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HIV in the United States: At A Glance

Fast Facts

  • More than 1.2 million people in the US are living with HIV, and 1 in 8 of them don’t know it.
  • Over the last decade, the annual number of new HIV diagnoses declined 19%.
  • Gay and bisexual men, particularly young African American gay and bisexual men, are most affected.

HIV Diagnosesa

In 2014, an estimated 44,073 people were diagnosed with HIV infection in the United States. The number of new HIV diagnoses fell 19% from 2005 to 2014. Because HIV testing has remained stable or increased in recent years, this decrease in diagnoses suggests a true decline in new infections. The decrease may be due to targeted HIV prevention efforts. However, progress has been uneven, and diagnoses have increased among a few groups.

Gay and bisexual menb are the population most affected by HIV. In 2014:

  • Gay and bisexual men accounted for an estimated 83% (29,418) of HIV diagnoses among males and 67% of all diagnoses.
  • Black/African Americanc gay and bisexual men accounted for the largest number of estimated HIV diagnoses (11,201), followed by white gay and bisexual men (9,008).

Among all gay and bisexual men, trends have varied by race and over time. From 2005 to 2014:

  • Among white gay and bisexual men, diagnoses dropped steadily, declining 18% overall.
  • Among Hispanic/Latinod gay and bisexual men, diagnoses rose by 24%.
  • Although diagnoses among African American gay and bisexual men increased 22%, they have leveled off in the past 5 years, increasing less than 1% since 2010.
  • Young African American gay and bisexual men (aged 13 to 24) experienced an 87% increase in diagnoses. But since 2010, diagnoses have declined 2%.

Heterosexuals and people who inject drugs also continue to be affected by HIV. In 2014:

  • Heterosexual contact accounted for 24% (10,527) of estimated HIV diagnoses.
  • Women accounted for 19% (8,328) of estimated HIV diagnoses. Diagnoses among women are primarily attributed to heterosexual contact (87%, or 7,242) or injection drug use (13%, or 1,045).
  • An estimated 6% (2,635) of HIV diagnoses were attributed to injection drug use.

From 2005 to 2014:

  • Diagnoses among all women declined 40%, and among African American women, diagnoses declined 42%.
  • Among all heterosexuals, diagnoses declined 35%, and among people who inject drugs, diagnoses declined 63%.

African Americans continue to experience the greatest burden of HIV compared to other races and ethnicities. Hispanics/Latinos are also disproportionately affected by HIV. In 2014:

  • African Americans represented about 12% of the US population, but accounted for an estimated 44% (19,540) of HIV diagnoses.
  • Hispanics/Latinos represented about 17% of the US population, but accounted for an estimated 23% (10,201) of HIV diagnoses.

Estimated New HIV Diagnoses in the United States for the Most-Affected Subpopulations, 2014

Source: CDC. Diagnoses of HIV infection in the United States and dependent areas, 2014 . HIV Surveillance Report 2015;26. Subpopulations representing 2% or less of HIV diagnoses are not reflected in this chart. Abbreviation: MSM, men who have sex with men.

By age, of persons diagnosed with HIV in the United States in 2014, 4% (1,863) were aged 13-19, 36% (15,738) were aged 20-29, 24% (10,688) were aged 30-39, 19% (8,217) were aged 40-49, 12% (5,408) were aged 50-59, and 4% (1,983) were aged 60 and over.

The burden of HIV and AIDS is not evenly distributed geographically. The population rates (per 100,000 people) of persons diagnosed with HIV infection in 2014 were highest in the South (18.5), followed by the Northeast (14.2), the West (11.2), and the Midwest (8.2).e The South generally is behind other regions in some key HIV prevention and care indicators.

Living With HIV

At the end of 2012, the most recent year for which such data are available, an estimated 1,218,400 adults and adolescents were living with HIV.

  • 156,300 (13%) had not been diagnosed.
  • Young people were the most likely to be unaware of their infection. Among people aged 13-24, an estimated 44% (25,300) of those living with HIV didn’t know.

AIDS Diagnoses and Deaths

In 2014, an estimated 20,896 people were diagnosed with AIDS. Since the epidemic began in the early 1980s, an estimated 1,210,835 people have been diagnosed with AIDS.

In 2013, there were an estimated 12,963 deaths (due to any cause) of people with diagnosed HIV infection ever classified as AIDS, and 6,955 deaths were attributed directly to HIV.

a HIV and AIDS diagnoses refer to the estimated number of people diagnosed with HIV infection, regardless of stage of disease at diagnosis, and AIDS during a given time period.

b The term men who have sex with men is used in CDC surveillance systems. It indicates a behavior that transmits HIV infection, not how individuals self-identify in terms of their sexuality. This fact sheet uses the term gay and bisexual men to include gay, bisexual, and other men who have sex with men, regardless of how they self-identify.

c Referred to as African American in this fact sheet.

d Hispanics/Latinos can be of any race.

e This fact sheet uses the regions defined by the US Census Bureau and used in CDC’s National HIV Surveillance System:
Northeast: CT, ME, MA, NH, NJ, NY, PA, RI, VT
Midwest: IL, IN, IA, KS, MI, MN, MO, NE, ND, OH, SD, WI
South: AL, AR, DE, DC, FL, GA, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, WV
West: AK, AZ, CA, CO, HI, ID, MT, NV, NM, OR, UT, WA, WY.