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HIV Among Latinos

Group of Latino FriendsHIV infection is a serious threat to the health of the Hispanic/Latino community. In 2010, Hispanics/Latinos accounted for over one-fifth (21% or 9,800) of all new HIV infections in the United States and 6 dependent areasb despite representing about 16% of the total US population.

The Numbers

New HIV Infectionsc

  • In 2010, Hispanic/Latino men accounted for 87% (8,500) of all estimated new HIV infections among Hispanics/Latinos in the United States. Most (79% or 6,700) of the estimated new HIV infections among Hispanic/Latino men were attributed to male-to-male sexual contact.
  • Among Hispanic/Latino men who have sex with men (MSMd), 67% of estimated new HIV infections occurred in those under age 35.
  • Hispanic women/Latinas accounted for 14% (1,400) of the estimated new infections among all Hispanics/Latinos in the United States in 2010.
  • The estimated rate of new HIV infection among Hispanics/Latinos in the United States in 2010 was more than 3 times as high as that of whites (27.5 vs. 8.7 per 100,000 population).

Estimated Numbers of New HIV Infections in the United States for the Most Affected Subpopulations, 2010.

This chart shows the populations most affected by HIV in 2010. In that year, there were 11,200 new HIV infections among white men who have sex with men (called MSM); 10,600 new HIV infections among black MSM; 6,700 new infections among Hispanic/Latino MSM; 5,300 new infections among black heterosexual women; 2,700 new infections among black heterosexual men; 1,300 new infections among white heterosexual women; 1,200 among Hispanic/Latino heterosexual women; 1,100 among black male injection drug users; and 850 among black female injection drug users.

Source: CDC. Estimated HIV incidence among adults and adolescents in the United States, 2007–2010. HIV Surveillance Supplemental Report 2012;17(4). Subpopulations representing 2% or less are not reflected in this chart. Abbreviations: MSM, men who have sex with men; IDU, injection drug user.

HIV and AIDS Diagnosese and Deaths

  • At some point in their lives, an estimated 1 in 36 Hispanic/Latino men and 1 in 106 Hispanic/Latino women will be diagnosed with HIV.
  • In 2012, Hispanics/Latinos accounted for 22% (10,705) of the estimated 48,893 new diagnoses of HIV infection in the United States and 6 dependent areas. Of the 10,694 adult and adolescent Hispanics/Latinos diagnosed with HIV infection in 2012, 86% (9,168) were in men and 14% (1,526) were in women.
  • Eighty-one percent (7,405) of the estimated 9,168 HIV diagnoses among Hispanic/Latino men in the United States and dependent areas in 2012 were attributed to male-to-male sexual contact. Eighty-six percent (1,315) of the estimated 1,526 HIV diagnoses among Hispanic/Latino women were attributed to heterosexual contact.f
  • In 2011, Hispanics/Latinos accounted for 20% (242,000) of the estimated 1.2 million people living with HIV infection in the United States.
  • In 2012, an estimated 5,796 Hispanics/Latinos were diagnosed with HIV infection ever classified as stage 3 (AIDS) in the United States and 6 dependent areas.
  • By the end of 2011, an estimated 122,848 Hispanics/Latinos who had ever been diagnosed with HIV infection ever classified as stage 3 (AIDS) had died in the United States and 6 dependent areas. In 2012, HIV was the seventh leading cause of death among Hispanics/Latinos aged 25-34 in the United States and the ninth leading cause of death among Hispanics/Latinos aged 35-54.
  • In 2011, data from the National HIV Surveillance System (NHSS) and the Medical Monitoring Project showed that 80.8% of Hispanics/Latinos with diagnosed HIV infection were linked to care, 53.6% were retained in care, 49.8% were prescribed antiretroviral therapy (ART), and 41.3% had achieved viral suppression.

Prevention Challenges

A number of factors contribute to the HIV epidemic in Latino communities.

  • There is a greater number of people living with HIV (prevalence) in Hispanic/Latino communities and Hispanics/ Latinos tend to have sex with partners of the same race/ethnicity. This means that Hispanics/Latinos face a greater risk of HIV infection.
  • While data suggest that most Hispanic/Latino men with HIV were infected through sexual contact with other men, the behavioral risk factors for HIV infection differ by country of birth. For example, men born in Puerto Rico have a higher percentage of diagnosed HIV infections attributed to injection drug use (IDU).
  • The majority of HIV infections diagnosed among Hispanic/Latino men and women are attributed to sexual contact with men. Being unaware of a partners’ risk factors (for example, IDU, multiple sexual partners, and male-to-male sexual contact) may place Hispanic/Latino men and women at increased risk for HIV.
  • Research shows that the presence of a sexually transmitted disease (STD) makes it easier to become infected with HIV. Hispanics/Latinos have the third highest rates for STDs including chlamydia, gonorrhea, and syphilis.
  • Cultural factors may affect the risk of HIV infection. Some Hispanics/Latinos may avoid seeking testing, counseling, or treatment if infected because of immigration status, stigma, or fear of discrimination. Traditional gender roles, cultural norms ("machismo," which stresses virility for Hispanics/Latino men, and "marianismo," which demands purity from Latina women), and the stigma around homosexuality may add to prevention challenges.
  • Socioeconomic factors such as poverty, migration patterns, lower educational accomplishment, inadequate or no health insurance, limited access to health care, and language barriers may contribute to HIV infection among Hispanics/Latinos. Those factors may limit awareness about HIV infection risks and opportunities for counseling, testing, and treatment.
  • Because of fear of disclosing immigration status and possible deportation, undocumented Hispanic/Latino immigrants may be less likely to access HIV prevention services, get an HIV test, or receive adequate treatment and care if they are living with HIV.

What CDC Is Doing

The Centers for Disease Control and Prevention (CDC) and its partners are pursuing a high-impact prevention approach to advance the goals of the National HIV/ AIDS Strategy and maximize the effectiveness of current HIV prevention methods. Activities include

  • Support and technical assistance to health departments and community-based organizations to deliver effective prevention interventions for Hispanics/Latinos.
  • Phases of the Act Against AIDS campaign include Let’s Stop HIV Together (Detengamos Juntos el VIH), which addresses stigma and raises awareness; Reasons/Razones, which encourages HIV testing among Latino/Hispanic gay bisexual men; and the Act Against AIDS Leadership Initiative, which was expanded in 2010 to include ASPIRA, the National Hispanic Council on Aging, and Farmworker Justice.
  • The Care and Prevention in the United States Demonstration Project that supports increased testing and optimizes linkage to, retention in, and re-engagement with care and prevention services for newly diagnosed and previously diagnosed racial and ethnic minorities with HIV.
  • The Comprehensive Human Immunodeficiency Virus Prevention Programs for Health Departments (Funding Opportunity Announcement PS 12-1201), a 5-year, $339 million HIV prevention initiative for health departments in states, territories, and select cities including those serving Hispanic/Latino clients.

Additional Resources

CDC-INFO
1-800-CDC-INFO (232-4636)
www.cdc.gov/info

CDC HIV Website
www.cdc.gov/hiv

CDC Act Against AIDS Campaign
www.cdc.gov/actagainstaids

References

View the bibliography.

a Hispanics/Latinos can be of any race.
b Dependent areas: American Samoa, Guam, the Northern Mariana Islands, Puerto Rico, the Republic of Palau, and the US Virgin Islands.
c New HIV infections refer to HIV incidence or the number of people who are newly infected with HIV, whether they are aware of their infection or not.
d The term men who have sex with men (MSM) is used in CDC surveillance systems. It indicates the behaviors that transmit HIV infection, rather than how individuals.
e HIV and AIDS diagnoses refer to the estimated number of people diagnosed with HIV infection regardless of stage of disease at diagnosis, and the estimated number of people diagnosed with AIDS, respectively, during a given time period.
f Heterosexual contact with a person known to have, or be at high risk for, HIV infection.

 

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