ix. Project Abstract General Demographics of Nebraska Nebraska is divided into 93 counties covering 77,421 square miles with a population size of 1,934,408. The major population centers are located in the eastern part of the state in the areas of Omaha (Douglas County) and Lincoln (Lancaster County). Nebraska becomes less populated in the western part of the state. According to the 2020 Census, Nebraska has 1,961,504 people in which those reporting identified as 88.1% White, 5.0% Black, 2.7% Asian, 11.4% Hispanic (and rapidly growing), 1.5% Native American, and 2.3% two or more races. Also according to the most recent Census data, 9.9% of Nebraskans live below the poverty line and Nebraska under the age of 65 without insurance are 9.8%. Demographics of HIV/AIDS Population in Nebraska According to Nebraska’s 2018 epidemiological data, men represented 77.8% and women represented 22.2% of all HIV and AIDS cases. There were 79 newly diagnosed cases in 2018. Of these cases, 21.5% were aged 13-24 years, 36.7% were aged 25-34 years, 17.7% were aged 35-44 years, 16.5% were aged 45-54 years, and 7.6% were aged 55+ years. New cases disproportionality affects Black and Latinx/Hispanic individuals each group accounts for 24.1% of individuals. Finally, males accounted for 91.1% of new cases in 2018. Statewide, only 5.2% of Nebraskans identified as Black, however Black individuals account for 27.8% of HIV cases in the state. Furthermore, 11.4% of Nebraskans identified as Latinx/Hispanic, but accounted for 16.1% of HIV cases. Among males who are living with HIV, 74.5% contracted the virus via MSM and have higher rates of chlamydia, gonorrhea, syphilis. According to the Nebraska 2015 Epidemiologic Profile for HIV/AIDS, the following are comorbid factors for people living with HIV/AIDS, STIs, Hepatitis C, and mental health and substance abuse issues. Geography of State/Location of services with regard to HIV/AIDS Impacted Populations and Services Avai
lable Access to health care and support services (housing, transportation, utility and food assistance) are the primary identified needs of individuals infected with HIV. Access to services and care can be difficult due to geographical distance, lack of transportation and individual health issues. Many of Nebraska’s HIV positive consumers have to travel hundreds of miles for care and treatment for HIV and co-diagnoses such as hepatitis C, mental health, and substance abuse services. Description of Services, Delivery, and Client Support for Accessing and Remaining in Care The Program provides funding for care and support services for qualified individuals living with HIV/AIDS via four program components: 1) The AIDS Drug Assistance Program (ADAP), providing therapeutic medications for the treatment of HIV infection. 2) Emergency Financial Assistance, providing support services such as; housing, utilities, transportation, food and insurance premium payment assistance. 3) Core medical services, including medical case management, outpatient ambulatory, mental health and Ryan White funded services and referrals for qualified clients. 4) Support services, including minority outreach, health education, and medical transportation services. Description of ADAP Restrictions At the current time, Nebraska does not have any restrictions regarding access to services for HIV+ individuals. Nebraska does not currently have a waiting list.