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Home Local Data United States

Local Data: United States

In 2020, there were 1,069,947 people living with HIV in the U.S.
In 2020, 30,632 people were newly diagnosed with HIV.

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

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  • HIV Prevalence
  • New HIV Diagnoses
  • PrEP
  • HIV Care Continuum
  • HIV Mortality
  • Demographics
  • Social Determinants of Health

HIV Prevalence

Number of people living with HIV, 2020 1,069,947

Rate of people living with HIV per 100,000 population, 2020 382

Percent of people living with HIV, by Sex, 2020

76.8% 23.2%
  • Male
  • Female

Percent of people living with HIV, by Race/Ethnicity, 2020

40.1% 24.5% 28.6%
  • Black
  • Hispanic/Latinx
  • White

Percent of people living with HIV, by Age, 2020

2.7% 15.3% 18.6% 24.1% 39.2%
  • Aged 13-24
  • Aged 25-34
  • Aged 35-44
  • Aged 45-54
  • Aged 55+

New HIV Diagnoses

Number of new HIV diagnoses, 2020 30,632

Rate of new HIV diagnoses per 100,000 population, 2020 11

Percent of people newly diagnosed with HIV, by Sex, 2020

82.1% 17.9%
  • Male
  • Female

Percent of people newly diagnosed with HIV, by Race/Ethnicity, 2020

41.9% 27.0% 25.6%
  • Black
  • Hispanic/Latinx
  • White

Percent of people newly diagnosed with HIV, by Age, 2020

20.0% 37.0% 19.5% 13.0% 10.5%
  • Aged 13-24
  • Aged 25-34
  • Aged 35-44
  • Aged 45-54
  • Aged 55+

Number of New HIV Diagnoses, 2008-2020

Number of New HIV Diagnoses 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 30,600 39,300 48,000 47,940 45,373 43,661 41,841 41,125 39,742 40,462 40,282 39,954 38,763 37,848 36,919 30,632

PrEP (Pre-Exposure Prophylaxis)

Number of PrEP users, 2021 363,146

Rate of PrEP users per 100,000 population, 2021 130

Percent of PrEP users, by Sex, 2021

92.0% 7.9%
  • Male
  • Female

Percent of PrEP users, by Race/Ethnicity, 2021

13.9% 17.1% 64.5%
  • Black
  • Hispanic/Latinx
  • White

Percent of PrEP users, by Age, 2021

12.8% 39.3% 24.1% 13.5% 10.3%
  • Aged 13-24
  • Aged 25-34
  • Aged 35-44
  • Aged 45-54
  • Aged 55+

Number of PrEP Users, 2012-2021

Number of PrEP Users 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 9,600 186,400 363,200 9,646 10,374 23,065 56,385 103,921 152,051 214,929 266,198 294,883 363,146

PrEP-to-Need Ratio (PNR)

The 2021 PrEP-to-Need Ratio (PNR) is the ratio of the number of PrEP users in 2021 to the number of people newly diagnosed with HIV in 2020. PNR serves as a measurement for whether PrEP use appropriately reflects the need for HIV prevention. A lower PNR indicates more unmet need.

PNR, 2021 11.86

PNR, by Sex, 2021 Male: 13.28 Female: 5.26

PNR, by Race/Ethnicity, 2021 Black: 3.94 Hispanic/Latinx: 7.50 White: 29.90

PNR, by Age, 2021 Aged 13-24: 7.60 Aged 25-34: 12.58 Aged 35-44: 14.60 Aged 45-54: 12.31 Aged 55+: 11.71

PNR, 2012-2021

PNR 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 0.00 10.00 20.00 0.23 0.26 0.57 1.40 2.60 3.92 5.68 7.21 9.63 11.86

HIV Continuum of Care, 2020

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 21.6% Late Diagnoses 82.4% Linked to Care 74.1% Receipt of Care 64.6% Viral Suppression Diagnoses-based HIV Continuum Care, 2020

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, 2020 6,545

Proportion of people with a late HIV diagnoses, by Sex, 2020 Male: 21.5% Female: 23.2%

Proportion of people with a late HIV diagnoses, by Race/Ethnicity, 2020 Black: 20.0% Hispanic/Latinx: 22.8% White: 22.4%

Percent of new HIV diagnoses that were diagnosed late, 2020 21.6%

Proportion of people with a late HIV diagnoses, by Age, 2020 Aged 13-24: 9.1% Aged 25-34: 17.4% Aged 35-44: 25.2% Aged 45-54: 34.9% Aged 55+: 37.1%

Linked to HIV Care

Linkage to care is defined as having a visit with an HIV health care provider within one month of being diagnosed with HIV.

Number of people diagnosed with HIV and linked to HIV care, 2020 23,419

Proportion of people linked to HIV care, by Sex, 2020 Male: 82.4% Female: 82.3%

Proportion of people linked to HIV care, by Race/Ethnicity, 2020 Black: 79.7% Hispanic/Latinx: 85.1% White: 83.6%

Percent of people diagnosed with HIV and linked to HIV care, 2020 82.4%

Proportion of people linked to HIV care, by Age, 2020 Aged 13-24: 80.0% Aged 25-34: 82.3% Aged 35-44: 82.5% Aged 45-54: 84.5% Aged 55+: 84.5%

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, 2020 699,587

Proportion of people who received HIV care, by Sex, 2020 Male: 74.2% Female: 73.6%

Proportion of people who received HIV care, by Race/Ethnicity, 2020 Black: 72.1% Hispanic/Latinx: 71.4% White: 77.5%

Percent of people living with HIV who received HIV care, 2020 74.1%

Proportion of people who received HIV care, by Age, 2020 Aged 13-24: 78.1% Aged 25-34: 75.5% Aged 35-44: 73.5% Aged 45-54: 74.4% Aged 55+: 73.2%

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, 2020 609,654

Proportion of people who were virally suppressed, by Sex, 2020 Male: 65.0% Female: 63.2%

Proportion of people who were virally suppressed, by Race/Ethnicity, 2020 Black: 60.4% Hispanic/Latinx: 63.2% White: 70.2%

Percent of people living with HIV who were virally suppressed, 2020 64.6%

Proportion of people who were virally suppressed, by Age, 2020 Aged 13-24: 63.5% Aged 25-34: 62.0% Aged 35-44: 62.4% Aged 45-54: 65.5% Aged 55+: 66.3%

HIV Mortality

Number of deaths of people with HIV, 2020 18,483

Rate of deaths of people with HIV per 100,000 population, 2020 7

Percent of deaths of people with HIV, by Sex, 2020

75.5% 24.5%
  • Male
  • Female

Percent of deaths of people with HIV, by Race/Ethnicity, 2020

42.9% 19.3% 29.8%
  • Black
  • Hispanic/Latinx
  • White

Percent of deaths of people with HIV, by Age, 2020

0.8% 6.4% 10.9% 20.1% 61.8%
  • Aged 13-24
  • Aged 25-34
  • Aged 35-44
  • Aged 45-54
  • Aged 55+

Demographics, 2020

Total Population 331,501,080

National Population by Race/Ethnicity

  • American Indian / Alaska Native (0.7%)
  • Asian (5.9%)
  • Black (12.6%)
  • Hispanic / Latinx (18.7%)
  • Native Hawaiian / Other Pacific Islander (0.2%)
  • White (59.6%)
  • Multiple Race (2.3%)

HIV Prevalence Rate Ratios, by Race/Ethnicity, 2020

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 17.1 times that of White females.

The rate of Hispanic/Latina females living with an HIV diagnosis is 4.5 times that of White females.

Late HIV Diagnoses, 2020

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

United States

78.4% 21.6%
  • Diagnosed with HIV
  • Diagnosed with AIDS

People Living with HIV, by Transmission Category, 2020

Percent of People Living with HIV, by Transmission Category, 2020

Male Transmission Categories

  • Injection Drug Use (8.4%)
  • Heterosexual Contact (10.0%)
  • Male-to-Male Sexual Contact (73.6%)
  • Male-to-Male Sexual Contact & Injection Drug Use (7.0%)
  • Other* (1.0%)

Female Transmission Categories

  • Injection Drug Use (19.7%)
  • Heterosexual Contact (77.1%)
  • Other* (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, 2020

Percent of People Newly Diagnosed with HIV, by Transmission Category, 2020

Male Transmission Categories

  • Injection Drug Use (4.8%)
  • Heterosexual Contact (8.2%)
  • Male-to-Male Sexual Contact (82.6%)
  • Male-to-Male Sexual Contact & Injection Drug Use (4.4%)

Female Transmission Categories

  • Injection Drug Use (15.6%)
  • Heterosexual Contact (83.3%)
  • Other* (1.1%)

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

HIV Mortality Rates, 2018-2020

  • United States
7 5.6 4.2 2.8 1.4 0 5.9 2018 5.9 2019 6.5 2020 Mortality Rates of Persons Diagnosed with HIV per 100,000 population, 2018-2020

HIV Testing, 2020

These data represent 2020 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 38.9% Overall Men 37.7% Women 40.0% By Sex 18-24 27.0% 25-34 50.3% 35-44 54.7% 45-54 47.6% 55-64 36.6% 65+ 19.8% By Age White 34.0% Black 59.7% Hispanic/ Latinx 45.3% American Indian/ Alaskan Native 47.5% Asian 24.4% Native Hawaiian/ Pacific Islander 36.3% Multiple Race 51.0% Other 44.5% By Race/Ethnicity

Social Determinants of Health, 2020

Percent of Population with a High School Education, 2020 88.5%

Income Inequality (Gini Coefficient), 2020 0.482

Percent of Population Living in Poverty, 2020 12.8%

Median Household Income, 2020 $64,994

Percent of Population (<65) Lacking Health Insurance, 2020 10.4%

Percent of Population Unemployed, 2020 8.1%

Percent of Population Living with Food Insecurity, 2018-2020 10.7%

Percent of Population Living in Unstable Housing, 2020 14.2%

HIV Federal Funding/Programs, Federal HIV/AIDS Grant Funding, FY 2018

Substance Abuse & Mental Health Services Administration, FY 2018 $105,921,163

Ryan White HIV/AIDS Program, FY 2018 $91,197,440

Housing Opportunities for Persons With AIDS, FY 2018 $337,500,000

Total Funding, FY 2018 $534,618,603

Sexually Transmitted Diseases, 2020

Rate of Chlamydia per 100,000 population, 2020 481.3

Rate of Gonnorhea per 100,000 population, 2020 206.5

Rate of Syphilis per 100,000 population, 2020 12.7

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.

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