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Reproductive and Sexual Health

Latest Data

Where We’ve Been and Where We’re Going

From 2006 to 2009, the proportion of people age 13 and older living with HIV who knew their serostatus increased from 80.6% to 81.9%. During the same time period, the estimated number of people living with HIV increased from 1,061,100 to 1,148,200. In 2009, several groups experienced lower knowledge of serostatus, including:

  • Men overall (compared to women)
  • People whose HIV exposure was only through sexual activity, including men who have sex with men, heterosexual males, and heterosexual females (compared to female injection drug users)
  • Younger age groups (compared to older age groups)
  • Blacks, Hispanics, American Indians/Alaska Natives, and Asians (compared to whites)

During 2006–2010, 78.6% of sexually experienced females age 15–44 reported receiving reproductive health services in the last 12 months. Several groups experienced lower levels of receipt of reproductive health services compared to their counterparts, including:

  • Females with family incomes less than four times the Federal poverty limit (compared to those with family incomes between four and five times the Federal poverty limit)
  • Those with less than a high school education (compared to those with advanced degrees)
  • Those without health insurance (compared to those with public insurance)
  • Those age 15–17 and 25–44 (compared to those age 18–24)

Leading Health Indicators

Explore the trends and disparities for each indicator.
Awareness of HIV infection status (HIV-13)
Increase the proportion of sexually experienced females aged 15 to 44 years who received reproductive health services in the past 12 months (FP-7.1)

Awareness of HIV infection status (HIV-13)

  • Healthy People 2020 objective HIV-13 tracks the proportion of persons aged 13 years and older living with HIV who know their serostatus.
    • HP2020 Baseline: In 2006, 80.6% of persons living with HIV were aware of their serostatus.
    • HP2020 Target: 90%, consistent with the National HIV/AIDS Strategy.
  • Among racial/ethnic groups for persons aged 13 years and older, the white non-Hispanic population had the highest percentage of persons living with HIV who knew their serostatus, 85.2% in 2009, whereas the black non-Hispanic, Hispanic or Latino, American Indians/Alaska Native, and Asian populations had percentages of 80.6%, 80.3%, 75.3% and 72.6%, respectively.
  • In 2009, a higher percentage of women aged 13 years and older knew their serostatus than men (84.7% versus 81.0% in 2009).

Awareness of HIV Infection Status by Sex, 2009

A higher percentage of women aged 13 years and older knew their serostatus than men.

SOURCE: National HIV Surveillance System, CDC, NCHHSTP.

  • Among mutually exclusive HIV transmission categories for persons aged 13 years and older, a higher percentage of female injection drug users (IDU) knew their serostatus, 91.2% in 2009, whereas men who have sex with men, heterosexual men, and heterosexual women had rates of 79.1%, 75.6%, and 82.4%, respectively. (The "other" category, which includes hemophilia, blood transfusion, perinatal exposure, and risk factor not reported or not identified, was not used as the comparison group due to the relative standard error of the estimate being greater than 10%.)

Endnotes:

  • Unless otherwise stated, all comparisons described are statistically significant at the 0.05 level of significance.
  • Data for this objective are available annually and are estimated from the National HIV Surveillance System, CDC, NCHHSTP.

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Increase the proportion of sexually experienced females aged 15 to 44 years who received reproductive health services in the past 12 months (FP-7.1)

  • Healthy People 2020 objective FP-7.1 tracks the proportion of sexually experienced females aged 15 to 44 years who received reproductive health services in the last 12 months.
    • HP2020 Baseline: In 2006–2010, 78.6% of sexually experienced females aged 15 to 44 years received reproductive health services in the past 12 months.
    • HP2020 Target: 86.5%, a 10 percent improvement over the baseline.
  • Among racial/ethnic groups for sexually experienced females aged 15-44 years, black non-Hispanic women had the best (highest) rate of receipt of reproductive health services in the last 12 months, 83.8% in 2006–2010, whereas white non-Hispanic and Hispanic women had rates of 79.8% and 72.1%, respectively.
  • Females (sexually experienced) aged 18-24 years reported a higher level of receipt of reproductive health services than females aged 15-17 years or females aged 25-44 years (87.1% versus 71.9% and 76.5%, respectively, in 2006–2010).
    • When expressed as females who have not received reproductive health services in the last 12 months, the rate for females aged 15-17 years was more than twice the best group rate; the rate for females aged 25-44 years was nearly twice the best group rate.
  • Among income groups for sexually experienced females aged 15-44 years, females (sexually experienced) whose family income was 400-499% of the Federal Poverty Limit (FPL) experienced the highest rate of receipt of reproductive health services, 89.4%, in 2006–2010, whereas females in the 100-199% of FPL had the lowest rate of receipt of services, 72.8%, in 2006–2010.
    • When expressed as females who did not receive reproductive health services in the past 12 months, the rate for females in the 100-199% FPL group was more than two and a half times the best group rate.
  • In 2006–2010, 85.2% of sexually experienced females aged 15-44 years with an advanced degree received reproductive health services in the last 12 months compared to 66.5% with less than a high school education.
  • Rates for women in other education groups were:
    • 66.5% for those with less than a high school education.
    • 72.0% for those with a high school education or GED.
    • 79.2% for those with some college education.
    • 81.2% for those with a bachelor's degree.
    • When expressed as females who did not receive reproductive health services in the past 12 months, the rate for females with less than a high school education was almost two and a half times the best group rate; the rate for females with a high school education or a GED was almost twice the best group rate; and the rate for females with some college education was about one and a half times the best group rate.
  • Females Not Receiving Reproductive Health Services by Educational Attainment, 2006–10

    The rate for females aged 15-44 years with less than a high school education was almost 2 1/2 times the rate for those with an advanced degree.

    SOURCE: National Survey of Family Growth (NSFG), CDC, NCHS.

  • Among health insurance groups for sexually experienced females aged 15-44 years, those with public health insurance had the highest rate of receipt of reproductive health services (84.2%) in 2006–2010. Rates for women in other health insurance groups were:
    • 82.3% for those with private or public health insurance.
    • 81.8% for those with private health insurance.
    • 64.6% for those with no health insurance.
    • When expressed as females who did not receive reproductive health services in the past 12 months, the rate for females without insurance was more than twice the best group rate.

Endnotes:

  • Unless otherwise stated, all comparisons described are statistically significant at the 0.05 level of significance.
  • Data for this objective are available periodically and come from the National Survey of Family Growth (NSFG), CDC, NCHS.
  • The terms "Hispanic or Latino" and "Hispanic" are used interchangeably in this report.

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