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Home Local Data United States South

Regional Data: South

In 2020, there were 481,815 people living with HIV in the South.
In 2020, 15,661 people were newly diagnosed with HIV.

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As defined by the U.S. Census Bureau, the South region includes: Alabama, Arkansas, Delaware, the District of Columbia, Florida, Georgia, Kentucky, Louisiana, Maryland, Mississippi, North Carolina, Oklahoma, South Carolina, Tennessee, Texas, Virginia, and West Virginia.

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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 481,815

Rate of people living with HIV per 100,000 population, 2020 453

Percent of people living with HIV, by Sex, 2020

74.4% 25.6%
  • Male
  • Female

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

52.5% 17.6% 24.5%
  • Black
  • Hispanic/Latinx
  • White

Percent of people living with HIV, by Age, 2020

3.2% 17.0% 19.8% 24.2% 35.8%
  • Aged 13-24
  • Aged 25-34
  • Aged 35-44
  • Aged 45-54
  • Aged 55+

New HIV Diagnoses

Number of new HIV diagnoses, 2020 15,661

Rate of new HIV diagnoses per 100,000 population, 2020 15

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

80.8% 19.2%
  • Male
  • Female

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

51.5% 21.9% 22.7%
  • Black
  • Hispanic/Latinx
  • White

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

21.7% 36.3% 19.2% 12.5% 10.3%
  • 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 15,600 19,800 24,000 23,922 22,476 21,502 20,823 20,089 19,771 20,112 20,342 20,209 19,662 19,364 19,149 15,661

PrEP (Pre-Exposure Prophylaxis)

Number of PrEP users, 2021 140,286

Rate of PrEP users per 100,000 population, 2021 133

Percent of PrEP users, by Sex, 2021

89.5% 10.4%
  • Male
  • Female

Percent of PrEP users, by Race/Ethnicity, 2021

21.4% 18.4% 57.4%
  • Black
  • Hispanic/Latinx
  • White

Percent of PrEP users, by Age, 2021

13.5% 37.2% 23.4% 14.3% 11.6%
  • 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 3,200 71,750 140,300 3,795 3,283 6,597 15,926 30,025 44,522 67,873 89,329 110,508 140,286

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 8.96

PNR, by Sex, 2021 Male: 9.92 Female: 4.87

PNR, by Race/Ethnicity, 2021 Black: 3.72 Hispanic/Latinx: 7.52 White: 22.64

PNR, by Age, 2021 Aged 13-24: 5.55 Aged 25-34: 9.20 Aged 35-44: 10.94 Aged 45-54: 10.22 Aged 55+: 10.07

PNR, 2012-2021

PNR 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 0.00 4.50 9.00 0.19 0.17 0.33 0.78 1.49 2.26 3.51 4.66 7.06 8.96

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 3,365

Proportion of people with a late HIV diagnoses, by Race/Ethnicity, 2020 Black: 20.3% Hispanic/Latinx: 23.2% White: 22.4%

Percent of new HIV diagnoses that were diagnosed late, 2020 21.5%

HIV Mortality

Number of deaths of people with HIV, 2020 8,607

Rate of deaths of people with HIV per 100,000 population, 2020 8

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

72.6% 27.4%
  • Male
  • Female

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

54.6% 11.7% 27.3%
  • Black
  • Hispanic/Latinx
  • White

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

1.0% 7.4% 12.4% 21.2% 58.0%
  • Aged 13-24
  • Aged 25-34
  • Aged 35-44
  • Aged 45-54
  • Aged 55+

Demographics, 2020

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, 2020

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 14.2 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, 2020

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

Region

78.5% 21.5%

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 (6.5%)
  • Heterosexual Contact (12.6%)
  • Male-to-Male Sexual Contact (74.0%)
  • Male-to-Male Sexual Contact & Injection Drug Use (6.1%)
  • Other* (0.8%)

Female Transmission Categories

  • Injection Drug Use (15.5%)
  • Heterosexual Contact (81.8%)
  • Other* (2.7%)

*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 (4.0%)
  • Heterosexual Contact (10.2%)
  • Male-to-Male Sexual Contact (82.4%)
  • Male-to-Male Sexual Contact & Injection Drug Use (3.4%)

Female Transmission Categories

  • Injection Drug Use (13.1%)
  • Heterosexual Contact (86.2%)
  • Other* (0.7%)

*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
9 7.2 5.4 3.6 1.8 0 7.6 5.9 2018 7.5 5.9 2019 8.1 6.5 2020 Mortality Rates of Persons Diagnosed with HIV per 100,000 population, 2018-2020

Social Determinants of Health, 2020

  • Region
  • United States
87.5% 88.5%

Percent of Population with a High School Education, 2020

0.483 0.482

Income Inequality (Gini Coefficient), 2020

14.1% 12.8%

Percent of Population Living in Poverty, 2020

$59,816 $64,994

Median Household Income, 2020

11.4% 10.4%

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

7.2% 8.1%

Percent of Population Unemployed, 2020

12.3% 10.7%

Percent of Population Living with Food Insecurity, 2016-2020

13.4% 14.2%

Percent of Population Living in Unstable Housing, 2020

Medicaid Expansion, 2022

9 out of 17 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 $44,395,950

Ryan White HIV/AIDS Program, FY 2018 $902,382,649

Housing Opportunities for Persons With AIDS, FY 2018 $154,513,388

Total Funding, FY 2018 $1,101,291,987

Sexually Transmitted Diseases, 2020

600 480 360 240 120 0 529.1 481.3 Chlamydia 232.1 206.5 Gonnorhea 13.2 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.

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

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Data Methods

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Health Department Website

  • HIV.gov
  • CDC
  • Southern AIDS Coalition

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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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