Abstract
Purpose
We examined changes in racial/ethnic disparities in HIV diagnoses among adolescents
and young adults aged 13–24 years from 2015 through 2019.
Methods
We used national surveillance data for 2015–2019 from AtlasPlus to calculate 12 absolute
and relative disparity measures for 7 racial/ethnic groups to understand HIV diagnosis
trends over time. We calculated four absolute measures (Black-to-White rate difference,
Hispanic-to-White rate difference, Absolute Index of Disparity [ID], population-weighted
Absolute ID) and eight relative measures (Black-to-White rate ratio, Hispanic-to-White
rate ratio, ID, population-weighted ID, population attributable proportion, Gini coefficient,
Theil index, and mean log deviation).
Results
HIV diagnosis rates decreased by 15.9% across all racial/ethnic groups combined. All
the absolute disparity measures we examined indicated substantial reductions (13.5%–18.5%)
in absolute disparities. Most of the relative disparity measures (eight of eight population-unadjusted
measures and five of eight population-adjusted measures) declined as well, but the
change was relatively modest and ranged from a 3.3% decrease to a 2.1% increase across
the measures.
Discussion
Despite progress, racial/ethnic disparities in HIV diagnoses among adolescents and
young adults remain. Programs and services that are culturally relevant and tailored
for this population may assist with continued progress toward reducing racial/ethnic
disparities.
Keywords
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Article info
Publication history
Published online: October 08, 2022
Accepted:
August 12,
2022
Received:
October 25,
2021
Footnotes
Conflicts of interest: The authors have no conflicts of interest to declare.
Disclaimer: The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.
Identification
Copyright
Published by Elsevier Inc. on behalf of Society for Adolescent Health and Medicine.
