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Ryan White and National Youth HIV and AIDS Awareness Day

April 1, 2019



Twenty-one percent of new HIV cases in 2016 in the United States occurred among young people (ages 13-24), according to the U.S. Centers for Disease Control and Prevention (CDC). These new infections occurred overwhelmingly among gay/bisexual men, particularly African Americans. However, new infections among youth declined 24% between 2010 and 2015. About half of HIV-infected youth aged 18-24 in the United States are thought to be undiagnosed and thus not linked to care, which is the highest rate of undiagnosed HIV among all age groups. 

4.4% of RWHAP clients are 24 and younger

Young RWHAP Clients and Viral Suppression

The proportion of RWHAP clients who achieved viral suppression has increased steadily from 2010 to 2016, from 69.5% to 85.9%. However, RWHAP clients aged 13-24 do not fare as well, with only 74.1% in this age group achieving viral suppression, according to the 2017 RWHAP Annual Client-Level Data Report. Viral suppression was lowest among youth with no health care coverage (68.2%) and youth with unstable housing (62.7%).

TA and Training Projects

Below is a summary of some HRSA-funded projects that include a focus on populations hit hardest by HIV, including youth.

Best Practices

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Building Futures: Supporting Youth Living with HIV has identified best practices for enhancing services to youth living with HIV (YLWH), ages 13-24, that contribute to better outcomes in retention and viral suppression. 

Clinical Quality Management

The end+disparities ECHO Collaborative is a HRSA-supported national improvement initiative to measurably increase viral suppression rates for four disproportionately affected subpopulations of people living with HIV among Ryan White HIV/AIDS Program recipients/subrecipients. The selected HIV subpopulations are African American Women and Latinas, MSM of Color, Transgender People, and Youth.

Health Literacy

In It Together, a National Health Literacy Project for Black MSM, is HRSA-supported project designed to increase health professionals’ understanding and use of health literacy to improve engagement and retention in HIV care and treatment.

Engaging Black MSM in Care

HRSA has supported numerous initiatives over the decades to enhance care delivery for hard-hit populations, including young African American gay/bisexual men. Among these initiatives are the following:

The His Health: Engaging Black MSM in HIV Care project offers a compendium of care models, training modules on PrEP and other topics, and resources for enhanced linkage, retention, and engagement strategies targeting Black MSM. The initiative targets providers and offers continuing medical education (CME) and continuing nursing unit (CNU) credits for clinicians to increase their capacity to accelerate health care service delivery to Black MSM.

The Well Versed program is a conversation-starting resource for health care providers and Black MSM. This consumer-oriented website provides information about how to get the most out of health care by being active and informed.

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