• DSHS HIV/STD Program

    Post Office Box 149347, MC 1873
    Austin, Texas 78714

    Phone: (737) 255-4300

    Email the HIV/STD Program

    Email 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 - Texans Living with HIV in 2018


This section describes Texans living with diagnosed HIV infections, which is also called prevalence.

As of the end of 2018, over 94,000 Texans were living with a diagnosed HIV infection. The number of people living with HIV (PLWH) increased by 16% over the past 5 years, but this is not due to increases in the annual number of Texans getting diagnosed. The number of Texans diagnosed each year has been flat over the last decade at about 4,500 (Figure 1).

The number of PLWH increased because effective treatment extends the lifespan of PLWH. In fact, PLWH who are diagnosed early and begin treatment right away have lifespans almost as long as people who are not living with HIV. [5] Longer lives means that deaths in PLWH are low (about 1,400 a year). Since the annual number of deaths is lower than the number of people diagnosed each year, the number of people living with HIV rises.

Please note that the number of people living with HIV does not include an estimated 16,000 Texans who are living with undiagnosed HIV infections.

Figure 1:  Texas PLWH, Texans with new HIV diagnoses, and deaths among Texas PLWH, 2009-2018 
Figure 1:  Texas PLWH, Texans with new HIV diagnoses, and deaths among Texas PLWH, 2009-2018 
Source: Texas eHARS, 2018
Data for Figure 1

The profile of Texans living with HIV in 2018 shows:

  • Almost four out of five PLWH were male; [6]
  • About 1% identified as transgender women;
  • About 7 out of 10 of the PLWH were Black or Hispanic;
  • About half of the PLWH were 45 or older;
  • About three out of five were gay and bisexual men or other men who have sex with men (MSM);
  • About half of all Texas PLWH lived in the Dallas and Houston areas; and that
  • Black Texans and MSM were disproportionately affected by HIV.

Table 4 at the end of this section gives a detailed look at the profile of PLWH.



Texas PLWH by Sex at Birth and Race/Ethnicity


About 70% of the PLWH in 2018 were Black or Hispanic, but the profile differed by sex. Almost three out of five female PLWH were Black, but males showed a more even distribution across groups (Figure 2 and Table 1).

Figure 2: Texans living with HIV by race/ethnicity and sex at birth, 2018
Figure 2: Texans living with HIV by race/ethnicity and sex at birth, 2018 I
Figure 2: Texans living with HIV by race/ethnicity and sex at birth, 2018 II Figure 2: Texans living with HIV by race/ethnicity and sex at birth, 2018 III
Data for Figure 2


Table 1: Numbers and rates per 100,000 of Texans living with HIV in 2018 by sex at birth and selected race/ethnicities

Males

Females

Number

%

Rate

Number

%

Rate

Race/Ethnicity




White

20,208

27%

342.2

2,687

14%

45.6

Black

23,447

32%

1,408.8

11,201

56%

630.6

Hispanic

26,826

36%

468.7

4,817

24%

80.8

Source: Texas eHARS, 2018



Texas PLWH by Mode of Transmission Groups


Mode of transmission means the most likely way someone acquired HIV. We group people with the same mode of transmission together to follow trends and gauge the impact of HIV. The most common mode of transmission groups in Texas are MSM, people who inject drugs (PWID), MSM who inject drugs (MSM/PWID), and men and women who acquired HIV through heterosexual sex.

In Texas, over 6 out of 10 PLWH were MSM, but men and women had different profiles. Close to four out of five men and four out of five women acquired HIV through sex with a man (Figure 3 and Table 4).

Figure 3: Transmission group profiles of Texas PLWH by sex at birth, 2018 
Figure 3: Transmission group profiles of Texas PLWH by sex at birth, 2018 I Figure 3: Transmission group profiles of Texas PLWH by sex at birth, 2018 II
PLWH with other mode of transmission categories made up 1% of male PLWH and 3% of female PLWH.
Source: Texas eHARS, 2018
Data for figure 3

 


Texans Living with HIV by Geography


More than half of PLWH lived in the Dallas and Houston areas in 2018. An additional 21% live in the Austin, Fort Worth, and San Antonio areas.

Table 2: Texas PLWH by current residence, 2018

Number

%

Austin Transitional Grant Area (TGA) [7]

6,445

7%

Dallas Eligible Metropolitan Area (EMA)

23,036

25%

Fort Worth TGA

6,290

7%

Houston EMA

29,078

31%

San Antonio TGA

6,893

7%

All other areas

18,241

19%

Texas Department of Criminal Justice facilities/
Immigration and Customs Enforcement facilities/
Federal Prisons

4,123

4%

Total

94,106

100%

Source: Texas eHARS, 2018



Prevalence Rates


Rates allow direct comparison of the impact of HIV on groups of different size and are used to show health disparities. The HIV prevalence rate is the number of people with HIV in a group for every 100,000 members of that group.

Figure 4 shows that Black Texans had rates that were 3 to 13 times higher than those for White and Hispanic Texans.

Figure 4: Prevalence rates by sex at birth and selected race/ethnicities, Texas 2018 
Figure 4: Prevalence rates by sex at birth and selected race/ethnicities, Texas 2018
Data for Figure 4

MSM were also disproportionately affected; White, Black, and Hispanic MSM had rates that were 15 to 35 times higher than the overall rates for these race/ethnicity groups (Figure 5).

Figure 5:  Prevalence rates per 100,000 in MSM, Texas 2018 
Figure 5:  Prevalence rates per 100,000 in MSM, Texas 2018
Data for Figure 5

The other way of looking at burden of disease is ‘1 in’ statements. For Texas overall in 2018, 1 in 305 Texans was living with a diagnosed HIV infection. DSHS estimates that about 1 in 6 Black MSM were living with diagnosed HIV in 2018, as were 1 in 10 Hispanic MSM, and 1 in 15 White MSM.

Table 3: 'One in' statements for groups of Texans living with HIV in 2018

1 in

1 in

All Texans

305

White Texans

359

Men

192

White men

292

Women

728

White women

2,193

MSM

11

Black Texans

99

White MSM

15

Black men

71

Black MSM

6

Black women

159

Hispanic MSM

10

Hispanic Texans

359



Hispanic men

213



Hispanic women

1,238

Source: Texas eHARS, 2018

Table 4: Texans living with HIV by select characteristics, 2018

Number

%

Rate per
100,000

Sex at birth

Male

74,263

79%

520.7

Female

19,843

21%

137.4

Current Gender Identity

Transgender Women

683

1%


Transgender Men

17

<1%


Race/Ethnicity

White

22,895

24%

192.2

Black

34,648

37%

1,006.7

Hispanic

31,643

34%

278.3

Age group (years)

0-14

206

<1%

3.3

15-24

3,747

4%

93.0

25-34

19,039

20%

449.4

35-44

21,321

23%

549.3

45-54

25,109

27%

706.7

55-64

18,650

20%

576.6

65+

6,034

6%

167.5

Mode of transmission group

MSM

57,602

61%

8,818.8

PWID

8,390

9%


MSM/PWID

5,263

6%


People with heterosexual contact

21,853

23%


All other modes

998

1%


Total

94,106

327.9

Source: Texas eHARS, 2018 rates cannot be calculated for most transmission groups due to a lack of established methods of estimating the denominator.



Note 5. cdc.gov/vitalsigns/hiv-aids-medical-care/infographic.html

Note 6. Based on sex at birth

Note 7. The EMA and TGA designations come from the Ryan White HIV/AIDS Program. It is a common geographic unit used in HIV analysis.


Epi Profile

Table of Contents | 1. Executive Summary | 2. Texans Living with HIV in 2018 | 3. Texans with New HIV Diagnoses | 4. New Diagnoses in MSM | 5. Texans with Newly Acquired HIV | 6. Deaths in Texans Living with HIV | 7. Comorbidities in Texans Living with HIV | 8. HIV Testing in Programs Funded by DSHS | 9. Sex and Substance Use in PLWH | 10. Sex and Substance Use in People at Increased Risk for HIV in Dallas, Texas | 11. Texas Treatment Cascade for 2018 | Data Sources and Notes


Last updated June 18, 2020