Table 1.

Trends in HIV Diagnosis among adults and adolescents by demographic characteristics, 2012–2017, Deep South, United States

	2012		2013		2014		2015		2016		2017		Total N	EAPC	EAPC 95% CI
	No.	Rate	No.	Rate	No.	Rate	No.	Rate	No.	Rate	No.	Rate
Total	16,305	22.3	15,976	21.5	16,470	21.9	16,716	21.9	16,744	21.6	16,291	20.7	98,502	−1.0	(−1.3, −0.6)
Deep south states
Alabama	666	16.6	633	15.7	673	16.6	664	16.3	664	16.3	653	15.9	3953	−0.3	(−2.1, 1.6)
Florida	4391	26.6	4302	25.7	4485	26.4	4587	26.5	4684	26.5	4590	25.5	27,039	−0.3	(−1.0, 0.4)
Georgia	2677	33.0	2340	28.6	2385	28.8	2621	31.2	2493	29.3	2584	30.0	15,100	−1.0	(−1.9,−0.1)
Louisiana	1024	27.0	1135	29.7	1206	31.4	1098	28.5	1118	28.9	1008	26.1	6589	−1.0	(−2.4, 0.4)
Mississippi	445	18.2	471	19.1	477	19.3	508	20.6	422	17.1	426	17.2	2749	−1.5	(−3.7,0.7)
North Carolina	1231	15.2	1282	15.6	1310	15.8	1324	15.8	1391	16.3	1301	15.1	7839	0.2	(−1.0, 1.5)
South Carolina	701	17.8	707	17.7	761	18.8	667	16.2	744	17.8	707	16.7	4287	−1.3	(−3.0, 0.5)
Tennessee	853	15.9	770	14.2	757	13.8	742	13.4	709	12.7	713	12.7	4544	−4.2	(−5.8,−2.6)
Texas	4317	20.6	4336	20.3	4416	20.3	4505	20.3	4519	20.0	4309	18.7	26,402	−1.5	(−2.2,−0.8)
Race/ethnicity
American Indian/Alaska Native	21	6.7	7	2.2	23	7.1	30	9.2	32	9.6	26	7.7	139	12.5	(1.9, 24.3)
Asian/Pacific Islander	128	6.1	165	7.6	162	7.1	197	8.2	184	7.3	175	6.6	1011	0.7	(−2.9, 4.4)
Black/African American	8843	63.2	8504	59.8	8769	60.7	8826	60.1	8747	58.7	8534	56.5	52,223	−1.8	(−2.3, −1.3)
Hispanic/Latinoa	3141	24.0	3251	24.2	3473	25.1	3712	26.0	3832	26.0	3711	24.4	21,120	0.9	(0.1, 1.7)
White	3619	8.4	3528	8.2	3564	8.2	3528	8.1	3529	8.0	3542	8.0	21,310	−0.9	(−1.7, −0.2)
Multiple races	553	71.7	521	64.7	479	57.0	423	48.2	420	45.8	303	31.7	2699	−13.6	(−15.5, −11.6)
Age at diagnosis
13–19	862	10.3	755	9.0	777	9.2	843	9.9	799	9.3	813	9.4	4849	−0.8	(−2.4, 0.9)
20–24	3031	47.4	3021	46.6	3291	50.6	3228	49.9	3082	48.2	2818	44.6	18,471	−0.6	(−1.4, 0.3)
25–29	2491	41.4	2690	44.3	3021	48.5	3181	49.6	3426	51.9	3266	48.4	18,075	3.5	(2.6, 4.4)
30–34	2021	34.2	2041	34.0	2139	35.1	2226	36.2	2369	38.0	2400	38.1	13,196	2.6	(1.6, 3.7)
35–39	1603	28.6	1605	28.5	1648	28.8	1722	29.4	1744	29.0	1801	29.3	10,123	0.6	(−0.6, 1.7)
40–44	1741	29.0	1547	25.7	1466	24.5	1386	23.4	1318	22.6	1233	21.2	8691	−5.6	(−6.8, −4.4)
45–49	1698	28.0	1525	25.6	1432	24.3	1358	22.9	1247	20.6	1213	19.8	8473	−6.7	(−7.9, −5.6)
50–54	1280	20.7	1223	19.7	1187	18.9	1200	19.2	1169	18.9	1098	18.0	7157	−2.3	(−3.7, −1.0)
55–59	795	14.1	818	14.2	764	13.0	787	13.1	767	12.6	806	13.1	4737	−2.0	(−3.6, −0.3)
60–64	443	9.0	429	8.6	417	8.1	437	8.3	466	8.6	467	8.4	2659	−1.0	(−3.1, 1.3)
65+	340	2.8	322	2.6	328	2.5	348	2.6	357	2.5	376	2.6	2071	−1.2	(−3.6, 1.4)
Transmission category: male
Male-to-male sexual contact	10,097	–	10,077	–	10,611	–	10,843	–	10,874	–	10,673	–	63,175	1.5	(1.0, 2.0)
Injection drug use	463	–	425	–	427	–	394	–	368	–	377	–	2453	−4.3	(−6.5, −2.1)
Male-to-male sexual contact and injection drug use	411	–	431	–	434	–	444	–	409	–	399	–	2527	−0.8	(−3.0, 1.5)
Heterosexual contactb	1710	–	1592	–	1613	–	1689	–	1701	–	1515	–	9820	−1.0	(−2.1,0.2)
Otherc	17	–	14	–	13	–	9	–	10	–	10	–	73	−11.0	(−22.3,2.0)
Transmission category: female
Injection drug use	393	–	335	–	339	–	345	–	340	–	325	–	2077	−2.6	(−5.0, −0.1)
Heterosexual contactb	3206	–	3081	–	3026	–	2987	–	3032	–	2975	–	18,307	−1.2	(−2.1, −0.4)
Otherc	10	–	21	–	7	–	6	–	11	–	16	–	71	0.7	(−12.2, 15.4)
2013 Urban–rural classification scheme for Counties
Large central metro	7267	35.9	7043	34.2	7242	34.5	7471	34.9	7296	33.5	6955	31.4	43,274	−2.0	(−2.5, −1.5)
Large fringe metro	2989	19.3	2898	18.4	3010	18.7	2943	17.8	3137	18.6	3150	18.2	18,127	−0.8	(−1.7, 0.0)
Medium metro	3320	17.3	3407	17.6	3521	18.0	3443	17.4	3558	17.7	3515	17.3	20,764	−0.1	(−0.9, 0.7)
Small metro	1076	15.1	1018	14.2	1084	14.9	1175	16.0	1144	15.5	1102	14.8	6599	0.7	(−0.8, 2.1)
Micropolitan	861	13.5	823	12.8	852	13.3	814	12.6	763	11.8	754	11.6	4867	−2.9	(−4.5, −1.3)
Noncore	601	12.4	588	12.1	573	11.8	583	12.0	588	12.1	513	10.5	3446	−2.1	(−4.0, −0.2)

The Deep South is defined as Alabama, Florida, Georgia, Louisiana, Mississippi, North Carolina, South Carolina, Tennessee and Texas. Other South is defined as Arkansas, Delaware, District of Columbia, Kentucky, Maryland, Oklahoma, Virginia, and West Virginia. Rates are per 100,000 population for all persons aged 13 and older. Rates are not calculated by transmission category because of the lack of denominator data

^aHispanics/Latinos can be of any race

^bHeterosexual contact with a person known to have, or to be at high risk for, HIV infection

^cIncludes hemophilia, blood transfusion, and risk factor not reported or not identified

Bold text indicates EAPC statistically significant (p < 0.05)