U.S. Department of Health and Human Services: Health Resources and Services Administration Ryan White HIV/AIDS Program Ryan White HIV/AIDS Program - State Profiles
       

The United StatesState Overview


The following section provides information for the entire population of the United States in 2013.

Population Size1

The estimated population of the United States in 2013 was 316,497,531.

Population Living with an HIV Infection2

The estimated adult and adolescent population living with diagnosed HIV infection, regardless of stage of disease, in the United States in 2013 was 931,449.

New Diagnosis of HIV Infection2

The estimated number of adults and adolescents newly diagnosed with HIV infection in the United States in 2013 was 48,145. The term "diagnosis of HIV infection" is defined as a new diagnosis of HIV infection, regardless of the stage of disease.

Estimated Percent of the United States Population in 2013 by Household Income Level3

Estimated Percent of the United States Population in 2013 by Household Income Level3
Household Income Level Percent
Below 100% of the Federal Poverty Level (FPL) 14.5
Between 100-199% of the FPL 19.4
Between 200-299% of the FPL 16.4
300% of the FPL and Above 49.7

Estimated Percent of the United States Population in 2013 by Health Insurance Coverage Type4

Estimated Percent of the United States Population in 2013 by Health Insurance Coverage Type4
Health Insurance Coverage Type Percent
Private 64.2
Private Only 52.3
Medicaid 17.3
Medicaid Only 12.2
Medicare 15.6
Medicare Only 5.9
Other Public 34.3
Public Only 22.5
Multiple Types 11.8
Uninsured 13.4

A It is possible to be covered by more than one health insurance coverage type. Therefore, the pie chart only includes those categories that form a partition of all clients.

The United StatesRyan White HIV/AIDS Program Grantee and Provider Characteristics5

The following section provides information for Ryan White HIV/AIDS Program grantees and providers in the United States in 2013. Visit the HIV/AIDS Bureau’s website for a list of grantees by Program Part.

 

Ryan White HIV/AIDS Program Grantees and Providers in the United States in 2013 by Program Part

Ryan White HIV/AIDS Program Grantees and Providers in the United States in 2013 by Program Part
Program Number of Grantees Number of Providers
Part A 53 1,068
Part B 54 871
Part C 361 450
Part D 121 282
SPNS 40 --
AETC 31 --
Oral Health 65 --
Total 725 2671

B 654 Provider(s) received funding from multiple Program Parts.

Ryan White HIV/AIDS Program Funding Received by Grantees in the United States in 2013 by Program Part§

Ryan White HIV/AIDS Program Funding Received by Grantees in the United States in 2013 by Program Part§
Program Fiscal Year 2013
Eligible Metropolitan Areas / Transitional Grant Areas (EMAs/TGAs): Part A $545,653,090
States and Territories: Part B $310,648,017
AIDS Drug Assistance Program (ADAP): Part B $822,992,413
Emerging Communities: Part B $5,000,000
Early Intervention Services: Part C $175,518,661
Capacity Building: Part C $1,207,123
Women, Infants, Children, Youth, Families: Part D $64,564,537
Oral Health Programs: Part F $11,978,647
AIDS Education and Training Centers (AETC) Program: Part F $30,612,543
Minority AIDS Initiative (MAI): Part A $48,686,171
Minority AIDS Initiative (MAI): Part B $10,149,151
Minority AIDS Initiative (MAI) AIDS Education and Training Centers (AETC) $1,500,000
Special Projects of National Significance (SPNS): Part F $17,962,721
Total $2,046,473,074

Ryan White HIV/AIDS Program Service Providers in the United States in 2013 by Type

Ryan White HIV/AIDS Program Service Providers in the United States in 2013 by Type
Types of Organizations Number Percent
Hospitals 351 19.6
Community & Mental Health Centers 251 14.0
Community-based Organizations 706 39.5
Health Departments 233 13.0
Other 247 13.8
Total (N) 1,788

The United States Ryan White HIV/AIDS Program Client Characteristics5

The following section provides socio-demographic and health-related information on all Ryan White HIV/AIDS Program clients in the United States in 2013.

Ryan White HIV/AIDS Program grantees have many providers under subcontract, and each provider completes a Ryan White HIV/AIDS Program Services Report (RSR). Although RSR data are unduplicated at the provider level, an individual client may receive services from multiple providers. Thus, any summary of the total number of clients served and their socio-demographic characteristics, whether at the grantee, State, or national level, may result in duplicated client counts.

This information is only collected on clients receiving an OAMC service, and not on all clients receiving RWHAP services.

The Denominator for Viral Load Suppression is the total number of clients who had at least one Outpatient/Ambulatory Medical Care (OAMC) visit and had at least one viral load reported.

ADAP clients are not included in the data in this section.

Ryan White HIV/AIDS Program Number of Clients Served in the United States

The estimated number of clients served by Ryan White HIV/AIDS Program providers in the United States in 2013 was 524,675.

Note: Nationally, 2,278 clients were seen in more than one state.

Ryan White HIV/AIDS Program Clients in the United States in 2013 by Gender

Ryan White HIV/AIDS Program Clients in the United States in 2013 by Gender
Gender Number Percent
Male 370,140 70.6
Female 149,152 28.4
TransgenderD 5,172 1.0
Total 524,464

D Very few people self-identify with the Transgender group. Transgender is an individual whose gender identity is not congruent with his or her biological gender, regardless of the status of surgical and hormonal gender reassignment processes. Sometimes the term is used as an umbrella term encompassing transsexuals, transvestites, cross-dressers, and others. The term transgender refers to a continuum of gender expressions, identities, and roles, which expand the current dominant cultural values of what it means to be male or female.

Gender was not reported for 211 client(s) (< 1%).

Total (N) = 524,675

J Percentages < 1 are denoted as such.

Ryan White HIV/AIDS Program Clients in the United States in 2013 by Race/Ethnicity

Ryan White HIV/AIDS Program Clients in the United States in 2013 by Race/Ethnicity
Race/Ethnicity Number Percent
White (not Hispanic) 140,810 27.2
Black or African-American (not Hispanic) 242,593 46.8
Asian (not Hispanic) 5,868 1.1
Native Hawaiian/Pacific Islander (not Hispanic) 935 < 1J
American Indian/Alaska Native (not Hispanic) 2,629 < 1J
Hispanic 116,862 22.6
Multiracial (not Hispanic) 8,211 1.6
Total 517,908

Race/Ethnicity was not reported for 6,767 client(s) (1.3%).

Total (N) = 524,675

J Percentages < 1 are denoted as such.

Ryan White HIV/AIDS Program Clients in the United States in 2013 by Age

Ryan White HIV/AIDS Program Clients in the United States in 2013 by Age
Age Number Percent
Under 2 2,884 < 1J
2 - 12 3,631 < 1J
13 - 24 31,589 6.0
25 - 44 199,126 38.0
45 - 64 266,749 50.8
65 and Above 20,693 3.9
Total 524,672

Age was not reported for 3 client(s) (< 1%).

Total (N) = 524,675

J Percentages < 1 are denoted as such.

Ryan White HIV/AIDS Program Clients in the United States in 2013 by Health Insurance Coverage Type

Ryan White HIV/AIDS Program Clients in the United States in 2013 by Health Insurance Coverage Type
Health Insurance Type Number Percent
Private 85,868 17.2
Private Only 61,934 12.4
Medicaid 185,979 37.3
Medicaid Only 127,096 25.5
Medicare 95,228 19.1
Medicare Only 44,341 8.9
Other Public 63,555 12.8
Other Public Only 41,473 8.3
Other 19,935 4.0
Other Only 6,609 1.3
Multiple Types 78,346 15.7
Uninsured 199,192 40.0
Uninsured Only 138,447 27.8
Total 498,246

Health insurance was not reported for 26,429 client(s) (5.0%).

A It is possible to be covered by more than one health insurance coverage type. Therefore, the pie chart only includes those categories that form a partition of all clients.

Total (N) = 524,675

Ryan White HIV/AIDS Program Clients in the United States in 2013 by HIV/AIDS Status

Ryan White HIV/AIDS Program Clients in the United States in 2013 by HIV/AIDS Status
HIV/AIDS Status Number Percent
HIV-positive not AIDS 240,796 46.7
HIV-positive, AIDS Status Unknown 48,765 9.5
CDC-defined AIDSH 216,326 41.9
HIV Indeterminant (Infants Only) 2,387 < 1J
HIV-negative 7,482 1.5
Total 515,756

HIV/AIDS status was not reported for 8,919 client(s) (1.7%).

Total (N) = 524,675

H CDC defines AIDS when the number of CD4 cells fall below 200 cells per cubic millimeter of blood (200 cells/mm3), or if a person develops one or more opportunistic illnesses, regardless of the CD4 count. Opportunistic infections include Invasive Cervical Cancer, Herpes Simplex, Kaposi’s Sarcoma, Lymphoma, Tuberculosis, Pneumonia (recurrent), among others.

J Percentages < 1 are denoted as such.

Ryan White HIV/AIDS Program Clients in the United States in 2013 by Household Income as a Percentage of the Federal Poverty Level (FPL)

Ryan White HIV/AIDS Program Clients in the United States in 2013 by Household Income as a Percentage of the Federal Poverty Level (FPL)
Household Income Level Number Percent
Below 100% of the FPL 332,247 67.6
Between 101-200% of the FPL 107,631 21.9
Between 201-300% of the FPL 33,183 6.7
Above 300% of the FPL 18,738 3.8
Total 491,799  

Household income was not reported for 32,876 client(s) (6.3%).

Total (N) = 524,675

Ryan White HIV/AIDS Program Clients in the United States in 2013 by Risk Factor

Ryan White HIV/AIDS Program Clients in the United States in 2013 by Risk Factor
Risk Factor Number Percent
Men Who Have Sex With Men (MSM) 218,327 45.0
Intravenous Drug Use 40,491 8.3
Hemophilia/coagulation 1,514 < 1J
Heterosexual 190,563 39.2
Receipt of Transfusion of Blood 3,631 < 1J
Perinatal 11,861 2.4
Other 19,223 4.0
Total 485,610

Risk Factor was not reported for 39,065 client(s) (7.4%).

Total (N) = 524,675

J Percentages < 1 are denoted as such.

The United StatesRyan White HIV/AIDS Program Client Clinical Outcomes5

The following section provides Viral Load Suppression and Retention in Care information on all Ryan White HIV/AIDS Program Clients who are in clinical care in the United States in 2013.

Viral Load Suppression is the percentage of HIV positive clients who had at least one Outpatient/Ambulatory Medical Care (OAMC) visit and had at least one viral load reported whose last viral load was <200 copies.

Retention in Care is the percentage of HIV-positive clients who had at least two outpatient ambulatory medical visits at least 90 days apart and one visit prior to September of the reporting year.

The Denominator for Viral Load Suppression is the total number of clients who had at least one OAMC visit and had at least one viral load reported.

The Denominator for Retention in Care is the total number of clients with an OAMC visit before September 1st.

This information is only collected on clients receiving an OAMC service, and not on all clients receiving RWHAP services.

ADAP clients are not included in the data in this section.

Ryan White HIV/AIDS Program Clients in the United States in 2013 by Gender and Viral Load Suppression and Retention in Care

Ryan White HIV/AIDS Program Clients in the United States in 2013 by Gender and Viral Load Suppression and Retention in Care
  Viral Load Suppression Retention in Care
Gender Denominator Percent Denominator Percent
Male 200,207 79.3 194,526 80.3
Female 80,897 77.2 80,011 82.9
TransgenderD 2,538 72.1 2,459 78.1
283,642   276,996  

D Very few people self-identify with the Transgender group. Transgender is an individual whose gender identity is not congruent with his or her biological gender, regardless of the status of surgical and hormonal gender reassignment processes. Sometimes the term is used as an umbrella term encompassing transsexuals, transvestites, cross-dressers, and others. The term transgender refers to a continuum of gender expressions, identities, and roles, which expand the current dominant cultural values of what it means to be male or female.

Gender was not reported for Viral Load Suppression for 27 client(s). Viral Load Suppression rates for those clients was 59.3%.

Gender was not reported for Retention in Care for 27 client(s). Retention in Care rates for those clients was 70.4%.

Viral Load Suppression Total (N) = 283,669

Retention in Care Total (N) = 277,023

I ( . ) Indicates missing data.

Ryan White HIV/AIDS Program Clients in the United States in 2013 by Race/Ethnicity and Viral Load Suppression and Retention in Care

Ryan White HIV/AIDS Program Clients in the United States in 2013 by Race/Ethnicity and Viral Load Suppression and Retention in Care
  Viral Load Suppression Retention in Care
Race/Ethnicity Denominator Percent Denominator Percent
White (not Hispanic) 71,841 84.3 70,139 79.8
Black or African-American (not Hispanic) 132,115 73.9 128,931 80.1
Hispanic 67,673 81.4 66,143 84.3
Asian (not Hispanic) 3,320 87.6 3,239 82.2
Native Hawaiian/Pacific Islander (not Hispanic) 427 76.8 426 74.4
American Indian/Alaska Native (not Hispanic) 1,263 78.1 1,234 77.7
Multi-racial (not Hispanic) 4,548 78.4 4,452 83.2
281,187   274,564  

Race/Ethnicity was not reported for Viral Load Suppression for 2,482 client(s). Viral Load Suppression rates for those clients was 78.9%.

Race/Ethnicity was not reported for Retention in Care for 2,459 client(s). Retention in Care rates for those clients was 75.2%.

Viral Load Suppression Total (N) = 283,669

Retention in Care Total (N) = 277,023

I ( . ) Indicates missing data.

Ryan White HIV/AIDS Program Clients in the United States in 2013 by Age and Viral Load Suppression and Retention in Care

Ryan White HIV/AIDS Program Clients in the United States in 2013 by Age and Viral Load Suppression and Retention in Care
  Viral Load Suppression Retention in Care
Age Denominator Percent Denominator Percent
Under 2 56 66.1 72 83.3
2 - 12 984 81.0 989 88.5
13 - 24 17,021 60.0 15,620 76.7
25 - 44 115,156 74.5 110,443 78.7
45 - 64 140,705 83.4 139,966 83.1
65 and Above 9,745 90.6 9,931 84.0
283,667   277,021  

Age was not reported for Viral Load Suppression for 2 client(s). Viral Load Suppression rates for those clients was 50.0%.

Age was not reported for Retention in Care for 2 client(s). Retention in Care rates for those clients was 100.0%.

Viral Load Suppression Total (N) = 283,669

Retention in Care Total (N) = 277,023

I ( . ) Indicates missing data.

Ryan White HIV/AIDS Program Clients in the United States in 2013 by Health Insurance Coverage Type and Viral Load Suppression and Retention in Care

Ryan White HIV/AIDS Program Clients in the United States in 2013 by Health Insurance Coverage Type and Viral Load Suppression and Retention in Care
  Viral Load Suppression Retention in Care
Health Insurance Type Denominator Percent Denominator Percent
Private Only 32,774 85.8 32,315 81.3
Medicaid Only 63,294 74.5 62,512 80.7
Medicare Only 21,149 84.2 20,906 82.2
Other Public Only 25,763 79.4 24,692 84.8
Other Only 3,346 79.8 3,306 79.0
Uninsured Only 91,184 75.4 85,908 79.3
Multiple Types 40,769 83.4 40,886 85.0
Total 278,279   270,525  

A It is possible to be covered by more than one health insurance coverage type.

Health Insurance Coverage Type was not reported for Viral Load Suppression for 5,390 client(s). Viral Load Suppression rates for those clients was 76.2%.

Health Insurance Coverage Type was not reported for Retention in Care for 6,498 client(s). Retention in Care rates for those clients was 63.5%.

Viral Load Suppression Total (N) = 283,669

Retention in Care Total (N) = 277,023

I ( . ) Indicates missing data.

Ryan White HIV/AIDS Program Clients in the United States in 2013 by Household Income as a Percentage of the Federal Poverty Level and Viral Load Suppression and Retention in Care

Ryan White HIV/AIDS Program Clients in the United States in 2013 by Household Income as a Percentage of the Federal Poverty Level and Viral Load Suppression and Retention in Care
  Viral Load Suppression Retention in Care
Income Denominator Percent Denominator Percent
Below 100% of the FPL 184,640 75.7 178,686 80.6
Between 101-200% of the FPL 59,759 83.9 58,725 83.2
Between 201-300% of the FPL 18,198 85.9 17,871 83.5
Above 300% of the FPL 11,793 87.9 11,479 83.6
274,390   266,761  

Household Income was not reported for Viral Load Suppression for 9,279 client(s). Viral Load Suppression rates for those clients was 75.9%.

Household Income was not reported for Retention in Care for 10,262 client(s). Retention in Care rates for those clients was 68.3%.

Viral Load Suppression Total (N) = 283,669

Retention in Care Total (N) = 277,023

I ( . ) Indicates missing data.

Ryan White HIV/AIDS Program Clients in the United States in 2013 by Risk Factor and Viral Load Suppression and Retention in Care

Ryan White HIV/AIDS Program Clients in the United States in 2013 by Risk Factor and Viral Load Suppression and Retention in Care
  Viral Load Suppression Retention in Care
Risk Factor Denominator Percent Denominator Percent
Men Who Have Sex With Men (MSM) 124,430 80.0 10,926 76.1
Intravenous Drug Use 22,106 78.5 120,280 80.4
Coagulation 865 86.7 21,815 81.3
Heterosexual 110,438 77.9 789 72.2
Receipt of Transfusion of Blood 1,702 84.4 108,446 82.4
Perinatal 5,317 64.5 1,701 82.2
Other 8,164 76.7 5,248 84.0
273,022   269,205  

Risk Factor Type was not reported for Viral Load Suppression for 10647 client(s). Viral Load Suppression rates for those clients was 78.1%.

Risk Factor Type was not reported for Retention in Care for 7818 client(s). Retention in Care rates for those clients was 76.4%.

Viral Load Suppression Total (N) = 283,669

Retention in Care Total (N) = 277,023

I ( . ) Indicates missing data.

The United StatesRyan White HIV/AIDS Program Services Received5

The following section provides information on the services received by all Ryan White HIV/AIDS Program clients in the United States in 2013.

Ryan White HIV/AIDS Program Clients Receiving a Core Medical Service in the United States in 2013 by Service Type

Ryan White HIV/AIDS Program Clients Receiving a Core Medical Service in the United States in 2013 by Service Type
Core Medical Service Number of Clients Percent of All Clients Median Visits Per Client Total Visits
Outpatient Ambulatory Care 301,496 57.5 4.0 1,496,186
Medical Case Management 290,547 55.4 5.0 2,982,772
Oral Health Care 91,569 17.5 2.0 299,476
Mental Health Services 71,533 13.6 2.0 418,982
Medical Nutrition Therapy 46,537 8.9 1.0 148,192
Outpatient Substance Abuse Treatment 21,131 4.0 2.0 265,638
Early Intervention Services 15,727 3.0 2.0 88,729
Home & Community-based Services 1,635 < 1 9.0 34,252
Home Health Care 819 < 1 4.0 10,879
Hospice Care 99 < 1 5.0 5,084

K Clients may receive more than one service. Only the top ten Core Medical Services for the United States are shown.

Ryan White HIV/AIDS Program Clients Receiving a Support Service in the United States in 2013 by Service Type

Ryan White HIV/AIDS Program Clients Receiving a Support Service in the United States in 2013 by Service Type
Service Type Number of Clients Percent of All Clients
Non-Medical Case Management 151,638 28.9
Medical Transportation Services 73,372 14.0
Treatment Adherence 62,284 11.9
Health Education / Risk Reduction 60,231 11.5
Food Bank / Home-Delivered Meals 54,714 10.4
Psychosocial Support Services 41,813 8.0
Outreach Services 35,177 6.7
Referral to Health Care / Support Services 34,922 6.7
Emergency Financial Assistance 24,174 4.6
Housing Services 14,837 2.8
Legal Services 12,450 2.4
Linguistics Services 2,551 < 1
Residential Substance Abuse Services 1,738 < 1
Pediatric Developmental Assessment / Early Intervention Services 1,048 < 1
Child Care Services 831 < 1
Respite Care 217 < 1
Rehabilitation Services 184 < 1
Permanency Planning 181 < 1
Total Clients 572,362

K Clients may receive more than one service.

The United StatesRyan White HIV/AIDS Program AIDS Drug Assistance Program (ADAP)6

The following section provides socio-demographic and medical information on all Ryan White HIV/AIDS Program AIDS Drug Assistance Program (ADAP) clients in the United States in 2013.

ADAP Number of Clients Served

The estimated number of clients served by ADAP in the United States in 2013 was 264,955. A total of 42,221 new clients were served.

Note: A new ADAP client is an individual who has applied to the state ADAP for the first time ever and meets that ADAP's financial, medical, and other eligibility criteria. A new client may not necessarily be receiving medications or insurance assistance. The client may be on the waiting list, or may not have requested ADAP services.

Ryan White HIV/AIDS Program ADAP Clients in the United States in 2013 by Gender

ADAP Clients in the United States in 2013 by Gender
Gender Number Percent
Male 209,077 79.0
Female 54,657 20.6
TransgenderD 1,042 < 1J
Total 264,776

D Very few people self-identify with the Transgender group. Transgender is an individual whose gender identity is not congruent with his or her biological gender, regardless of the status of surgical and hormonal gender reassignment processes. Sometimes the term is used as an umbrella term encompassing transsexuals, transvestites, cross-dressers, and others. The term transgender refers to a continuum of gender expressions, identities, and roles, which expand the current dominant cultural values of what it means to be male or female.

Gender was not reported for 179 client(s) (< 1%).

Total (N) = 264,955

J Percentages < 1 are denoted as such.

Ryan White HIV/AIDS Program ADAP Clients in the United States in 2013 by Race/Ethnicity

ADAP Clients in the United States in 2013 by Race/Ethnicity
Race/Ethnicity Number Percent
White (not Hispanic) 94,297 36.3
Black or African-American (not Hispanic) 90,712 34.9
Asian (not Hispanic) 4,373 1.7
Native Hawaiian/Pacific Islander (not Hispanic) 550 < 1J
American Indian/Alaska Native (not Hispanic) 1,115 < 1J
Hispanic 65,484 25.2
Multiracial (not Hispanic) 3,104 1.2
Total 259,635

Race/ethnicity was not reported for 5,320 client(s) (2.0%).

Total (N) = 264,955

J Percentages < 1 are denoted as such.

Ryan White HIV/AIDS Program ADAP Clients in the United States in 2013 by Age

ADAP Clients in the United States in 2013 by Age
Age Number Percent
Under 2 29 < 1
2-12 194 < 1J
13-24 11,853 4.5
25-44 106,907 40.4
45-64 134,258 50.7
65 and Above 11,557 4.4
Total 264,798

Age was not reported for 157 client(s) (< 1%).

Total (N) = 264,955

J Percentages < 1 are denoted as such.

Ryan White HIV/AIDS Program ADAP Expenditures in the United States in 2013 by Type

ADAP Expenditures in the United States in 2013 by Type
Expenditure Type Number Percentage of All Expenditures
Insurance Coverage $ 325,619,252 15.7
Dispensing and Administrative Costs $ 46,018,068 2.2
Pharmaceuticals $ 1,700,070,330 81.8
Flex Policy $ 7,732,910 < 1
Total (N) $ 2,079,440,560  

The United StatesRyan White HIV/AIDS Program Oral Health Programs7

The following section provides socio-demographic and service information on the two Ryan White HIV/AIDS Program Oral Health programs (Dental Reimbursement and Community-Based Dental Partnership Programs) clients in the United States in 2013.

Oral Health Programs Number of Clients Served

The estimated number of clients served by Oral Health Programs in the United States in 2013 was 46,828.

Ryan White HIV/AIDS Program Oral Health Programs Clients in the United States in 2013 by Gender

Oral Health Programs Clients in the United States in 2013 by Gender
Gender Number Percent
Male 32,455 69.3
Female 14,125 30.2
TransgenderD 227 < 1J
Total 46,807

D Very few people self-identify with the Transgender group. Transgender is an individual whose gender identity is not congruent with his or her biological gender, regardless of the status of surgical and hormonal gender reassignment processes. Sometimes the term is used as an umbrella term encompassing transsexuals, transvestites, cross-dressers, and others. The term transgender refers to a continuum of gender expressions, identities, and roles, which expand the current dominant cultural values of what it means to be male or female.

Gender was not reported for 21 client(s) (< 1%).

Total (N) = 46,828

Ryan White HIV/AIDS Program Oral Health Programs Clients in the United States in 2013 by Age

Oral Health Programs Clients in the United States in 2013 by Age
Age Number Percent
Under 2 0 0.0
2-12 152 < 1J
13-24 1,672 3.6
25-44 20,190 43.1
45-65 21,483 45.9
65 and Above 3,311 7.1
Total 46,808

Age was not reported for 20 client(s) (< 1%).

Total (N) = 46,828

Ryan White HIV/AIDS Program Oral Health Programs Clients in the United States in 2013 by Household Income as a Percentage of the Federal Poverty Level (FPL)

Oral Health Programs Clients in the United States in 2013 by Household Income as a Percentage of the Federal Poverty Level (FPL)
Household Income Level Number Percent
Below 100% of the FPL 29,733 73.6
Between 101-200% of the FPL 7,277 18.0
Between 201-300% of the FPL 2,031 5.0
Above 300% of the FPL 1,351 3.3
Total 40,392

Household income was not reported for 6,436 client(s) (13.7%).

Total (N) = 46,828

Ryan White HIV/AIDS Program Oral Health Programs Client Visits in the United States in 2013 by Service Type

Oral Health Programs Client Visits in the United States in 2013 by Service Type
Service Type Number of Visits
Diagnostic 76,528
Restorative 43,926
Oral Health Education 32,079
Preventive 31,242
Periodontic 26,582
Oral and Maxillofacial Surgery 25,983
Prosthodontic 25,317
Tobacco Prevention 15,219
Nutrition Counseling 14,672
Emergency Services 13,649
Oral Medicine 7,571
Other 6,472
Endodontic 6,317
Anesthesia 5,375

The United StatesPerformance Indicators5

U.S. Department of Health and Human Services (HHS) Performance Indicators

The U.S. Department of Health and Human Services (HHS) common core indicators are seven measures developed to monitor HHS-funded HIV/AIDS prevention, treatment, and care services. HHS Indicators are evaluated using results from Ryan White HIV/AIDS Program recipients to help provide a marker and assess progress toward achieving the result.

HHS Performance Indicators for the United States in 2013
  HHS INDICATORS HAB MEASURE RESULT
HIV Positivity Percentage of HIV tests that were HIV positive. Percentage of HIV tests that were HIV positive.L 1.1%
Retention in HIV Medical Care Percentage of clients with an HIV diagnosis who had at least one HIV medical care visit in each 6 month period of the 24 month measurement period, with a minimum of 60 days between the first medical visit in the 6 month period and the last medical visit in the subsequent 6 month period. Data not reported. ---
Viral Load Suppression Among Persons in HIV Medical Care Percentage of clients with an HIV diagnosis with a viral load <200 copies/mL at last test. Percentage of HIV positive clients who had at least one Outpatient/Ambulatory Medical Care (OAMC) visit and had at least one viral load reported whose last viral load was <200 copies. 79.0%
Late HIV Diagnosis Percentage of clients diagnosed with AIDS within 3 months of a diagnosis of HIV. Data not reported. ---
Linkage to HIV Medical Care Percentage of clients who attended a routine HIV medical care visit within 3 months of HIV diagnosis. Data not reported. ---
Antiretroviral Therapy (ART) Among Persons in HIV Medical Care Percentage of clients with an HIV diagnosis who were prescribed ART. Data Not Reported. ---
Housing StatusF Percentage of clients with an HIV diagnosis and receiving HIV services who were homeless or unstably housed. Percentage of HIV positive clients who were unstably housed. 4.4%
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The National HIV/AIDS Strategy (NHAS) Performance Indicators

NHAS goals were developed to re-focus the nation’s response to the HIV epidemic in the United States and to undertake a more coordinated response. NHAS goals are evaluated using results from Ryan White HIV/AIDS Program recipients to help provide a marker and assess progress towards achieving the goals.

Note that the NHAS goals are National targets and a compilation for work across the Federal government. The result shown applies only to the Ryan White HIV/AIDS Program in support of these goals.

Current degree of progression A striped orange bar indicates the current degree of progress toward the Goal.

Goal has been reached A solid green bar indicates that the Goal has been reached or exceeded.

Measure less than baseline A striped gray bar indicates that the 2013 measure is less than the Baseline value and that the Goal has not been achieved.

Example:

NHAS Performance Indicators for the United States in 2013
  NATIONAL TARGET HAB MEASURE RESULT
Reducing HIV-Related Health Disparities By 2015, increase the proportion of HIV diagnosed gay and bisexual men with undetectable viral load by 20% Percentage of HIV positive clients who are men who have sex with men (MSM) as a risk factor and had at least one Outpatient/Ambulatory Medical Care (OAMC) visit whose last viral load count was <200 copies.
72%
86%

80%

By 2015, increase the proportion of HIV diagnosed Blacks with undetectable viral load by 20% Percentage of HIV positive clients who are Black and had at least one OAMC visit whose last viral load count was <200 copies.
63%
76%

74%

By 2015, increase the proportion of HIV diagnosed Latinos with undetectable viral load by 20% Percentage of HIV positive clients who are Hispanic and had at least one OAMC visit whose last viral load count was <200 copies.
74%
89%

81%

Increasing Access to Care and Improving Health Outcomes for People Living with HIV/AIDS By 2015, increase the proportion of newly diagnosed patients linked to clinical care within three months of their HIV diagnosis from 65% to 85% Data not reported. ---
By 2015, increase the proportion of clients who are in continuous care (at least 2 visits for routine HIV medical care in 12 months at least 3 months apart) from 73% to 80% Percentage of HIV positive clients with an OAMC visit before September First who had another visit at least 90 days later.
73%
80%

81%

Increase the percentage of Ryan White recipients with permanent housing from 82% to 86% Percentage of Ryan White clients that were stably housed.
82%
86%

83%

FHousing status variable - Excerpted from the RSR Instruction Manual

Stable Permanent Housing includes the following:

  • Renting and living in an unsubsidized room, house, or apartment.
  • Owning and living in an unsubsidized house or apartment.
  • Unsubsidized permanent placement with families or other self-sufficient arrangements.
  • Housing Opportunities for Persons with AIDS (HOPWA)-funded housing assistance, including Tenant-Based Rental Assistance (TBRA) or Facility-Based Housing Assistance, but not including the Short-Term Rent, Mortgage and Utility (STRMU) Assistance Program.
  • Subsidized, non-HOPWA, house or apartment, including Section 8, the HOME Investment Partnerships Program, and Public Housing.
  • Permanent housing for formerly homeless persons, including Shelter Plus Care, the Supportive Housing Program (SHP), and the Moderate Rehabilitation Program for SRO Dwellings (SRO Mod Rehab).
  • Institutional setting with greater support and continued residence expected (psychiatric hospital or other psychiatric facility, foster care home or foster care group home, or other residence or long-term care facility).

Temporary Housing includes the following:

  • Transitional housing for homeless people.
  • Temporary arrangement to stay or live with family or friends.
  • Other temporary arrangement such as a Ryan White Program housing subsidy.
  • Temporary placement in an institution (e.g., hospital, psychiatric hospital or other psychiatric facility, substance abuse treatment facility, or detoxification center).
  • Hotel or motel paid for without emergency shelter voucher.

Unstable Housing Arrangements include the following:

  • Emergency shelter, a public or private place not designed for, or ordinarily used as, a regular sleeping accommodation for human beings, including a vehicle, an abandoned building, a bus/train/subway station/airport, or anywhere outside.
  • Jail, prison, or a juvenile detention facility.
  • Hotel or motel paid for with emergency shelter voucher.

These defenitions are based on:

  • Housing Opportunities for Persons With AIDS (HOPWA) Program, Annual Progress Report (APR), Measuring Performance Outcomes, form HUD-40110-C.
  • McKinney-Vento Act, Title 42 US Code, Sec. 11302, General definition of homeless individual.

L Data are reported by calendar year. Therefore, HAB is unable to calculate this measure, which requires data over a 24 month period.