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Home Local Data United States Midwest

Regional Data: Midwest

In 2020, there were 126,579 people living with HIV in the Midwest.
In 2020, 4,118 people were newly diagnosed with HIV.

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As defined by the U.S. Census Bureau, the Midwest region includes: Iowa, Illinois, Indiana, Kansas, Michigan, Missouri, Minnesota, Nebraska, North Dakota, Ohio, South Dakota, and Wisconsin.

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Jump to:

  • 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 126,579

Rate of people living with HIV per 100,000 population, 2020 220

Percent of people living with HIV, by Sex, 2020

79.2% 20.8%
  • Male
  • Female

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

42.6% 12.6% 37.9%
  • Black
  • Hispanic/Latinx
  • White

Percent of people living with HIV, by Age, 2020

3.4% 17.7% 19.6% 24.3% 35.1%
  • Aged 13-24
  • Aged 25-34
  • Aged 35-44
  • Aged 45-54
  • Aged 55+

New HIV Diagnoses

Number of new HIV diagnoses, 2020 4,118

Rate of new HIV diagnoses per 100,000 population, 2020 7

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

47.9% 12.5% 33.9%
  • Black
  • Hispanic/Latinx
  • White

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

21.7% 37.4% 18.8% 12.7% 9.4%
  • 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 4,100 4,900 5,700 5,548 5,611 5,434 5,306 5,366 5,253 5,075 5,207 5,141 5,096 4,927 4,740 4,118

PrEP (Pre-Exposure Prophylaxis)

Number of PrEP users, 2021 54,318

Rate of PrEP users per 100,000 population, 2021 95

Percent of PrEP users, by Sex, 2021

93.7% 6.2%
  • Male
  • Female

Percent of PrEP users, by Race/Ethnicity, 2021

12.4% 8.9% 76.0%
  • Black
  • Hispanic/Latinx
  • White

Percent of PrEP users, by Age, 2021

14.1% 40.7% 23.2% 12.8% 9.1%
  • 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 1,300 27,850 54,400 1,325 1,480 3,697 8,940 16,761 24,612 34,435 42,415 44,339 54,318

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 13.19

PNR, by Sex, 2021 Male: 15.05 Female: 4.57

PNR, by Race/Ethnicity, 2021 Black: 3.40 Hispanic/Latinx: 9.42 White: 29.58

PNR, by Age, 2021 Aged 13-24: 8.61 Aged 25-34: 14.36 Aged 35-44: 16.31 Aged 45-54: 13.31 Aged 55+: 12.69

PNR, 2012-2021

PNR 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 0.00 10.00 20.00 0.25 0.28 0.73 1.72 3.26 4.83 6.99 8.95 10.77 13.19

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 873

Proportion of people with a late HIV diagnoses, by Race/Ethnicity, 2020 Black: 18.7% Hispanic/Latinx: 24.9% White: 23.9%

Percent of new HIV diagnoses that were diagnosed late, 2020 21.2%

HIV Mortality

Number of deaths of people with HIV, 2020 2,230

Rate of deaths of people with HIV per 100,000 population, 2020 4

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

80.5% 19.5%
  • Male
  • Female

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

43.5% 8.2% 39.9%
  • Black
  • Hispanic/Latinx
  • White

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

0.9% 8.0% 10.6% 20.4% 60.1%
  • Aged 13-24
  • Aged 25-34
  • Aged 35-44
  • Aged 45-54
  • Aged 55+

Demographics, 2020

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, 2020

The rate of Black males living with an HIV diagnosis is 7.3 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 4.3 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.

Region

78.8% 21.2%

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 (5.7%)
  • Heterosexual Contact (7.3%)
  • Male-to-Male Sexual Contact (78.6%)
  • Male-to-Male Sexual Contact & Injection Drug Use (7.3%)
  • Other* (1.1%)

Female Transmission Categories

  • Injection Drug Use (18.4%)
  • Heterosexual Contact (78.0%)
  • 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, 2020

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

Male Transmission Categories

  • Injection Drug Use (4.6%)
  • Heterosexual Contact (6.4%)
  • Male-to-Male Sexual Contact (83.6%)
  • Male-to-Male Sexual Contact & Injection Drug Use (5.1%)
  • Other* (0.3%)

Female Transmission Categories

  • Injection Drug Use (17.2%)
  • Heterosexual Contact (80.3%)
  • Other* (2.5%)

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

HIV Mortality Rates, 2018-2020

  • Region
  • United States
7 5.6 4.2 2.8 1.4 0 3.5 5.9 2018 3.4 5.9 2019 3.9 6.5 2020 Mortality Rates of Persons Diagnosed with HIV per 100,000 population, 2018-2020

Social Determinants of Health, 2020

  • Region
  • United States
91.0% 88.5%

Percent of Population with a High School Education, 2020

0.463 0.482

Income Inequality (Gini Coefficient), 2020

12.3% 12.8%

Percent of Population Living in Poverty, 2020

$62,054 $64,994

Median Household Income, 2020

8.5% 10.4%

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

7.5% 8.1%

Percent of Population Unemployed, 2020

9.5% 10.7%

Percent of Population Living with Food Insecurity, 2016-2020

11.7% 14.2%

Percent of Population Living in Unstable Housing, 2020

Medicaid Expansion, 2022

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

Status of state action on the Medicaid expansion decision as of June 28, 2022.

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

Substance Abuse & Mental Health Services Administration, FY 2018 $11,960,814

Ryan White HIV/AIDS Program, FY 2018 $257,004,694

Housing Opportunities for Persons With AIDS, FY 2018 $31,223,009

Total Funding, FY 2018 $300,188,517

Sexually Transmitted Diseases, 2020

500 400 300 200 100 0 487.4 481.3 Chlamydia 230.0 206.5 Gonnorhea 8.8 12.7 Syphilis Rates of Sexually Transmitted Diseases per 100,000 Population, 2020
  • 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

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AIDSVu is presented by Emory University’s Rollins School of Public Health in partnership with Gilead Sciences, Inc. and the Center for AIDS Research at Emory University (CFAR).

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