Racial/Ethnic Disparity Among Persons Newly Diagnosed with HIV in New York State.

The HIV diagnosis rate in New York State declined substantially from 2013 to 2023, but the rate of decline varied across race/ethnicity groups, exacerbating disparity. For example, in 2013, the HIV diagnosis rate was 7.1 times higher among non-Hispanic Black individuals than among non-Hispanic White individuals. In 2023, it was 7.9 times higher. Racial/ethnic disparity was even more evident among females, especially non-Hispanic Black females, whose HIV diagnosis rate was 14.6 times higher than non-Hispanic White females in 2023. We compared the racial/ethnic composition of the NYS population overall with that of persons newly diagnosed with HIV in NYS and calculated HIV diagnosis rates for all race/ethnicity groups from 2013 to 2023. We calculated the percent change over time and compared the diagnosis rate for each group with that of non-Hispanic White individuals. We further examined racial/ethnic disparity stratified by sex at birth, gender, and transmission risk group.