AIDSVu

AIDSVu is an interactive online map depicting the HIV epidemic in the U.S.

You are here: Home / Profiles / United States

Local Data: United States

In 2021, there were 1,086,806 people living with HIV in the U.S.
In 2021, 36,126 people were newly diagnosed with HIV.

All sections include Puerto Rico data unless otherwise noted with an+

HIV Prevalence

Number of people living with HIV, 2021 1,086,806

Rate of people living with HIV per 100,000 population, 2021 384

Percent of people living with HIV, by Sex, 2021

76.9% 23.1%
  • Male
  • Female

Percent of people living with HIV, by Race/Ethnicity, 2021

39.8% 24.9% 28.2%
  • Black
  • Hispanic/Latinx
  • White

Percent of people living with HIV, by Age, 2021

2.6% 15.2% 18.9% 22.7% 40.6%
  • Aged 13-24
  • Aged 25-34
  • Aged 35-44
  • Aged 45-54
  • Aged 55+

New HIV Diagnoses

Number of new HIV diagnoses, 2021 36,126

Rate of new HIV diagnoses per 100,000 population, 2021 13

Percent of people newly diagnosed with HIV, by Sex, 2021

81.6% 18.4%
  • Male
  • Female

Percent of people newly diagnosed with HIV, by Race/Ethnicity, 2021

40.2% 29.0% 25.1%
  • Black
  • Hispanic/Latinx
  • White

Percent of people newly diagnosed with HIV, by Age, 2021

19.3% 36.5% 21.1% 12.5% 10.5%
  • Aged 13-24
  • Aged 25-34
  • Aged 35-44
  • Aged 45-54
  • Aged 55+

Number of New HIV Diagnoses, 2008-2021

Number of New HIV Diagnoses 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 30,500 39,200 47,900 47,821 45,315 43,662 41,831 41,099 39,713 40,470 40,285 39,962 38,775 37,736 36,817 30,575 36,126

PrEP (Pre-Exposure Prophylaxis)

Number of PrEP users, 2022 435,677

Rate of PrEP users per 100,000 population, 2022 154

Percent of PrEP users, by Sex, 2022

92.2% 7.8%
  • Male
  • Female

Percent of PrEP users, by Race/Ethnicity, 2022

13.6% 17.4% 64.4%
  • Black
  • Hispanic/Latinx
  • White

Percent of PrEP users, by Age, 2022

13.0% 39.5% 24.8% 12.2% 10.5%
  • Aged 13-24
  • Aged 25-34
  • Aged 35-44
  • Aged 45-54
  • Aged 55+

Number of PrEP Users, 2012-2022

Number of PrEP Users 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 9,600 222,650 435,700 9,626 10,385 23,094 56,462 103,862 151,745 214,639 266,484 295,416 363,957 435,677

PrEP-to-Need Ratio (PNR)

The 2022 PrEP-to-Need Ratio (PNR) is the ratio of the number of PrEP users in 2022 to the number of people newly diagnosed with HIV in 2021. PNR serves as a measurement for whether PrEP use appropriately reflects the need for HIV prevention. A lower PNR indicates more unmet need.

PNR, 2022 12.06

PNR, by Sex, 2022 Male: 13.63 Female: 5.09

PNR, by Race/Ethnicity, 2022 Black: 4.08 Hispanic/Latinx: 7.25 White: 30.97

PNR, by Age, 2022 Aged 13-24: 8.09 Aged 25-34: 13.04 Aged 35-44: 14.15 Aged 45-54: 11.81 Aged 55+: 12.05

PNR, 2012-2022

PNR 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 0.00 10.00 20.00 0.23 0.26 0.57 1.40 2.60 3.91 5.69 7.24 9.66 10.07 12.06

HIV Continuum of Care, 2021

Late Diagnoses and Linked to Care are among people newly diagnosed with HIV and Receipt of Care and Viral Suppression are among all people living with HIV.

100 80 60 40 20 21.1% Late Diagnoses 81.9% Linked to Care 75.3% Receipt of Care 65.9% Viral Suppression Diagnoses-based HIV Continuum Care, 2021

Late HIV Diagnoses

A late HIV diagnosis is defined as having an AIDS diagnosis within three months of initial HIV diagnosis.

Number of new HIV diagnoses that were diagnosed late, 2021 7,520

Proportion of people with a late HIV diagnosis, by Sex, 2021 Male: 21.0% Female: 21.1%

Proportion of people with a late HIV diagnosis, by Race/Ethnicity, 2021 Black: 19.8% Hispanic/Latinx: 22.1% White: 21.4%

Percent of new HIV diagnoses that were diagnosed late, 2021 21.1%

Proportion of people with a late HIV diagnosis, by Age, 2021 Aged 13-24: 9.9% Aged 25-34: 16.9% Aged 35-44: 25.4% Aged 45-54: 32.4% Aged 55+: 34.2%

Linked to HIV Care

Linkage to care is defined as having a visit with a health care provider and getting a CD4 or viral load test within one month of being diagnosed with HIV.

Number of people diagnosed with HIV and linked to HIV care, 2021 27,535

Proportion of people linked to HIV care, by Sex, 2021 Male: 82.0% Female: 81.8%

Proportion of people linked to HIV care, by Race/Ethnicity, 2021 Black: 79.8% Hispanic/Latinx: 84.5% White: 82.1%

Percent of people diagnosed with HIV and linked to HIV care, 2021 81.9%

Proportion of people linked to HIV care, by Age, 2021 Aged 13-24: 80.2% Aged 25-34: 81.7% Aged 35-44: 82.2% Aged 45-54: 83.4% Aged 55+: 84.0%

Receipt of HIV Care

Receipt of HIV care is defined as those living with diagnosed HIV who received medical care for HIV and had at least one CD4 count or HIV viral load test in that year.

Number of people living with HIV who received HIV care, 2021 726,340

Proportion of people who received HIV care, by Sex, 2021 Male: 75.5% Female: 74.8%

Proportion of people who received HIV care, by Race/Ethnicity, 2021 Black: 73.4% Hispanic/Latinx: 72.4% White: 78.8%

Percent of people living with HIV who received HIV care, 2021 75.3%

Proportion of people who received HIV care, by Age, 2021 Aged 13-24: 79.6% Aged 25-34: 77.1% Aged 35-44: 75.0% Aged 45-54: 75.4% Aged 55+: 74.4%

Viral Suppression

Viral suppression is defined as those living with diagnosed HIV who had suppressed HIV viral load (<200 copies/mL).

Number of people living with HIV who were virally suppressed, 2021 635,300

Proportion of people who were virally suppressed, by Sex, 2021 Male: 66.3% Female: 64.5%

Proportion of people who were virally suppressed, by Race/Ethnicity, 2021 Black: 61.6% Hispanic/Latinx: 64.3% White: 71.7%

Percent of people living with HIV who were virally suppressed, 2021 65.9%

Proportion of people who were virally suppressed, by Age, 2021 Aged 13-24: 65.1% Aged 25-34: 63.8% Aged 35-44: 63.9% Aged 45-54: 66.4% Aged 55+: 67.5%

HIV Mortality

Number of deaths of people with HIV, 2021 19,982

Rate of deaths of people with HIV per 100,000 population, 2021 7

Percent of deaths of people with HIV, by Sex, 2021

75.9% 24.1%
  • Male
  • Female

Percent of deaths of people with HIV, by Race/Ethnicity, 2021

42.1% 19.3% 30.2%
  • Black
  • Hispanic/Latinx
  • White

Percent of deaths of people with HIV, by Age, 2021

0.6% 6.9% 11.5% 19.3% 61.8%
  • Aged 13-24
  • Aged 25-34
  • Aged 35-44
  • Aged 45-54
  • Aged 55+

Demographics, 2021

Total Population 331,893,745

National Population by Race/Ethnicity

  • American Indian / Alaska Native (0.7%)
  • Asian (5.9%)
  • Black (12.6%)
  • Hispanic / Latinx (18.9%)
  • Native Hawaiian / Other Pacific Islander (0.2%)
  • White (59.3%)
  • Multiple Race (2.3%)
  • Other/Unknown* (0.1%)

*Includes other races/ethnicities or missing/suppressed data

HIV Prevalence Rate Ratios, by Race/Ethnicity, 2021

The rate of Black males living with an HIV diagnosis is 5.6 times that of White males.

The rate of Hispanic/Latino males living with an HIV diagnosis is 2.8 times that of White males.

The rate of Black females living with an HIV diagnosis is 16.6 times that of White females.

The rate of Hispanic/Latina females living with an HIV diagnosis is 4.4 times that of White females.

Late HIV Diagnoses, 2021

A late HIV diagnosis is defined as having an AIDS diagnosis within three months of initial HIV diagnosis.

United States

78.9% 21.1%
  • Diagnosed with HIV
  • Diagnosed with AIDS

People Living with HIV, by Transmission Category, 2021

Percent of People Living with HIV, by Transmission Category, 2021

Male Transmission Categories

  • Injection Drug Use (8.1%)
  • Heterosexual Contact (9.8%)
  • Male-to-Male Sexual Contact (74.2%)
  • Male-to-Male Sexual Contact & Injection Drug Use (7.0%)
  • Other/Unknown* (0.9%)

Female Transmission Categories

  • Injection Drug Use (19.4%)
  • Heterosexual Contact (77.4%)
  • Other/Unknown* (3.2%)

*Includes risk factor not reported or identified, along with hemophilia, blood transfusion, perinatal exposure, or missing/suppressed data.

People Newly Diagnosed with HIV, by Transmission Category, 2021

Percent of People Newly Diagnosed with HIV, by Transmission Category, 2021

Male Transmission Categories

  • Injection Drug Use (4.9%)
  • Heterosexual Contact (8.6%)
  • Male-to-Male Sexual Contact (81.8%)
  • Male-to-Male Sexual Contact & Injection Drug Use (4.7%)

Female Transmission Categories

  • Injection Drug Use (16.1%)
  • Heterosexual Contact (83.0%)
  • Other/Unknown* (0.9%)

*Includes risk factor not reported or identified, along with hemophilia, blood transfusion, perinatal exposure, or missing/suppressed data.

HIV Mortality Rates, 2019-2021

  • United States
7 5.6 4.2 2.8 1.4 0 5.9 2019 6.8 2020 7.0 2021 Mortality Rates of Persons Diagnosed with HIV per 100,000 population, 2019-2021

HIV Testing, 2021

These data represent 2021 weighted estimates of HIV testing prevalence by selected demographic characteristics, based on responses to the Behavioral Risk Factor Surveillance System (BRFSS) survey question, "Have you ever been tested for HIV?"

60 48 36 24 12 0 35.1% Overall Men 36.8% Women 37.9% By Sex 18-24 26.5% 25-34 47.6% 35-44 52.3% 45-54 47.2% 55-64 35.5% 65+ 18.4% By Age White 33.3% Black 55.7% Hispanic/ Latinx 43.1% American Indian/ Alaskan Native 46.1% Asian 22.1% Native Hawaiian/ Pacific Islander 34.8% Multiple Race 47.1% Other 44.1% By Race/Ethnicity

Lived Experiences of Adults Living with Diagnosed HIV, 2021

Unstable Housing or Homelessness

Persons were considered to have experienced unstable housing or homelessness if they reported any form of unstable housing or homelessness during the past 12 months.

Percentage with Unstable Housing or Homelessness

Overall

100 80 60 40 20 17.0% National

Gender

100 80 60 40 20 16.6% Male 17.2% Female 27.1% Transgender

Race/Ethnicity

100 80 60 40 20 19.7% Black 16.1% Hispanic/Latinx 12.1% White

Transmission Category

100 80 60 40 20 22.3% Injection Drug Use (IDU) 16.9% Heterosexual Contact 15.2% Male to Male Sexual Contact (MSM) 26.1% MSM & IDU 17.4% Other

HIV Stigma

Median score of HIV Stigma on a 10-item scale ranging from 0 (no stigma) to 100 (high stigma). Score is based on 4 dimensions of HIV stigma: personalized stigma during the past 12 months, current disclosure concerns, current negative self-image, and current perceived public attitudes about people living with HIV.

----- Median Score 0 = No Stigma 100 = High Stigma

To make data easier to view, we have zoomed in to 0-40 on the stigma scale(s) below.

Overall

0 40 bool(true) 28.8
National 28.8

Gender

0 40 bool(true) 27.9 bool(false) 33.5 bool(true) 34.2
Male 27.9
Female 33.5
Transgender 34.2

Race / Ethnicity

0 40 bool(true) 27.1 bool(false) 27.8 bool(true) 31.5
White 27.1
Black 27.8
Hispanic/Latinx 31.5

Transmission Category

0 40 bool(true) 27.6 bool(false) 29.1 bool(true) 29.5 bool(false) 29.9 bool(true) 32.8
Male to Male Sexual Contact (MSM) 27.6
MSM & IDU 29.1
Other 29.5
Injection Drug Use (IDU) 29.9
Heterosexual Contact 32.8

Social Determinants of Health, 2021

Percent of Population with a High School Education, 2021 88.9%

Income Inequality (Gini Coefficient), 2021 0.482

Percent of Population Living in Poverty, 2021 12.6%

Median Household Income, 2021 $69,021

Percent of Population (<65) Lacking Health Insurance, 2021 10.3%

Percent of Population Unemployed, 2021 5.3%

Percent of Population Living with Food Insecurity, 2018-2021 10.2%

Percent of Population Living in Unstable Housing, 2021 14.3%

HIV Federal Funding/Programs, Federal HIV/AIDS Grant Funding, FY 2023

Ryan White HIV/AIDS Program, FY 2023 $2,571,000,000

Housing Opportunities for Persons With AIDS, FY 2023 $499,000,000

CDC Funding, FY 2023 $1,014,000,000

Sexually Transmitted Diseases, 2021

Rate of Chlamydia per 100,000 population, 2021 495.5

Rate of Gonorrhea per 100,000 population, 2021 214.0

Rate of Syphilis per 100,000 population, 2021 16.2

HIV Criminalization, 2022

States with HIV-Specific Criminal Laws/Statutes

States with HIV-specific criminal laws and/or sentence enhancements applicable to people living with HIV.

30 of 51 states

States That Have Prosecuted PLWH

States that have prosecuted people living with HIV under non-HIV-specific, general criminal laws.

25 of 51 states

AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
DC
WV
WI
WY

Status of state criminalization laws are as of June 28, 2022. Source: CHLP.

Resources

Use AIDSVu in your work. From downloadable datasets and educational infographics, to Deeper Looks at the epidemic, there are an abundance of resources for public health officials, policymakers, researchers, and community members.

View All Resources

Data Methods

Learn more about the data used on AIDSVu.

Health Department Website

Sign up for AIDSVu updates.