AIDSVu

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

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Regional Data: Midwest

In 2021, there were 128,839 people living with HIV in the Midwest.
In 2021, 4,815 people were newly diagnosed with HIV.

HIV Prevalence

Number of people living with HIV, 2021 128,839

Rate of people living with HIV per 100,000 population, 2021 222

Percent of people living with HIV, by Sex, 2021

79.2% 20.8%
  • Male
  • Female

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

42.2% 13.0% 37.6%
  • Black
  • Hispanic/Latinx
  • White

Percent of people living with HIV, by Age, 2021

3.3% 17.4% 19.9% 22.9% 36.4%
  • Aged 13-24
  • Aged 25-34
  • Aged 35-44
  • Aged 45-54
  • Aged 55+

New HIV Diagnoses

Number of new HIV diagnoses, 2021 4,815

Rate of new HIV diagnoses per 100,000 population, 2021 8

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

81.5% 18.5%
  • Male
  • Female

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

43.5% 15.1% 35.3%
  • Black
  • Hispanic/Latinx
  • White

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

20.5% 37.0% 20.1% 12.6% 9.8%
  • 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 4,100 4,900 5,700 5,538 5,607 5,431 5,306 5,356 5,250 5,080 5,213 5,145 5,099 4,941 4,767 4,106 4,815

PrEP (Pre-Exposure Prophylaxis)

Number of PrEP users, 2022 66,328

Rate of PrEP users per 100,000 population, 2022 116

Percent of PrEP users, by Sex, 2022

93.4% 6.6%
  • Male
  • Female

Percent of PrEP users, by Race/Ethnicity, 2022

12.1% 9.3% 75.6%
  • Black
  • Hispanic/Latinx
  • White

Percent of PrEP users, by Age, 2022

14.2% 40.5% 23.8% 11.8% 9.7%
  • 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 1,300 33,850 66,400 1,321 1,492 3,680 8,921 16,748 24,550 34,341 42,470 44,462 54,455 66,328

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 13.78

PNR, by Sex, 2022 Male: 15.79 Female: 4.92

PNR, by Race/Ethnicity, 2022 Black: 3.83 Hispanic/Latinx: 8.51 White: 29.48

PNR, by Age, 2022 Aged 13-24: 9.58 Aged 25-34: 15.10 Aged 35-44: 16.30 Aged 45-54: 12.86 Aged 55+: 13.56

PNR, 2012-2022

PNR 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 0.00 10.00 20.00 0.25 0.28 0.72 1.71 3.26 4.81 6.95 8.91 10.83 11.31 13.78

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 979

Proportion of people with a late HIV diagnoses, by Race/Ethnicity, 2021 Black: 18.0% Hispanic/Latinx: 23.2% White: 21.9%

Percent of new HIV diagnoses that were diagnosed late, 2021 20.3%

HIV Mortality

Number of deaths of people with HIV, 2021 2,284

Rate of deaths of people with HIV per 100,000 population, 2021 4

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

79.6% 20.4%
  • Male
  • Female

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

41.3% 8.2% 40.7%
  • Black
  • Hispanic/Latinx
  • White

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

0.8% 7.7% 12.6% 19.2% 59.7%
  • Aged 13-24
  • Aged 25-34
  • Aged 35-44
  • Aged 45-54
  • Aged 55+

Demographics, 2021

Total Population 68,841,444

Regional Population by Race/Ethnicity

  • American Indian / Alaska Native (0.6%)
  • Asian (3.6%)
  • Black (10.6%)
  • Hispanic / Latinx (8.5%)
  • Native Hawaiian / Other Pacific Islander (0.1%)
  • White (74.5%)
  • Multiple Race (2.2%)

HIV Prevalence Rate Ratios, by Race/Ethnicity, 2021

The rate of Black males living with an HIV diagnosis is 7.2 times that of White males.

The rate of Hispanic/Latino males living with an HIV diagnosis is 3.2 times that of White males.

The rate of Black females living with an HIV diagnosis is 17.3 times that of White females.

The rate of Hispanic/Latina females living with an HIV diagnosis is 4.2 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.

Region

79.7% 20.3%

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 (5.6%)
  • Heterosexual Contact (7.2%)
  • Male-to-Male Sexual Contact (78.9%)
  • Male-to-Male Sexual Contact & Injection Drug Use (7.2%)
  • Other* (1.1%)

Female Transmission Categories

  • Injection Drug Use (18.3%)
  • Heterosexual Contact (78.1%)
  • Other* (3.6%)

*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 (5.3%)
  • Heterosexual Contact (6.0%)
  • Male-to-Male Sexual Contact (82.8%)
  • Male-to-Male Sexual Contact & Injection Drug Use (5.7%)
  • Other* (0.2%)

Female Transmission Categories

  • Injection Drug Use (20.5%)
  • Heterosexual Contact (78.4%)
  • Other* (1.1%)

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

HIV Mortality Rates, 2019-2021

  • Region
  • United States
7 5.6 4.2 2.8 1.4 0 3.4 5.9 2019 4.0 6.8 2020 3.9 7.0 2021 Mortality Rates of Persons Diagnosed with HIV per 100,000 population, 2019-2021

Social Determinants of Health, 2021

  • Region
  • United States
91.3% 88.9%

Percent of Population with a High School Education, 2021

0.463 0.482

Income Inequality (Gini Coefficient), 2021

12.0% 12.6%

Percent of Population Living in Poverty, 2021

$65,858 $69,021

Median Household Income, 2021

7.9% 10.3%

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

4.7% 5.3%

Percent of Population Unemployed, 2021

9.9% 10.2%

Percent of Population Living with Food Insecurity, 2016-2021

11.6% 14.3%

Percent of Population Living in Unstable Housing, 2021

Medicaid Expansion, 2023

9 out of 12 states in the region have adopted and implemented Medicaid expansion.

Status of state action on the Medicaid expansion decision as of May 08, 2023.

Sexually Transmitted Diseases, 2021

500 400 300 200 100 0 492.6 495.5 Chlamydia 218.9 214.0 Gonorrhea 12.9 16.2 Syphilis Rates of Sexually Transmitted Diseases per 100,000 Population, 2021
  • Region
  • United States

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.

10 of 12 states

States That Have Prosecuted PLWH

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

4 of 12 states

IL
IN
IA
KS
MI
MN
MO
NE
ND
OH
SD
WI

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.

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Data Methods

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