HIV

HIV and Sexually Transmitted Infections (STIs) in American Indian and Alaska Native Communities

American Indians and Alaska Natives (AI/AN) experience significant health disparities in rates of sexually transmitted infections (STIs), including HIV. According to the Centers for Disease Control and Prevention (CDC), 2014 data revealed that AI/AN populations faced gonorrhea, chlamydia, and syphilis rates that were 4.2, 3.7, and 1.6 times higher, respectively, than those among White populations.

HIV Impact on AI/AN Communities

HIV also remains a critical public health concern. From 2005 to 2014, HIV rates among gay and bisexual AI/AN men surged by 63%, while the overall HIV rate for AI/AN increased by 19% during the same period. Alarmingly, the CDC reported that approximately 18% of AI/AN individuals living with HIV were undiagnosed, compared to the national undiagnosed rate of 13%.

Addressing HIV and STI Disparities in Tribal Communities

While direct funding for HIV and STI prevention in Tribal communities is insufficient to meet the growing need, there are available resources that provide valuable tools, guidance, and linkage-to-care opportunities to help address these disparities.

Resources

Centers for Disease Control and Prevention (CDC)

  • The CDC houses plenty of resources outlining risk reduction strategies, fact sheets, screening recommendations and national statistics on STI and HIV rates, some of which are specific to the AI/AN community.

Indian Health Service (IHS) - The Office of HIV/AIDS at IHS has plenty of resources, toolkits and online trainings for AI/AN searching for more information on Tribally specific STI and HIV rates. IHS also has a brand new page devoted specifically to LGBTQ and Two Spirit health issues!

US. Department of Veterans Affairs (VA)

The VA has information for Native Veterans specific to HIV/AIDS and STIs. These resources include links to Native-specific HIV organizations and programs, and also various publications both for health providers and Veterans.

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NIHB Response to Executive Orders

President Trump’s recent Executive Orders on federal funding could have serious implications for Tribal health. NIHB is actively advocating for Tribal Nations and providing key updates—click to learn more and access resources.