AIDSVu

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

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Regional Data: South

In 2021, there were 492,922 people living with HIV in the South.
In 2021, 18,703 people were newly diagnosed with HIV.

HIV Prevalence

Number of people living with HIV, 2021 492,922

Rate of people living with HIV per 100,000 population, 2021 461

Percent of people living with HIV, by Sex, 2021

74.7% 25.3%
  • Male
  • Female

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

51.8% 18.2% 24.1%
  • Black
  • Hispanic/Latinx
  • White

Percent of people living with HIV, by Age, 2021

3.1% 16.9% 20.1% 22.8% 37.2%
  • Aged 13-24
  • Aged 25-34
  • Aged 35-44
  • Aged 45-54
  • Aged 55+

New HIV Diagnoses

Number of new HIV diagnoses, 2021 18,703

Rate of new HIV diagnoses per 100,000 population, 2021 17

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

80.2% 19.8%
  • Male
  • Female

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

49.4% 23.6% 22.6%
  • Black
  • Hispanic/Latinx
  • White

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

20.9% 36.7% 20.6% 11.7% 10.1%
  • 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 15,500 19,700 23,900 23,889 22,460 21,514 20,810 20,072 19,764 20,116 20,345 20,190 19,645 19,225 18,950 15,537 18,703

PrEP (Pre-Exposure Prophylaxis)

Number of PrEP users, 2022 165,115

Rate of PrEP users per 100,000 population, 2022 157

Percent of PrEP users, by Sex, 2022

90.2% 9.7%
  • Male
  • Female

Percent of PrEP users, by Race/Ethnicity, 2022

21.1% 18.4% 57.5%
  • Black
  • Hispanic/Latinx
  • White

Percent of PrEP users, by Age, 2022

13.5% 37.8% 24.2% 13.0% 11.5%
  • 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 3,300 84,250 165,200 3,785 3,305 6,650 16,007 30,059 44,505 67,843 89,467 110,845 140,926 165,115

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 8.83

PNR, by Sex, 2022 Male: 9.93 Female: 4.34

PNR, by Race/Ethnicity, 2022 Black: 3.77 Hispanic/Latinx: 6.87 White: 22.51

PNR, by Age, 2022 Aged 13-24: 5.69 Aged 25-34: 9.09 Aged 35-44: 10.38 Aged 45-54: 9.80 Aged 55+: 10.06

PNR, 2012-2022

PNR 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 0.00 4.50 9.00 0.19 0.17 0.33 0.79 1.49 2.27 3.53 4.72 7.13 7.53 8.83

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 3,961

Proportion of people with a late HIV diagnosis, by Race/Ethnicity, 2021 Black: 20.1% Hispanic/Latinx: 22.5% White: 21.8%

Percent of new HIV diagnoses that were diagnosed late, 2021 21.2%

HIV Mortality

Number of deaths of people with HIV, 2021 9,539

Rate of deaths of people with HIV per 100,000 population, 2021 9

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

72.7% 27.3%
  • Male
  • Female

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

54.6% 12.1% 26.8%
  • Black
  • Hispanic/Latinx
  • White

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

0.6% 7.7% 12.7% 20.0% 58.9%
  • Aged 13-24
  • Aged 25-34
  • Aged 35-44
  • Aged 45-54
  • Aged 55+

Demographics, 2021

Total Population 127,225,329

Regional Population by Race/Ethnicity

  • American Indian / Alaska Native (0.6%)
  • Asian (3.8%)
  • Black (19.2%)
  • Hispanic / Latinx (18.8%)
  • Native Hawaiian / Other Pacific Islander (0.1%)
  • White (55.5%)
  • Multiple Race (2.1%)

HIV Prevalence Rate Ratios, by Race/Ethnicity, 2021

The rate of Black males living with an HIV diagnosis is 5.4 times that of White males.

The rate of Hispanic/Latino males living with an HIV diagnosis is 2.3 times that of White males.

The rate of Black females living with an HIV diagnosis is 13.9 times that of White females.

The rate of Hispanic/Latina females living with an HIV diagnosis is 2.8 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

78.8% 21.2%

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 (6.3%)
  • Heterosexual Contact (12.2%)
  • Male-to-Male Sexual Contact (74.6%)
  • Male-to-Male Sexual Contact & Injection Drug Use (6.1%)
  • Other/Unknown* (0.8%)

Female Transmission Categories

  • Injection Drug Use (15.4%)
  • Heterosexual Contact (82.0%)
  • Other/Unknown* (2.6%)

*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 (4.1%)
  • Heterosexual Contact (10.2%)
  • Male-to-Male Sexual Contact (81.9%)
  • Male-to-Male Sexual Contact & Injection Drug Use (3.7%)
  • Other/Unknown* (0.1%)

Female Transmission Categories

  • Injection Drug Use (13.4%)
  • Heterosexual Contact (86.1%)
  • Other/Unknown* (0.5%)

*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
9 7.2 5.4 3.6 1.8 0 7.5 5.9 2019 8.6 6.8 2020 8.9 7.0 2021 Mortality Rates of Persons Diagnosed with HIV per 100,000 population, 2019-2021

Social Determinants of Health, 2021

  • Region
  • United States
87.9% 88.9%

Percent of Population with a High School Education, 2021

0.482 0.482

Income Inequality (Gini Coefficient), 2021

13.9% 12.6%

Percent of Population Living in Poverty, 2021

$63,524 $69,021

Median Household Income, 2021

14.1% 10.3%

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

4.8% 5.3%

Percent of Population Unemployed, 2021

11.4% 10.2%

Percent of Population Living with Food Insecurity, 2016-2021

13.6% 14.3%

Percent of Population Living in Unstable Housing, 2021

Medicaid Expansion, 2023

9 out of 17 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

600 480 360 240 120 0 545.3 495.5 Chlamydia 242.9 214.0 Gonorrhea 16.7 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.

12 of 17 states

States That Have Prosecuted PLWH

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

11 of 17 states

AL
AR
DE
FL
GA
KY
LA
MD
MS
NC
OK
SC
TN
TX
VA
DC
WV

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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