HIV/AIDS in Hawai'i: state of the state.

This paper describes the HIV/AIDS epidemic in Hawai'i over the last decade and identifies characteristics of those infected, including race/ethnicity, age, and risk behaviors related to HIV acquisition. State-based HIV/AIDS surveillance and counseling and testing data were reviewed, along with a comprehensive review of HIV/AIDS-related literature and reports emerging from agencies in Hawai'i. Recent legislative measures concerning HIV testing, counseling and HIV reporting were reviewed and summarized. Hawai'i continues to have low HIV/AIDS prevalence compared to other US states. There have been continuing changes in the face of HIV/AIDS in Hawai'i over the last decade, including increased number of AIDS cases among Hispanics and African Americans and a decreased percentage of cases among Caucasians and also among men who have sex with men. Legislative and policy changes have been implemented with the intent of enhancing the efficiency and quantity of HIV testing, and of strengthening the HIV prevention and care services offered in the State.