Epi Profile Section 6 - Deaths in Texans Living with HIV

There are some special technical notes for this section. Information on deaths is always delayed, so the most recent information available is for 2016. All rates in this section are per 100,000 members of the population unless otherwise specified. Rates are adjusted by age using the CDC’s Statistical Notes for the 2000 U.S. Standard Population (11 age groups, Distribution #1). When the number of people in a group are very small, the rates and numbers of PLWH will not be shown. As with other sections, the other race/ethnicity category includes cases with unknown race/ethnicity and those in the multiple race category.
 


Deaths due to HIV in Texas PLWH

The impact of HIV is shown clearly in the information on deaths in Texans 25-44 years old, found in Table 17 at the end of this section. HIV is the 9th leading cause of death in Texans in this age group. As Table 17 shows, it is the 5th leading cause of death for Black Texans in this age group, and the 10th and 11th for White and Hispanic Texans, respectively. Black Texans made up more than half of the 25-44-year-olds with HIV listed as the cause of death in 2016 (Figure 22).
 

Figure 22: Race/ethnicity of 25-44-year-olds in Texas with HIV as the cause of death, 2016 
Figure 22:  Race/ethnicity of 25-44-year-olds in Texas with HIV as the cause of death, 2016
Data for Figure 22
 

Table 14 shows the age-adjusted rate of death due to HIV in 2016. Rates for Black Texas men were 5 times higher and rates for Black women were about 10 times higher than the rates for Whites or Hispanics. These higher rates show the disparities in access to effective medical care for HIV as well as the effect of social and environment forces that increase vulnerability to HIV and perpetuate the poor health outcomes for racial/ethnic minorities.
 

Table 14: Age-adjusted rate of death due to HIV per 100,000 population in Texas by sex and race/ethnicity,2016

Race/ethnicity

Males

Females

Total

White

2.5

0.6

1.5

Black

11.2

5.6

8.2

Hispanic

2.5

0.5

1.5

Total

3.4

1.1

2.2

 


Deaths Due to Any Cause in Texas PLWH

Table 15 shows the age-adjusted rate of death due to any cause in PLWH. As PLWH live longer, diseases and conditions associated with aging will increase as a cause of death. PWID had the highest death rates in PLWH, which may be due to comorbidities associated with injection drug use such as Hepatitis B and C.
 

Table 15: Age-adjusted rates of death due to any cause (per 1,000) in Texas PLWH by race/ethnicity and sex at birth, 2016

 

Male

Female

Total

Race/ethnicity

     

 White

19.0

14.0

18.5

 Black

20.2

16.4

19.0

 Hispanic

15.1

11.3

14.2

Transmission group

     

 MSM

16.0

N/A

16.0

 PWID

30.1

16.6

24.8

 MSM/PWID

27.0

N/A

27.0

 Heterosexual contact

17.4

13.3

15.4

Total

18.4

14.3

17.5

Source: Texas eHARS, 2018
 

In female PLWH who died in 2016, about half of the deaths were due to HIV. In transgender people living with HIV who died in 2016, three out of five deaths were caused by HIV.
 

Table 16: Deaths due to HIV and all other causes in PLWH by sex at birth and current gender identity, 2016

 

Total Deaths

Due to HIV

All other causes

 

Number

Number

%

Number

%

Sex at Birth

         

 Male

1,198

510

43%

688

57%

 Female

327

170

52%

157

48%

 Total

1,525

680

45%

845

55%

Current Gender Identity

         

 Transgender persons

11

7

64%

4

36%

Source: Texas eHARS, 2018
 

Table 17: Cause of death rankings in adults age 25-44, Texas 2016

Cause of Death

All Races

White

Black

Hispanic

Other

Rank Number Rank Number Rank Number Rank Number Rank Number

Accidents

1

2,872

1

1,459

1

366

1

968

2

79

Malignant Neoplasms (Cancer)

2

1,378

3

539

4

218

2

521

1

100

Diseases of the Heart

3

1,244

4

525

2

332

3

345

4

42

Intentional Self-Harm (Suicide)

4

1,235

2

771

6

103

4

307

3

54

Assault (Homicide)

5

761

5

164

3

293

5

277

5

27

Chronic Liver Disease and Cirrhosis

6

316

6

147

15

16

6

147

7

*

Cerebrovascular Diseases

7

229

8

78

8

46

7

93

6

12

Diabetes Mellitus

8

226

7

88

7

51

8

83

10

*

HIV Disease

9

211

11

44

5

111

10

50

8

*

Septicemia 

10

155

9

59

9

38

9

55

11

*

* Number of deaths masked due to low numbers
Source: Texas eHARS, 2018
 


Texas HIV Epidemiologic Profile