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Helping You Serve Clients in Helping You Serve Clients in Minnesota Who Just Happen Minnesota Who Just Happen to Have HIV/AIDSto Have HIV/AIDS
Minnesota Financial Workers & Case Aides Association
Annual ConferenceOctober 9, 2008
Presentation OutlinePresentation OutlineIntroductionsHIV 101 – stump the trainer?A look the HIV/AIDS epidemic in
MinnesotaHow you can make a difference
for those living with HIV/AIDS
HIV 101HIV 101Transmission questions?
What are some risk factors?Myths and misperceptions?Livability questions?Your questions?
HIV/AIDS in MinnesotaHIV/AIDS in Minnesota As of December 31, 2007, 5,950* persons are assumed alive
and living in Minnesota with HIV/AIDS 3,312 living with HIV infection (non-AIDS) 2,638 living with AIDS
This number includes 1,036 persons who were first reported with HIV or AIDS elsewhere and subsequently moved to Minnesota
This number excludes 894 persons who were first reported with HIV or AIDS in Minnesota and subsequently moved out of the state
* This number includes persons who reported Minnesota as their current state of residence, regardless of residence at time of diagnosis. Includes state prisoners and refugees arriving through the HIV+ Refugee Resettlement Program, as well as, HIV+ refugee/immigrants arriving through other programs. (Source: Minnesota Department of Health surveillance system)
None
1 - 20
21 - 100
101 - 500
501 – 1,0001,001 – 2,000
2,001 – 3,366
Number Living with HIV/AIDS
Living HIV/AIDS Cases by County of Residence, 2007
Living HIV/AIDS Cases by County of Residence, 2007
Total number = 5,950(23 people missing residence information)
* Counties in which a state correctional facility is located.
City of Minneapolis – 2,448City of St. Paul – 847Suburban# – 1,808Greater Minnesota - 824
# 7-county metro area, excluding the cities of Minneapolis and St. Paul
St. Louis
Cook
LakeItasca
Cass
Polk
Beltrami
Aitkin
Pine
Koochiching
Otter Tail
Clay
Roseau
Marshall
Becker
Todd
Stearns
Kittson
Swift
Lyon
Pope
Morrison
Wilkin
Renville
Carlton
Martin
Hubbard
Rice
Wright
Norman
FillmoreMower
Crow Wing
Nobles
Murray
Grant
Sibley
Brown
Lake of the Woods
Rock
Redwood
Douglas
Kandiyohi
Jackson
Meeker
Goodhue
Winona
Isanti
Faribault
Dakota
Freeborn
Olmsted
Lincoln
Blue Earth
Scott
Stevens
Anoka
Houston
Steele
Traverse
Dodge
Wadena
Nicollet
McLeod
Hennepin
Kanabec
Lac qui Parle Chippewa
Wabasha
Benton
Carver
Pennington
Big Stone
Cottonwood Waseca
Chi
sag
o
Le Sueur
Mahnomen
Yellow Medicine
Pipestone
Red Lake
Sherburne
Watonwan
Cle
arw
ate
r
Mill
e L
acs
Was
hin
gto
n
Ra
mse
y
*
*
*
*
*
*
*
*
*
St. Louis
Cook
LakeItasca
Cass
Polk
Beltrami
Aitkin
Pine
Koochiching
Otter Tail
Clay
Roseau
Marshall
Becker
Todd
Stearns
Kittson
Swift
Lyon
Pope
Morrison
Wilkin
Renville
Carlton
Martin
Hubbard
Rice
Wright
Norman
FillmoreMower
Crow Wing
Nobles
Murray
Grant
Sibley
Brown
Lake of the Woods
Rock
Redwood
Douglas
Kandiyohi
Jackson
Meeker
Goodhue
Winona
Isanti
Faribault
Dakota
Freeborn
Olmsted
Lincoln
Blue Earth
Scott
Stevens
Anoka
Houston
Steele
Traverse
Dodge
Wadena
Nicollet
McLeod
Hennepin
Kanabec
Lac qui Parle Chippewa
Wabasha
Benton
Carver
Pennington
Big Stone
Cottonwood Waseca
Chi
sag
o
Le Sueur
Mahnomen
Yellow Medicine
Pipestone
Red Lake
Sherburne
Watonwan
Cle
arw
ate
r
Mill
e L
acs
Was
hin
gto
n
Ra
mse
y
*
*
*
*
*
*
*
*
*
St. Louis
Cook
LakeItasca
Cass
Polk
Beltrami
Aitkin
Pine
Koochiching
Otter Tail
Clay
Roseau
Marshall
Becker
Todd
Stearns
Kittson
Swift
Lyon
Pope
Morrison
Wilkin
Renville
Carlton
Martin
Hubbard
Rice
Wright
Norman
FillmoreMower
Crow Wing
Nobles
Murray
Grant
Sibley
Brown
Lake of the Woods
Rock
Redwood
Douglas
Kandiyohi
Jackson
Meeker
Goodhue
Winona
Isanti
Faribault
Dakota
Freeborn
Olmsted
Lincoln
Blue Earth
Scott
Stevens
Anoka
Houston
Steele
Traverse
Dodge
Wadena
Nicollet
McLeod
Hennepin
Kanabec
Lac qui Parle Chippewa
Wabasha
Benton
Carver
Pennington
Big Stone
Cottonwood Waseca
Chi
sag
o
Le Sueur
Mahnomen
Yellow Medicine
Pipestone
Red Lake
Sherburne
Watonwan
Cle
arw
ate
r
Mill
e L
acs
Was
hin
gto
n
Ra
mse
y
*
*
*
*
*
*
*
*
*
Persons Living with HIV/AIDS in MinnesotaPersons Living with HIV/AIDS in Minnesotaby Current Residence, 2007by Current Residence, 2007
Total Number = 5,950(23 persons missing residence information)
Suburban = Seven-county metro area including Anoka, Carver, Dakota, Hennepin (except Minneapolis), Ramsey (except St. Paul), Scott, and Washington counties. Greater MN = All other Minnesota counties, outside the seven-county metro area.
Minneapolis41%
St. Paul14%
Suburban31%
Greater MN14%
Persons Living with HIV/AIDS in MinnesotaPersons Living with HIV/AIDS in Minnesotaby Gender and Race/Ethnicity, 2007by Gender and Race/Ethnicity, 2007
Males (n = 4,583) Females (n = 1,367)
n = Number of persons Afr Amer = African American (Black, not African-born persons) Afr born = African-born (Black, African-born persons) Amer Ind = American IndianOther = Multi-racial persons or persons with unknown race
Afr Amer30%
Other1%
Hispanic6%
Amer Ind3%
Asian2%
Afr born30%
White28%
Other1%
Afr born8%Amer Ind
1%Hispanic
8%
Asian1%
Afr Amer19%
White62%
Afr Amer30%
Other1%
Hispanic6%
Amer Ind3%
Asian2%
Afr born30%
White28%
Other1%
Afr born8%Amer Ind
1%Hispanic
8%
Asian1%
Afr Amer19%
White62%
Number of Cases and Rates (per 100,000 persons) of Persons Living with HIV/AIDS by Race/Ethnicity† – Minnesota, 2007
†† Accurate population estimates for African-born persons and MSM (any race) living in Minnesota are unavailable – anecdotal (50,000) and 2000 US Census data (35,188) ) were used to create the range of rates reported for African-born.^ Other = Multi-racial persons or persons with unknown race
Census Data used for rate calculations. † “African-born” refers to Blacks who reported an African country of birth; “African American” refers to all other Blacks. Cases with unknown race are excluded.
120.9100%5,950Total
X1%39Other^
52.91%89Asian/Pacific Islander
1272%103American Indian
323.68%464Hispanic
1502-2134††13%751Black, African-born
774.222%1,299Black, African-American
74.154%3,205White, non-Hispanic
Rate%CasesRace/Ethnicity
120.9100%5,950Total
X1%39Other^
52.91%89Asian/Pacific Islander
1272%103American Indian
323.68%464Hispanic
1502-2134††13%751Black, African-born
774.222%1,299Black, African-American
74.154%3,205White, non-Hispanic
Rate%CasesRace/Ethnicity
Persons Living with HIV/AIDS in MinnesotaPersons Living with HIV/AIDS in Minnesotaby Age Group, 2007by Age Group, 2007Persons Living with HIV/AIDS in MinnesotaPersons Living with HIV/AIDS in Minnesotaby Age Group, 2007by Age Group, 2007
0
200
400
600
800
1,000
1,200
<13 13-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60+
Current Age in Years
Num
ber
Livi
ng w
ith H
IV/A
IDS
Foreign-Born Persons Living with HIV/AIDS in Foreign-Born Persons Living with HIV/AIDS in Minnesota by Region of Birth, 1994-2007Minnesota by Region of Birth, 1994-2007
Latin Amer/Car – Includes Mexico, Caribbean, and Central/South American countries
0100200300400500600700800900
100011001200
1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007
Year
Num
ber L
iving
with
HIV
/AID
S
Other
Latin Amer/Car
Asia
Africa
Region of Birth
For more informationFor more information Contact the Minnesota Department of
Health www.health.state.mn.us – links to STD/HIV
information under diseases & conditions Centers for Disease Control
http://www.cdc.gov/hiv/ The Body
http://www.thebody.com/ – a comprehensive HIV/AIDS resource website
BarriersBarriers Persons living with HIV/AIDS face barriers
to receiving services:STIGMA (including fear of disclosure)Lack of knowledge of HIV among citizens
in the community Insufficient personal financial resourcesLack of employment opportunities or
supportive and understanding work environments
Overcoming BarriersOvercoming Barriers Educate yourself Don’t make assumptions Ask clients if they have an HIV case
manager – if not refer them to one Use caution when documenting case
notes Refer to the HIV Resource Guide Contact local HIV/AIDS organizations for
help
Services for HIV+ ClientsServices for HIV+ Clients HIV specific case management available
statewide Multiple community agencies serving
people living with HIV/AIDS Ryan White funded services (payer of last
resort) Statewide referrals available through the
HIV Resource Guide also on-line at www.mnaidsproject.org
DHS HIV/AIDS Division (Program HH)
651-431-2414 or 800-657-3761
800-627-3529 (TTY)
www.dhs.state.mn.us/hivaids
Mary Grandy 651-431-2849 or [email protected]