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Nearly a fifth of new diagnoses in the state are people over 50 years old, while half of Americans living with the virus are approaching retirement age.
THE FORGOTTEN MAJORITY: HIV diagnoses in Arizona are markedly higher per capita than many regions in the U.S., rivaling parts of the Deep South where HIV has historically been a problem due to access and stigma.
Most of the people in Arizona diagnosed with the virus are people of color and under the age of 25, but there is a largely undiscussed issue of older people contracting the virus and spreading it amongst their communities.
According to the most recent Arizona Department of Health and Human Services reports, people over 50 years old account for 17% of all HIV diagnoses. It's unclear from the data where those people live and where they're contracting the virus (partners, bathhouses, or anonymous sex).
Public health experts say that the reasons for the increase ranges from the prevalence of sexual enhancement pills matched with a belief to ditch condoms in older age, to people not being on PrEP—the medical intervention that reduces HIV transmission by almost 100% for sexual intercourse.
Why older people don't figure out they have HIV early—spreading it among multiple partners—also spans from the stigma of getting tested for STD's as people get older to confusing regular aches and pains of old age with early signs of HIV.
For his last piece for us this summer, our intern Fitzwilliam Anderson has the story on how one organization is working to help with the social problems of living with HIV as people get older:
LOOKOUT'S TAKE: HIV continues to be an issue for Arizona's LGBTQ+ community, but the reality is that even though it impacts us most, it doesn't impact us, alone.
Recent numbers show that cisgender straight women continue to be diagnosed with the virus because of sexual intercourse with their partners who have sex with other men unprotected. And Arizona's prisons have some of the highest HIV prevalence rates in the region.
But most shocking is how Arizona still lags behind other states like California and New York in PrEP usage despite us having the 4th largest trans population in the nation, and being one of the top 20 LGBTQ+ populations in the nation, according to the Williams Institute. According to AIDSVu, a research group that tracks HIV diagnoses and PrEP usage nationally, less than 10,000 people are on PrEP in Arizona, out of an estimated LGBTQ+ population of a quarter million youth and adults.
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