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National HIV/AIDS Hispanic/Latino Response: Presentation from the 2008 HIV Prevention Leadership Summit
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National HIV/AIDS Hispanic/Latino Response Maria E. Alvarez, MPA Acting Associate Director HIV/AIDS Prevention Among Hispanic/Latino Communities Division of HIV/AIDS Prevention 2008 HPLS Closing Plenary June 14, 2008
Slide 1
National HIV/AIDS Hispanic/Latino Response
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If we examine new HIV diagnoses in 2006 in the 33 states and Puerto Rico, we see that non-Hispanic blacks, shown in yellow, are the most affected racial/ethnic group accounting for 47% of new HIV diagnoses; however, Hispanics, as shown in green, are also disproportionately affected, accounting for 22% of new HIV diagnoses.
Slide 2
Estimated HIV/AIDS Diagnoses by Race/Ethnicity – 33 States and Puerto Rico, 2006
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This slide shows, by race/ethnicity, the case rates (per 100,000 population) for HIV/AIDS in adults and adolescents residing in the 33 states with confidential name-based HIV infection reporting. African American males continue to bear the greatest burden of HIV in the US. Hispanics have the second highest rate of HIV diagnoses among all race/ethnic groups in the U.S. In 2006, the rate of HIV diagnosis among Hispanic males was about 3 times higher than that of white men. Hispanic females, the rate of HIV diagnoses is more than 5 times as higher than among white females.
Slide 3
Rates of Estimated HIV/AIDS Cases – Adults and Adolescents, 2006
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Why Focus on Hispanics/Latinos? Account for approximately 15% of U.S. population Fastest growing ethnic group Account for 22% of HIV/AIDS diagnoses in 2006* Health disparities and barriers to HIV prevention and care: Risk factors vary by country of origin and ancestry High rates of STDs Substance and alcohol abuse Language Barrier High poverty level Educational level below the U.S. national average Migration patterns Limited access to healthcare Immigration status
Slide 4
Why Focus on Hispanics/Latinos?
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CDC’s Response: HIV Prevention Priorities & Activities for Hispanics/Latinos
Slide 5
CDC’s Response: HIV Prevention Priorities & Activities for Hispanics/Latinos
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Hispanic/Latino HIV/AIDS Prevention Activities: Capacity Building -Provide culturally appropriate capacity building assistance to programs that serve Hispanics/Latinos through partnerships with national, regional, and nongovernmental organizations. -Fund 9 national and regional organizations to serve the CBA needs of Hispanic/Latino serving organization. -Increase Hispanic/Latino participation in community planning activities. -Conduct intensive and linguistically tailored training institutes in multiple states for health departments and CBOs. -Created Spanish training and technical materials on behavioral interventions: --5 interventions available: SISTA, Safety Counts, Voices/VOCES, RAPP & MIP --8 interventions under development: Mpowerment, Many Men Many Voices, Community PROMISE, Healthy Relationships, Street SMART, RESPECT & Partnership for Health -Support National Social Marketing Campaigns --Provide technical assistance to NLAAD and NHTD
Slide 6
Hispanic/Latino HIV/AIDS Prevention Activities: Capacity Building
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On April 1–2, 2008, CDC convened the consultation entitled “HIV/AIDS Prevention among Hispanic/Latino Communities: Consultation with Leaders from the Latino Community.” The consultation, which was held at the Holiday Inn Conference Center in Decatur, Georgia, was the first of its kind to be hosted by CDC. The consultation examined various facets of HIV/AIDS and HIV/AIDS prevention among Hispanic/Latino populations in the US, including epidemiology, current evidence-based interventions, socio-cultural factors, best practices, challenges and opportunities. The consultation had four objectives: Identify gaps in current HIV prevention services and research in the United States and its territories. Identify research and prevention resources that are currently available. Identify community and societal level factors placing Hispanics/Latinos at disproportionate risk for acquiring HIV. Identify ways that CDC and Hispanic/Latino Leaders can work together to implement HIV prevention activities. The one and a half day meeting brought together more than 100 community leaders and representatives from various Hispanic-serving organizations, academic researchers, policy makers, public health practitioners, program specialists, and federal officials to discuss current HIV prevention programs and research activities directed toward Hispanic/Latino populations. Several keynote presentations and breakout sessions facilitated an exchange of information and perspectives among the participants. The policy recommendations from the consultation will help guide CDC in formulating effective strategies for combating HIV/AIDS in Hispanic/Latino populations in a culturally appropriate manner and assist CDC’s Hispanic/Latino Executive Committee with the development of a Plan of Action.
Slide 7
Prevention in the Hispanic/Latino Community: Consultation with Leaders from the Latino Community
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The HLEC, comprised of representatives from all branches within the Division of HIV/AIDS Prevention, was established in May 2007 to provide guidance and recommendations to the Division of HIV/AIDS Prevention (DHAP) in matters concerning the HIV epidemic in the Latino community. Since its inception, HLEC has been involved in a variety of activities, including the development of an action plan to guide CDC’s HIV prevention efforts among Hispanics/Latinos for FY2007-2010. The Executive Committee has tentatively identified late Fall 2008 as a target timeframe for developing a draft action plan. Several key steps in the plan’s genesis – convening a national consultation, identification of internal and external recommendations for improving HIV prevention activities targeted to Hispanics/Latinos - have already been completed. Next steps include prioritizing those recommendations, which will occur at a one-day retreat in mid-May 2008. A draft Action Plan, which will then be based upon the top priorities identified during that all-day retreat, should be completed by late Fall 2008.
Slide 8
CDC’s Hispanic/Latino Executive Committee (HLEC)
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CDC’s Hispanic/Latino Executive Committee: (established May 2007) Comprised of representatives from all the branches in the division and the Office of the Director.
Slide 9
CDC’s Hispanic/Latino Executive Committee & Workgroups
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HLEC Workgroups Epidemiology & Surveillance Work Group: To create an Epidemiological Profile for Hispanic/Latinos and conduct ancestry research Communications Work Group: To improve external and internal communication, develop messaging for HIV in Hispanic/Latinos, and improve availability and access of CDC products Research & Evaluation Work Group: To help DHAP identify research priorities focusing on Hispanics/Latinos, conduct operational research, identify top research/evaluation activities and foster collaboration. Action Plan Work Group: To craft the Action plan with the input gathered from different workgroups and recommendations from external and internal partners.
Slide 10
HLEC Workgroups
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Out of 128, only 7-8 will be chosen for publishing – highly competetive.
Slide 11
Special Issue of a Peer Reviewed Journal on Hispanic/Latinos and HIV/AIDS Prevention: (AIDS Education & Prevention)
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Saber es Poder. Infórmate. Hazte la Prueba del VIH. Knowledge is Power. Get the Facts. Get Tested for HIV. October 15th.
Slide 12
Mi Gente
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Acknowledgements Special thanks are due to colleagues: Kevin Fenton, MD, PhD, FFPH Robert Janssen, MD Janet Cleveland, MS Richard Wolitski, PhD Ken Dominguez, MD., MPH Lorena Espinoza, DDS, MPH Gena Hill, MPH Priya Jakhmola, MS, MBA Hispanic/Latino Executive Committee
Slide 13
Acknowledgements
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Contact Information: Maria E. Alvarez, MPA Acting Associate Director for HIV/AIDS Prevention Among Hispanic/Latino Communities DHAP OD mma8@cdc.gov (404) 639-3425
Slide 14
Thank You!
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Last Modified: September 9, 2008
Last Reviewed: September 9, 2008
Content Source:
Divisions of HIV/AIDS Prevention
National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention
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