HIV and AIDS in the United States by geographic distribution
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    In the United States, the HIV and AIDS epidemic is not evenly distributed across states and regions. Generally, HIV and AIDS are concentrated in urban areas, so states reporting higher rates of persons living with a diagnosis of HIV infection or AIDS usually contain major metropolitan areas where their epidemics are focused. However, some generalities about the epidemic can be understood by considering regional aspects. For example, at the end of 2009, the rate (which takes into account the size of the population by noting the number of cases per 100,000 people) of persons living with an AIDS diagnosis was highest in the Northeast, followed by the South, the West, and the Midwest1, even though the estimated number of adults and adolescents living with an AIDS diagnosis was highest in the South. In 2010, blacks accounted for the largest proportion of AIDS diagnoses in all regions except the West, where whites accounted for the highest proportion of diagnoses.

    Understanding the places and populations that are most affected by HIV and AIDS allows the federal government to allocate its resources in such a way that they are matched to the geographic areas where they are needed most, while still supporting a basic level of HIV education and prevention for everyone across the country.

    CS233454

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