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Local Data: Maryland

In 2021, there were 33,467 people living with HIV in Maryland.
In 2021, 749 people were newly diagnosed with HIV.

HIV Prevalence

Number of people living with HIV, 2021 33,467

Rate of people living with HIV per 100,000 population, 2021 643

Percent of people living with HIV, by Sex, 2021

66.1% 33.9%
  • Male
  • Female

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

71.3% 7.8% 12.1%
  • Black
  • Hispanic/Latinx
  • White

Percent of people living with HIV, by Age, 2021

2.3% 13.6% 18.7% 22.8% 42.6%
  • Aged 13-24
  • Aged 25-34
  • Aged 35-44
  • Aged 45-54
  • Aged 55+

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

700 560 420 280 140 0 643 State 461 Region 384 United States

New HIV Diagnoses

Number of new HIV diagnoses, 2021 749

Rate of new HIV diagnoses per 100,000 population, 2021 14

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

75.7% 24.3%
  • Male
  • Female

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

70.6% 13.6% 11.6%
  • Black
  • Hispanic/Latinx
  • White

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

20.0% 32.6% 22.2% 11.3% 13.9%
  • 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 700 1,350 2,000 1,991 1,672 1,720 1,408 1,305 1,290 1,230 1,171 1,092 1,014 994 914 709 749

Rate of people newly diagnosed with HIV per 100,000 population, by Geography, 2021

20 16 12 8 4 0 14 State 17 Region 13 United States

PrEP (Pre-Exposure Prophylaxis)

Number of PrEP users, 2022 7,212

Rate of PrEP users per 100,000 population, 2022 139

Percent of PrEP users, by Sex, 2022

90.8% 9.2%
  • Male
  • Female

Percent of PrEP users, by Race/Ethnicity, 2022

33.4% 8.5% 53.5%
  • Black
  • Hispanic/Latinx
  • White

Percent of PrEP users, by Age, 2022

13.9% 40.3% 25.7% 10.8% 9.2%
  • 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 100 3,700 7,300 184 224 402 985 2,046 2,909 4,295 5,266 5,172 6,140 7,212

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 9.63

PNR, by Sex, 2022 Male: 11.55 Female: 3.65

PNR, by Race/Ethnicity, 2022 Black: 4.55 Hispanic/Latinx: 5.98 White: 44.32

PNR, by Age, 2022 Aged 13-24: 6.70 Aged 25-34: 11.91 Aged 35-44: 11.17 Aged 45-54: 9.19 Aged 55+: 6.38

PNR, 2012-2022

PNR 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 0.00 5.00 10.00 0.14 0.17 0.33 0.84 1.87 2.87 4.32 5.76 7.29 8.20 9.63

HIV Continuum of Care, 2021

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 24.4% Late Diagnoses 86.8% Linked to Care 72.0% Receipt of Care 61.8% Viral Suppression Diagnoses-based HIV Continuum Care, 2021

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 183

Proportion of people with a late HIV diagnoses, by Race/Ethnicity, 2021 Black: 23.6% Hispanic/Latinx: 31.4% White: 18.4%

Percent of new HIV diagnoses that were diagnosed late, 2021 24.4%

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, 2021 650

Proportion of people linked to HIV care, by Sex, 2021 Male: 85.4% Female: 91.2%

Proportion of people linked to HIV care, by Race/Ethnicity, 2021 Black: 85.6% Hispanic/Latinx: 92.2% White: 85.1%

Percent of people diagnosed with HIV and linked to HIV care, 2021 86.8%

Proportion of people linked to HIV care, by Age, 2021 Aged 13-24: 88.0% Aged 25-34: 83.6% Aged 35-44: 88.6% Aged 45-54: 87.1% Aged 55+: 89.4%

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, 2021 23,559

Proportion of people linked to HIV care, by Sex, 2021 Male: 71.7% Female: 72.6%

Proportion of people linked to HIV care, by Race/Ethnicity, 2021 Black: 71.6% Hispanic/Latinx: 70.1% White: 68.8%

Percent of people living with HIV who received HIV care, 2021 72.0%

Proportion of people linked to HIV care, by Age, 2021 Aged 13-24: 82.1% Aged 25-34: 75.4% Aged 35-44: 72.8% Aged 45-54: 72.7% Aged 55+: 69.4%

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, 2021 20,214

Proportion of people linked to HIV care, by Sex, 2021 Male: 61.4% Female: 62.4%

Proportion of people linked to HIV care, by Race/Ethnicity, 2021 Black: 60.7% Hispanic/Latinx: 62.2% White: 62.3%

Percent of people living with HIV who were virally suppressed, 2021 61.8%

Proportion of people linked to HIV care, by Age, 2021 Aged 13-24: 64.9% Aged 25-34: 60.0% Aged 35-44: 61.5% Aged 45-54: 63.3% Aged 55+: 61.4%

HIV Mortality

Number of deaths of people with HIV, 2021 692

Rate of deaths of people with HIV per 100,000 population, 2021 13

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

67.1% 32.9%
  • Male
  • Female

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

70.1% 4.9% 14.0%
  • Black
  • Hispanic/Latinx
  • White

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

0.4% 5.2% 11.4% 18.4% 64.6%
  • Aged 13-24
  • Aged 25-34
  • Aged 35-44
  • Aged 45-54
  • Aged 55+

Demographics, 2021

Total Population 6,165,129

State Population by Race/Ethnicity

  • American Indian / Alaska Native (0.2%)
  • Asian (6.8%)
  • Black (30.2%)
  • Hispanic / Latinx (11.1%)
  • White (49.0%)
  • Multiple Race (2.6%)
  • Other* (0.1%)

*Includes other races/ethnicities or missing/suppressed data

HIV Prevalence Rate Ratios, by Race/Ethnicity, 2021

The rate of Black males living with an HIV diagnosis is 8.3 times that of White males.

The rate of Hispanic/Latino males living with an HIV diagnosis is 3.1 times that of White males.

The rate of Black females living with an HIV diagnosis is 17.0 times that of White females.

The rate of Hispanic/Latina females living with an HIV diagnosis is 3.8 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.

State

75.6% 24.4%

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 (13.7%)
  • Heterosexual Contact (18.2%)
  • Male-to-Male Sexual Contact (61.1%)
  • Male-to-Male Sexual Contact & Injection Drug Use (5.6%)
  • Other* (1.4%)

Female Transmission Categories

  • Injection Drug Use (19.9%)
  • Heterosexual Contact (77.0%)
  • Other* (3.1%)

*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 (3.7%)
  • Heterosexual Contact (22.4%)
  • Male-to-Male Sexual Contact (71.8%)
  • Male-to-Male Sexual Contact & Injection Drug Use (2.1%)

Female Transmission Categories

  • Injection Drug Use (6.6%)
  • Heterosexual Contact (92.8%)
  • Other* (0.6%)

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

HIV Mortality Rates, 2019-2021

  • State
  • Region
  • United States
20 16 12 8 4 0 12.1 7.5 5.9 2019 12.7 8.6 6.8 2020 13.3 8.9 7.0 2021 Mortality Rates of Persons Diagnosed with HIV per 100,000 population, 2019-2021

HIV Testing, 2021

These data represent 2021 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?"

70 56 42 28 14 0 44.3% Overall Men 42.6% Women 45.8% By Sex 18-24 26.2% 25-34 57.4% 35-44 62.2% 45-54 56.9% 55-64 41.7% 65+ 23.0% By Age White 35.8% Black 61.3% Hispanic/ Latinx 50.7% American Indian/ Alaskan Native 42.4% Asian 25.0% Multiple Race 58.2% Other 43.2% By Race/Ethnicity

Social Determinants of Health, 2021

  • State
  • Region
  • United States
90.8% 87.9% 88.9%

Percent of Population with a High School Education, 2021

0.455 0.482 0.482

Income Inequality (Gini Coefficient), 2021

9.2% 13.9% 12.6%

Percent of Population Living in Poverty, 2021

$91,431 $63,524 $69,021

Median Household Income, 2021

6.9% 14.1% 10.3%

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

5.3% 4.8% 5.3%

Percent of Population Unemployed, 2021

8.7% 11.4% 10.2%

Percent of Population Living with Food Insecurity, 2021

14.0% 13.6% 14.3%

Percent of Population Living in Unstable Housing, 2021

Medicaid Expansion, 2023

Not Adopted Adopted but Not Implemented Adopted and Implemented

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
  • State
  • Region
  • United States

HIV Criminalization, 2022

States with HIV-Specific Criminal Laws/Statutes

State has HIV-specific criminal laws and/or sentence enhancements applicable to people living with HIV.

States That Have Prosecuted PLWH

State has prosecuted people living with HIV under non-HIV-specific, general criminal laws.

Status of state criminalization laws are as of June 28, 2022. Source: CHLP.

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