diagnoses among young men who have sex with men (MSM) (see Section: Men who have Sex with Men). While a higher proportion of newly diagnosed females are over the age of 25 compared to males. The overall age profile of new HIV diagnoses remains largely young persons because over 80% of new HIV diagnoses in Texas are among men.


Figure 2-3. New HIV Diagnoses in Texas by Age Group, 2007 - 2016

Figure 2-3. Annual Number of New HIV Diagnoses in Texas by Age Group, 2007 - 2016. Data in following link.

Data for Figure 2-3

  • The number of new diagnoses in young persons age 15-24 has increased by 30% over the last 10 years, while the number of new diagnoses in persons 25-34 has also increased.

  • An increased availability of HIV testing, both through focused testing and routine screenings, may be contributing to a decline in new diagnoses among persons over age 35, as persons are diagnosed sooner after HIV transmission has occurred.


Figure 2-4. New HIV Diagnoses in Texas by Mode of Exposure, 2007 - 2016

Figure 2-4. New HIV Diagnoses in Texas by Mode of Exposure, 2007 - 2016. Data in following link.

Data for Figure 2-4

  • The majority of new HIV diagnoses in Texas are among men who have sex with men (MSM). The proportions of new diagnoses attributable to male-male sexual contact has increased by 30% since 2007. Therefore, the HIV epidemic is now largely driven by MSM transmission in Texas.

  • The declining number and proportion of new diagnoses in Persons who Inject Drugs (PWID) and persons whose primary risk is heterosexual sexual contact indicates that prevention efforts with these groups have been effective.


Table 2-3. HIV Diagnoses in Texas by Mode of Exposure and Sex, 2016

Males

Females

Total

Exposure Category

N

%

N

%

N

%

MSM

3,233

86.9%

0

0.0%

3,233

72.0%

IDU

138

3.7%

126

16.3%

264

5.9%

MSM/IDU

104

2.8%

0

0.0%

104

2.3%

Heterosexual

240

6.5%

642

83.1%

882

19.6%

Pediatric

5

0.1%

5

0.6%

10

0.2%

Adult Other

0

0%

0

0%

0

0%

Total

3,720

82.8%

773

17.2%

4,493

100.0%

  • The majority of new HIV diagnoses in Texas males are attributable to male-male sexual contact.

  • In females, the majority of new diagnoses are attributable to heterosexual sexual contact. Females have a higher biological risk of acquiring HIV from heterosexual contact compared to males. This may partially explain the disproportionately lower number of diagnoses in heterosexual males attributable to heterosexual contact compared to females.


Table 2-4. New HIV Diagnoses in Texas by Mode of Exposure and Race/Ethnicity, 2016

White

Black

Hispanic

Other

Unknown

Exposure Category

N

%

N

%

N

%

N

%

N

%

MSM

716

76.3%

1,006

62.0%

1,369

78.5%

61

76.3%

81

75.0%

IDU

74

7.9%

102

6.3%

76

4.4%

3

3.8%

9

8.3%

MSM/IDU

37

3.9%

20

1.2%

42

2.4%

1

1.3%

4

3.7%

Heterosexual

111

11.8%

485

29.9%

257

14.7%

15

18.8%

14

13.0%

Pediatric

0

0.0%

9

0.6%

1

0.1%

0

0.0%

0

0.0%

Total

938

20.9%

1,622

36.1%

1,745

38.8%

80

1.8%

108

2.4%

  • In all race/ethnic groups, MSM comprised the majority of new diagnoses.

  • The largest number and proportion of new diagnoses attributable to heterosexual infection occur in Blacks and Hispanics.

  • It is important to note that about 1/3 of newly diagnosed HIV cases are reported with no identified risk. DSHS assigns these persons to risk groups based on their most likely mode of exposure based on a CDC-developed algorithm. While these assignments are based on past years of data on persons for whom risk was reported, it is possible that a certain percentage of newly diagnosed cases may be categorized incorrectly.


Table 2-5. Five Year Trends in HIV Diagnoses, Texas, 2016

Cumulative
Through 2011

2012

2013

2014

2015

2016

5-year
Cumulative
2012-2016

N

%

N

%

N

%

N

%

N

%

N

%

N

%

TOTAL

130,445

100%

4,360

100%

4,367

100%

4,449

100%

4,505

100%

4,493

100%

22,174

100%

Sex

Male

106,521

82%

3,526

81%

3,551

81%

3,621

81%

3,676

82%

3,720

83%

18,094

82%

Female

23,924

18%

834

19%

816

19%

828

19%

829

18%

773

17%

4,080

18%

Race
White

49,223

38%

900

21%

921

21%

902

20%

909

20%

937

21%

4,569

21%

Black

45,046

35%

1,583

36%

1,620

37%

1,633

37%

1,632

36%

1,623

36%

8,091

36%

Hispanic

31,942

24%

1,649

38%

1,612

37%

1,710

38%

1,752

39%

1,745

39%

8,468

38%

Other

973

1%

63

1%

78

2%

79

2%

92

2%

80

2%

392

2%

Unknown Race

3,261

2%

165

4%

136

3%

125

3%

120

3%

108

2%

654

3%

Age Group
0-14

1,356

1%

25

1%

19

0%

20

0%

17

0%

14

0%

95

0%

15-24

19,646

15%

1,056

24%

1,044

24%

1,139

26%

1,108

25%

1,033

23%

5,380

24%

25-34

49,102

38%

1,370

31%

1,447

33%

1,457

33%

1,550

34%

1,696

38%

7,520

34%

35-44

38,989

30%

919

21%

869

20%

895

20%

877

19%

802

18%

4,362

20%

45+

21,350

16%

990

23%

988

23%

938

21%

953

21%

948

21%

4,817

22%

Exposure
MSM

75,790

58%

2,988

69%

3,004

69%

3,088

69%

3,148

70%

3,233

72%

15,461

70%

IDU

17,966

14%

269

6%

227

5%

256

6%

261

6%

264

6%

1,268

6%

MSM/IDU

10,153

8%

106

2%

130

3%

130

3%

133

3%

104

2%

603

3%

Heterosexual

24,578

19%

973

22%

989

23%

965

22%

947

21%

882

20%

4,755

21%

Pediatric

1,178

1%

23

<1%

16

0%

20

0%

17

0%

10

<1%

86

<1%

Adult Other

778

<1%

0

0%

0

0%

0

0%

0

0%

0

0%

0

0%

  • The demographic profile of the HIV epidemic in Texas has changed since the beginning of the epidemic.

  • In the first 30 years of the epidemic, persons diagnosed with HIV were mainly White MSM over the age of 25. By 2014, a person newly diagnosed with HIV was more likely to be young Black or Hispanic MSM under the age of 34.


Epi Profile

Table of Contents | 1. Executive Summary | 2. New HIV Diagnoses | 3. Persons Living with HIV | 4. Co-Morbidities | 5. HIV/AIDS Deaths | 6. HIV Incidence | 7. Focused 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 December 21, 2017