• DSHS HIV/STD Program

    Post Office Box 149347, MC 1873
    Austin, Texas 78714

    Phone: (512) 533-3000

    E-mail the HIV/STD Program

    E-mail data requests to HIV/STD Program - This email can be used to request data and statistics on HIV, TB, and STDs in Texas. It cannot be used to get treatment or infection history for individuals, or to request information on programs and services. Please do not include any personal, identifying health information in your email such as HIV status, Date of Birth, Social Security Number, etc.

    For treatment/testing history, please contact your local Health Department.

    For information on HIV testing and services available to Persons Living with HIV and AIDS, please contact your local HIV services organization.

Epi Profile - Data Sources and Notes

This epidemiologic profile presents information on known cases of Human Immunodeficiency Virus (HIV) in Texas diagnosed through December 31, 2016 and reported as of July 23, 2017. The data presented on people living with HIV (PLWH), or prevalence, represent the cumulative number of people diagnosed with HIV who are not known to have died. The section on new HIV diagnoses includes all newly diagnosed cases of HIV disease regardless of their stage of disease at diagnosis. Statistics on new diagnoses of HIV are based on the earliest available diagnosis date.

The primary source of information for this report comes from routine disease surveillance. Texas laws and regulations require that certain health care professionals and laboratories report test results or results of diagnostic evaluation that indicate infection with HIV. These results are maintained in Texas’ Electronic HIV/AIDS Reporting System (eHARS). eHARS does not include those unaware of their infection status or those who tested positive for HIV infection solely through anonymous testing.


A Note on Mode of Exposure

The mode of exposure assigned to each HIV case represents the most likely way that the individual became infected with HIV based on the risk behaviors documented in the course of disease reporting or investigation. Nearly one-third of new HIV cases are reported without an identified risk factor. DSHS uses multiple imputation to assign a risk factor for these cases. Multiple imputation replaces missing risk factors with a range of possible values. Estimates of population sizes for risk behavior groups, with the exception of Men who have Sex with Men (MSM), are not available at this time; therefore, case rates were not calculated for Persons who Inject Drugs (PWID), persons engaging in high-risk heterosexual sex, and MSM/PWID.


A Note on Gender/Sex

HIV and STD surveillance is working to improve data collection on transgender persons. The sex of persons represented in these data may reflect current gender identity or sex at birth.


Data on STD/HIV and TB/HIV Comorbidity

A cross-registry match was performed between eHARS and Texas’ Sexually Transmitted Disease (STD) and tuberculosis (TB) registries to identify individuals co-infected with TB or any of three reportable STDs (chlamydia, gonorrhea, and syphilis) during 2016. A PLWH was considered to be co-infected if their co-infection was diagnosed ≥30 days prior to their HIV diagnosis or any time after their HIV diagnosis.


Medical Monitoring Project (MMP)

MMP collects behavioral and clinical information from a nationally representative sample of adults receiving medical care for HIV infection in outpatient facilities in the United States and Puerto Rico. The Texas and Houston MMP sites are two of 23 project areas that were funded to conduct data collection activities for the 2014 MMP data collection cycle. Patients who received medical care during January–April 2014 at an MMP participating facility were interviewed once during June 2014–April 2015 regarding HIV care experiences, health behaviors, risk behaviors, and unmet need during the 12 months preceding the interview. In addition, patients' medical records were abstracted for documentation of medical care including prescription of ART and HIV viral load and clinical outcomes for the 24 months preceding the interview.  All percentages were weighted for the probability of selection and adjusted for nonresponse bias.


National HIV Behavioral Surveillance (NHBS)

NHBS is an ongoing behavioral surveillance system that collects cross-sectional data among populations at high risk for acquiring HIV, including men who have sex with men (MSM), persons who inject drugs PWID), and heterosexuals at high risk for HIV infection (HET). NHBS activities are implemented in one-year cycles so that data are collected from each risk group every three years; these study cycles are referred to as NHBS- MSM, NHBS-IDU (PWID), and NHBS-HET. Individuals who consent to participate undergo an anonymous interview, receive an HIV test and are given a monetary incentive for their participation.


A Note on Counts and Rates

In looking at this profile, it is important to consider the total number of cases in addition to the number of cases relative to the size of the population in question (or rate). Therefore, where possible, we have included case rates to illustrate this point. The standard case rate when dealing with HIV is the number of people with HIV per 100,000 members of that particular population. Comparing case rates shows the relative difference of the burden of disease across groups with different population sizes allowing us to see which demographic groups and geographic areas are more vulnerable to HIV infection.


Epi Profile

Table of Contents | 1. Executive Summary | 2. New HIV Diagnoses | 3. Persons Living with HIV | 4. Co-Morbidities | 5. HIV/AIDS Deaths | 6. HIV Incidence | 7. Focused and Routine HIV Testing | 8. Indicators of HIV Risk in HIV-negative Persons at High Risk for HIV | 9. Indicators of HIV Risk in PLWH Currently in Care | 10. Men Who Have Sex With Men (MSM) | 11. HIV Treatment Cascade | Data Sources and Notes

Last updated December 21, 2017