Diagnoses of HIV Infection in the United States and Dependent Areas, 2018: Tables

HIV Surveillance Report: Diagnoses of HIV Infection in the United States and Dependent Areas, 2018 (Updated)

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Table 1a. Diagnoses of HIV infection, by year of diagnosis and selected characteristics, 2014–2018—United States
	2014		2015		2016		2017		2018
	No.	Rate^a	No.	Rate^a	No.	Rate^a	No.	Rate^a	No.	Rate^a
Gender
Male	31,972	—	31,948	—	31,523	—	30,535	—	29,794	—
Female	7,657	—	7,416	—	7,526	—	7,326	—	7,109	—
Transgender male-to-female^b	523	—	555	—	617	—	549	—	553	—
Transgender female-to-male^b	27	—	30	—	20	—	33	—	47	—
Additional gender identity^c	8	—	10	—	12	—	13	—	12	—
Age at diagnosis (yr)
<13	182	0.3	142	0.3	129	0.2	105	0.2	87	0.2
13–14	33	0.4	26	0.3	26	0.3	27	0.3	20	0.2
15–19	1,742	8.3	1,758	8.3	1,715	8.1	1,767	8.4	1,704	8.1
20–24	7,372	32.2	7,286	32.1	6,920	31.0	6,479	29.4	6,093	27.9
25–29	7,206	32.8	7,594	33.9	7,962	34.7	7,727	33.1	7,690	32.6
30–34	5,419	25.2	5,452	25.2	5,648	25.9	5,649	25.7	5,665	25.6
35–39	4,227	21.3	4,255	20.9	4,231	20.4	4,283	20.2	4,215	19.5
40–44	3,779	18.4	3,406	16.9	3,266	16.6	2,984	15.2	2,981	15.1
45–49	3,619	17.4	3,310	15.9	3,097	14.8	2,952	14.1	2,818	13.6
50–54	2,885	12.8	2,998	13.5	2,875	13.2	2,652	12.4	2,476	11.9
55–59	1,923	9.0	1,883	8.7	1,894	8.6	1,877	8.5	1,849	8.4
60–64	969	5.2	999	5.3	1,081	5.6	1,083	5.4	1,039	5.1
≥65	831	1.8	850	1.8	854	1.7	871	1.7	878	1.7
Race/ethnicity
American Indian/Alaska Native	178	7.6	180	7.6	220	9.2	208	8.7	186	7.7
Asian	904	5.4	930	5.4	953	5.4	943	5.2	876	4.7
Black/African American	17,286	43.8	17,229	43.2	17,090	42.5	16,518	40.7	16,047	39.2
Hispanic/Latino^d	9,690	17.6	9,811	17.4	10,036	17.4	9,789	16.7	9,820	16.4
Native Hawaiian/Other Pacific Islander	42	7.7	69	12.4	40	7.1	53	9.2	66	11.3
White	10,449	5.3	10,252	5.2	9,995	5.1	9,820	5.0	9,572	4.8
Multiple races	1,638	25.7	1,488	22.7	1,364	20.2	1,125	16.2	948	13.3
Transmission category^e
Male adult or adolescent^f
Male-to-male sexual contact	26,467	—	26,394	—	26,134	—	25,455	—	24,669	—
Injection drug use	1,242	—	1,283	—	1,207	—	1,308	—	1,408	—
Male-to-male sexual contact and injection drug use	1,428	—	1,467	—	1,451	—	1,383	—	1,361	—
Heterosexual contact^g	3,253	—	3,259	—	3,267	—	2,871	—	2,845	—
Perinatal^h	15	—	15	—	7	—	11	—	14	—
Otherⁱ	19	—	20	—	18	—	22	—	21	—
Subtotal	32,425	25.0	32,437	24.8	32,085	24.3	31,050	23.3	30,318	22.6
Female adult or adolescent^f
Injection drug use	978	—	1,023	—	1,006	—	1,063	—	1,056	—
Heterosexual contact^g	6,572	—	6,328	—	6,433	—	6,192	—	6,014	—
Perinatal^h	25	—	22	—	39	—	39	—	33	—
Otherⁱ	5	—	6	—	7	—	7	—	7	—
Subtotal	7,580	5.6	7,380	5.4	7,484	5.4	7,301	5.2	7,110	5.1
Child (<13 yrs at diagnosis)
Perinatal	141	—	110	—	103	—	88	—	65	—
Otherⁱ	41	—	32	—	26	—	17	—	22	—
Subtotal	182	0.3	142	0.3	129	0.2	105	0.2	87	0.2
Region of residence^j
Northeast	6,920	12.4	6,479	11.6	6,221	11.1	5,997	10.7	5,582	9.9
Midwest	5,118	7.6	5,241	7.7	5,177	7.6	5,106	7.5	4,937	7.2
South	20,274	16.9	20,388	16.8	20,268	16.6	19,723	16.0	19,466	15.6
West	7,875	10.5	7,851	10.4	8,032	10.5	7,630	9.9	7,530	9.7
Total	40,187	12.6	39,959	12.5	39,698	12.3	38,456	11.8	37,515	11.5

Note: Numbers less than 12 should be interpreted with caution.
^aRates are per 100,000 population. Rates are not calculated by gender or transmission category because of the lack of denominator data.
^bTransgender male-to-female” includes individuals who were assigned “male” sex at birth but have ever identified as “female” gender. “Transgender female-to-male” includes individuals who were assigned “female” sex at birth but have ever identified as “male” gender.
^cAdditional gender identity examples include “bigender,” “gender queer,” and “two-spirit.”
^dHispanics/Latinos can be of any race.
^eData have been statistically adjusted to account for missing transmission category, therefore values may not sum to column subtotals and total.
^fData presented based on sex at birth and include transgender persons.
^gHeterosexual contact with a person known to have, or to be at high risk for, HIV infection.
^hIndividuals were ≥13 years of age at time of diagnosis of HIV infection.
ⁱIncludes hemophilia, blood transfusion, and risk factor not reported or not identified.
^jData are based on residence at time of diagnosis of HIV infection.

Table 1b. Diagnoses of HIV infection, by year of diagnosis and selected characteristics, 2014–2018—United States and 6 dependent areas
	2014		2015		2016		2017		2018
	No.	Rate^a	No.	Rate^a	No.	Rate^a	No.	Rate^a	No.	Rate^a
Gender
Male	32,472	—	32,413	—	31,970	—	30,902	—	30,166	—
Female	7,802	—	7,526	—	7,631	—	7,420	—	7,189	—
Transgender male-to-female^b	527	—	559	—	619	—	551	—	554	—
Transgender female-to-male^b	27	—	30	—	20	—	33	—	47	—
Additional gender identity^c	8	—	10	—	12	—	13	—	12	—
Age at diagnosis (yr)
<13	182	0.3	142	0.3	129	0.2	105	0.2	87	0.2
13–14	33	0.4	26	0.3	26	0.3	27	0.3	20	0.2
15–19	1,766	8.3	1,765	8.3	1,727	8.1	1,780	8.3	1,719	8.1
20–24	7,488	32.3	7,367	32.1	6,994	30.9	6,543	29.3	6,152	27.8
25–29	7,300	32.9	7,689	33.9	8,033	34.7	7,792	33.0	7,768	32.6
30–34	5,482	25.2	5,512	25.2	5,714	25.9	5,712	25.8	5,723	25.6
35–39	4,299	21.4	4,325	21.0	4,303	20.5	4,336	20.2	4,250	19.5
40–44	3,855	18.5	3,470	17.0	3,322	16.7	3,021	15.2	3,025	15.2
45–49	3,678	17.4	3,376	16.1	3,156	14.9	2,994	14.2	2,861	13.6
50–54	2,931	12.9	3,056	13.6	2,920	13.2	2,703	12.5	2,528	12.0
55–59	1,968	9.1	1,915	8.7	1,944	8.8	1,911	8.6	1,877	8.5
60–64	996	5.3	1,014	5.3	1,106	5.6	1,103	5.5	1,058	5.1
≥65	858	1.8	881	1.8	878	1.8	892	1.7	900	1.7
Race/ethnicity
American Indian/Alaska Native	178	—	180	—	220	—	208	—	186	—
Asian	906	—	934	—	954	—	946	—	880	—
Black/African American	17,303	—	17,238	—	17,096	—	16,522	—	16,055	—
Hispanic/Latino^d	10,310	—	10,371	—	10,575	—	10,238	—	10,255	—
Native Hawaiian/other Pacific Islander	45	—	72	—	46	—	56	—	68	—
White	10,455	—	10,254	—	9,997	—	9,823	—	9,575	—
Multiple races	1,639	—	1,489	—	1,364	—	1,126	—	949	—
Transmission category^e
Male adult or adolescent^f
Male-to-male sexual contact	26,801	—	26,704	—	26,430	—	25,693	—	24,933	—
Injection drug use	1,302	—	1,334	—	1,247	—	1,342	—	1,434	—
Male-to-male sexual contact and injection drug use	1,436	—	1,488	—	1,462	—	1,395	—	1,372	—
Heterosexual contact^g	3,355	—	3,344	—	3,370	—	2,956	—	2,916	—
Perinatal^h	15	—	15	—	7	—	11	—	14	—
Otherⁱ	19	—	20	—	18	—	22	—	21	—
Subtotal	32,929	25.1	32,906	24.8	32,534	24.3	31,419	23.3	30,691	22.6
Female adult or adolescent^f
Injection drug use	992	—	1,031	—	1,016	—	1,072	—	1,058	—
Heterosexual contact^g	6,702	—	6,430	—	6,528	—	6,276	—	6,092	—
Perinatal^h	25	—	23	—	39	—	40	—	33	—
Otherⁱ	5	—	6	—	7	—	7	—	7	—
Subtotal	7,725	5.6	7,490	5.4	7,589	5.4	7,395	5.2	7,190	5.1
Child (<13 yrs at diagnosis)
Perinatal	141	—	110	—	103	—	88	—	65	—
Otherⁱ	41	—	32	—	26	—	17	—	22	—
Subtotal	182	0.3	142	0.3	129	0.2	105	0.2	87	0.2
Region of residence^j
Northeast	6,920	12.4	6,479	11.6	6,221	11.1	5,997	10.7	5,582	9.9
Midwest	5,118	7.6	5,241	7.7	5,177	7.6	5,106	7.5	4,937	7.2
South	20,274	16.9	20,388	16.8	20,268	16.6	19,723	16.0	19,466	15.6
West	7,875	10.5	7,851	10.4	8,032	10.5	7,630	9.9	7,530	9.7
U.S. dependent areas	649	16.5	579	14.9	554	14.6	463	12.4	453	12.6
Total	40,836	12.7	40,538	12.5	40,252	12.3	38,919	11.8	37,968	11.5

Note: Numbers less than 12 should be interpreted with caution.
^aRates are per 100,000 population. Rates are not calculated by gender or transmission category because of the lack of denominator data. Rates by race/ethnicity are not provided because U.S. census information is limited for U.S. dependent areas.
^b“Transgender male-to-female” includes individuals who were assigned “male” sex at birth but have ever identified as “female” gender. “Transgender female-to-male” includes individuals who were assigned “female” sex at birth but have ever identified as “male” gender.
^cAdditional gender identity examples include “bigender,” “gender queer,” and “two-spirit.”
^dHispanics/Latinos can be of any race.
^eData have been statistically adjusted to account for missing transmission category, therefore values may not sum to column subtotals and total.
^fData presented based on sex at birth and include transgender persons.
^gHeterosexual contact with a person known to have, or to be at high risk for, HIV infection.
^hIndividuals were ≥13 years of age at time of diagnosis of HIV infection.
ⁱIncludes hemophilia, blood transfusion, and risk factor not reported or not identified.
^jData are based on residence at time of diagnosis of HIV infection.

Table 2a. Diagnoses of HIV Infection, by Race/Ethnicity and Selected Characteristics, 2018—United States
	American Indian/ Alaska Native		Asian		Black/African American		Hispanic/Latino^a		Native Hawaiian/ other Pacific Islander		White		Multiple races		Total
	No.	Rate^b	No.	Rate^b	No.	Rate^b	No.	Rate^b	No.	Rate^b	No.	Rate^b	No.	Rate^b	No.	Rate^b
Gender
Male	144	—	756	—	11,649	—	8,442	—	58	—	8,022	—	723	—	29,794	—
Female	30	—	108	—	4,104	—	1,184	—	5	—	1,482	—	196	—	7,109	—
Transgender male-to-female^c	11	—	10	—	272	—	181	—	3	—	50	—	26	—	553	—
Transgender female-to-male^c	0	—	0	—	19	—	11	—	0	—	16	—	1	—	47	—
Additional gender identity^d	1	—	2	—	3	—	2	—	0	—	2	—	2	—	12	—
Age at diagnosis (yr)
<13	0	0.0	5	0.2	53	0.7	9	0.1	0	0.0	15	0.1	5	0.2	87	0.2
13–14	0	0.0	1	0.2	12	1.1	5	0.2	0	0.0	2	0.0	0	0.0	20	0.2
15–19	10	5.6	23	2.1	1,019	34.8	366	7.4	5	12.2	232	2.1	49	6.7	1,704	8.1
20–24	29	15.7	125	9.7	3,073	98.3	1,577	32.6	9	20.5	1,101	9.4	179	27.3	6,093	27.9
25–29	35	17.5	194	12.1	3,442	99.0	2,102	43.1	12	23.4	1,686	13.2	219	39.3	7,690	32.6
30–34	32	18.8	153	9.4	2,157	74.0	1,657	36.4	18	35.5	1,502	12.1	146	34.7	5,665	25.6
35–39	21	13.4	98	6.3	1,560	56.4	1,257	28.1	8	16.8	1,164	9.6	107	29.2	4,215	19.5
40–44	14	9.9	89	6.2	1,150	46.2	810	19.7	2	5.1	856	7.6	60	20.2	2,981	15.1
45–49	15	10.4	73	5.2	1,014	39.2	766	20.4	3	8.1	887	7.1	60	22.1	2,818	13.6
50–54	16	10.7	39	3.3	964	37.2	581	17.8	2	5.8	821	6.1	53	22.4	2,476	11.9
55–59	8	5.1	30	2.7	775	29.7	353	12.8	5	14.9	653	4.3	25	10.8	1,849	8.4
60–64	3	2.2	22	2.2	453	19.8	176	8.2	1	3.6	363	2.5	21	10.6	1,039	5.1
≥65	3	1.0	24	1.0	375	7.9	161	3.6	1	1.8	290	0.7	24	5.9	878	1.7
Transmission category^e
Male adult or adolescent^f
Male-to-male sexual contact	117	—	681	—	9,440	—	7,400	—	52	—	6,369	—	610	—	24,669	—
Injection drug use	8	—	12	—	435	—	325	—	1	—	591	—	36	—	1,408	—
Male-to-male sexual contact and injection drug use	23	—	12	—	268	—	331	—	4	—	668	—	54	—	1,361	—
Heterosexual contact^g	8	—	59	—	1,736	—	558	—	4	—	431	—	49	—	2,845	—
Perinatal^h	0	—	1	—	8	—	5	—	0	—	0	—	0	—	14	—
Otherⁱ	0	—	1	—	10	—	3	—	0	—	7	—	0	—	21	—
Subtotal	156	16.2	767	10.1	11,897	74.9	8,622	37.0	61	25.3	8,066	9.6	749	32.8	30,318	22.6
Female adult or adolescent^f
Injection drug use	13	—	4	—	313	—	154	—	0	—	529	—	43	—	1,056	—
Heterosexual contact^g	17	—	98	—	3,758	—	1,030	—	5	—	956	—	150	—	6,014	—
Perinatal^h	0	—	1	—	24	—	5	—	0	—	2	—	1	—	33	—
Otherⁱ	0	—	1	—	2	—	0	—	0	—	4	—	0	—	7	—
Subtotal	30	3.0	104	1.2	4,097	23.0	1,189	5.2	5	2.1	1,491	1.7	194	8.0	7,110	5.1
Child (<13 yrs at diagnosis)
Perinatal	0	—	3	—	42	—	6	—	0	—	9	—	5	—	65	—
Otherⁱ	0	—	2	—	11	—	3	—	0	—	6	—	0	—	22	—
Subtotal	0	0.0	5	0.2	53	0.7	9	0.1	0	0.0	15	0.1	5	0.2	87	0.2
Region of residence^j
Northeast	7	5.5	184	4.8	2,214	34.9	1,738	21.0	4	18.3	1,253	3.4	182	18.9	5,582	9.9
Midwest	25	6.0	80	3.4	2,342	32.8	658	12.0	2	5.7	1,693	3.3	137	10.1	4,937	7.2
South	43	5.4	237	5.3	10,113	42.4	4,270	18.8	13	13.9	4,346	6.2	444	18.8	19,466	15.6
West	111	10.3	375	4.6	1,378	38.6	3,154	13.4	47	10.8	2,280	5.9	185	7.6	7,530	9.7
Total	186	7.7	876	4.7	16,047	39.2	9,820	16.4	66	11.3	9,572	4.8	948	13.3	37,515	11.5

Note: Numbers less than 12, and rates based on these numbers, should be interpreted with caution.
^aHispanics/Latinos can be of any race.
^bRates are per 100,000 population. Rates are not calculated by gender or transmission category because of the lack of denominator data.
^c“Transgender male-to-female” includes individuals who were assigned “male” sex at birth but have ever identified as “female” gender. “Transgender female-to-male” includes individuals who were assigned “female” sex at birth but have ever identified as “male” gender.
^dAdditional gender identity examples include “bigender,” “gender queer,” and “two-spirit.”
^eData have been statistically adjusted to account for missing transmission category, therefore values may not sum to column subtotals and total.
^fData presented based on sex at birth and include transgender persons.
^gHeterosexual contact with a person known to have, or to be at high risk for, HIV infection.
^hIndividuals were ≥13 years of age at time of diagnosis of HIV infection.
ⁱIncludes hemophilia, blood transfusion, and risk factor not reported or not identified.
^jData are based on residence at time of diagnosis of HIV infection.

Table 2b. Diagnoses of HIV infection, by race/ethnicity and selected characteristics, 2018—United States and 6 dependent areas
	American Indian/ Alaska Native	Asian	Black/African American	Hispanic/ Latino^a	Native Hawaiian/ other Pacific Islander	White	Multiple races	Total
	No.	No.	No.	No.	No.	No.	No.	No.
Gender
Male	144	760	11,657	8,796	60	8,025	724	30,166
Female	30	108	4,104	1,264	5	1,482	196	7,189
Transgender male-to-female^b	11	10	272	182	3	50	26	554
Transgender female-to-male^b	0	0	19	11	0	16	1	47
Additional gender identity^c	1	2	3	2	0	2	2	12
Age at diagnosis (yr)
<13	0	5	53	9	0	15	5	87
13–14	0	1	12	5	0	2	0	20
15–19	10	23	1,019	381	5	232	49	1,719
20–24	29	125	3,073	1,636	9	1,101	179	6,152
25–29	35	195	3,445	2,176	12	1,686	219	7,768
30–34	32	155	2,158	1,712	18	1,502	146	5,723
35–39	21	98	1,560	1,290	9	1,164	108	4,250
40–44	14	90	1,151	851	2	857	60	3,025
45–49	15	73	1,015	808	3	887	60	2,861
50–54	16	39	964	632	2	822	53	2,528
55–59	8	30	776	378	6	654	25	1,877
60–64	3	22	454	194	1	363	21	1,058
≥65	3	24	375	183	1	290	24	900
Transmission category^d
Male adult or adolescent^e
Male-to-male sexual contact	117	685	9,444	7,653	53	6,372	610	24,933
Injection drug use	8	13	436	350	2	591	36	1,434
Male-to-male sexual contact and injection drug use	23	12	268	343	4	668	54	1,372
Heterosexual contact^f	8	59	1,739	624	4	431	50	2,916
Perinatal^g	0	1	8	5	0	0	0	14
Other^h	0	1	10	3	0	7	0	21
Subtotal	156	771	11,905	8,977	63	8,069	750	30,691
Female adult or adolescent^e
Injection drug use	13	4	313	155	0	529	43	1,058
Heterosexual contact^f	17	98	3,758	1,109	5	956	150	6,092
Perinatal^g	0	1	24	5	0	2	1	33
Other^h	0	1	2	0	0	4	0	7
Subtotal	30	104	4,097	1,269	5	1,491	194	7,190
Child (<13 yrs at diagnosis)
Perinatal	0	3	42	6	0	9	5	65
Other^h	0	2	11	3	0	6	0	22
Subtotal	0	5	53	9	0	15	5	87
Region of residenceⁱ
Northeast	7	184	2,214	1,738	4	1,253	182	5,582
Midwest	25	80	2,342	658	2	1,693	137	4,937
South	43	237	10,113	4,270	13	4,346	444	19,466
West	111	375	1,378	3,154	47	2,280	185	7,530
U.S. dependent areas	0	4	8	435	2	3	1	453
Total	186	880	16,055	10,255	68	9,575	949	37,968

Note: Numbers less than 12 should be interpreted with caution.
^aHispanics/Latinos can be of any race.
^b“Transgender male-to-female” includes individuals who were assigned “male” sex at birth but have ever identified as “female” gender. “Transgender female-to-male” includes individuals who were assigned “female” sex at birth but have ever identified as “male” gender.
^cAdditional gender identity examples include “bigender,” “gender queer,” and “two-spirit.”
^dData have been statistically adjusted to account for missing transmission category, therefore values may not sum to column subtotals and total.
^eData presented based on sex at birth and includes transgender persons.
^fHeterosexual contact with a person known to have, or to be at high risk for, HIV infection.
^gIndividuals were ≥13 years of age at time of diagnosis of HIV infection.
^hIncludes hemophilia, blood transfusion, and risk factor not reported or not identified.
ⁱData are based on residence at time of diagnosis of HIV infection.

Table 3a. Diagnoses of HIV infection among adults and adolescents, by year of diagnosis, sex at birth, and selected characteristics, 2014–2018—United States
	2014		2015		2016		2017		2018
	No.	Rate^a	No.	Rate^a	No.	Rate^a	No.	Rate^a	No.	Rate^a
Male adult or adolescent
Age at diagnosis (yr)
13–14	17	0.4	12	0.3	9	0.2	13	0.3	11	0.3
15–19	1,429	13.3	1,508	14.0	1,462	13.5	1,517	14.1	1,460	13.5
20–24	6,522	55.6	6,458	55.5	6,184	53.9	5,703	50.4	5,375	48.0
25–29	6,209	55.7	6,612	58.0	6,905	59.2	6,752	56.8	6,733	56.0
30–34	4,419	40.9	4,467	41.1	4,611	41.9	4,632	41.8	4,713	42.1
35–39	3,237	32.6	3,307	32.6	3,273	31.5	3,350	31.6	3,288	30.5
40–44	2,904	28.5	2,599	26.0	2,495	25.5	2,242	23.1	2,191	22.4
45–49	2,830	27.4	2,550	24.8	2,320	22.4	2,190	21.1	2,090	20.4
50–54	2,193	19.8	2,252	20.6	2,144	20.0	1,990	19.0	1,813	17.6
55–59	1,335	12.8	1,347	12.8	1,323	12.4	1,312	12.3	1,299	12.2
60–64	700	7.9	700	7.7	736	7.9	749	7.9	717	7.4
≥65	630	3.1	625	3.0	623	2.9	600	2.7	628	2.7
Race/ethnicity
American Indian/Alaska Native	142	15.3	131	14.0	179	18.9	163	17.0	156	16.2
Asian	767	11.5	797	11.6	802	11.2	816	11.1	767	10.1
Black/African American	12,608	82.9	12,749	82.8	12,571	80.7	12,127	77.1	11,897	74.9
Hispanic/Latino^b	8,414	39.8	8,620	39.8	8,842	39.8	8,625	38.0	8,622	37.0
Native Hawaiian/other Pacific Islander	33	14.9	63	27.9	33	14.3	44	18.6	61	25.3
White	9,130	10.9	8,842	10.6	8,534	10.2	8,349	9.9	8,066	9.6
Multiple races	1,331	67.3	1,235	60.3	1,124	52.9	926	42.1	749	32.8
Region of residence^c
Northeast	5,348	23.3	5,045	21.9	4,803	20.8	4,645	20.1	4,342	18.8
Midwest	4,224	15.3	4,261	15.3	4,208	15.1	4,142	14.8	4,006	14.3
South	15,963	33.0	16,189	33.0	16,075	32.4	15,583	31.1	15,434	30.4
West	6,890	22.4	6,942	22.3	6,999	22.1	6,680	20.9	6,536	20.2
Subtotal	32,425	25.0	32,437	24.8	32,085	24.3	31,050	23.3	30,318	22.6
Female adult or adolescent
Age at diagnosis (yr)
13–14	16	0.4	14	0.3	17	0.4	14	0.3	9	0.2
15–19	313	3.0	250	2.4	253	2.4	250	2.4	244	2.4
20–24	850	7.6	828	7.5	736	6.8	776	7.2	718	6.7
25–29	997	9.2	982	8.9	1,057	9.4	975	8.5	957	8.3
30–34	1,000	9.3	985	9.2	1,037	9.6	1,017	9.4	952	8.7
35–39	990	9.9	948	9.3	958	9.2	933	8.8	927	8.6
40–44	875	8.5	807	8.0	771	7.8	742	7.5	790	8.0
45–49	789	7.5	760	7.3	777	7.4	762	7.2	728	6.9
50–54	692	6.0	746	6.6	731	6.6	662	6.1	663	6.3
55–59	588	5.3	536	4.8	571	5.1	565	5.0	550	4.9
60–64	269	2.8	299	3.0	345	3.4	334	3.2	322	3.0
≥65	201	0.8	225	0.8	231	0.8	271	1.0	250	0.9
Race/ethnicity
American Indian/Alaska Native	33	3.4	47	4.8	41	4.1	45	4.5	30	3.0
Asian	127	1.7	123	1.6	143	1.8	121	1.5	104	1.2
Black/African American	4,567	26.7	4,390	25.4	4,441	25.5	4,333	24.6	4,097	23.0
Hispanic/Latino^b	1,257	6.0	1,178	5.5	1,176	5.4	1,148	5.1	1,189	5.2
Native Hawaiian/other Pacific Islander	8	3.7	6	2.7	7	3.1	8	3.4	5	2.1
White	1,291	1.5	1,393	1.6	1,443	1.7	1,455	1.7	1,491	1.7
Multiple races	297	14.0	243	11.1	233	10.3	191	8.2	194	8.0
Region of residence^c
Northeast	1,555	6.3	1,408	5.7	1,405	5.7	1,343	5.4	1,231	5.0
Midwest	854	3.0	953	3.3	939	3.2	946	3.3	915	3.1
South	4,218	8.3	4,135	8	4,128	7.9	4,075	7.7	3,988	7.4
West	953	3	884	2.8	1,012	3.2	937	2.9	976	3.0
Subtotal	7,580	5.6	7,380	5.4	7,484	5.4	7,301	5.2	7,110	5.1
Total	40,005	15.1	39,817	14.9	39,569	14.6	38,351	14.1	37,428	13.6

Note: Numbers less than 12, and rates and trends based on these numbers, should be interpreted with caution.
^aRates are per 100,000 population.
^bHispanics/Latinos can be of any race.
^cData are based on residence at time of diagnosis of HIV infection.

Table 3b. Diagnoses of HIV infection among adults and adolescents, by year of diagnosis, sex at birth, and selected characteristics, 2014–2018—United States and 6 dependent areas
	2014		2015		2016		2017		2018
	No.	Rate^a	No.	Rate^a	No.	Rate^a	No.	Rate^a	No.	Rate^a
Male adult or adolescent
Age at diagnosis (yr)
13–14	17	0.4	12	0.3	9	0.2	13	0.3	11	0.3
15–19	1,445	13.2	1,513	13.9	1,471	13.4	1,526	14.0	1,473	13.5
20–24	6,626	55.8	6,529	55.4	6,252	53.8	5,762	50.3	5,426	47.9
25–29	6,296	55.9	6,695	58.1	6,969	59.1	6,805	56.7	6,804	56.0
30–34	4,465	40.9	4,520	41.1	4,668	42.1	4,688	41.9	4,764	42.2
35–39	3,287	32.7	3,366	32.8	3,327	31.7	3,391	31.7	3,319	30.5
40–44	2,958	28.7	2,648	26.2	2,536	25.6	2,272	23.1	2,227	22.5
45–49	2,871	27.5	2,601	25.0	2,364	22.6	2,217	21.2	2,119	20.4
50–54	2,226	19.9	2,295	20.8	2,181	20.1	2,029	19.1	1,853	17.8
55–59	1,366	13.0	1,368	12.8	1,359	12.6	1,335	12.4	1,319	12.2
60–64	723	8.1	714	7.8	754	8.0	764	7.9	732	7.4
≥65	649	3.2	645	3.0	644	2.9	617	2.7	644	2.7
Race/ethnicity
American Indian/Alaska Native	142	—	131	—	179	—	163	—	156	—
Asian	769	—	801	—	803	—	819	—	771	—
Black/African American	12,619	—	12,754	—	12,577	—	12,129	—	11,905	—
Hispanic/Latino^b	8,897	—	9,075	—	9,276	—	8,984	—	8,977	—
Native Hawaiian/other Pacific Islander	35	—	66	—	39	—	47	—	63	—
White	9,135	—	8,844	—	8,536	—	8,350	—	8,069	—
Multiple races	1,332	—	1,235	—	1,124	—	927	—	750	—
Region of residence^c
Northeast	5,348	23.3	5,045	21.9	4,803	20.8	4,645	20.1	4,342	18.8
Midwest	4,224	15.3	4,261	15.3	4,208	15.1	4,142	14.8	4,006	14.3
South	15,963	33.0	16,189	33.0	16,075	32.4	15,583	31.1	15,434	30.4
West	6,890	22.4	6,942	22.3	6,999	22.1	6,680	20.9	6,536	20.2
U.S. dependent areas	504	32.0	469	30.1	449	29.2	369	24.4	373	25.3
Subtotal	32,929	25.1	32,906	24.8	32,534	24.3	31,419	23.3	30,691	22.6
Female adult or adolescent
Age at diagnosis (yr)
13–14	16	0.4	14	0.3	17	0.4	14	0.3	9	0.2
15–19	321	3.1	252	2.4	256	2.4	254	2.4	246	2.4
20–24	862	7.6	838	7.5	742	6.7	781	7.2	726	6.7
25–29	1,004	9.2	994	8.9	1,064	9.3	987	8.5	964	8.3
30–34	1,017	9.4	992	9.1	1,046	9.6	1,024	9.3	959	8.7
35–39	1,012	10.0	959	9.3	976	9.3	945	8.8	931	8.6
40–44	897	8.6	822	8.0	786	7.8	749	7.5	798	8.0
45–49	807	7.6	775	7.3	792	7.4	777	7.3	742	7.0
50–54	705	6.1	761	6.6	739	6.6	674	6.1	675	6.3
55–59	602	5.4	547	4.8	585	5.1	576	5.0	558	4.9
60–64	273	2.8	300	3.0	352	3.4	339	3.2	326	3.0
≥65	209	0.8	236	0.9	234	0.8	275	1	256	0.9
Race/ethnicity
American Indian/Alaska Native	33	—	47	—	41	—	45	—	30	—
Asian	127	—	123	—	143	—	121	—	104	—
Black/African American	4,573	—	4,394	—	4,441	—	4,335	—	4,097	—
Hispanic/Latino^b	1,394	—	1,283	—	1,281	—	1,238	—	1,269	—
Native Hawaiian/other Pacific Islander	9	—	6	—	7	—	8	—	5	—
White	1,292	—	1,393	—	1,443	—	1,457	—	1,491	—
Multiple races	297	—	244	—	233	—	191	—	194	—
Region of residence^c
Northeast	1,555	6.3	1,408	5.7	1,405	5.7	1,343	5.4	1,231	5.0
Midwest	854	3.0	953	3.3	939	3.2	946	3.3	915	3.1
South	4,218	8.3	4,135	8.0	4,128	7.9	4,075	7.7	3,988	7.4
West	953	3.0	884	2.8	1,012	3.2	937	2.9	976	3.0
U.S. dependent areas	145	8.3	110	6.4	105	6.1	94	5.6	80	4.9
Subtotal	7,725	5.6	7,490	5.4	7,589	5.4	7,395	5.2	7,190	5.1
Total	40,654	15.1	40,396	14.9	40,123	14.7	38,814	14.1	37,881	13.6

Note: Numbers less than 12, and rates and trends based on these numbers, should be interpreted with caution.
^aRates are per 100,000 population. Rates by race/ethnicity are not provided because U.S. census information is limited for U.S. dependent areas.
^bHispanics/Latinos can be of any race.
^cData are based on residence at time of diagnosis of HIV infection.

Table 4a. Diagnoses of HIV infection among transgender adults and adolescents, by year of diagnosis and selected characteristics, 2014–2018—United States
	2014	2015	2016	2017	2018
	No.	No.	No.	No.	No.
Transgender male-to-female adult or adolescent^a
Age at diagnosis (yr)
13–14	1	0	0	0	0
15–19	60	61	52	47	30
20–24	171	143	178	134	148
25–29	128	156	174	155	163
30–34	67	71	89	100	81
35–39	37	52	65	50	68
40–44	33	22	23	28	32
45–49	10	25	15	17	18
50–54	5	18	7	7	6
55–59	5	5	8	6	4
60–64	3	2	2	5	2
≥65	2	0	3	0	1
Race/ethnicity
American Indian/Alaska Native	2	3	3	2	11
Asian	11	12	7	18	10
Black/African American	272	288	322	278	272
Hispanic/Latino^b	149	191	187	166	181
Native Hawaiian/other Pacific Islander	0	3	2	3	3
White	60	32	58	68	50
Multiple races	28	26	37	14	26
Region of residence^c
Northeast	101	127	137	94	106
Midwest	84	87	85	85	87
South	233	237	269	244	232
West	104	104	125	126	128
Subtotal	522	555	616	549	553
Transgender female-to-male adult or adolescent^a
Age at diagnosis (yr)
13–14	0	0	0	0	0
15–19	1	2	1	3	2
20–24	6	4	4	8	10
25–29	5	7	5	15	18
30–34	3	7	3	2	7
35–39	3	2	4	2	4
40–44	4	5	1	0	4
45–49	4	2	2	2	1
50–54	0	1	0	0	1
55–59	1	0	0	1	0
60–64	0	0	0	0	0
≥65	0	0	0	0	0
Race/ethnicity
American Indian/Alaska Native	0	1	0	0	0
Asian	0	0	1	3	0
Black/African American	13	14	5	10	19
Hispanic/Latino^b	6	6	6	6	11
Native Hawaiian/other Pacific Islander	0	0	0	0	0
White	8	7	5	11	16
Multiple races	0	2	3	3	1
Region of residence^c
Northeast	6	4	1	5	8
Midwest	9	9	5	9	7
South	5	12	6	11	15
West	7	5	8	8	17
Subtotal	27	30	20	33	47
Total	549	585	636	582	600

Note: Additional gender identity not included due to small numbers. Numbers less than 12 should be interpreted with caution.
^a“Transgender male-to-female” includes individuals who were assigned “male” sex at birth but have ever identified as “female” gender. “Transgender female-to-male” includes individuals who were assigned “female” sex at birth but have ever identified as “male” gender.
^bHispanics/Latinos can be of any race.
^cData are based on residence at time of diagnosis of HIV infection.

Table 4b. Diagnoses of HIV infection among transgender adults and adolescents, by year of diagnosis and selected characteristics, 2014–2018—United States and 6 dependent areas
	2014	2015	2016	2017	2018
	No.	No.	No.	No.	No.
Transgender male-to-female adult or adolescent^a
Age at diagnosis (yr)
13–14	1	0	0	0	0
15–19	62	62	52	47	30
20–24	171	143	179	135	148
25–29	129	158	174	156	163
30–34	67	72	90	100	81
35–39	38	52	65	50	69
40–44	33	22	23	28	32
45–49	10	25	15	17	18
50–54	5	18	7	7	6
55–59	5	5	8	6	4
60–64	3	2	2	5	2
≥65	2	0	3	0	1
Race/ethnicity
American Indian/Alaska Native	2	3	3	2	11
Asian	11	12	7	18	10
Black/African American	272	288	322	278	272
Hispanic/Latino^b	153	195	189	168	182
Native Hawaiian/other Pacific Islander	0	3	2	3	3
White	60	32	58	68	50
Multiple races	28	26	37	14	26
Region of residence^c
Northeast	101	127	137	94	106
Midwest	84	87	85	85	87
South	233	237	269	244	232
West	104	104	125	126	128
U.S. dependent areas	4	4	2	2	1
Subtotal	526	559	618	551	554
Transgender female-to-male adult or adolescent^a
Age at diagnosis (yr)
13–14	0	0	0	0	0
15–19	1	2	1	3	2
20–24	6	4	4	8	10
25–29	5	7	5	15	18
30–34	3	7	3	2	7
35–39	3	2	4	2	4
40–44	4	5	1	0	4
45–49	4	2	2	2	1
50–54	0	1	0	0	1
55–59	1	0	0	1	0
60–64	0	0	0	0	0
≥65	0	0	0	0	0
Race/ethnicity
American Indian/Alaska Native	0	1	0	0	0
Asian	0	0	1	3	0
Black/African American	13	14	5	10	19
Hispanic/Latino^b	6	6	6	6	11
Native Hawaiian/other Pacific Islander	0	0	0	0	0
White	8	7	5	11	16
Multiple races	0	2	3	3	1
Region of residence^c
Northeast	6	4	1	5	8
Midwest	9	9	5	9	7
South	5	12	6	11	15
West	7	5	8	8	17
US dependent areas	0	0	0	0	0
Subtotal	27	30	20	33	47
Total	553	589	638	584	601

Table 5a. Diagnoses of HIV infection attributed to male-to-male sexual contact and male-to-male sexual contact and injection drug use, by year of diagnosis and selected characteristics, 2014–2018—United States
	Male-to-male sexual contact					Male-to-male sexual contact and injection drug use
	2014	2015	2016	2017	2018	2014	2015	2016	2017	2018
	No.	No.	No.	No.	No.	No.	No.	No.	No.	No.
American Indian/Alaska Native
Age at diagnosis (yr)
13–14	0	0	0	0	0	0	0	0	0	0
15–19	5	5	2	2	8	0	1	0	0	0
20–24	28	29	25	18	25	2	4	4	3	2
25–29	27	21	38	34	23	1	1	6	6	8
30–34	17	17	31	19	19	1	0	3	6	6
35–39	6	12	10	15	12	0	3	2	1	2
40–44	10	6	13	12	10	1	0	0	2	1
45–49	10	5	6	7	7	2	0	1	1	3
50–54	7	5	5	8	9	2	0	1	0	1
55–59	2	3	3	3	3	0	0	0	0	0
60–64	0	0	3	2	1	0	0	0	1	0
≥65	1	0	1	1	3	0	0	0	1	0
Region of residence^a
Northeast	6	3	7	2	5	0	0	0	0	0
Midwest	9	9	13	13	13	3	1	1	3	5
South	25	30	34	29	22	0	2	5	11	4
West	74	61	82	74	77	5	7	10	7	14
Total	113	103	136	118	117	9	10	17	21	23
Asian
Age at diagnosis (yr)
13–14	0	1	0	0	1	0	0	0	0	0
15–19	15	22	20	25	22	1	0	1	0	0
20–24	127	120	115	155	110	2	4	3	3	1
25–29	141	169	160	156	173	2	3	2	3	4
30–34	114	107	128	112	121	2	2	3	6	2
35–39	93	74	80	90	75	3	3	1	1	3
40–44	75	81	87	75	62	5	3	0	1	1
45–49	59	63	52	67	57	0	2	1	3	0
50–54	31	35	32	35	23	2	1	1	0	0
55–59	10	16	20	19	18	0	0	0	0	0
60–64	7	4	9	8	10	1	0	0	0	0
≥65	8	5	10	8	10	0	0	1	0	0
Region of residence^a
Northeast	116	110	141	133	132	3	3	2	2	2
Midwest	52	82	66	80	68	5	2	5	1	0
South	136	152	151	155	175	3	5	0	1	2
West	375	353	355	382	306	9	9	7	12	8
Total	679	697	712	749	681	20	19	14	15	12
Black/African American
Age at diagnosis (yr)
13–14	3	8	4	4	7	0	0	0	0	0
15–19	805	860	811	853	814	12	14	16	11	8
20–24	3,129	2,979	2,856	2,581	2,461	56	60	56	38	44
25–29	2,301	2,464	2,592	2,543	2,554	49	52	69	65	77
30–34	1,169	1,208	1,226	1,349	1,310	41	41	48	47	44
35–39	666	736	737	773	750	27	36	31	38	28
40–44	509	495	460	434	457	27	19	16	18	19
45–49	488	461	402	366	378	16	18	17	14	12
50–54	330	360	364	337	318	22	14	13	24	18
55–59	227	205	220	214	205	17	13	9	11	9
60–64	107	89	97	114	104	9	5	9	5	6
≥65	79	81	68	69	80	5	5	4	4	3
Region of residence^a
Northeast	1,274	1,239	1,151	1,179	1,115	46	31	33	38	45
Midwest	1,596	1,569	1,625	1,530	1,474	42	39	60	44	50
South	6,153	6,293	6,144	6,076	5,975	146	167	153	143	132
West	789	844	916	852	876	45	39	40	52	40
Total	9,812	9,945	9,836	9,636	9,440	279	275	286	276	268
Hispanic/Latino^b
Age at diagnosis (yr)
13–14	5	1	1	5	1	0	0	0	0	0
15–19	285	309	308	328	306	20	14	12	9	11
20–24	1,458	1,525	1,478	1,353	1,344	56	71	76	61	65
25–29	1,497	1,598	1,791	1,729	1,764	67	84	79	90	89
30–34	1,208	1,206	1,314	1,315	1,310	72	69	73	63	53
35–39	877	921	943	928	917	46	40	44	46	45
40–44	670	602	631	587	562	32	33	33	25	24
45–49	551	540	482	524	509	29	23	11	18	19
50–54	292	359	353	336	335	11	11	18	15	17
55–59	139	169	159	171	200	8	6	6	7	3
60–64	77	61	74	74	85	3	3	4	3	4
≥65	55	58	52	72	69	1	2	3	2	2
Region of residence^a
Northeast	1,300	1,290	1,234	1,266	1,161	55	57	53	36	50
Midwest	512	490	486	503	520	18	29	30	24	25
South	2,833	3,062	3,225	3,155	3,198	126	128	137	124	103
West	2,468	2,506	2,639	2,499	2,521	145	140	141	154	152
Total	7,114	7,349	7,585	7,423	7,400	345	354	360	338	331
Native Hawaiian/other Pacific Islander
Age at diagnosis (yr)
13–14	0	0	0	0	0	0	0	0	0	0
15–19	1	2	1	1	4	0	0	0	0	0
20–24	5	9	1	9	7	0	0	0	0	2
25–29	3	12	7	10	11	0	0	2	0	1
30–34	6	10	3	8	12	1	0	2	0	1
35–39	6	7	7	2	8	0	1	0	1	0
40–44	3	2	3	5	2	0	0	0	0	0
45–49	3	5	1	1	2	0	0	0	0	0
50–54	1	5	2	1	1	0	0	0	0	0
55–59	0	2	0	0	4	0	0	0	0	0
60–64	0	0	0	0	1	0	0	0	0	0
≥65	1	0	1	0	1	0	0	1	0	0
Region of residence^a
Northeast	0	1	3	3	2	0	0	1	0	0
Midwest	1	1	1	2	2	0	0	0	0	0
South	6	17	4	6	10	0	1	0	0	0
West	22	35	18	26	38	1	0	4	1	4
Total	29	54	26	37	52	1	1	5	1	4
White
Age at diagnosis (yr)
13–14	3	1	0	1	0	0	0	0	0	0
15–19	142	146	157	169	175	9	17	18	13	11
20–24	963	943	893	947	832	85	103	98	85	69
25–29	1,269	1,251	1,223	1,246	1,155	154	161	155	162	170
30–34	1,002	1,003	977	902	970	119	126	123	119	132
35–39	805	742	686	746	678	86	101	84	97	107
40–44	804	700	625	504	531	81	52	67	60	50
45–49	938	759	720	630	586	65	49	57	59	46
50–54	808	799	740	695	541	51	63	41	36	42
55–59	451	428	457	442	438	23	34	32	24	28
60–64	233	251	237	243	255	10	12	13	16	6
≥65	207	192	200	184	210	3	4	8	8	6
Region of residence^a
Northeast	1,172	1,025	964	865	789	66	73	63	79	74
Midwest	1,311	1,254	1,209	1,233	1,110	115	129	128	105	125
South	3,249	3,032	3,005	2,902	2,872	267	288	272	292	266
West	1,894	1,903	1,737	1,709	1,598	237	232	230	204	203
Total	7,626	7,214	6,915	6,709	6,369	684	722	693	680	668
Multiple races
Age at diagnosis (yr)
13–14	0	0	0	0	0	0	0	0	0	0
15–19	72	59	54	51	31	6	4	2	1	2
20–24	280	270	234	172	146	25	16	17	12	6
25–29	234	261	228	200	151	18	23	18	10	20
30–34	150	139	135	126	96	10	20	13	6	10
35–39	108	92	73	69	68	9	8	9	8	9
40–44	82	59	59	49	37	9	6	2	3	0
45–49	70	56	54	38	26	8	4	7	4	4
50–54	54	42	36	42	27	6	1	5	5	2
55–59	26	26	29	20	12	2	2	2	3	0
60–64	10	16	16	12	7	0	1	2	0	0
≥65	10	13	8	5	10	0	1	0	0	0
Region of residence^a
Northeast	232	230	189	153	117	18	19	15	9	4
Midwest	140	131	107	118	83	13	10	14	10	11
South	513	456	425	363	287	33	30	29	23	21
West	210	216	205	149	123	28	26	19	11	19
Total	1,095	1,033	925	783	610	92	86	77	53	54
Total
Age at diagnosis (yr)
13–14	11	11	5	10	9	0	0	0	0	0
15–19	1,325	1,403	1,352	1,429	1,359	47	49	50	33	32
20–24	5,990	5,875	5,603	5,234	4,925	226	257	253	202	190
25–29	5,472	5,776	6,038	5,918	5,829	291	325	330	335	368
30–34	3,665	3,689	3,813	3,831	3,837	246	258	265	246	248
35–39	2,561	2,584	2,535	2,622	2,508	171	192	170	192	194
40–44	2,154	1,944	1,877	1,665	1,660	154	114	119	108	96
45–49	2,119	1,889	1,717	1,632	1,564	121	96	93	99	84
50–54	1,524	1,605	1,532	1,453	1,253	92	89	78	81	79
55–59	854	849	887	868	879	49	55	49	46	40
60–64	433	420	436	453	464	22	21	27	26	18
≥65	360	350	340	339	382	9	12	18	15	12
Region of residence^a
Northeast	4,100	3,898	3,689	3,601	3,320	186	182	167	163	176
Midwest	3,621	3,535	3,507	3,479	3,271	196	209	238	186	216
South	12,915	13,042	12,987	12,686	12,540	575	621	597	594	528
West	5,832	5,918	5,951	5,689	5,538	470	454	449	440	441
Total	26,467	26,394	26,134	25,455	24,669	1,428	1,467	1,451	1,383	1,361

Table 5b. Diagnoses of HIV infection attributed to male-to-male sexual contact and male-to-male sexual contact and injection drug use, by year of diagnosis and selected characteristics, 2014–2018—United States and 6 dependent areas
	Male-to-male sexual contact					Male-to-male sexual contact and injection drug use
	2014	2015	2016	2017	2018	2014	2015	2016	2017	2018
	No.	No.	No.	No.	No.	No.	No.	No.	No.	No.
American Indian/Alaska Native
Age at diagnosis (yr)
13–14	0	0	0	0	0	0	0	0	0	0
15–19	5	5	2	2	8	0	1	0	0	0
20–24	28	29	25	18	25	2	4	4	3	2
25–29	27	21	38	34	23	1	1	6	6	8
30–34	17	17	31	19	19	1	0	3	6	6
35–39	6	12	10	15	12	0	3	2	1	2
40–44	10	6	13	12	10	1	0	0	2	1
45–49	10	5	6	7	7	2	0	1	1	3
50–54	7	5	5	8	9	2	0	1	0	1
55–59	2	3	3	3	3	0	0	0	0	0
60–64	0	0	3	2	1	0	0	0	1	0
≥65	1	0	1	1	3	0	0	0	1	0
Region of residence^a
Northeast	6	3	7	2	5	0	0	0	0	0
Midwest	9	9	13	13	13	3	1	1	3	5
South	25	30	34	29	22	0	2	5	11	4
West	74	61	82	74	77	5	7	10	7	14
U.S. dependent areas	0	0	0	0	0	0	0	0	0	0
Total	113	103	136	118	117	9	10	17	21	23
Asian
Age at diagnosis (yr)
13–14	0	1	0	0	1	0	0	0	0	0
15–19	15	22	20	25	22	1	0	1	0	0
20–24	127	120	115	155	110	2	4	3	3	1
25–29	142	170	160	156	174	2	3	2	3	4
30–34	114	108	128	114	123	2	2	3	6	2
35–39	93	75	80	91	75	3	3	1	1	3
40–44	75	81	87	75	62	5	3	0	1	1
45–49	59	63	52	67	57	0	2	1	3	0
50–54	32	35	32	35	23	2	1	1	0	0
55–59	10	16	20	19	18	0	0	0	0	0
60–64	7	4	9	8	10	1	0	0	0	0
≥65	8	5	10	8	10	0	0	1	0	0
Region of residence^a
Northeast	116	110	141	133	132	3	3	2	2	2
Midwest	52	82	66	80	68	5	2	5	1	0
South	136	152	151	155	175	3	5	0	1	2
West	375	353	355	382	306	9	9	7	12	8
U.S. dependent areas	2	2	1	3	4	0	0	0	0	0
Total	681	699	713	752	685	20	19	14	15	12
Black/African American
Age at diagnosis (yr)
13–14	3	8	4	4	7	0	0	0	0	0
15–19	805	860	811	853	814	12	14	16	11	8
20–24	3,129	2,980	2,857	2,581	2,461	56	60	56	38	44
25–29	2,301	2,465	2,592	2,543	2,556	49	52	69	65	77
30–34	1,170	1,208	1,227	1,350	1,311	41	41	48	47	44
35–39	667	736	737	773	750	27	36	31	38	28
40–44	510	496	461	435	458	27	19	16	18	19
45–49	489	462	402	366	379	16	18	17	14	12
50–54	330	360	364	337	318	22	14	13	24	18
55–59	227	205	220	214	205	17	13	9	11	9
60–64	107	89	97	114	105	9	5	9	5	6
≥65	79	81	68	69	80	5	5	4	4	3
Region of residence^a
Northeast	1,274	1,239	1,151	1,179	1,115	46	31	33	38	45
Midwest	1,596	1,569	1,625	1,530	1,474	42	39	60	44	50
South	6,153	6,293	6,144	6,076	5,975	146	167	153	143	132
West	789	844	916	852	876	45	39	40	52	40
U.S. dependent areas	4	5	3	2	4	0	0	0	0	0
Total	9,815	9,950	9,839	9,638	9,444	279	275	286	276	268
Hispanic/Latino^b
Age at diagnosis (yr)
13–14	5	1	1	5	1	0	0	0	0	0
15–19	300	313	316	336	319	20	14	12	9	11
20–24	1,550	1,582	1,539	1,402	1,391	59	75	76	62	66
25–29	1,563	1,665	1,846	1,772	1,817	68	87	81	94	92
30–34	1,242	1,244	1,358	1,353	1,344	72	70	75	65	56
35–39	910	959	977	952	938	48	43	47	48	46
40–44	704	633	651	605	587	33	38	35	25	24
45–49	571	567	501	539	529	29	24	12	21	19
50–54	303	375	376	357	353	11	13	18	15	17
55–59	145	177	176	180	210	8	6	6	7	4
60–64	81	69	77	77	92	3	3	4	3	5
≥65	60	65	54	75	71	2	4	3	2	3
Region of residence^a
Northeast	1,300	1,290	1,234	1,266	1,161	55	57	53	36	50
Midwest	512	490	486	503	520	18	29	30	24	25
South	2,833	3,062	3,225	3,155	3,198	126	128	137	124	103
West	2,468	2,506	2,639	2,499	2,521	145	140	141	154	152
U.S. dependent areas	320	300	286	230	253	8	22	10	11	11
Total	7,434	7,649	7,871	7,653	7,653	353	376	369	349	343
Native Hawaiian/other Pacific Islander
Age at diagnosis (yr)
13–14	0	0	0	0	0	0	0	0	0	0
15–19	1	2	1	1	4	0	0	0	0	0
20–24	5	10	3	9	7	0	0	0	0	2
25–29	4	13	7	10	11	0	0	3	0	1
30–34	6	10	5	8	12	1	0	2	0	1
35–39	6	7	7	2	8	0	1	0	1	0
40–44	4	2	3	5	2	0	0	0	0	0
45–49	3	5	1	1	2	0	0	0	0	0
50–54	1	5	2	2	1	0	0	0	0	0
55–59	0	2	0	1	4	0	0	0	0	0
60–64	0	0	0	0	1	0	0	0	0	0
≥65	1	0	1	0	1	0	0	1	0	0
Region of residence^a
Northeast	0	1	3	3	2	0	0	1	0	0
Midwest	1	1	1	2	2	0	0	0	0	0
South	6	17	4	6	10	0	1	0	0	0
West	22	35	18	26	38	1	0	4	1	4
U.S. dependent areas	2	3	4	2	1	0	0	1	0	0
Total	31	56	30	39	53	1	1	6	1	4
White
Age at diagnosis (yr)
13–14	3	1	0	1	0	0	0	0	0	0
15–19	142	146	157	169	175	9	17	18	13	11
20–24	963	943	894	947	832	85	103	98	85	69
25–29	1,270	1,251	1,223	1,246	1,155	154	161	155	162	170
30–34	1,003	1,003	978	902	970	119	126	123	119	132
35–39	805	742	686	747	678	86	101	84	97	107
40–44	806	700	625	504	532	81	52	67	60	50
45–49	938	759	720	630	586	65	49	57	59	46
50–54	808	800	740	695	542	51	63	41	36	42
55–59	452	428	457	442	439	23	34	32	24	28
60–64	233	251	237	243	255	10	12	13	16	6
≥65	207	192	200	184	210	3	4	8	8	6
Region of residence^a
Northeast	1,172	1,025	964	865	789	66	73	63	79	74
Midwest	1,311	1,254	1,209	1,233	1,110	115	129	128	105	125
South	3,249	3,032	3,005	2,902	2,872	267	288	272	292	266
West	1,894	1,903	1,737	1,709	1,598	237	232	230	204	203
U.S. dependent areas	5	1	2	1	3	0	0	0	0	0
Total	7,630	7,215	6,917	6,710	6,372	684	722	693	680	668
Multiple races
Age at diagnosis (yr)
13–14	0	0	0	0	0	0	0	0	0	0
15–19	73	59	54	51	31	6	4	2	1	2
20–24	280	270	234	172	146	25	16	17	12	6
25–29	234	261	228	200	151	18	23	18	10	20
30–34	150	139	135	126	96	10	20	13	6	10
35–39	108	92	73	69	68	9	8	9	8	9
40–44	82	59	59	49	37	9	6	2	3	0
45–49	70	56	54	38	26	8	4	7	4	4
50–54	54	42	36	42	27	6	1	5	5	2
55–59	26	26	29	20	12	2	2	2	3	0
60–64	10	16	16	12	7	0	1	2	0	0
≥65	10	13	8	5	10	0	1	0	0	0
Region of residence^a
Northeast	232	230	189	153	117	18	19	15	9	4
Midwest	140	131	107	118	83	13	10	14	10	11
South	513	456	425	363	287	33	30	29	23	21
West	210	216	205	149	123	28	26	19	11	19
U.S. dependent areas	1	0	0	1	0	0	0	0	0	0
Total	1,096	1,033	925	783	610	92	86	77	53	54
Total
Age at diagnosis (yr)
13–14	11	11	5	10	9	0	0	0	0	0
15–19	1,341	1,407	1,360	1,437	1,372	47	49	50	33	32
20–24	6,082	5,934	5,667	5,283	4,972	229	261	253	203	191
25–29	5,541	5,846	6,093	5,961	5,886	292	328	333	339	371
30–34	3,701	3,728	3,861	3,871	3,874	246	259	267	248	251
35–39	2,595	2,623	2,570	2,649	2,530	173	195	173	194	195
40–44	2,190	1,975	1,898	1,683	1,687	155	119	120	108	96
45–49	2,140	1,916	1,737	1,647	1,585	121	97	94	101	84
50–54	1,536	1,623	1,555	1,475	1,272	92	92	78	81	80
55–59	862	857	904	878	891	49	55	49	46	41
60–64	438	429	439	456	471	22	21	27	26	19
≥65	365	356	342	342	385	10	14	18	15	13
Region of residence^a
Northeast	4,100	3,898	3,689	3,601	3,320	186	182	167	163	176
Midwest	3,621	3,535	3,507	3,479	3,271	196	209	238	186	216
South	12,915	13,042	12,987	12,686	12,540	575	621	597	594	528
West	5,832	5,918	5,951	5,689	5,538	470	454	449	440	441
U.S. dependent areas	334	311	296	238	264	8	22	11	11	11
Total	26,801	26,704	26,430	25,693	24,933	1,436	1,488	1,462	1,395	1,372

Table 6a. Diagnoses of HIV infection attributed to injection drug use, by year of diagnosis and selected characteristics, 2014–2018—United States
	Male					Female
	2014	2015	2016	2017	2018	2014	2015	2016	2017	2018
	No.	No.	No.	No.	No.	No.	No.	No.	No.	No.
American Indian/Alaska Native
Age at diagnosis (yr)
13–14	0	0	0	0	0	0	0	0	0	0
15–19	0	0	0	0	1	0	0	0	0	0
20–24	0	0	3	0	0	0	1	1	1	0
25–29	2	2	4	6	0	2	2	3	2	2
30–34	0	2	0	3	2	2	1	1	1	3
35–39	0	2	1	0	0	2	1	1	2	4
40–44	3	0	2	1	0	2	2	1	2	0
45–49	2	0	2	0	1	1	2	1	2	1
50–54	3	1	0	3	2	0	0	4	2	0
55–59	0	1	3	0	0	0	2	0	0	1
60–64	0	0	1	1	0	1	1	1	0	1
≥65	0	0	0	1	0	0	0	0	1	0
Region of residence^a
Northeast	0	0	0	1	1	0	0	0	1	0
Midwest	1	1	0	2	2	2	0	1	1	3
South	4	2	3	3	0	3	3	1	4	5
West	4	6	13	11	6	6	8	12	8	5
Total	10	9	17	17	8	10	12	13	13	13
Asian
Age at diagnosis (yr)
13–14	0	0	0	0	0	0	0	0	0	0
15–19	1	0	0	0	0	0	0	0	0	0
20–24	1	0	0	0	1	0	0	1	0	0
25–29	1	1	1	0	1	1	1	1	2	0
30–34	4	7	1	2	3	0	1	1	0	2
35–39	4	1	4	3	0	2	0	1	1	0
40–44	3	4	1	2	3	1	0	0	0	0
45–49	2	2	3	2	1	1	0	1	0	0
50–54	2	2	3	1	1	0	0	0	1	0
55–59	0	0	1	0	1	2	0	0	1	1
60–64	0	1	0	0	1	1	2	0	0	0
≥65	1	1	1	0	1	0	0	0	0	0
Region of residence^a
Northeast	6	8	3	3	5	2	1	1	1	1
Midwest	1	0	2	0	2	2	1	0	1	0
South	8	3	3	2	4	1	1	2	1	2
West	4	9	7	6	1	2	2	3	3	1
Total	20	20	15	11	12	7	5	7	6	4
Black/African American
Age at diagnosis (yr)
13–14	0	0	0	0	0	0	1	1	0	0
15–19	5	4	5	4	6	9	7	9	10	8
20–24	31	25	21	21	23	31	25	24	28	22
25–29	36	34	33	37	47	39	43	42	39	29
30–34	39	42	36	53	49	37	34	39	39	39
35–39	36	39	47	45	64	43	34	38	41	36
40–44	47	45	43	37	37	38	33	27	38	30
45–49	66	42	42	48	47	48	44	30	41	35
50–54	62	64	60	47	47	50	40	52	39	34
55–59	73	62	45	56	49	47	35	39	31	37
60–64	41	32	38	33	33	21	26	28	25	26
≥65	38	30	31	28	33	18	14	16	19	17
Region of residence^a
Northeast	152	119	115	131	123	107	91	74	91	83
Midwest	44	48	52	60	61	47	50	51	58	42
South	248	207	186	182	207	189	162	177	164	152
West	30	45	48	35	45	38	36	44	37	36
Total	474	419	401	408	435	382	339	346	350	313
Hispanic/Latino^b
Age at diagnosis (yr)
13–14	0	0	0	0	0	0	0	0	0	0
15–19	3	1	2	5	3	7	4	4	4	3
20–24	19	24	18	19	23	21	26	13	17	20
25–29	33	35	34	41	35	18	15	31	19	18
30–34	39	45	49	55	63	21	17	26	32	24
35–39	34	50	41	40	44	20	20	13	22	24
40–44	50	37	25	41	35	28	17	18	16	13
45–49	48	36	33	42	38	17	15	16	15	18
50–54	36	34	39	38	40	15	15	17	12	15
55–59	25	28	25	22	24	16	9	14	8	9
60–64	14	9	11	13	14	5	2	7	7	7
≥65	7	13	13	13	8	7	6	5	4	4
Region of residence^a
Northeast	99	102	98	115	104	63	48	54	48	48
Midwest	11	19	13	16	14	13	8	9	9	8
South	90	94	80	91	97	52	51	54	47	46
West	106	97	99	108	111	48	38	46	53	51
Total	306	312	289	329	325	175	144	162	157	154
Native Hawaiian/other Pacific Islander
Age at diagnosis (yr)
13–14	0	0	0	0	0	0	0	0	0	0
15–19	0	0	0	0	0	0	0	0	0	0
20–24	0	0	0	0	0	0	0	0	0	0
25–29	0	0	0	0	0	0	1	0	0	0
30–34	0	0	0	0	0	0	0	0	0	0
35–39	0	1	0	1	0	0	0	0	0	0
40–44	0	1	0	0	0	0	0	0	0	0
45–49	0	0	0	0	1	0	0	0	0	0
50–54	0	0	0	1	0	0	0	2	0	0
55–59	0	0	0	0	0	0	0	0	0	0
60–64	1	0	0	0	0	0	0	0	0	0
≥65	0	0	0	0	0	0	0	0	0	0
Region of residence^a
Northeast	1	1	0	0	0	0	0	0	0	0
Midwest	0	0	0	0	0	0	0	0	0	0
South	0	0	0	0	0	0	0	0	0	0
West	0	1	0	2	1	0	1	2	0	0
Total	1	2	0	2	1	0	1	2	0	0
White
Age at diagnosis (yr)
13–14	0	0	0	0	0	0	1	0	0	0
15–19	2	1	4	4	4	13	9	5	9	8
20–24	24	41	30	37	37	40	50	43	52	49
25–29	41	81	79	87	98	56	90	94	88	79
30–34	55	78	61	94	111	62	86	66	97	100
35–39	45	50	67	78	114	47	55	58	81	94
40–44	57	53	45	47	63	38	61	45	53	71
45–49	51	66	50	56	50	36	49	43	37	44
50–54	51	55	51	38	51	29	42	39	40	41
55–59	29	32	27	38	36	19	25	22	31	28
60–64	20	20	18	20	18	7	10	13	10	10
≥65	13	9	16	16	7	6	5	8	5	6
Region of residence^a
Northeast	67	74	84	98	117	62	74	85	92	95
Midwest	52	139	83	95	122	40	134	87	94	108
South	146	153	160	204	217	169	195	179	222	219
West	122	122	121	118	135	82	80	84	94	108
Total	387	488	448	515	591	353	482	435	502	529
Multiple races
Age at diagnosis (yr)
13–14	0	0	0	0	0	0	0	0	0	0
15–19	0	0	1	0	1	1	1	1	2	3
20–24	1	2	2	1	4	5	2	3	5	7
25–29	10	5	8	6	6	5	3	6	6	10
30–34	8	8	0	3	5	8	9	3	4	3
35–39	5	0	6	3	4	7	4	7	5	3
40–44	4	2	6	4	3	6	3	5	5	4
45–49	4	2	2	4	2	6	4	6	3	3
50–54	6	5	7	2	6	6	5	4	4	4
55–59	3	4	3	3	3	3	7	5	3	1
60–64	3	2	2	1	1	2	1	1	0	2
≥65	2	4	1	0	1	2	1	1	0	2
Region of residence^a
Northeast	10	8	8	8	6	12	7	8	12	11
Midwest	9	7	3	5	7	4	7	6	4	7
South	15	14	15	9	13	27	16	18	13	15
West	11	6	12	5	10	9	10	10	7	10
Total	45	34	38	26	36	51	40	41	36	43
Total
Age at diagnosis (yr)
13–14	0	0	0	0	0	1	2	1	0	0
15–19	10	6	11	14	16	31	22	19	25	22
20–24	76	93	74	78	88	97	104	84	103	98
25–29	123	158	159	177	187	120	154	177	156	138
30–34	144	182	148	209	233	130	149	137	172	172
35–39	123	143	166	170	226	120	114	119	151	161
40–44	164	142	121	133	141	113	116	96	113	118
45–49	172	148	132	153	140	109	114	97	98	102
50–54	159	162	159	130	147	100	102	118	98	95
55–59	131	127	105	119	114	87	77	80	74	76
60–64	79	64	69	68	68	37	43	49	43	46
≥65	61	57	63	59	50	33	27	30	29	29
Region of residence^a
Northeast	334	312	307	355	356	246	221	221	246	239
Midwest	118	214	153	178	207	107	200	155	166	168
South	512	472	448	489	537	439	428	430	452	439
West	278	285	299	285	308	186	174	200	201	210
Total	1,242	1,283	1,207	1,308	1,408	978	1,023	1,006	1,063	1,056

Table 6b. Diagnoses of HIV infection attributed to injection drug use, by year of diagnosis and selected characteristics, 2014–2018—United States and 6 dependent areas
	Male					Female
	2014	2015	2016	2017	2018	2014	2015	2016	2017	2018
	No.	No.	No.	No.	No.	No.	No.	No.	No.	No.
American Indian/Alaska Native
Age at diagnosis (yr)
13–14	0	0	0	0	0	0	0	0	0	0
15–19	0	0	0	0	1	0	0	0	0	0
20–24	0	0	3	0	0	0	1	1	1	0
25–29	2	2	4	6	0	2	2	3	2	2
30–34	0	2	0	3	2	2	1	1	1	3
35–39	0	2	1	0	0	2	1	1	2	4
40–44	3	0	2	1	0	2	2	1	2	0
45–49	2	0	2	0	1	1	2	1	2	1
50–54	3	1	0	3	2	0	0	4	2	0
55–59	0	1	3	0	0	0	2	0	0	1
60–64	0	0	1	1	0	1	1	1	0	1
≥65	0	0	0	1	0	0	0	0	1	0
Region of residence^a
Northeast	0	0	0	1	1	0	0	0	1	0
Midwest	1	1	0	2	2	2	0	1	1	3
South	4	2	3	3	0	3	3	1	4	5
West	4	6	13	11	6	6	8	12	8	5
U.S. dependent areas	0	0	0	0	0	0	0	0	0	0
Total	10	9	17	17	8	10	12	13	13	13
Asian
Age at diagnosis (yr)
13–14	0	0	0	0	0	0	0	0	0	0
15–19	1	0	0	0	0	0	0	0	0	0
20–24	1	0	0	0	1	0	0	1	0	0
25–29	1	1	1	0	1	1	1	1	2	0
30–34	4	7	1	2	3	0	1	1	0	2
35–39	4	2	4	3	0	2	0	1	1	0
40–44	3	4	1	2	3	1	0	0	0	0
45–49	2	2	3	2	1	1	0	1	0	0
50–54	2	2	3	1	1	0	0	0	1	0
55–59	0	0	1	0	1	2	0	0	1	1
60–64	0	1	0	0	1	1	2	0	0	0
≥65	1	1	1	0	1	0	0	0	0	0
Region of residence^a
Northeast	6	8	3	3	5	2	1	1	1	1
Midwest	1	0	2	0	2	2	1	0	1	0
South	8	3	3	2	4	1	1	2	1	2
West	4	9	7	6	1	2	2	3	3	1
U.S. dependent areas	0	1	0	0	0	0	0	0	0	0
Total	20	21	15	11	13	7	5	7	6	4
Black/African American
Age at diagnosis (yr)
13–14	0	0	0	0	0	0	1	1	0	0
15–19	5	4	5	4	6	9	7	9	10	8
20–24	31	25	21	21	23	31	25	24	28	22
25–29	36	34	33	37	47	39	43	42	39	29
30–34	39	42	36	53	49	37	34	39	39	39
35–39	36	39	47	45	64	43	34	38	41	36
40–44	47	45	43	37	37	38	33	27	38	30
45–49	66	42	42	48	47	48	44	30	41	35
50–54	62	64	60	47	47	50	40	52	39	34
55–59	74	62	45	56	50	47	35	39	31	37
60–64	43	32	38	33	33	21	26	28	25	26
≥65	38	30	31	28	33	18	14	16	19	17
Region of residence^a
Northeast	152	119	115	131	123	107	91	74	91	83
Midwest	44	48	52	60	61	47	50	51	58	42
South	248	207	186	182	207	189	162	177	164	152
West	30	45	48	35	45	38	36	44	37	36
U.S. dependent areas	3	0	0	0	1	0	0	0	0	0
Total	477	419	402	408	436	382	339	346	350	313
Hispanic/Latino^b
Age at diagnosis (yr)
13–14	0	0	0	0	0	0	0	0	0	0
15–19	3	2	3	5	3	7	4	4	4	3
20–24	22	25	20	19	23	22	27	14	17	20
25–29	39	39	35	43	37	18	16	32	19	18
30–34	42	51	50	59	65	24	18	27	32	25
35–39	41	56	46	40	45	24	22	15	24	24
40–44	54	43	30	43	40	30	18	19	16	13
45–49	59	42	38	45	41	18	15	17	19	19
50–54	42	43	42	48	45	16	16	18	13	15
55–59	34	35	33	27	25	17	9	14	9	9
60–64	18	11	14	16	14	5	2	8	9	7
≥65	9	15	17	18	11	8	6	5	5	4
Region of residence^a
Northeast	99	102	98	115	104	63	48	54	48	48
Midwest	11	19	13	16	14	13	8	9	9	8
South	90	94	80	91	97	52	51	54	47	46
West	106	97	99	108	111	48	38	46	53	51
U.S. dependent areas	57	49	38	34	25	14	7	10	9	2
Total	363	361	327	363	350	189	152	172	166	155
Native Hawaiian/other Pacific Islander
Age at diagnosis (yr)
13–14	0	0	0	0	0	0	0	0	0	0
15–19	0	0	0	0	0	0	0	0	0	0
20–24	0	0	0	0	0	0	0	0	0	0
25–29	0	0	0	0	0	0	1	0	0	0
30–34	0	0	0	0	0	0	0	0	0	0
35–39	0	1	0	1	0	0	0	0	0	0
40–44	0	1	0	0	0	0	0	0	0	0
45–49	0	0	0	0	1	0	0	0	0	0
50–54	0	0	0	1	0	0	0	2	0	0
55–59	0	0	0	0	0	0	0	0	0	0
60–64	1	0	0	0	0	0	0	0	0	0
≥65	0	0	0	0	0	0	0	0	0	0
Region of residence^a
Northeast	1	1	0	0	0	0	0	0	0	0
Midwest	0	0	0	0	0	0	0	0	0	0
South	0	0	0	0	0	0	0	0	0	0
West	0	1	0	2	1	0	1	2	0	0
U.S. dependent areas	0	0	1	0	1	0	0	0	0	0
Total	1	3	1	2	2	0	1	2	0	0
White
Age at diagnosis (yr)
13–14	0	0	0	0	0	0	1	0	0	0
15–19	2	1	4	4	4	13	9	5	9	8
20–24	24	41	30	37	37	40	50	43	52	49
25–29	41	81	79	87	98	56	90	94	88	79
30–34	55	78	61	94	111	62	86	66	97	100
35–39	45	50	67	78	114	47	55	58	81	94
40–44	57	53	45	47	63	38	61	45	53	71
45–49	51	66	50	56	50	36	49	43	37	44
50–54	51	56	51	38	51	29	42	39	40	41
55–59	29	32	27	38	36	19	25	22	31	28
60–64	20	20	18	20	18	7	10	13	10	10
≥65	13	9	16	16	7	6	5	8	5	6
Region of residence^a
Northeast	67	74	84	98	117	62	74	85	92	95
Midwest	52	139	83	95	122	40	134	87	94	108
South	146	153	160	204	217	169	195	179	222	219
West	122	122	121	118	135	82	80	84	94	108
U.S. dependent areas	0	1	0	0	0	0	0	0	0	0
Total	387	489	448	515	591	353	482	435	502	529
Multiple races
Age at diagnosis (yr)
13–14	0	0	0	0	0	0	0	0	0	0
15–19	0	0	1	0	1	1	1	1	2	3
20–24	1	2	2	1	4	5	2	3	5	7
25–29	10	5	8	6	6	5	3	6	6	10
30–34	8	8	0	3	5	8	9	3	4	3
35–39	5	0	6	4	4	7	4	7	5	3
40–44	4	2	6	4	3	6	3	5	5	4
45–49	4	2	2	4	2	6	4	6	3	3
50–54	6	5	7	2	6	6	5	4	4	4
55–59	3	4	3	3	3	3	7	5	3	1
60–64	3	2	2	1	1	2	1	1	0	2
≥65	2	4	1	0	1	2	1	1	0	2
Region of residence^a
Northeast	10	8	8	8	6	12	7	8	12	11
Midwest	9	7	3	5	7	4	7	6	4	7
South	15	14	15	9	13	27	16	18	13	15
West	11	6	12	5	10	9	10	10	7	10
U.S. dependent areas	0	0	0	0	0	0	0	0	0	0
Total	45	34	38	26	36	51	40	41	36	43
Total
Age at diagnosis (yr)
13–14	0	0	0	0	0	1	2	1	0	0
15–19	10	7	12	14	16	31	22	19	25	22
20–24	79	94	76	78	88	98	105	85	103	98
25–29	129	162	160	179	189	120	155	178	156	138
30–34	147	188	150	214	235	133	150	138	172	173
35–39	130	151	171	171	227	124	116	121	153	161
40–44	168	148	126	135	147	115	117	97	113	118
45–49	183	154	137	156	144	110	114	98	102	103
50–54	165	172	162	139	153	101	103	119	99	95
55–59	141	134	114	123	115	88	77	80	75	76
60–64	86	67	72	71	68	37	43	50	44	46
≥65	63	59	66	64	53	34	27	30	29	29
Region of residence^a
Northeast	334	312	307	355	356	246	221	221	246	239
Midwest	118	214	153	178	207	107	200	155	166	168
South	512	472	448	489	537	439	428	430	452	439
West	278	285	299	285	308	186	174	200	201	210
U.S. dependent areas	60	51	39	34	26	15	8	10	9	2
Total	1,302	1,334	1,247	1,342	1,434	992	1,031	1,016	1,072	1,058

Table 7a. Diagnoses of HIV infection attributed to heterosexual contact, by year of diagnosis, race/ethnicity and selected characteristics, 2014–2018—United States
	Male					Female
	2014	2015	2016	2017	2018	2014	2015	2016	2017	2018
	No.	No.	No.	No.	No.	No.	No.	No.	No.	No.
American Indian/Alaska Native
Age at diagnosis (yr)
13–14	0	0	0	0	0	0	0	0	0	0
15–19	0	0	0	0	0	2	1	0	0	1
20–24	0	1	0	0	1	1	2	0	2	1
25–29	0	0	0	1	1	6	6	4	5	2
30–34	3	1	1	2	1	1	7	3	2	1
35–39	1	1	2	3	1	2	5	7	4	2
40–44	2	0	1	0	0	2	4	6	5	3
45–49	3	3	1	0	0	1	3	3	5	3
50–54	0	2	1	0	1	5	4	1	5	3
55–59	1	1	0	0	2	3	3	2	2	2
60–64	0	0	0	0	0	0	0	1	2	0
≥65	0	0	2	0	0	0	1	1	0	0
Region of residence^a
Northeast	2	2	0	0	1	0	1	4	0	0
Midwest	1	1	2	0	2	3	7	1	3	1
South	0	3	2	4	2	7	15	9	6	9
West	7	5	6	4	3	13	13	13	23	7
Total	10	10	9	8	8	23	35	28	32	17
Asian
Age at diagnosis (yr)
13–14	0	0	0	0	0	0	0	1	0	0
15–19	1	0	0	0	0	1	3	0	1	0
20–24	1	0	3	2	5	9	14	8	6	7
25–29	5	6	3	3	2	18	15	19	18	14
30–34	13	4	10	4	8	16	18	33	8	18
35–39	6	18	13	9	9	23	19	23	25	11
40–44	2	10	4	4	11	21	16	15	11	12
45–49	4	8	8	6	6	9	10	10	12	9
50–54	8	6	4	2	6	8	8	10	14	9
55–59	2	4	4	3	2	8	4	8	7	9
60–64	1	1	5	4	5	5	6	4	6	5
≥65	6	4	6	2	6	1	4	5	5	7
Region of residence^a
Northeast	13	10	9	9	13	22	20	33	18	29
Midwest	6	7	10	5	3	13	16	11	19	5
South	14	24	25	10	25	31	40	43	32	28
West	15	19	16	14	18	53	39	48	45	36
Total	48	59	59	38	59	119	116	134	113	98
Black/African American
Age at diagnosis (yr)
13–14	2	1	0	0	0	4	7	6	5	3
15–19	30	31	39	24	33	185	150	142	141	135
20–24	161	170	159	132	111	465	468	402	415	406
25–29	207	244	251	202	226	558	527	563	519	502
30–34	210	205	232	208	233	528	528	536	547	479
35–39	223	224	237	220	209	543	542	547	493	471
40–44	269	251	229	189	170	479	428	425	415	435
45–49	241	258	231	188	168	436	395	436	399	373
50–54	255	265	230	203	206	364	391	387	346	340
55–59	198	211	182	188	167	327	286	308	303	306
60–64	107	128	126	126	105	152	176	189	199	178
≥65	122	105	120	112	108	125	135	123	170	131
Region of residence^a
Northeast	421	388	351	297	258	765	707	676	661	577
Midwest	176	186	191	189	201	479	493	497	512	492
South	1,337	1,424	1,400	1,242	1,202	2,678	2,570	2,587	2,533	2,402
West	92	95	94	64	76	244	263	303	245	288
Total	2,026	2,094	2,037	1,792	1,736	4,166	4,033	4,063	3,950	3,758
Hispanic/Latino^b
Age at diagnosis (yr)
13–14	0	0	0	0	0	1	0	2	2	3
15–19	5	5	4	7	7	43	41	30	38	32
20–24	39	33	50	29	29	127	121	102	113	94
25–29	65	51	73	62	58	129	133	134	137	136
30–34	92	87	87	75	78	157	131	156	126	129
35–39	103	101	87	77	84	156	138	122	125	143
40–44	93	82	80	81	71	126	124	118	101	105
45–49	86	71	80	55	72	112	106	101	118	111
50–54	70	63	54	52	65	92	114	98	86	109
55–59	44	45	35	35	43	74	60	69	67	74
60–64	22	25	30	28	19	38	36	40	40	47
≥65	25	37	25	28	31	23	27	40	37	47
Region of residence^a
Northeast	164	151	156	128	127	312	277	299	255	242
Midwest	34	40	41	29	34	73	51	60	58	54
South	345	325	302	276	318	423	475	429	451	497
West	101	83	106	96	79	268	228	225	222	237
Total	644	599	605	529	558	1,076	1,031	1,012	987	1,030
Native Hawaiian/other Pacific Islander
Age at diagnosis (yr)
13–14	0	0	0	0	0	0	0	0	0	0
15–19	0	0	0	0	0	1	0	0	0	1
20–24	0	0	0	0	0	1	2	1	0	0
25–29	0	1	0	1	0	0	0	0	2	0
30–34	0	0	0	1	3	1	1	1	3	2
35–39	0	2	1	0	0	1	0	1	2	0
40–44	1	0	0	0	0	1	0	0	0	0
45–49	0	1	1	1	0	0	0	0	0	0
50–54	0	1	0	0	0	1	1	2	0	1
55–59	0	0	0	0	0	1	1	0	1	1
60–64	0	0	0	0	0	1	0	0	0	0
≥65	0	0	0	1	0	0	0	0	0	0
Region of residence^a
Northeast	1	0	0	1	1	1	0	0	1	1
Midwest	0	0	1	0	0	0	2	0	0	0
South	0	1	1	1	2	1	1	1	2	1
West	0	4	0	2	1	6	2	4	5	3
Total	1	6	2	4	4	8	5	5	8	5
White
Age at diagnosis (yr)
13–14	0	0	0	0	0	3	0	0	1	2
15–19	3	3	4	3	2	27	20	34	29	31
20–24	18	15	32	18	20	108	89	105	100	92
25–29	37	37	39	45	50	124	113	134	111	134
30–34	38	32	47	46	61	129	118	146	132	127
35–39	30	36	46	48	52	114	103	112	113	119
40–44	55	49	51	53	38	100	103	94	86	103
45–49	61	65	47	49	49	106	107	107	111	111
50–54	73	45	76	62	45	106	105	101	101	99
55–59	44	44	52	45	49	77	90	90	101	73
60–64	29	37	35	35	34	26	33	57	40	39
≥65	37	48	43	34	31	15	25	23	24	25
Region of residence^a
Northeast	89	77	97	68	68	148	123	130	120	108
Midwest	54	48	49	56	57	150	156	159	152	166
South	205	223	258	239	244	483	487	520	511	517
West	78	63	69	74	63	154	140	192	166	166
Total	425	410	472	437	431	935	906	1,002	949	956
Multiple races
Age at diagnosis (yr)
13–14	0	0	0	0	0	0	0	1	1	0
15–19	1	2	0	1	0	13	10	9	5	11
20–24	6	9	8	4	3	39	22	28	25	13
25–29	8	11	11	6	9	39	29	23	21	23
30–34	7	9	5	10	10	38	32	25	22	23
35–39	18	6	17	7	5	30	26	26	19	19
40–44	9	6	12	9	3	33	15	17	10	12
45–49	21	9	9	7	5	16	25	21	19	19
50–54	11	12	8	5	8	16	20	14	13	7
55–59	10	8	7	6	0	10	15	14	10	8
60–64	3	2	5	7	3	10	5	4	3	7
≥65	6	7	2	4	3	3	4	8	5	9
Region of residence^a
Northeast	34	21	25	18	16	55	52	37	35	28
Midwest	9	9	10	10	6	23	18	39	23	20
South	41	43	44	32	25	146	112	95	72	80
West	15	9	5	4	1	22	21	18	23	22
Total	99	81	83	64	49	245	202	190	152	150
Total
Age at diagnosis (yr)
13–14	2	1	0	0	0	8	7	10	8	8
15–19	41	41	47	35	42	271	223	214	213	212
20–24	224	228	253	185	171	751	717	645	661	612
25–29	321	350	377	319	346	875	824	877	813	810
30–34	362	338	383	345	394	870	834	899	840	778
35–39	381	387	402	364	360	869	833	837	781	765
40–44	431	399	377	335	293	761	691	674	628	670
45–49	416	414	376	305	300	679	646	679	663	625
50–54	416	394	374	324	331	591	643	612	564	567
55–59	299	313	280	278	263	500	458	491	490	473
60–64	164	192	202	200	167	232	256	295	290	275
≥65	195	201	196	181	179	167	196	200	241	219
Region of residence^a
Northeast	724	649	639	521	485	1,303	1,180	1,178	1,090	985
Midwest	280	290	303	289	301	741	742	768	767	737
South	1,943	2,042	2,031	1,804	1,818	3,769	3,700	3,684	3,607	3,533
West	306	278	295	259	240	759	706	803	728	758
Total	3,253	3,259	3,267	2,871	2,845	6,572	6,328	6,433	6,192	6,014

Note: Numbers less than 12, and trends based on these numbers, should be interpreted with caution.
Data have been statistically adjusted to account for missing transmission category, therefore values may not sum to column subtotals and total.
Persons whose transmission category is classified as heterosexual contact are presented based on sex at birth and includes transgender persons.
Persons whose transmission category is classified as heterosexual contact are persons who have ever had heterosexual contact with a person known to have, or to be at high risk for, HIV infection (e.g., a person who injects drugs). The heterosexual contact category excludes men who have ever had sexual contact with both men and women.
^aData are based on residence at time of diagnosis of HIV infection.
^bHispanics/Latinos can be of any race.

Table 7b. Diagnoses of HIV infection attributed to heterosexual contact, by year of diagnosis, race/ethnicity and selected characteristics, 2014–2018—United States and 6 dependent areas
	Male					Female
	2014	2015	2016	2017	2018	2014	2015	2016	2017	2018
	No.	No.	No.	No.	No.	No.	No.	No.	No.	No.
American Indian/Alaska Native
Age at diagnosis (yr)
13–14	0	0	0	0	0	0	0	0	0	0
15–19	0	0	0	0	0	2	1	0	0	1
20–24	0	1	0	0	1	1	2	0	2	1
25–29	0	0	0	1	1	6	6	4	5	2
30–34	3	1	1	2	1	1	7	3	2	1
35–39	1	1	2	3	1	2	5	7	4	2
40–44	2	0	1	0	0	2	4	6	5	3
45–49	3	3	1	0	0	1	3	3	5	3
50–54	0	2	1	0	1	5	4	1	5	3
55–59	1	1	0	0	2	3	3	2	2	2
60–64	0	0	0	0	0	0	0	1	2	0
≥65	0	0	2	0	0	0	1	1	0	0
Region of residence^a
Northeast	2	2	0	0	1	0	1	4	0	0
Midwest	1	1	2	0	2	3	7	1	3	1
South	0	3	2	4	2	7	15	9	6	9
West	7	5	6	4	3	13	13	13	23	7
U.S. dependent areas	0	0	0	0	0	0	0	0	0	0
Total	10	10	9	8	8	23	35	28	32	17
Asian
Age at diagnosis (yr)
13–14	0	0	0	0	0	0	0	1	0	0
15–19	1	0	0	0	0	1	3	0	1	0
20–24	1	0	3	2	5	9	14	8	6	7
25–29	5	6	3	3	2	18	15	19	18	14
30–34	13	4	10	4	8	16	18	33	8	18
35–39	6	18	13	9	9	23	19	23	25	11
40–44	2	10	4	4	11	21	16	15	11	12
45–49	4	8	8	6	6	9	10	10	12	9
50–54	8	6	4	2	6	8	8	10	14	9
55–59	2	4	4	3	2	8	4	8	7	9
60–64	1	1	5	4	5	5	6	4	6	5
≥65	6	4	6	2	6	1	4	5	5	7
Region of residence^a
Northeast	13	10	9	9	13	22	20	33	18	29
Midwest	6	7	10	5	3	13	16	11	19	5
South	14	24	25	10	25	31	40	43	32	28
West	15	19	16	14	18	53	39	48	45	36
U.S. dependent areas	0	0	0	0	0	0	0	0	0	0
Total	48	60	59	38	59	119	116	134	113	98
Black/African American
Age at diagnosis (yr)
13–14	2	1	0	0	0	4	7	6	5	3
15–19	30	31	39	24	33	185	150	142	141	135
20–24	161	170	159	132	111	465	468	402	415	406
25–29	207	244	251	202	227	558	529	563	519	502
30–34	210	205	232	208	233	529	528	536	548	479
35–39	223	224	237	220	209	544	542	547	493	471
40–44	269	251	229	189	170	479	428	425	415	435
45–49	241	258	232	188	168	437	395	436	400	373
50–54	258	265	230	203	206	365	391	387	346	340
55–59	198	211	182	188	167	329	286	308	303	306
60–64	108	128	128	126	106	152	176	189	199	178
≥65	123	105	120	112	108	125	137	123	170	131
Region of residence^a
Northeast	421	388	351	297	258	765	707	676	661	577
Midwest	176	186	191	189	201	479	493	497	512	492
South	1,337	1,424	1,400	1,242	1,202	2,678	2,570	2,587	2,533	2,402
West	92	95	94	64	76	244	263	303	245	288
U.S. dependent areas	4	0	2	0	3	6	3	0	2	0
Total	2,031	2,094	2,039	1,792	1,739	4,172	4,036	4,063	3,952	3,758
Hispanic/Latino^b
Age at diagnosis (yr)
13–14	0	0	0	0	0	1	0	2	2	3
15–19	5	5	4	8	7	51	43	33	41	34
20–24	44	39	51	37	32	137	129	107	118	102
25–29	75	57	78	66	67	136	142	140	149	143
30–34	99	95	93	85	87	170	137	164	132	135
35–39	110	110	97	88	90	173	147	138	135	147
40–44	105	89	94	91	73	146	138	132	108	113
45–49	95	87	98	61	76	128	121	115	128	124
50–54	82	76	65	60	80	103	128	105	96	121
55–59	57	51	45	44	48	85	71	83	77	82
60–64	35	28	40	37	25	42	37	46	43	51
≥65	35	47	40	37	40	29	36	42	40	53
Region of residence^a
Northeast	164	151	156	128	127	312	277	299	255	242
Midwest	34	40	41	29	34	73	51	60	58	54
South	345	325	302	276	318	423	475	429	451	497
West	101	83	106	96	79	268	228	225	222	237
U.S. dependent areas	97	84	100	84	67	123	98	95	81	78
Total	741	683	705	613	624	1,199	1,128	1,107	1,068	1,109
Native Hawaiian/other Pacific Islander
Age at diagnosis (yr)
13–14	0	0	0	0	0	0	0	0	0	0
15–19	0	0	0	0	0	1	0	0	0	1
20–24	0	0	0	1	0	2	2	1	0	0
25–29	0	1	0	1	0	0	0	0	2	0
30–34	0	0	0	1	3	1	1	1	3	2
35–39	0	2	1	0	0	1	0	1	2	0
40–44	1	0	0	0	0	1	0	0	0	0
45–49	0	1	1	1	0	0	0	0	0	0
50–54	0	1	0	0	0	1	1	2	0	1
55–59	0	0	0	0	1	1	1	0	1	1
60–64	0	0	0	0	0	1	0	0	0	0
≥65	0	0	0	1	0	0	0	0	0	0
Region of residence^a
Northeast	1	0	0	1	1	1	0	0	1	1
Midwest	0	0	1	0	0	0	2	0	0	0
South	0	1	1	1	2	1	1	1	2	1
West	0	4	0	2	1	6	2	4	5	3
U.S. dependent areas	0	0	0	1	1	1	0	0	0	0
Total	1	6	2	5	4	9	5	5	8	5
White
Age at diagnosis (yr)
13–14	0	0	0	0	0	3	0	0	1	2
15–19	3	3	4	3	2	27	20	34	30	31
20–24	18	15	32	18	20	108	89	105	100	92
25–29	37	37	39	45	50	124	113	134	111	134
30–34	38	32	47	46	61	129	118	146	132	127
35–39	30	36	46	48	52	114	103	112	113	119
40–44	55	49	51	53	38	100	103	94	86	103
45–49	61	65	47	49	49	106	107	107	111	111
50–54	73	45	76	62	45	106	105	101	102	99
55–59	44	44	52	45	49	77	90	90	101	73
60–64	29	37	35	35	34	26	33	57	40	39
≥65	37	48	43	34	31	16	25	23	24	25
Region of residence^a
Northeast	89	77	97	68	68	148	123	130	120	108
Midwest	54	48	49	56	57	150	156	159	152	166
South	205	223	258	239	244	483	487	520	511	517
West	78	63	69	74	63	154	140	192	166	166
U.S. dependent areas	0	0	0	0	0	1	0	0	2	0
Total	425	410	472	437	431	936	906	1,002	951	956
Multiple races
Age at diagnosis (yr)
13–14	0	0	0	0	0	0	0	1	1	0
15–19	1	2	0	1	0	13	10	9	5	11
20–24	6	9	8	4	3	39	23	28	25	13
25–29	8	11	11	6	9	39	29	23	21	23
30–34	7	9	5	10	10	38	32	25	22	23
35–39	18	6	17	7	6	30	26	26	19	19
40–44	9	6	12	9	3	33	15	17	10	12
45–49	21	9	9	7	5	16	25	21	19	19
50–54	11	12	8	5	8	16	20	14	13	7
55–59	10	8	7	6	0	10	15	14	10	8
60–64	3	2	5	7	3	10	5	4	3	7
≥65	6	7	2	4	3	3	4	8	5	9
Region of residence^a
Northeast	34	21	25	18	16	55	52	37	35	28
Midwest	9	9	10	10	6	23	18	39	23	20
South	41	43	44	32	25	146	112	95	72	80
West	15	9	5	4	1	22	21	18	23	22
U.S. dependent areas	0	0	0	0	1	0	1	0	0	0
Total	99	81	83	64	50	245	203	190	152	150
Total
Age at diagnosis (yr)
13–14	2	1	0	0	0	8	7	10	8	8
15–19	41	41	47	36	42	278	225	217	217	214
20–24	229	235	254	194	174	762	726	650	666	620
25–29	332	357	382	323	355	882	834	883	825	817
30–34	369	346	390	354	403	884	840	907	847	784
35–39	388	396	412	376	367	887	842	853	791	769
40–44	443	405	391	345	295	781	705	688	635	678
45–49	425	431	395	312	305	696	661	693	674	639
50–54	431	408	384	332	346	603	657	619	575	579
55–59	312	319	290	286	268	513	469	505	500	481
60–64	176	196	213	209	173	236	257	301	294	279
≥65	206	211	212	190	188	174	207	203	245	225
Region of residence^a
Northeast	724	649	639	521	485	1,303	1,180	1,178	1,090	985
Midwest	280	290	303	289	301	741	742	768	767	737
South	1,943	2,042	2,031	1,804	1,818	3,769	3,700	3,684	3,607	3,533
West	306	278	295	259	240	759	706	803	728	758
U.S. dependent areas	102	85	103	85	72	130	102	95	85	78
Total	3,355	3,344	3,370	2,956	2,916	6,702	6,430	6,528	6,276	6,092

Table 8a. Diagnoses of HIV infection among children aged <13 years, by year of diagnosis and race/ethnicity, 2014–2018—United States
	2014		2015		2016		2017		2018
Race/ethnicity	No.	Rate^a	No.	Rate^a	No.	Rate^a	No.	Rate^a	No.	Rate^a
American Indian/Alaska Native	3	0.7	2	0.4	0	0.0	0	0.0	0	0.0
Asian	10	0.4	10	0.4	8	0.3	6	0.2	5	0.2
Black/African American	111	1.5	90	1.2	78	1.1	58	0.8	53	0.7
Hispanic/Latino^b	19	0.1	13	0.1	18	0.1	16	0.1	9	0.1
Native Hawaiian/other Pacific Islander	1	1.0	0	0.0	0	0.0	1	0.9	0	0.0
White	28	0.1	17	0.1	18	0.1	16	0.1	15	0.1
Multiple races	10	0.4	10	0.4	7	0.3	8	0.3	5	0.2
Total	182	0.3	142	0.3	129	0.2	105	0.2	87	0.2

Note: Numbers less than 12, and rates and trends based on these numbers, should be interpreted with caution.
^aRates are per 100,000 population.
^bHispanics/Latinos can be of any race.

Table 8b. Diagnoses of HIV infection among children aged <13 years, by year of diagnosis and race/ethnicity, 2014–2018—United States and 6 dependent areas
	2014	2015	2016	2017	2018
Race/ethnicity	No.	No.	No.	No.	No.
American Indian/Alaska Native	3	2	0	0	0
Asian	10	10	8	6	5
Black/African American	111	90	78	58	53
Hispanic/Latino^a	19	13	18	16	9
Native Hawaiian/other Pacific Islander	1	0	0	1	0
White	28	17	18	16	15
Multiple races	10	10	7	8	5
Total	182	142	129	105	87

Note: Numbers less than 12, and trends based on these numbers, should be interpreted with caution.
^aHispanics/Latinos can be of any race.

Table 9. Diagnoses of HIV infection among adult and adolescent Hispanics/Latinos, by transmission category and place of birth, 2018—United States and 6 dependent areas
	Central America		Cuba		Mexico		Puerto Rico		South America		United States		Total
Transmission category^a	No.	%	No.	%	No.	%	No.	%	No.	%	No.	%	No.^b	%
Male adult or adolescent^c
Male-to-male sexual contact	365	80.3	227	87.5	905	86.7	391	72.6	721	90.3	2,505	85.1	7,653	85.3
Injection drug use	14	3.1	2	0.7	21	2.0	50	9.3	5	0.6	134	4.5	350	3.9
Male-to-male sexual contact and injection drug use	13	2.9	2	0.9	27	2.5	17	3.1	13	1.7	165	5.6	343	3.8
Heterosexual contact^d	59	13.1	28	10.9	91	8.7	81	15.0	58	7.3	138	4.7	624	7.0
Perinatal^e	3	0.7	0	0.0	0	0.0	0	0.0	0	0.0	1	0.0	5	0.1
Other^f	0	0.0	0	0.0	0	0.0	0	0.0	0	0.0	1	0.0	3	0.0
Subtotal	455	100	259	100	1,044	100	539	100	798	100	2,943	100	8,977	100
Female adult or adolescent^c
Injection drug use	4	3.7	0	0.0	4	4.9	7	5.5	1	1.4	80	20.1	155	12.2
Heterosexual contact^d	107	95.2	21	100.0	80	95.0	119	94.5	64	97.1	318	79.4	1,109	87.4
Perinatal^e	1	1.2	0	0.0	0	0.1	0	0.0	1	1.5	2	0.5	5	0.4
Other^f	0	0.0	0	0.0	0	0.0	0	0.0	0	0.0	0	0.0	0	0.0
Subtotal	112	100	21	100	84	100	126	100	66	100	400	100	1,269	100
Total	567	100	280	100	1,128	100	665	100	864	100	3,343	100	10,246	100

Note. Numbers less than 12, and percentages based on these numbers, should be interpreted with caution. Hispanics/Latinos can be of any race.
^aData have been statistically adjusted to account for missing transmission category; therefore, values may not sum to column subtotals and total.
^bTotal includes persons whose place of birth is not among those listed and persons whose place of birth is unknown.
^cData presented based on sex at birth and includes transgender persons.
^dHeterosexual contact with a person known to have, or to be at high risk for, HIV infection.
^eIndividuals were ≥13 years of age at time of diagnosis of HIV infection.
^fIncludes hemophilia, blood transfusion, and risk factor not reported or not identified.

Table 10a. Deaths of persons with diagnosed HIV infection, by year of death and selected characteristics, 2014–2018—United States
	2014		2015		2016		2017		2018
	No.	Rate^a	No.	Rate^a	No.	Rate^a	No.	Rate^a	No.	Rate^a
Gender
Male	11,882	—	11,858	—	12,255	—	12,257	—	11,595	—
Female	4,177	—	3,892	—	4,019	—	3,995	—	3,775	—
Transgender male-to-female^b	84	—	108	—	121	—	103	—	110	—
Transgender female-to-male^b	3	—	5	—	2	—	4	—	3	—
Additional gender identity^c	0	—	1	—	0	—	1	—	1	—
Age at death (yr)
<13	1	0.0	4	0.0	2	0.0	2	0.0	1	0.0
13–14	2	0.0	0	0.0	1	0.0	0	0.0	0	0.0
15–19	13	0.1	11	0.1	10	0.0	7	0.0	9	0.0
20–24	171	0.7	150	0.7	156	0.7	144	0.7	117	0.5
25–29	362	1.6	399	1.8	446	1.9	445	1.9	396	1.7
30–34	634	2.9	591	2.7	660	3.0	603	2.7	572	2.6
35–39	885	4.5	816	4.0	836	4.0	869	4.1	772	3.6
40–44	1,359	6.6	1,227	6.1	1,130	5.7	969	4.9	907	4.6
45–49	2,199	10.6	2,001	9.6	1,807	8.6	1,736	8.3	1,524	7.3
50–54	2,959	13.1	2,945	13.2	2,847	13.1	2,734	12.8	2,482	11.9
55–59	2,905	13.5	2,841	13.1	2,999	13.7	2,970	13.5	2,777	12.7
60–64	2,202	11.9	2,156	11.3	2,418	12.4	2,493	12.5	2,422	11.9
≥65	2,454	5.3	2,723	5.7	3,085	6.3	3,388	6.7	3,505	6.7
Race/ethnicity
American Indian/Alaska Native	61	2.6	62	2.6	46	1.9	44	1.8	43	1.8
Asian^d	60	0.4	81	0.5	101	0.6	88	0.5	79	0.4
Black/African American	7,339	18.6	7,132	17.9	7,245	18.0	7,198	17.7	6,679	16.3
Hispanic/Latino^e	2,657	4.8	2,516	4.5	2,631	4.6	2,694	4.6	2,712	4.5
Native Hawaiian/other Pacific Islander	9	1.7	7	1.3	14	2.5	9	1.6	12	2.0
White	5,022	2.5	5,035	2.5	5,324	2.7	5,256	2.7	4,909	2.5
Multiple races	994	15.6	1,025	15.6	1,033	15.3	1,069	15.4	1,050	14.8
Transmission category^f
Male adult or adolescent^g
Male-to-male sexual contact	6,536	—	6,588	—	6,913	—	7,010	—	6,578	—
Injection drug use	2,413	—	2,283	—	2,284	—	2,168	—	2,114	—
Male-to-male sexual contact and injection drug use	1,344	—	1,398	—	1,390	—	1,373	—	1,378	—
Heterosexual contact^h	1,581	—	1,588	—	1,686	—	1,705	—	1,528	—
Perinatalⁱ	32	—	28	—	39	—	41	—	50	—
Other^j	60	—	79	—	63	—	63	—	57	—
Subtotal	11,966	9.2	11,964	9.1	12,375	9.4	12,360	9.3	11,705	8.7
Female adult or adolescent^g
Injection drug use	1,460	—	1,351	—	1,384	—	1,373	—	1,260	—
Heterosexual contact^h	2,659	—	2,472	—	2,563	—	2,553	—	2,457	—
Perinatalⁱ	30	—	46	—	47	—	42	—	35	—
Other^j	29	—	27	—	26	—	29	—	26	—
Subtotal	4,179	3.1	3,896	2.8	4,020	2.9	3,998	2.9	3,778	2.7
Child (<13 yrs at death)
Perinatal	1	—	2	—	1	—	2	—	1	—
Other^j	0	—	2	—	1	—	0	—	0	—
Subtotal	1	0.0	4	0.0	2	0.0	2	0.0	1	0.0
Region of residence^k
Northeast	3,732	6.7	3,588	6.4	3,705	6.6	3,689	6.6	3,450	6.1
Midwest	1,845	2.7	1,808	2.7	1,847	2.7	1,902	2.8	1,930	2.8
South	7,984	6.7	7,862	6.5	8,088	6.6	8,041	6.5	7,383	5.9
West	2,585	3.4	2,606	3.4	2,757	3.6	2,728	3.5	2,721	3.5
Total^l	16,146	5.1	15,864	4.9	16,397	5.1	16,360	5.0	15,484	4.7

Note: Deaths of persons with a diagnosis of HIV infection may be due to any cause. Data for the year 2018 are preliminary and based on deaths reported to CDC as of December 2019.
Numbers less than 12, and rates and trends based on these numbers, should be interpreted with caution.
^aRates are per 100,000 population. Rates are not calculated by gender or transmission category because of the lack of denominator data.
^b“Transgender male-to-female” includes individuals who were assigned “male” sex at birth but have ever identified as “female” gender. “Transgender female-to-male” includes individuals who were assigned “female” sex at birth but have ever identified as “male” gender.
^cAdditional gender identity examples include “bigender,” “gender queer,” and “two-spirit.”
^dIncludes Asian/Pacific Islander legacy cases (see Technical Notes).
^eHispanics/Latinos can be of any race.
^fData have been statistically adjusted to account for missing transmission category, therefore values may not sum to column subtotals and total.
^gData presented based on sex at birth and includes transgender persons.
^hHeterosexual contact with a person known to have, or to be at high risk for, HIV infection.
ⁱIncludes individuals ≥13 years of age at time of diagnosis of HIV infection.
^jIncludes hemophilia, blood transfusion, and risk factor not reported or not identified.
^kData are based on residence at death. When information on residence at death was not available, state at death (where a person’s death occurred) was used.
^lIncludes persons whose race/ethnicity is unknown.

Table 10b. Deaths of persons with diagnosed HIV infection, by year of death and selected characteristics, 2014–2018—United States and 6 dependent areas
	2014		2015		2016		2017		2018
	No.	Rate^a	No.	Rate^a	No.	Rate^a	No.	Rate^a	No.	Rate^a
Gender
Male	12,223	—	12,152	—	12,575	—	12,555	—	11,865	—
Female	4,309	—	3,998	—	4,114	—	4,103	—	3,842	—
Transgender male-to-female^b	84	—	108	—	121	—	104	—	110	—
Transgender female-to-male^b	3	—	5	—	2	—	4	—	3	—
Additional gender identity^c	0	—	1	—	0	—	1	—	1	—
Age at death (yr)
<13	1	0.0	4	0.0	2	0.0	2	0.0	1	0.0
13–14	2	0.0	0	0.0	1	0.0	0	0.0	0	0.0
15–19	13	0.1	11	0.1	11	0.1	7	0.0	9	0.0
20–24	173	0.7	152	0.7	160	0.7	146	0.7	120	0.5
25–29	369	1.7	404	1.8	453	2.0	452	1.9	403	1.7
30–34	650	3.0	612	2.8	668	3.0	617	2.8	584	2.6
35–39	906	4.5	836	4.1	868	4.1	884	4.1	787	3.6
40–44	1,396	6.7	1,262	6.2	1,161	5.8	1,004	5.1	934	4.7
45–49	2,263	10.7	2,052	9.8	1,858	8.8	1,789	8.5	1,558	7.4
50–54	3,056	13.4	3,040	13.5	2,918	13.2	2,808	13.0	2,531	12.0
55–59	2,992	13.8	2,906	13.2	3,074	13.8	3,051	13.7	2,842	12.8
60–64	2,262	12.1	2,203	11.4	2,471	12.6	2,535	12.6	2,468	12.0
≥65	2,536	5.4	2,782	5.8	3,167	6.3	3,472	6.7	3,584	6.7
Race/ethnicity
American Indian/Alaska Native	61	—	62	—	46	—	44	—	43	—
Asian^d	62	—	82	—	101	—	88	—	79	—
Black/African American	7,348	—	7,138	—	7,254	—	7,203	—	6,679	—
Hispanic/Latino^e	3,119	—	2,907	—	3,033	—	3,095	—	3,044	—
Native Hawaiian/other Pacific Islander	9	—	8	—	16	—	9	—	15	—
White	5,022	—	5,035	—	5,325	—	5,257	—	4,910	—
Multiple races	994	—	1,026	—	1,034	—	1,069	—	1,051	—
Transmission category^f
Male adult or adolescent^g
Male-to-male sexual contact	6,621	—	6,664	—	6,989	—	7,081	—	6,652	—
Injection drug use	2,558	—	2,415	—	2,413	—	2,299	—	2,224	—
Male-to-male sexual contact and injection drug use	1,371	—	1,424	—	1,421	—	1,397	—	1,397	—
Heterosexual contact^h	1,663	—	1,647	—	1,762	—	1,777	—	1,592	—
Perinatalⁱ	32	—	29	—	45	—	42	—	53	—
Other^j	62	—	80	—	63	—	63	—	58	—
Subtotal	12,307	9.4	12,258	9.2	12,695	9.5	12,659	9.4	11,975	8.8
Female adult or adolescent^g
Injection drug use	1,502	—	1,375	—	1,419	—	1,408	—	1,284	—
Heterosexual contact^h	2,748	—	2,554	—	2,620	—	2,625	—	2,498	—
Perinatalⁱ	31	—	47	—	49	—	44	—	37	—
Other^j	29	—	27	—	27	—	29	—	26	—
Subtotal	4,311	3.1	4,002	2.9	4,115	2.9	4,106	2.9	3,845	2.7
Child (<13 yrs at death)
Perinatal	1	—	2	—	1	—	2	—	1	—
Other^j	0	—	2	—	1	—	0	—	0	—
Subtotal	1	0.0	4	0.0	2	0.0	2	0.0	1	0.0
Region of residence^k
Northeast	3,732	6.7	3,588	6.4	3,705	6.6	3,689	6.6	3,450	6.1
Midwest	1,845	2.7	1,808	2.7	1,847	2.7	1,902	2.8	1,930	2.8
South	7,984	6.7	7,862	6.5	8,088	6.6	8,041	6.5	7,383	5.9
West	2,585	3.4	2,606	3.4	2,757	3.6	2,728	3.5	2,721	3.5
U.S. dependent areas	473	12.0	400	10.3	415	10.9	407	10.9	337	9.4
Total^l	16,619	5.2	16,264	5.0	16,812	5.1	16,767	5.1	15,821	4.8

Note: Deaths of persons with a diagnosis of HIV infection may be due to any cause. Data for the year 2018 are preliminary and based on deaths reported to CDC as of December 2019.
Numbers less than 12, and rates and trends based on these numbers, should be interpreted with caution.
^aRates are per 100,000 population. Rates are not calculated by gender or transmission category because of the lack of denominator data. Rates by race/ethnicity are not provided because U.S. census information is limited for U.S. dependent areas.
^bTransgender male-to-female” includes individuals who were assigned “male” sex at birth but have ever identified as “female” gender. “Transgender female-to-male” includes individuals who were assigned “female” sex at birth but have ever identified as “male” gender.
^cAdditional gender identity examples include “bigender,” “gender queer,” and “two-spirit.”
^dIncludes Asian/Pacific Islander legacy cases (see Technical Notes).
^eHispanics/Latinos can be of any race.
^fData have been statistically adjusted to account for missing transmission category, therefore values may not sum to column subtotals and total.
^gData presented based on sex at birth and includes transgender persons.
^hHeterosexual contact with a person known to have, or to be at high risk for, HIV infection.
ⁱIncludes individuals ≥13 years of age at time of diagnosis of HIV infection.
jIncludes hemophilia, blood transfusion, and risk factor not reported or not identified.
^kData are based on residence at death. When information on residence at death was not available, state at death (where a person’s death occurred) was used.
^lIncludes persons whose race/ethnicity is unknown.

Table 11a. Deaths of persons with diagnosed HIV infection, by race/ethnicity and selected characteristics, 2018—United States
	American Indian/ Alaska Native		Asian^a		Black/African American		Hispanic/ Latino^b		Native Hawaiian/ other Pacific Islander		White		Multiple races		Total^c
	No.	Rate^d	No.	Rate^d	No.	Rate^d	No.	Rate^d	No.	Rate^d	No.	Rate^d	No.	Rate^d	No.	Rate^d
Gender
Male	28	—	69	—	4,475	—	2,117	—	11	—	4,118	—	777	—	11,595	—
Female	13	—	9	—	2,164	—	559	—	1	—	771	—	258	—	3,775	—
Transgender male-to-female^e	2	—	1	—	40	—	34	—	0	—	19	—	14	—	110	—
Transgender female-to-male^e	0	—	0	—	0	—	1	—	0	—	1	—	1	—	3	—
Additional gender identity^f	0	—	0	—	0	—	1	—	0	—	0	—	0	—	1	—
Age at death (yr)
<13	0	0.0	0	0.0	1	0.0	0	0.0	0	0.0	0	0.0	0	0.0	1	0.0
13–14	0	0.0	0	0.0	0	0.0	0	0.0	0	0.0	0	0.0	0	0.0	0	0.0
15–19	0	0.0	0	0.0	7	0.2	2	0.0	0	0.0	0	0.0	0	0.0	9	0.0
20–24	0	0.0	0	0.0	65	2.1	21	0.4	0	0.0	26	0.2	5	0.8	117	0.5
25–29	5	2.5	6	0.4	203	5.8	96	2.0	0	0.0	64	0.5	22	4.0	396	1.7
30–34	3	1.8	5	0.3	298	10.2	108	2.4	2	3.9	125	1.0	31	7.4	572	2.6
35–39	3	1.9	3	0.2	371	13.4	167	3.7	2	4.2	166	1.4	60	16.4	772	3.6
40–44	4	2.8	4	0.3	386	15.5	192	4.7	1	2.5	258	2.3	62	20.9	907	4.6
45–49	4	2.8	9	0.6	636	24.6	279	7.4	1	2.7	480	3.8	115	42.3	1,524	7.3
50–54	10	6.7	14	1.2	1,029	39.7	424	13.0	2	5.8	822	6.1	181	76.5	2,482	11.9
55–59	8	5.1	11	1.0	1,125	43.1	475	17.3	1	3.0	974	6.5	183	78.8	2,777	12.7
60–64	3	2.2	8	0.8	1,105	48.4	379	17.7	2	7.2	766	5.3	159	80.6	2,422	11.9
≥65	3	1.0	19	0.8	1,453	30.5	569	12.9	1	1.8	1,228	3.1	232	57.3	3,505	6.7
Transmission category^g
Male adult or adolescent^h
Male-to-male sexual contact	16	—	58	—	1,979	—	1,149	—	8	—	2,946	—	423	—	6,578	—
Injection drug use	7	—	4	—	1,055	—	500	—	1	—	408	—	138	—	2,114	—
Male-to-male sexual contact and injection drug use	4	—	4	—	428	—	264	—	0	—	533	—	144	—	1,378	—
Heterosexual contactⁱ	2	—	3	—	1,014	—	213	—	1	—	216	—	80	—	1,528	—
Perinatal^j	0	—	0	—	23	—	19	—	0	—	8	—	0	—	50	—
Other^k	1	—	0	—	16	—	7	—	0	—	27	—	6	—	57	—
Subtotal	30	3.1	70	0.9	4,515	28.4	2,151	9.2	11	4.6	4,137	4.9	791	34.7	11,705	8.7
Female adult or adolescent^h
Injection drug use	6	—	2	—	563	—	223	—	0	—	359	—	108	—	1,260	—
Heterosexual contactⁱ	7	—	6	—	1,565	—	329	—	1	—	403	—	146	—	2,457	—
Perinatal^j	0	—	0	—	23	—	6	—	0	—	3	—	3	—	35	—
Other^k	0	—	1	—	11	—	4	—	0	—	7	—	2	—	26	—
Subtotal	13	1.3	9	0.1	2,163	12.2	561	2.4	1	0.4	772	0.9	259	10.7	3,778	2.7
Child (<13 yrs at death)
Perinatal	0	—	0	—	1	—	0	—	0	—	0	—	0	—	1	—
Other^k	0	—	0	—	0	—	0	—	0	—	0	—	0	—	0	—
Subtotal	0	0.0	0	0.0	1	0.0	0	0.0	0	0.0	0	0.0	0	0.0	1	0.0
Region of residence^l
Northeast	1	0.8	8	0.2	1,336	21.0	1,006	12.2	1	4.6	773	2.1	325	33.7	3,450	6.1
Midwest	7	1.7	7	0.3	850	11.9	152	2.8	0	0.0	786	1.5	128	9.4	1,930	2.8
South	9	1.1	21	0.5	4,020	16.9	875	3.9	1	1.1	2,044	2.9	413	17.5	7,383	5.9
West	26	2.4	43	0.5	473	13.2	679	2.9	10	2.3	1,306	3.4	184	7.6	2,721	3.5
Total	43	1.8	79	0.4	6,679	16.3	2,712	4.5	12	2.0	4,909	2.5	1,050	14.8	15,484	4.7

Note: Deaths of persons with a diagnosis of HIV infection may be due to any cause. Data for the year 2018 are preliminary and based on deaths reported to CDC as of December 2019.
Numbers less than 12, and rates based on these numbers, should be interpreted with caution.
^aIncludes Asian/Pacific Islander legacy cases (see Technical Notes).
^bHispanics/Latinos can be of any race.
^cIncludes persons whose race/ethnicity is unknown.
^dRates are per 100,000 population. Rates are not calculated by gender or transmission category because of the lack of denominator data.
^e“Transgender male-to-female” includes individuals who were assigned “male” sex at birth but have ever identified as “female” gender. “Transgender female-to-male” includes individuals who were assigned “female” sex at birth but have ever identified as “male” gender.
^fAdditional gender identity examples include “bigender,” “gender queer,” and “two-spirit.”
^gData have been statistically adjusted to account for missing transmission category, therefore values may not sum to column subtotals and total.
^hData presented based on sex at birth and includes transgender persons.
ⁱHeterosexual contact with a person known to have, or to be at high risk for, HIV infection.
^jIncludes individuals ≥13 years of age at time of diagnosis of HIV infection.
^kIncludes hemophilia, blood transfusion, and risk factor not reported or not identified.
^lData are based on residence at death. When information on residence at death was not available, state at death (where a person’s death occurred) was used.

Table 11b. Deaths of persons with diagnosed HIV infection, by race/ethnicity and selected characteristics, 2018—United States and 6 dependent areas
	American Indian/ Alaska Native	Asian^a	Black/African American	Hispanic/Latino^b	Native Hawaiian/ other Pacific Islander	White	Multiple races	Total^c
	No.	No.	No.	No.	No.	No.	No.	No.
Gender
Male	28	69	4,475	2,384	12	4,119	778	11,865
Female	13	9	2,164	624	3	771	258	3,842
Transgender male-to-female^d	2	1	40	34	0	19	14	110
Transgender female-to-male^d	0	0	0	1	0	1	1	3
Additional gender identity^e	0	0	0	1	0	0	0	1
Age at death (yr)
<13	0	0	1	0	0	0	0	1
13–14	0	0	0	0	0	0	0	0
15–19	0	0	7	2	0	0	0	9
20–24	0	0	65	24	0	26	5	120
25–29	5	6	203	103	0	64	22	403
30–34	3	5	298	119	3	125	31	584
35–39	3	3	371	180	4	166	60	787
40–44	4	4	386	219	1	258	62	934
45–49	4	9	636	313	1	480	115	1,558
50–54	10	14	1,029	473	2	822	181	2,531
55–59	8	11	1,125	539	1	974	184	2,842
60–64	3	8	1,105	425	2	766	159	2,468
≥65	3	19	1,453	647	1	1,229	232	3,584
Transmission category^f
Male adult or adolescent^g
Male-to-male sexual contact	16	58	1,979	1,221	9	2,946	424	6,652
Injection drug use	7	4	1,055	610	2	408	138	2,224
Male-to-male sexual contact and injection drug use	4	4	428	283	0	533	144	1,397
Heterosexual contact^h	2	3	1,014	275	1	217	80	1,592
Perinatalⁱ	0	0	23	22	0	8	0	53
Other^j	1	0	16	8	0	27	6	58
Subtotal	30	70	4,515	2,418	12	4,138	792	11,975
Female adult or adolescent^g
Injection drug use	6	2	563	247	0	359	108	1,284
Heterosexual contact^h	7	6	1,565	367	3	403	146	2,498
Perinatalⁱ	0	0	23	8	0	3	3	37
Other^j	0	1	11	4	0	7	2	26
Subtotal	13	9	2,163	626	3	772	259	3,845
Child (<13 yrs at death)
Perinatal	0	0	1	0	0	0	0	1
Other^j	0	0	0	0	0	0	0	0
Subtotal	0	0	1	0	0	0	0	1
Region of residence^k
Northeast	1	8	1,336	1,006	1	773	325	3,450
Midwest	7	7	850	152	0	786	128	1,930
South	9	21	4,020	875	1	2,044	413	7,383
West	26	43	473	679	10	1,306	184	2,721
U.S. dependent areas	0	0	0	332	3	1	1	337
Total	43	79	6,679	3,044	15	4,910	1,051	15,821

Note: Deaths of persons with a diagnosis of HIV infection may be due to any cause. Data for the year 2018 are preliminary and based on deaths reported to CDC as of December 2019.
Numbers less than 12 should be interpreted with caution.
^aIncludes Asian/Pacific Islander legacy cases (see Technical Notes).
^bHispanics/Latinos can be of any race.
^cIncludes persons whose race/ethnicity is unknown.
^d“Transgender male-to-female” includes individuals who were assigned “male” sex at birth but have ever identified as “female” gender. “Transgender female-to-male” includes individuals who were assigned “female” sex at birth but have ever identified as “male” gender.
^eAdditional gender identity examples include “bigender,” “gender queer,” and “two-spirit.”
^fData have been statistically adjusted to account for missing transmission category, therefore values may not sum to column subtotals and total.
^gData presented based on sex at birth and includes transgender persons.
^hHeterosexual contact with a person known to have, or to be at high risk for, HIV infection.
ⁱIncludes individuals ≥13 years of age at time of diagnosis of HIV infection.
^jIncludes hemophilia, blood transfusion, and risk factor not reported or not identified.
^kData are based on residence at death. When information on residence at death was not available, state at death (where a person’s death occurred) was used.

Table 12a. Deaths of adults and adolescents with diagnosed HIV infection, by year of death, sex at birth, and selected characteristics, 2014–2018—United States
	2014		2015		2016		2017		2018
	No.	Rate^a	No.	Rate^a	No.	Rate^a	No.	Rate^a	No.	Rate^a
Male adult or adolescent
Age at death (yr)
13–14	0	0.0	0	0.0	1	0.0	0	0.0	0	0.0
15–19	9	0.1	6	0.1	5	0.0	5	0.0	5	0.0
20–24	115	1.0	106	0.9	112	1.0	113	1.0	93	0.8
25–29	286	2.6	314	2.8	352	3.0	347	2.9	327	2.7
30–34	451	4.2	413	3.8	478	4.3	450	4.1	434	3.9
35–39	582	5.9	543	5.4	584	5.6	628	5.9	548	5.1
40–44	901	8.8	840	8.4	742	7.6	659	6.8	602	6.1
45–49	1,579	15.3	1,490	14.5	1,302	12.6	1,216	11.7	1,074	10.5
50–54	2,221	20.1	2,231	20.4	2,137	19.9	2,044	19.5	1,843	17.9
55–59	2,191	21.0	2,183	20.7	2,338	21.9	2,249	21.1	2,147	20.1
60–64	1,711	19.3	1,672	18.4	1,851	19.9	1,937	20.3	1,826	18.8
≥65	1,920	9.5	2,166	10.3	2,473	11.4	2,712	12.0	2,806	12.0
Race/ethnicity
American Indian/Alaska Native	38	4.1	45	4.8	37	3.9	31	3.2	30	3.1
Asian^b	48	0.7	74	1.1	88	1.2	73	1.0	70	0.9
Black/African American	4,834	31.8	4,759	30.9	4,870	31.3	4,909	31.2	4,515	28.4
Hispanic/Latino^c	2,081	9.8	2,009	9.3	2,033	9.2	2,113	9.3	2,151	9.2
Native Hawaiian/other Pacific Islander	7	3.2	7	3.1	10	4.3	5	2.1	11	4.6
White	4,250	5.1	4,289	5.1	4,566	5.4	4,424	5.3	4,137	4.9
Multiple races	706	35.7	776	37.9	768	36.1	804	36.5	791	34.7
Region of residence^d
Northeast	2,612	11.4	2,528	11.0	2,627	11.4	2,618	11.3	2,433	10.5
Midwest	1,462	5.3	1,447	5.2	1,467	5.3	1,504	5.4	1,544	5.5
South	5,654	11.7	5,725	11.7	5,876	11.8	5,854	11.7	5,372	10.6
West	2,238	7.3	2,264	7.3	2,405	7.6	2,384	7.5	2,356	7.3
Subtotal	11,966	9.2	11,964	9.1	12,375	9.4	12,360	9.3	11,705	8.7
Female adult or adolescent
Age at death (yr)
13–14	2	0.0	0	0.0	0	0.0	0	0.0	0	0.0
15–19	4	0.0	5	0.0	5	0.0	2	0.0	4	0.0
20–24	56	0.5	44	0.4	44	0.4	31	0.3	24	0.2
25–29	76	0.7	85	0.8	94	0.8	98	0.9	69	0.6
30–34	183	1.7	178	1.7	182	1.7	153	1.4	138	1.3
35–39	303	3.0	273	2.7	252	2.4	241	2.3	224	2.1
40–44	458	4.4	387	3.8	388	3.9	310	3.1	305	3.1
45–49	620	5.9	511	4.9	505	4.8	520	4.9	450	4.3
50–54	738	6.4	714	6.3	710	6.4	690	6.4	639	6.0
55–59	714	6.5	658	5.9	661	5.9	721	6.4	630	5.6
60–64	491	5.1	484	4.9	567	5.6	556	5.3	596	5.6
≥65	534	2.1	557	2.1	612	2.2	676	2.4	699	2.4
Race/ethnicity
American Indian/Alaska Native	23	2.4	17	1.7	9	0.9	13	1.3	13	1.3
Asian^b	12	0.2	7	0.1	13	0.2	15	0.2	9	0.1
Black/African American	2,504	14.7	2,370	13.7	2,373	13.6	2,288	13.0	2,163	12.2
Hispanic/Latino^c	576	2.8	507	2.4	598	2.7	581	2.6	561	2.4
Native Hawaiian/other Pacific Islander	2	0.9	0	0.0	4	1.7	4	1.7	1	0.4
White	772	0.9	745	0.9	758	0.9	831	1.0	772	0.9
Multiple races	288	13.6	249	11.3	265	11.7	265	11.3	259	10.7
Region of residence^d
Northeast	1,120	4.6	1,059	4.3	1,078	4.4	1,071	4.3	1,016	4.1
Midwest	383	1.3	361	1.2	379	1.3	397	1.4	386	1.3
South	2,329	4.6	2,135	4.1	2,211	4.2	2,186	4.1	2,011	3.8
West	347	1.1	341	1.1	352	1.1	344	1.1	365	1.1
Subtotal	4,179	3.1	3,896	2.8	4,020	2.9	3,998	2.9	3,778	2.7
Total	16,145	6.1	15,860	5.9	16,395	6.1	16,358	6.0	15,483	5.6

Table 12b. Deaths of adults and adolescents with diagnosed HIV infection, by year of death, sex at birth, and selected characteristics, 2014–2018—United States and 6 dependent areas
	2014		2015		2016		2017		2018
	No.	Rate^a	No.	Rate^a	No.	Rate^a	No.	Rate^a	No.	Rate^a
Male adult or adolescent
Age at death (yr)
13–14	0	0.0	0	0.0	1	0.0	0	0.0	0	0.0
15–19	9	0.1	6	0.1	6	0.1	5	0.0	5	0.0
20–24	117	1.0	108	0.9	115	1.0	114	1.0	96	0.8
25–29	291	2.6	317	2.8	358	3.0	352	2.9	333	2.7
30–34	462	4.2	425	3.9	483	4.4	459	4.1	442	3.9
35–39	596	5.9	558	5.4	609	5.8	639	6.0	561	5.2
40–44	927	9.0	866	8.6	762	7.7	687	7.0	625	6.3
45–49	1,622	15.5	1,526	14.6	1,344	12.8	1,258	12.0	1,098	10.6
50–54	2,282	20.4	2,303	20.8	2,192	20.2	2,100	19.8	1,879	18.1
55–59	2,261	21.5	2,229	20.9	2,395	22.2	2,306	21.4	2,199	20.4
60–64	1,759	19.6	1,710	18.6	1,895	20.1	1,966	20.4	1,865	19.0
≥65	1,981	9.6	2,210	10.4	2,535	11.5	2,773	12.1	2,872	12.2
Race/ethnicity
American Indian/Alaska Native	38	—	45	—	37	—	31	—	30	—
Asian^b	50	—	74	—	88	—	73	—	70	—
Black/African American	4,839	—	4,761	—	4,877	—	4,913	—	4,515	—
Hispanic/Latino^c	2,415	—	2,299	—	2,344	—	2,407	—	2,418	—
Native Hawaiian/other Pacific Islander	7	—	8	—	11	—	5	—	12	—
White	4,250	—	4,289	—	4,566	—	4,425	—	4,138	—
Multiple races	706	—	777	—	769	—	804	—	792	—
Region of residence^d
Northeast	2,612	11.4	2,528	11.0	2,627	11.4	2,618	11.3	2,433	10.5
Midwest	1,462	5.3	1,447	5.2	1,467	5.3	1,504	5.4	1,544	5.5
South	5,654	11.7	5,725	11.7	5,876	11.8	5,854	11.7	5,372	10.6
West	2,238	7.3	2,264	7.3	2,405	7.6	2,384	7.5	2,356	7.3
U.S. dependent areas	341	21.6	294	18.9	320	20.8	299	19.8	270	18.3
Subtotal	12,307	9.4	12,258	9.2	12,695	9.5	12,659	9.4	11,975	8.8
Female adult or adolescent
Age at death (yr)
13–14	2	0.0	0	0.0	0	0.0	0	0.0	0	0.0
15–19	4	0.0	5	0.0	5	0.0	2	0.0	4	0.0
20–24	56	0.5	44	0.4	45	0.4	32	0.3	24	0.2
25–29	78	0.7	87	0.8	95	0.8	100	0.9	70	0.6
30–34	188	1.7	187	1.7	185	1.7	158	1.4	142	1.3
35–39	310	3.1	278	2.7	259	2.5	245	2.3	226	2.1
40–44	469	4.5	396	3.9	399	4.0	317	3.2	309	3.1
45–49	641	6.0	526	5.0	514	4.8	531	5.0	460	4.3
50–54	774	6.7	737	6.4	726	6.5	708	6.4	652	6.1
55–59	731	6.5	677	6.0	679	5.9	745	6.5	643	5.6
60–64	503	5.1	493	4.9	576	5.6	569	5.4	603	5.6
≥65	555	2.1	572	2.1	632	2.3	699	2.4	712	2.4
Race/ethnicity
American Indian/Alaska Native	23	—	17	—	9	—	13	—	13	—
Asian^b	12	—	8	—	13	—	15	—	9	—
Black/African American	2,508	—	2,374	—	2,375	—	2,289	—	2,163	—
Hispanic/Latino^c	704	—	608	—	689	—	688	—	626	—
Native Hawaiian/other Pacific Islander	2	—	0	—	5	—	4	—	3	—
White	772	—	745	—	759	—	831	—	772	—
Multiple races	288	—	249	—	265	—	265	—	259	—
Region of residence^d
Northeast	1,120	4.6	1,059	4.3	1,078	4.4	1,071	4.3	1,016	4.1
Midwest	383	1.3	361	1.2	379	1.3	397	1.4	386	1.3
South	2,329	4.6	2,135	4.1	2,211	4.2	2,186	4.1	2,011	3.8
West	347	1.1	341	1.1	352	1.1	344	1.1	365	1.1
U.S. dependent areas	132	7.6	106	6.1	95	5.6	108	6.4	67	4.1
Subtotal	4,311	3.1	4,002	2.9	4,115	2.9	4,106	2.9	3,845	2.7
Total	16,618	6.2	16,260	6.0	16,810	6.1	16,765	6.1	15,820	5.7

Table 13a. Deaths of transgender adults and adolescents with diagnosed HIV infection, by year of death and selected characteristics, 2014–2018—United States
	2014	2015	2016	2017	2018
	No.	No.	No.	No.	No.
Transgender male-to-female adult or adolescent^a
Age at death (yr)
13–14	0	0	0	0	0
15–19	0	0	0	0	0
20–24	1	5	1	1	1
25–29	10	11	10	8	11
30–34	8	14	10	7	8
35–39	9	7	13	15	13
40–44	10	15	12	13	12
45–49	16	13	22	18	11
50–54	15	13	13	10	18
55–59	9	12	17	18	16
60–64	4	6	11	7	9
≥65	2	12	12	6	11
Race/ethnicity
American Indian/Alaska Native	1	1	0	0	2
Asian^b	0	0	3	0	1
Black/African American	41	53	55	42	40
Hispanic/Latino^c	23	29	28	35	34
Native Hawaiian/other Pacific Islander	0	1	1	1	0
White	10	13	22	17	19
Multiple races	9	11	12	8	14
Region of residence^d
Northeast	20	25	27	24	31
Midwest	8	20	12	10	10
South	28	37	41	39	38
West	28	26	41	30	31
Subtotal	84	108	121	103	110
Transgender female-to-male adult or adolescent^a
Age at death (yr)
13–14	0	0	0	0	0
15–19	0	0	0	0	0
20–24	0	0	0	0	0
25–29	0	1	0	0	0
30–34	0	1	0	0	0
35–39	0	0	2	0	0
40–44	0	1	0	0	0
45–49	1	1	0	1	2
50–54	1	1	0	0	0
55–59	1	0	0	2	1
60–64	0	0	0	0	0
≥65	0	0	0	1	0
Race/ethnicity
American Indian/Alaska Native	0	0	0	0	0
Asian^b	0	0	0	0	0
Black/African American	1	2	1	3	0
Hispanic/Latino^c	1	2	0	0	1
Native Hawaiian/other Pacific Islander	0	0	0	0	0
White	0	1	1	0	1
Multiple races	1	0	0	1	1
Region of residence^d
Northeast	0	2	0	0	0
Midwest	2	0	0	0	0
South	1	1	2	3	2
West	0	2	0	1	1
Subtotal	3	5	2	4	3
Total	87	113	123	107	113

Note: Deaths of persons with a diagnosis of HIV infection may be due to any cause. Data for the year 2018 are preliminary and based on deaths reported to CDC as of December 2019. Numbers less than 12 should be interpreted with caution.
Additional gender identity not included due to small numbers.
^a“Transgender male-to-female” includes individuals who were assigned “male” sex at birth but have ever identified as “female” gender. “Transgender female-to-male” includes individuals who were assigned “female” sex at birth but have ever identified as “male” gender.
^bIncludes Asian/Pacific Islander legacy cases (see Technical Notes).
^cHispanics/Latinos can be of any race.
^dData are based on residence at the time of death. When information on residence at death was not available, state at death (where a person’s death occurred) was used.

Table 13b. Deaths of transgender adults and adolescents with diagnosed HIV infection, by year of death and selected characteristics, 2014–2018—United States and dependent areas
	2014	2015	2016	2017	2018
	No.	No.	No.	No.	No.
Transgender male-to-female^a
Age at death (yr)
13–14	0	0	0	0	0
15–19	0	0	0	0	0
20–24	1	5	1	1	1
25–29	10	11	10	8	11
30–34	8	14	10	7	8
35–39	9	7	13	16	13
40–44	10	15	12	13	12
45–49	16	13	22	18	11
50–54	15	13	13	10	18
55–59	9	12	17	18	16
60–64	4	6	11	7	9
≥65	2	12	12	6	11
Race/ethnicity
American Indian/Alaska Native	1	1	0	0	2
Asian^b	0	0	3	0	1
Black/African American	41	53	55	42	40
Hispanic/Latino^c	23	29	28	36	34
Native Hawaiian/other Pacific Islander	0	1	1	1	0
White	10	13	22	17	19
Multiple races	9	11	12	8	14
Region of residence^d
Northeast	20	25	27	24	31
Midwest	8	20	12	10	10
South	28	37	41	39	38
West	28	26	41	30	31
U.S. dependent areas	0	0	0	1	0
Subtotal	84	108	121	104	110
Transgender female-to-male adult or adolescent^a
Age at death (yr)
13–14	0	0	0	0	0
15–19	0	0	0	0	0
20–24	0	0	0	0	0
25–29	0	1	0	0	0
30–34	0	1	0	0	0
35–39	0	0	2	0	0
40–44	0	1	0	0	0
45–49	1	1	0	1	2
50–54	1	1	0	0	0
55–59	1	0	0	2	1
60–64	0	0	0	0	0
≥65	0	0	0	1	0
Race/ethnicity
American Indian/Alaska Native	0	0	0	0	0
Asian^b	0	0	0	0	0
Black/African American	1	2	1	3	0
Hispanic/Latino^c	1	2	0	0	1
Native Hawaiian/other Pacific Islander	0	0	0	0	0
White	0	1	1	0	1
Multiple races	1	0	0	1	1
Region of residence^d
Northeast	0	2	0	0	0
Midwest	2	0	0	0	0
South	1	1	2	3	2
West	0	2	0	1	1
U.S. dependent areas	0	0	0	0	0
Subtotal	3	5	2	4	3
Total	87	113	123	108	113

Note: Deaths of persons with a diagnosis of HIV infection may be due to any cause. Data for the year 2018 are preliminary and based on deaths reported to CDC as of December 2019. Numbers less than 12 should be interpreted with caution.
Additional gender identity not included due to small numbers.
^a“Transgender male-to-female” includes individuals who were assigned “male” sex at birth but have ever identified as “female” gender. “Transgender female-to-male” includes individuals who were assigned “female” sex at birth but have ever identified as “male” gender.
^bIncludes Asian/Pacific Islander legacy cases (see Technical Notes).
^cHispanics/Latinos can be of any race.
^dData are based on residence at time of death. When information on residence at death was not available, state at death (where a person’s death occurred) was used.

Table 14a. Persons living with diagnosed HIV infection, by year and selected characteristics, 2014–2018—United States
	2014		2015		2016		2017		2018
	No.	Rate^a	No.	Rate^a	No.	Rate^a	No.	Rate^a	No.	Rate^a
Gender
Male	695,219	—	715,831	—	735,894	—	755,232	—	774,422	—
Female	225,016	—	228,909	—	232,931	—	236,895	—	240,787	—
Transgender male-to-female^b	8,052	—	8,514	—	9,031	—	9,496	—	9,959	—
Transgender female-to-male^b	281	—	308	—	326	—	355	—	403	—
Additional gender identity^c	118	—	128	—	141	—	156	—	173	—
Age at end of year
<13	2,477	4.7	2,344	4.4	2,226	4.2	2,072	3.9	1,912	3.6
13–14	736	8.8	723	8.8	675	8.2	668	8.1	664	8.0
15–19	5,257	25.0	4,945	23.5	4,622	21.9	4,505	21.3	4,322	20.5
20–24	31,626	138.2	30,774	135.7	29,787	133.2	28,382	128.6	26,914	123.0
25–29	61,103	278.3	65,169	290.7	68,350	298.2	70,411	301.7	70,839	300.7
30–34	73,860	343.5	75,856	350.6	79,204	362.9	82,881	377.8	87,843	396.8
35–39	84,192	423.5	87,003	428.2	89,689	431.4	91,934	433.8	93,817	435.1
40–44	108,357	527.5	101,481	503.7	97,570	495.4	96,257	491.3	96,965	491.9
45–49	147,654	708.8	142,709	686.9	136,556	652.6	130,515	624.0	123,900	597.2
50–54	163,186	724.7	166,612	748.3	167,011	765.7	163,471	765.8	158,278	757.9
55–59	118,865	553.8	127,938	588.4	136,131	620.1	144,797	659.4	153,473	699.5
60–64	71,989	388.5	79,336	417.1	87,775	451.0	96,359	483.2	104,620	514.6
≥65	59,384	128.6	68,800	144.3	78,727	159.9	89,882	177.0	102,197	194.9
Race/ethnicity
American Indian/Alaska Native	2,525	107.4	2,644	111.6	2,819	118.1	2,987	124.3	3,134	129.6
Asian^d	11,399	68.3	12,331	71.6	13,279	74.8	14,250	78.1	15,160	80.9
Black/African American	382,232	967.7	392,725	984.9	403,100	1001.7	413,043	1017.8	422,994	1034.2
Hispanic/Latino^e	200,121	362.7	207,740	368.6	215,670	374.6	223,516	380.7	231,317	386.4
Native Hawaiian/other Pacific Islander	695	127.9	757	136.5	783	138.3	825	143.2	881	150.3
White	284,426	143.8	289,722	146.5	294,546	148.9	299,300	151.4	304,131	154.0
Multiple races	46,512	730.0	47,001	716.3	47,360	701.6	47,449	684.4	47,363	665.7
Transmission category^f
Male adult or adolescent^g
Male-to-male sexual contact	494,027	—	514,232	—	533,999	—	553,173	—	571,934	—
Injection drug use	72,006	—	71,061	—	70,085	—	69,360	—	68,794	—
Male-to-male sexual contact and injection drug use	55,544	—	55,615	—	55,702	—	55,760	—	55,781	—
Heterosexual contact^h	73,276	—	74,996	—	76,683	—	77,962	—	79,401	—
Perinatalⁱ	4,496	—	4,608	—	4,698	—	4,787	—	4,876	—
Other^j	2,865	—	2,847	—	2,828	—	2,839	—	2,830	—
Subtotal	702,214	541.0	723,360	552.3	743,996	563.1	763,881	573.5	783,616	583.6
Female adult or adolescent^g
Injection drug use	49,903	—	49,607	—	49,281	—	49,056	—	48,916	—
Heterosexual contact^h	167,411	—	171,553	—	175,835	—	179,961	—	183,954	—
Perinatalⁱ	5,048	—	5,174	—	5,309	—	5,476	—	5,643	—
Other^j	1,633	—	1,652	—	1,676	—	1,688	—	1,703	—
Subtotal	223,995	164.8	227,986	166.4	232,101	168.0	236,181	169.6	240,216	171.2
Child (<13 yrs at end of year)
Perinatal	2,028	—	1,917	—	1,818	—	1,694	—	1,538	—
Other^j	449	—	427	—	408	—	378	—	374	—
Subtotal	2,477	4.7	2,344	4.4	2,226	4.2	2,072	3.9	1,912	3.6
Region of residence^k
Northeast	225,433	402.4	227,551	406.0	231,643	413.2	233,669	416.7	235,944	420.5
Midwest	110,203	162.7	112,877	166.3	116,541	171.4	119,675	175.6	122,844	179.8
South	413,704	345.7	427,482	353.2	437,957	357.8	450,981	364.9	463,643	371.6
West	179,346	239.3	185,780	245.1	192,182	250.8	197,809	255.8	203,313	260.7
Total^l	928,686	291.7	953,690	297.3	978,323	302.8	1,002,134	308.2	1,025,744	313.5

Note: Data for the year 2018 are preliminary and based on deaths reported to CDC as of December 2019.
^aRates are per 100,000 population. Rates are not calculated by gender or transmission category because of the lack of denominator data.
^b“Transgender male-to-female” includes individuals who were assigned “male” sex at birth but have ever identified as “female” gender. “Transgender female-to-male” includes individuals who were assigned “female” sex at birth but have ever identified as “male” gender.
^cAdditional gender identity examples include “bigender,” “gender queer,” and “two-spirit.”
^dIncludes Asian/Pacific Islander legacy cases (see Technical Notes).
^eHispanics/Latinos can be of any race.
^fData have been statistically adjusted to account for missing transmission category, therefore values may not sum to column subtotals and total.
^gData presented based on sex at birth and includes transgender persons.
^hHeterosexual contact with a person known to have, or to be at high risk for, HIV infection.
ⁱIncludes individuals ≥13 years of age at time of diagnosis of HIV infection.
^jIncludes hemophilia, blood transfusion, and risk factor not reported or not identified.
^kData are based on address of residence at the end of the specified year (i.e., most recent known address).
^lIncludes persons whose race/ethnicity is unknown.

Table 14b. Persons living with diagnosed HIV infection, by year and selected characteristics, 2014–2018—United States and 6 dependent areas
	2014		2015		2016		2017		2018
	No.	Rate^a	No.	Rate^a	No.	Rate^a	No.	Rate^a	No.	Rate^a
Gender
Male	706,838	—	727,563	—	747,652	—	766,842	—	785,983	—
Female	230,246	—	234,088	—	238,057	—	241,890	—	245,727	—
Transgender male-to-female^b	8,076	—	8,539	—	9,056	—	9,521	—	9,983	—
Transgender female-to-male^b	282	—	309	—	327	—	356	—	404	—
Additional gender identity^c	118	—	128	—	141	—	156	—	173	—
Age at end of year
<13	2,495	4.7	2,357	4.4	2,240	4.2	2,081	3.9	1,918	3.6
13–14	745	8.8	729	8.7	678	8.2	674	8.1	672	8.0
15–19	5,349	25.1	5,015	23.5	4,670	21.8	4,550	21.3	4,363	20.5
20–24	32,058	138.4	31,168	135.8	30,140	133.2	28,683	128.5	27,184	122.9
25–29	61,837	278.5	65,941	290.9	69,112	298.3	71,124	301.5	71,544	300.5
30–34	74,916	344.5	76,826	351.3	80,172	363.6	83,795	378.3	88,720	397.2
35–39	85,659	425.6	88,470	430.3	91,100	433.2	93,231	435.3	95,007	436.2
40–44	110,318	530.5	103,274	506.4	99,252	498.0	97,854	493.7	98,506	494.1
45–49	150,391	713.1	145,330	691.1	138,984	656.5	132,713	627.2	125,890	600.0
50–54	166,289	729.9	169,712	753.5	170,064	770.6	166,422	770.5	161,131	762.6
55–59	121,210	558.2	130,405	593.0	138,713	624.8	147,471	664.1	156,237	704.3
60–64	73,436	391.5	80,916	420.4	89,517	454.7	98,212	486.9	106,641	518.7
≥65	60,857	130.0	70,484	145.8	80,591	161.5	91,955	178.6	104,457	196.6
Race/ethnicity
American Indian/Alaska Native	2,527	—	2,646	—	2,821	—	2,989	—	3,136	—
Asian^d	11,446	—	12,383	—	13,332	—	14,307	—	15,222	—
Black/African American	382,553	—	393,041	—	403,406	—	413,344	—	423,304	—
Hispanic/Latino^e	216,503	—	224,180	—	232,088	—	239,649	—	247,337	—
Native Hawaiian/other Pacific Islander	719	—	784	—	814	—	861	—	916	—
White	284,505	—	289,800	—	294,624	—	299,379	—	304,206	—
Multiple races	46,528	—	47,020	—	47,379	—	47,469	—	47,382	—
Transmission category^f
Male adult or adolescent^g
Male-to-male sexual contact	498,420	—	518,787	—	538,710	—	557,914	—	576,787	—
Injection drug use	75,857	—	74,835	—	73,755	—	72,905	—	72,227	—
Male-to-male sexual contact and injection drug use	56,379	—	56,451	—	56,511	—	56,528	—	56,517	—
Heterosexual contact^h	75,668	—	77,420	—	79,111	—	80,380	—	81,803	—
Perinatalⁱ	4,630	—	4,742	—	4,827	—	4,915	—	5,005	—
Other^j	2,895	—	2,876	—	2,857	—	2,869	—	2,858	—
Subtotal	713,849	543.3	735,111	554.7	755,772	565.4	775,511	575.7	795,198	585.8
Female adult or adolescent^g
Injection drug use	51,012	—	50,693	—	50,335	—	50,055	—	49,885	—
Heterosexual contact^h	171,384	—	175,495	—	179,760	—	183,815	—	187,793	—
Perinatalⁱ	5,173	—	5,305	—	5,436	—	5,602	—	5,761	—
Other^j	1,647	—	1,667	—	1,690	—	1,701	—	1,715	—
Subtotal	229,216	166.5	233,159	168.0	237,221	169.6	241,173	171.1	245,154	172.7
Child (<13 yrs at end of year)
Perinatal	2,046	—	1,930	—	1,832	—	1,703	—	1,544	—
Other^j	449	—	427	—	408	—	378	—	374	—
Subtotal	2,495	4.7	2,357	4.4	2,240	4.2	2,081	3.9	1,918	3.6
Region of residence^k
Northeast	225,433	402.4	227,551	406.0	231,643	413.2	233,669	416.7	235,944	420.5
Midwest	110,203	162.7	112,877	166.3	116,541	171.4	119,675	175.6	122,844	179.8
South	413,704	345.7	427,482	353.2	437,957	357.8	450,981	364.9	463,643	371.6
West	179,346	239.3	185,780	245.1	192,182	250.8	197,809	255.8	203,313	260.7
U.S. dependent areas	16,874	428.7	16,937	437.2	16,910	444.2	16,631	446.5	16,526	459.8
Total^l	945,560	293.4	970,627	299.0	995,233	304.5	1,018,765	309.8	1,042,270	315.1

Note: Data for the year 2018 are preliminary and based on deaths reported to CDC as of December 2019.
^aRates are per 100,000 population. Rates are not calculated by gender or transmission category because of the lack of denominator data. Rates by race/ethnicity are not provided because U.S. census information is limited for U.S. dependent areas.
^b“Transgender male-to-female” includes individuals who were assigned “male” sex at birth but have ever identified as “female” gender. “Transgender female-to-male” includes individuals who were assigned “female” sex at birth but have ever identified as “male” gender.
^cAdditional gender identity examples include “bigender,” “gender queer,” and “two-spirit.”
^dIncludes Asian/Pacific Islander legacy cases (see Technical Notes).
^eHispanics/Latinos can be of any race.
^fData have been statistically adjusted to account for missing transmission category, therefore values may not sum to column subtotals and total.
^gData presented based on sex at birth and includes transgender persons.
^hHeterosexual contact with a person known to have, or to be at high risk for, HIV infection.
ⁱIncludes individuals ≥13 years of age at time of diagnosis of HIV infection.
^jIncludes hemophilia, blood transfusion, and risk factor not reported or not identified.
^kData are based on address of residence at the end of the specified year (i.e., most recent known address).
^lIncludes persons whose race/ethnicity is unknown.

Table 15a. Persons living with diagnosed HIV infection, by race/ethnicity and selected characteristics, year-end 2018—United States
	American Indian/ Alaska Native		Asian^a		Black/African American		Hispanic/ Latino^b		Native Hawaiian/ other Pacific Islander		White		Multiple races		Total^c
	No.	Rate^d	No.	Rate^d	No.	Rate^d	No.	Rate^d	No.	Rate^d	No.	Rate^d	No.	Rate^d	No.	Rate^d
Gender
Male	2,283	—	12,303	—	275,844	—	184,148	—	713	—	263,102	—	35,483	—	774,422	—
Female	799	—	2,678	—	142,134	—	43,832	—	139	—	39,894	—	11,093	—	240,787	—
Transgender male-to-female^e	47	—	166	—	4,754	—	3,210	—	29	—	1,013	—	740	—	9,959	—
Transgender female-to-male^e	4	—	7	—	189	—	80	—	0	—	94	—	29	—	403	—
Additional gender identity^f	1	—	6	—	73	—	47	—	0	—	28	—	18	—	173	—
Age at end of year
<13	7	1.6	110	4.2	1,152	15.9	246	1.8	2	1.9	246	0.9	149	6.2	1,912	3.6
13–14	0	0.0	35	8.2	427	38.2	89	4.3	2	12.0	85	2.0	26	8.0	664	8.0
15–19	16	9.0	89	8.1	2,668	91.2	872	17.5	5	12.2	495	4.4	176	23.9	4,322	20.5
20–24	97	52.7	430	33.3	15,027	480.5	6,308	130.4	25	57.0	3,854	32.9	1,167	178.0	26,914	123.0
25–29	284	141.9	1,259	78.4	36,834	1059.3	16,662	341.6	73	142.3	12,198	95.3	3,522	632.7	70,839	300.7
30–34	327	191.8	1,601	98.0	41,198	1413.1	22,240	488.6	107	211.2	17,991	145.2	4,371	1037.8	87,843	396.8
35–39	366	233.5	1,789	114.5	39,648	1432.8	25,467	568.6	118	247.8	21,793	178.9	4,627	1262.0	93,817	435.1
40–44	312	221.6	2,035	141.6	39,913	1602.8	26,537	645.9	101	256.2	23,369	208.6	4,677	1575.8	96,965	491.9
45–49	442	305.7	2,402	172.7	48,208	1861.7	30,949	822.9	116	313.6	35,903	286.0	5,810	2136.9	123,900	597.2
50–54	439	294.2	1,964	166.0	59,466	2294.5	35,687	1093.1	113	325.7	52,991	394.7	7,479	3161.4	158,278	757.9
55–59	400	255.0	1,401	128.4	57,486	2202.9	29,675	1079.2	94	280.9	57,304	380.3	6,941	2988.6	153,473	699.5
60–64	235	170.4	958	97.1	41,804	1830.1	18,681	872.7	62	224.2	38,252	262.8	4,490	2276.1	104,620	514.6
≥65	209	72.8	1,087	45.9	39,163	820.9	17,904	405.2	63	110.9	39,650	98.8	3,928	970.3	102,197	194.9
Transmission category^g
Male adult or adolescent^h
Male-to-male sexual contact	1,623	—	10,436	—	178,685	—	138,023	—	628	—	215,956	—	26,209	—	571,934	—
Injection drug use	224	—	442	—	32,619	—	19,288	—	23	—	13,500	—	2,624	—	68,794	—
Male-to-male sexual contact and injection drug use	299	—	398	—	15,532	—	12,647	—	45	—	22,754	—	4,053	—	55,781	—
Heterosexual contactⁱ	163	—	1,037	—	49,661	—	15,719	—	40	—	9,895	—	2,856	—	79,401	—
Perinatal^j	5	—	44	—	2,781	—	1,183	—	3	—	547	—	305	—	4,876	—
Other^k	14	—	72	—	811	—	424	—	2	—	1,371	—	131	—	2,830	—
Subtotal	2,328	241.0	12,429	164.3	280,088	1762.2	187,284	804.7	741	307.6	264,023	314.1	36,177	1586.4	783,616	583.6
Female adult or adolescent^h
Injection drug use	252	—	180	—	23,664	—	9,389	—	22	—	12,495	—	2,841	—	48,916	—
Heterosexual contactⁱ	528	—	2,319	—	113,952	—	32,848	—	116	—	26,263	—	7,799	—	183,954	—
Perinatal^j	8	—	57	—	3,342	—	1,286	—	0	—	622	—	320	—	5,643	—
Other^k	11	—	65	—	795	—	264	—	1	—	482	—	78	—	1,703	—
Subtotal	799	79.0	2,621	30.8	141,754	797.5	43,787	190.8	138	57.7	39,862	45.6	11,037	456.1	240,216	171.2
Child (<13 yrs at end of year)
Perinatal	7	—	72	—	933	—	219	—	2	—	172	—	133	—	1,538	—
Other^k	0	—	38	—	219	—	27	—	0	—	74	—	16	—	374	—
Subtotal	7	1.6	110	4.2	1,152	15.9	246	1.8	2	1.9	246	0.9	149	6.2	1,912	3.6
Region of residence^l
Northeast	152	120.0	3,288	86.4	90,762	1429.5	72,151	873.2	64	292.4	54,699	149.5	14,461	1497.9	235,944	420.5
Midwest	366	88.5	1,514	64.5	53,000	741.3	14,806	270.5	41	117.7	47,483	92.1	5,514	405.4	122,844	179.8
South	769	95.7	3,115	69.7	247,002	1036.5	77,304	340.9	147	157.5	115,688	164.1	19,456	822.1	463,643	371.6
West	1,847	172.0	7,243	89.4	32,230	901.8	67,056	285.9	629	144.2	86,261	221.6	7,932	327.4	203,313	260.7
Total	3,134	129.6	15,160	80.9	422,994	1034.2	231,317	386.4	881	150.3	304,131	154.0	47,363	665.7	1,025,744	313.5

Note: Data for the year 2018 are preliminary and based on deaths reported to CDC as of December 2019. Numbers less than 12, and rates based on these numbers, should be interpreted with caution.
^aIncludes Asian/Pacific Islander legacy cases (see Technical Notes).
^bHispanics/Latinos can be of any race.
^cIncludes persons whose race/ethnicity is unknown.
^dRates are per 100,000 population. Rates are not calculated by gender or transmission category because of the lack of denominator data.
^e“Transgender male-to-female” includes individuals who were assigned “male” sex at birth but have ever identified as “female” gender. “Transgender female-to-male” includes individuals who were assigned “female” sex at birth but have ever identified as “male” gender.
^fAdditional gender identity examples include “bigender,” “gender queer,” and “two-spirit.”
^gData have been statistically adjusted to account for missing transmission category, therefore values may not sum to column subtotals and total.
^hData presented based on sex at birth and includes transgender persons.
ⁱHeterosexual contact with a person known to have, or to be at high risk for, HIV infection.
^jIncludes individuals ≥13 years of age at time of diagnosis of HIV infection.
^kIncludes hemophilia, blood transfusion, and risk factor not reported or not identified.
^lData are based on address of residence at the end of the specified year (i.e., most recent known address).

Table 15b. Persons living with diagnosed HIV infection, by race/ethnicity and selected characteristics, year-end 2018—United States and 6 dependent areas
	American Indian/ Alaska Native	Asian^a	Black/ African American	Hispanic/ Latino^b	Native Hawaiian/ other Pacific Islander	White	Multiple races	Total^c
	No.	No.	No.	No.	No.	No.	No.	No.
Gender
Male	2,285	12,354	276,028	195,367	742	263,161	35,498	785,983
Female	799	2,689	142,260	48,608	145	39,910	11,097	245,727
Transgender male-to-female^d	47	166	4,754	3,234	29	1,013	740	9,983
Transgender female-to-male^d	4	7	189	81	0	94	29	404
Additional gender identity^e	1	6	73	47	0	28	18	173
Age at end of year
<13	7	110	1,153	250	3	246	149	1,918
13–14	0	35	428	95	2	85	27	672
15–19	16	89	2,669	912	5	495	176	4,363
20–24	97	430	15,029	6,572	26	3,856	1,168	27,184
25–29	284	1,260	36,843	17,351	78	12,198	3,523	71,544
30–34	327	1,608	41,208	23,091	113	17,994	4,371	88,720
35–39	366	1,796	39,673	26,615	122	21,796	4,630	95,007
40–44	312	2,039	39,939	28,038	104	23,375	4,678	98,506
45–49	442	2,411	48,252	32,869	119	35,911	5,814	125,890
50–54	440	1,972	59,522	38,453	117	53,007	7,481	161,131
55–59	401	1,417	57,527	32,358	99	57,320	6,943	156,237
60–64	235	961	41,837	20,654	63	38,262	4,490	106,641
≥65	209	1,094	39,224	20,079	65	39,661	3,932	104,457
Transmission category^f
Male adult or adolescent^g
Male-to-male sexual contact	1,624	10,477	178,761	142,672	649	216,006	26,221	576,787
Injection drug use	224	447	32,655	22,674	26	13,503	2,624	72,227
Male-to-male sexual contact and injection drug use	299	399	15,538	13,370	46	22,757	4,055	56,517
Heterosexual contact^h	164	1,040	49,723	18,048	44	9,898	2,856	81,803
Perinatalⁱ	5	44	2,783	1,310	3	547	305	5,005
Other^j	14	73	812	451	2	1,371	131	2,858
Subtotal	2,330	12,480	280,271	198,525	770	264,082	36,192	795,198
Female adult or adolescent^g
Injection drug use	252	181	23,680	10,336	22	12,498	2,841	49,885
Heterosexual contact^h	528	2,329	114,056	36,552	120	26,276	7,802	187,793
Perinatalⁱ	8	57	3,347	1,400	0	622	321	5,761
Other^j	11	65	797	274	1	482	78	1,715
Subtotal	799	2,632	141,880	48,562	143	39,878	11,041	245,154
Child (<13 yrs at end of year)
Perinatal	7	72	934	223	3	172	133	1,544
Other^j	0	38	219	27	0	74	16	374
Subtotal	7	110	1,153	250	3	246	149	1,918
Region of residence^k
Northeast	152	3,288	90,762	72,151	64	54,699	14,461	235,944
Midwest	366	1,514	53,000	14,806	41	47,483	5,514	122,844
South	769	3,115	247,002	77,304	147	115,688	19,456	463,643
West	1,847	7,243	32,230	67,056	629	86,261	7,932	203,313
U.S. dependent areas	2	62	310	16,020	35	75	19	16,526
Total	3,136	15,222	423,304	247,337	916	304,206	47,382	1,042,270

Note: Data for the year 2018 are preliminary and based on deaths reported to CDC as of December 2019. Numbers less than 12 should be interpreted with caution.
^aIncludes Asian/Pacific Islander legacy cases (see Technical Notes).
^bHispanics/Latinos can be of any race.
^cIncludes persons whose race/ethnicity is unknown.
^d“Transgender male-to-female” includes individuals who were assigned “male” sex at birth but have ever identified as “female” gender. “Transgender female-to-male” includes individuals who were assigned “female” sex at birth but have ever identified as “male” gender.
^eAdditional gender identity examples include “bigender,” “gender queer,” and “two-spirit.”
^fData have been statistically adjusted to account for missing transmission category, therefore values may not sum to column subtotals and total.
^gData presented based on sex at birth and includes transgender persons.
^hHeterosexual contact with a person known to have, or to be at high risk for, HIV infection.
ⁱIncludes individuals ≥13 years of age at time of diagnosis of HIV infection.
^jIncludes hemophilia, blood transfusion, and risk factor not reported or not identified.
^kData are based on address of residence at the end of the specified year (i.e., most recent known address).

Table 16a. Adults and adolescents living with diagnosed HIV infection, by year, sex at birth, and selected characteristics, 2014–2018—United States
	2014		2015		2016		2017		2018
	No.	Rate^a	No.	Rate^a	No.	Rate^a	No.	Rate^a	No.	Rate^a
Male adult or adolescent
Age at end of year
13–14	333	7.8	336	8.0	309	7.4	298	7.1	294	6.9
15–19	3,181	29.5	3,116	28.9	2,949	27.3	2,947	27.3	2,844	26.4
20–24	25,250	215.3	24,755	212.7	24,174	210.5	23,107	204.2	22,010	196.5
25–29	49,392	443.1	53,473	469.3	56,714	486.4	58,996	496.4	59,626	496.1
30–34	55,690	515.9	58,532	538.3	62,337	567.0	66,282	598.6	71,575	639.5
35–39	59,558	600.5	62,535	616.3	65,440	629.9	68,199	643.6	70,681	655.0
40–44	77,408	759.4	71,821	718.4	68,668	702.4	67,982	699.0	68,734	701.6
45–49	111,623	1081.9	106,909	1038.3	101,457	978.9	95,777	924.6	90,160	878.4
50–54	126,347	1143.4	128,813	1178.7	128,715	1201.1	125,510	1196.0	120,648	1,173.9
55–59	91,314	876.4	98,299	930.5	104,623	980.5	111,341	1042.8	118,215	1,108.0
60–64	55,892	631.0	61,267	674.1	67,527	725.9	73,945	775.5	79,995	822.2
≥65	46,226	227.6	53,504	254.2	61,083	280.4	69,497	308.4	78,834	338.2
Race/ethnicity
American Indian/Alaska Native	1,831	197.1	1,921	204.6	2,064	217.6	2,200	229.8	2,328	241.0
Asian^b	9,257	138.9	10,037	145.6	10,813	151.7	11,646	158.5	12,429	164.3
Black/African American	248,598	1634.5	256,837	1668.4	264,836	1701.1	272,400	1731.4	280,088	1,762.2
Hispanic/Latino^c	159,118	752.5	165,980	766.1	173,190	780.1	180,252	793.3	187,284	804.7
Native Hawaiian/other Pacific Islander	570	257.9	627	277.3	650	281.0	688	291.4	741	307.6
White	247,088	295.3	251,727	300.4	255,836	304.8	259,943	309.4	264,023	314.1
Multiple races	35,196	1780.0	35,680	1741.1	36,060	1697.2	36,206	1644.5	36,177	1,586.4
Region of residence^d
Northeast	157,901	687.6	159,774	694.3	163,147	707.6	165,015	714.5	167,050	721.6
Midwest	86,965	314.2	89,131	321.0	92,052	330.3	94,528	337.8	97,029	345.4
South	301,247	622.7	312,670	638.2	321,425	648.0	331,976	661.9	342,391	675.4
West	156,101	506.9	161,785	518.6	167,372	529.6	172,362	539.1	177,146	547.9
Subtotal	702,214	541.0	723,360	552.3	743,996	563.1	763,881	573.5	783,616	583.6
Female adult or adolescent
Age at end of year
13–14	403	9.8	387	9.6	366	9.1	370	9.1	370	9.1
15–19	2,076	20.2	1,829	17.8	1,673	16.2	1,558	15.1	1,478	14.3
20–24	6,376	57.2	6,019	54.6	5,613	51.6	5,275	49.1	4,904	46.0
25–29	11,711	108.4	11,696	106.1	11,636	103.3	11,415	99.7	11,213	97.1
30–34	18,170	169.7	17,324	161.0	16,867	155.7	16,599	152.8	16,268	148.6
35–39	24,634	247.3	24,468	240.6	24,249	233.1	23,735	224.0	23,136	214.8
40–44	30,949	299.1	29,660	292.2	28,902	291.4	28,275	286.6	28,231	284.7
45–49	36,031	342.7	35,800	341.6	35,099	332.4	34,738	329.0	33,740	321.9
50–54	36,839	321.2	37,799	333.4	38,296	345.2	37,961	349.8	37,630	354.8
55–59	27,551	249.4	29,639	265.2	31,508	279.3	33,456	296.5	35,258	312.8
60–64	16,097	166.4	18,069	182.0	20,248	199.3	22,414	215.4	24,625	232.3
≥65	13,158	50.9	15,296	57.5	17,644	64.3	20,385	72.1	23,363	80.2
Race/ethnicity
American Indian/Alaska Native	685	70.6	716	73.0	749	75.6	781	78.0	799	79.0
Asian^b	2,052	27.3	2,193	28.2	2,353	29.3	2,491	30.1	2,621	30.8
Black/African American	132,082	773.4	134,418	778.8	136,885	785.0	139,367	791.5	141,754	797.5
Hispanic/Latino^c	40,658	195.6	41,444	194.4	42,190	193.0	42,995	192.0	43,787	190.8
Native Hawaiian/other Pacific Islander	121	55.3	127	56.7	130	56.7	134	57.2	138	57.7
White	37,027	42.4	37,705	43.2	38,431	44.0	39,104	44.7	39,862	45.6
Multiple races	11,150	524.6	11,164	508.5	11,144	491.4	11,091	473.4	11,037	456.1
Region of residence^d
Northeast	67,085	272.6	67,361	273.4	68,124	276.3	68,325	276.8	68,614	277.5
Midwest	22,757	78.8	23,256	80.4	23,997	82.7	24,670	84.8	25,343	86.8
South	111,320	217.8	113,767	219.8	115,542	220.5	118,068	222.8	120,394	224.6
West	22,833	72.9	23,602	74.4	24,438	76.1	25,118	77.4	25,865	78.8
Subtotal	223,995	164.8	227,986	166.4	232,101	168.0	236,181	169.6	240,216	171.2
Total	926,209	348.5	951,346	355.0	976,097	361.1	1,000,062	367.0	1,023,832	372.8

Note: Data for the year 2018 are preliminary and based on deaths reported to CDC as of December 2019.
^aRates are per 100,000 population.
^bIncludes Asian/Pacific Islander legacy cases (see Technical Notes).
^cHispanics/Latinos can be of any race.
^dData are based on address of residence at the end of the specified year (i.e., most recent known address).

Table 16b. Adults and adolescents living with diagnosed HIV infection, by year, sex at birth, and selected characteristics, 2014–2018—United States and 6 dependent areas
	2014		2015		2016		2017		2018
	No.	Rate^a	No.	Rate^a	No.	Rate^a	No.	Rate^a	No.	Rate^a
Male adult or adolescent
Age at end of year
13–14	338	7.8	339	7.9	311	7.3	300	7.0	298	6.9
15–19	3,234	29.6	3,153	28.9	2,975	27.2	2,968	27.2	2,870	26.3
20–24	25,572	215.4	25,049	212.6	24,441	210.3	23,337	203.8	22,208	196.1
25–29	49,933	443.0	54,062	469.4	57,313	486.4	59,562	495.9	60,197	495.8
30–34	56,421	517.0	59,231	539.2	63,048	568.0	66,964	599.1	72,244	639.9
35–39	60,573	603.5	63,553	619.2	66,416	632.4	69,106	645.5	71,519	656.6
40–44	78,699	762.9	73,008	721.8	69,801	705.8	69,072	702.2	69,802	704.8
45–49	113,544	1087.6	108,762	1044.1	103,144	983.9	97,283	928.8	91,489	881.8
50–54	128,505	1150.2	130,958	1185.2	130,857	1207.5	127,596	1202.3	122,694	1,180.7
55–59	92,901	881.9	99,975	936.1	106,365	986.3	113,169	1048.7	120,127	1,114.1
60–64	56,903	635.0	62,380	678.6	68,750	730.9	75,243	780.5	81,375	827.4
≥65	47,226	229.3	54,641	256.1	62,351	282.3	70,911	310.5	80,375	340.4
Race/ethnicity
American Indian/Alaska Native	1,833	—	1,923	—	2,066	—	2,202	—	2,330	—
Asian^b	9,292	—	10,078	—	10,855	—	11,692	—	12,480	—
Black/African American	248,781	—	257,019	—	265,011	—	272,573	—	280,271	—
Hispanic/Latino^c	170,439	—	177,408	—	184,644	—	191,552	—	198,525	—
Native Hawaiian/other Pacific Islander	585	—	645	—	673	—	716	—	770	—
White	247,151	—	251,790	—	255,899	—	260,005	—	264,082	—
Multiple races	35,210	—	35,695	—	36,075	—	36,223	—	36,192	—
Region of residence^d
Northeast	157,901	687.6	159,774	694.3	163,147	707.6	165,015	714.5	167,050	721.6
Midwest	86,965	314.2	89,131	321.0	92,052	330.3	94,528	337.8	97,029	345.4
South	301,247	622.7	312,670	638.2	321,425	648.0	331,976	661.9	342,391	675.4
West	156,101	506.9	161,785	518.6	167,372	529.6	172,362	539.1	177,146	547.9
U.S. dependent areas	11,635	738.1	11,751	754.3	11,776	766.5	11,630	768.8	11,582	787.1
Subtotal	713,849	543.3	735,111	554.7	755,772	565.4	775,511	575.7	795,198	585.8
Female adult or adolescent
Age at end of year
13–14	407	9.8	390	9.5	367	9.0	374	9.1	374	9.1
15–19	2,115	20.3	1,862	17.8	1,695	16.2	1,582	15.1	1,493	14.3
20–24	6,486	57.4	6,119	54.8	5,699	51.8	5,346	49.2	4,976	46.1
25–29	11,904	108.9	11,879	106.6	11,799	103.6	11,562	99.9	11,347	97.3
30–34	18,495	170.7	17,595	161.7	17,124	156.4	16,831	153.4	16,476	149.1
35–39	25,086	248.6	24,917	242.0	24,684	234.5	24,125	225.2	23,488	215.8
40–44	31,619	301.7	30,266	294.5	29,451	293.3	28,782	288.3	28,704	286.1
45–49	36,847	346.0	36,568	344.6	35,840	335.3	35,430	331.6	34,401	324.4
50–54	37,784	325.5	38,754	337.7	39,207	349.1	38,826	353.4	38,437	358.0
55–59	28,309	253.2	30,430	269.0	32,348	283.4	34,302	300.5	36,110	316.7
60–64	16,533	168.7	18,536	184.4	20,767	202.0	22,969	218.1	25,266	235.6
≥65	13,631	52.0	15,843	58.7	18,240	65.6	21,044	73.4	24,082	81.6
Race/ethnicity
American Indian/Alaska Native	685	—	716	—	749	—	781	—	799	—
Asian^b	2,064	—	2,204	—	2,364	—	2,502	—	2,632	—
Black/African American	132,219	—	134,551	—	137,014	—	139,494	—	141,880	—
Hispanic/Latino^c	45,704	—	46,446	—	47,144	—	47,821	—	48,562	—
Native Hawaiian/other Pacific Islander	129	—	135	—	137	—	141	—	143	—
White	37,043	—	37,720	—	38,446	—	39,121	—	39,878	—
Multiple races	11,151	—	11,167	—	11,147	—	11,094	—	11,041	—
Region of residence^d
Northeast	67,085	272.6	67,361	273.4	68,124	276.3	68,325	276.8	68,614	277.5
Midwest	22,757	78.8	23,256	80.4	23,997	82.7	24,670	84.8	25,343	86.8
South	111,320	217.8	113,767	219.8	115,542	220.5	118,068	222.8	120,394	224.6
West	22,833	72.9	23,602	74.4	24,438	76.1	25,118	77.4	25,865	78.8
U.S. dependent areas	5,221	299.1	5,173	299.3	5,120	299.4	4,992	296.5	4,938	301.7
Subtotal	229,216	166.5	233,159	168.0	237,221	169.6	241,173	171.1	245,154	172.7
Total	943,065	350.5	968,270	356.9	992,993	363.0	1,016,684	368.8	1,040,352	374.6

Note: Data for the year 2018 are preliminary and based on deaths reported to CDC as of December 2019.
^aRates are per 100,000 population. Rates by race/ethnicity are not provided because U.S. census information is limited for U.S. dependent areas.
^bIncludes Asian/Pacific Islander legacy cases (see Technical Notes).
^cHispanics/Latinos can be of any race.
^dData are based on address of residence at the end of the specified year (i.e., most recent known address).

Table 17a. Transgender adults and adolescents living with diagnosed HIV infection, by year and selected characteristics, 2014–2018—United States
	2014	2015	2016	2017	2018
	No.	No.	No.	No.	No.
Transgender male-to-female adult or adolescent^a
Age at end of year
13–14	2	0	0	0	0
15–19	95	106	88	76	53
20–24	806	730	739	696	662
25–29	1,448	1,593	1,684	1,718	1,698
30–34	1,265	1,346	1,468	1,659	1,838
35–39	1,030	1,147	1,285	1,372	1,468
40–44	1,018	1,002	1,021	1,043	1,119
45–49	968	1,020	1,019	1,006	1,015
50–54	739	779	833	918	964
55–59	391	460	519	558	629
60–64	197	222	250	289	327
≥65	92	108	123	159	184
Race/ethnicity
American Indian/Alaska Native	31	33	36	38	47
Asian^b	120	132	137	156	166
Black/African American	3,767	4,005	4,277	4,516	4,753
Hispanic/Latino^c	2,561	2,734	2,907	3,050	3,210
Native Hawaiian/other Pacific Islander	21	23	24	26	29
White	871	891	928	981	1,013
Multiple races	680	695	720	727	739
Region of residence^d
Northeast	2,206	2,342	2,531	2,647	2,776
Midwest	1,000	1,062	1,137	1,209	1,286
South	2,800	2,968	3,115	3,292	3,428
West	2,045	2,141	2,246	2,346	2,467
Subtotal	8,051	8,513	9,029	9,494	9,957
Transgender female-to-male^a
Age at end of year
13–14	1	1	0	0	0
15–19	2	4	6	7	6
20–24	17	17	12	16	21
25–29	30	34	40	55	67
30–34	41	47	47	41	56
35–39	37	41	47	58	58
40–44	44	41	40	36	45
45–49	40	43	42	45	49
50–54	33	37	43	45	44
55–59	23	26	27	26	23
60–64	5	9	14	18	25
≥65	7	7	7	7	8
Race/ethnicity
American Indian/Alaska Native	3	4	4	4	4
Asian^b	1	1	2	5	7
Black/African American	145	157	161	168	189
Hispanic/Latino^c	53	58	64	70	80
Native Hawaiian/other Pacific Islander	0	0	0	0	0
White	57	64	68	79	94
Multiple races	21	23	26	28	28
Region of residence^d
Northeast	60	64	63	67	73
Midwest	85	93	98	104	114
South	72	85	90	101	118
West	63	65	74	82	97
Subtotal	280	307	325	354	402
Total	8,331	8,820	9,354	9,848	10,359

Note: Data for the year 2018 are preliminary and based on deaths reported to CDC as of December 2019. Additional gender identity not included due to small numbers. Numbers less than 12 should be interpreted with caution.
^a“Transgender male-to-female” includes individuals who were assigned “male” sex at birth but have ever identified as “female” gender. “Transgender female-to-male” includes individuals who were assigned “female” sex at birth but have ever identified as “male” gender.
^bIncludes Asian/Pacific Islander legacy cases (see Technical Notes).
^cHispanics/Latinos can be of any race.
^dData are based on address of residence at the end of the specified year (i.e., most recent known address).

Table 17b. Transgender adults and adolescents living with diagnosed HIV infection, by year and selected characteristics, 2014–2018—United States and 6 dependent areas
	2014	2015	2016	2017	2018
	No.	No.	No.	No.	No.
Transgender male-to-female adult or adolescent^a
Age at end of year
13–14	2	0	0	0	0
15–19	97	107	88	76	53
20–24	810	733	742	699	665
25–29	1,452	1,597	1,688	1,720	1,701
30–34	1,267	1,351	1,472	1,666	1,843
35–39	1,033	1,151	1,290	1,375	1,470
40–44	1,021	1,003	1,023	1,045	1,124
45–49	970	1,023	1,021	1,008	1,015
50–54	741	782	834	919	964
55–59	391	460	522	562	633
60–64	198	222	250	289	327
≥65	93	109	124	160	186
Race/ethnicity
American Indian/Alaska Native	31	33	36	38	47
Asian^b	120	132	137	156	166
Black/African American	3,767	4,005	4,277	4,516	4,753
Hispanic/Latino^c	2,585	2,759	2,932	3,075	3,234
Native Hawaiian/other Pacific Islander	21	23	24	26	29
White	871	891	928	981	1,013
Multiple races	680	695	720	727	739
Region of residence^d
Northeast	2,206	2,342	2,531	2,647	2,776
Midwest	1,000	1,062	1,137	1,209	1,286
South	2,800	2,968	3,115	3,292	3,428
West	2,045	2,141	2,246	2,346	2,467
U.S. dependent areas	24	25	25	25	24
Subtotal	8,075	8,538	9,054	9,519	9,981
Transgender female-to-male^a
Age at end of year
13–14	1	1	0	0	0
15–19	3	5	7	8	7
20–24	17	17	12	16	21
25–29	30	34	40	55	67
30–34	41	47	47	41	56
35–39	37	41	47	58	58
40–44	44	41	40	36	45
45–49	40	43	42	45	49
50–54	33	37	43	45	44
55–59	23	26	27	26	23
60–64	5	9	14	18	25
≥65	7	7	7	7	8
Race/ethnicity
American Indian/Alaska Native	3	4	4	4	4
Asian^b	1	1	2	5	7
Black/African American	145	157	161	168	189
Hispanic/Latino^c	54	59	65	71	81
Native Hawaiian/other Pacific Islander	0	0	0	0	0
White	57	64	68	79	94
Multiple races	21	23	26	28	28
Region of residence^d
Northeast	60	64	63	67	73
Midwest	85	93	98	104	114
South	72	85	90	101	118
West	63	65	74	82	97
U.S. dependent areas	1	1	1	1	1
Subtotal	281	308	326	355	403
Total	8,356	8,846	9,380	9,874	10,384

Table 18. Diagnoses of HIV infection, by area of residence, 2017 and 2018—United States and 6 dependent areas
	2017						2018
	Adults and Adolescents		Children		Total		Adults and Adolescents		Children		Total
Area of residence	No.	Rate^a	No.	Rate^a	No.	Rate^a	No.	Rate^a	No.	Rate^a	No.	Rate^a
Alabama	649	15.8	4	0.5	653	13.4	607	14.8	5	0.6	612	12.5
Alaska	29	4.8	0	0.0	29	3.9	23	3.8	0	0.0	23	3.1
Arizona	725	12.3	2	0.2	727	10.3	759	12.7	6	0.5	765	10.7
Arkansas	288	11.5	1	0.2	289	9.6	281	11.2	2	0.4	283	9.4
California	4,878	14.8	6	0.1	4,884	12.4	4,712	14.2	5	0.1	4,717	11.9
Colorado	438	9.3	0	0.0	438	7.8	399	8.3	2	0.2	401	7.0
Connecticut	274	9.0	2	0.4	276	7.7	258	8.4	0	0.0	258	7.2
Delaware	126	15.5	1	0.7	127	13.3	92	11.2	1	0.7	93	9.6
District of Columbia	313	52.4	2	2.0	315	45.3	275	45.7	0	0.0	275	39.1
Florida	4,555	25.3	19	0.6	4,574	21.8	4,573	25.0	13	0.4	4,586	21.5
Georgia	2,588	30.0	7	0.4	2,595	24.9	2,501	28.6	3	0.2	2,504	23.8
Hawaii	77	6.4	2	0.9	79	5.5	70	5.9	0	0.0	70	4.9
Idaho	46	3.3	0	0.0	46	2.7	37	2.6	0	0.0	37	2.1
Illinois	1,363	12.7	10	0.5	1,373	10.7	1,361	12.7	5	0.2	1,366	10.7
Indiana	517	9.3	2	0.2	519	7.8	512	9.2	2	0.2	514	7.7
Iowa	126	4.8	0	0.0	126	4.0	115	4.4	0	0.0	115	3.6
Kansas	120	5.0	0	0.0	120	4.1	155	6.4	0	0.0	155	5.3
Kentucky	364	9.8	2	0.3	366	8.2	372	9.9	0	0.0	372	8.3
Louisiana	1,002	25.9	0	0.0	1,002	21.5	972	25.2	1	0.1	973	20.9
Maine	29	2.5	0	0.0	29	2.2	30	2.6	0	0.0	30	2.2
Maryland	1,024	20.2	3	0.3	1,027	17.0	996	19.6	2	0.2	998	16.5
Massachusetts	600	10.2	1	0.1	601	8.8	650	10.9	2	0.2	652	9.4
Michigan	776	9.2	1	0.1	777	7.8	716	8.5	1	0.1	717	7.2
Minnesota	275	5.9	1	0.1	276	5.0	288	6.2	0	0.0	288	5.1
Mississippi	428	17.3	1	0.2	429	14.3	477	19.2	0	0.0	477	16.0
Missouri	504	9.8	2	0.2	506	8.3	447	8.7	3	0.3	450	7.3
Montana	31	3.5	0	0.0	31	2.9	23	2.6	0	0.0	23	2.2
Nebraska	88	5.6	0	0.0	88	4.6	79	5.0	0	0.0	79	4.1
Nevada	493	19.9	1	0.2	494	16.6	503	19.8	1	0.2	504	16.6
New Hampshire	33	2.8	0	0.0	33	2.4	38	3.2	0	0.0	38	2.8
New Jersey	1,121	14.9	3	0.2	1,124	12.6	1,025	13.6	3	0.2	1,028	11.5
New Mexico	140	8.0	0	0.0	140	6.7	122	7.0	0	0.0	122	5.8
New York	2,731	16.4	2	0.1	2,733	14.0	2,456	14.8	2	0.1	2,458	12.6
North Carolina	1,299	15.0	4	0.2	1,303	12.7	1,187	13.6	3	0.2	1,190	11.5
North Dakota	37	5.9	0	0.0	37	4.9	36	5.8	0	0.0	36	4.7
Ohio	982	10.0	2	0.1	984	8.4	977	9.9	5	0.3	982	8.4
Oklahoma	300	9.3	0	0.0	300	7.6	280	8.6	0	0.0	280	7.1
Oregon	203	5.8	0	0.0	203	4.9	229	6.4	0	0.0	229	5.5
Pennsylvania	1,096	10.1	1	0.1	1,097	8.6	1,023	9.4	2	0.1	1,025	8.0
Rhode Island	84	9.2	0	0.0	84	8.0	75	8.2	0	0.0	75	7.1
South Carolina	709	16.8	4	0.5	713	14.2	715	16.7	0	0.0	715	14.1
South Dakota	39	5.5	0	0.0	39	4.5	29	4.0	0	0.0	29	3.3
Tennessee	720	12.8	4	0.4	724	10.8	762	13.4	4	0.4	766	11.3
Texas	4,354	18.9	7	0.1	4,361	15.4	4,388	18.8	6	0.1	4,394	15.3
Utah	114	4.7	0	0.0	114	3.7	119	4.8	0	0.0	119	3.8
Vermont	20	3.7	0	0.0	20	3.2	18	3.3	0	0.0	18	2.9
Virginia	863	12.1	6	0.4	869	10.3	858	12.0	4	0.3	862	10.1
Washington	433	7.0	2	0.2	435	5.9	504	8.0	4	0.3	508	6.7
West Virginia	76	4.9	0	0.0	76	4.2	86	5.6	0	0.0	86	4.8
Wisconsin	261	5.3	0	0.0	261	4.5	206	4.2	0	0.0	206	3.5
Wyoming	10	2.1	0	0.0	10	1.7	12	2.5	0	0.0	12	2.1
Subtotal	38,351	14.1	105	0.2	38,456	11.8	37,428	13.6	87	0.2	37,515	11.5
U.S. dependent areas
American Samoa	0	0.0	0	0.0	0	0.0	0	0.0	0	0.0	0	0.0
Guam	6	4.7	0	0.0	6	3.6	7	5.5	0	0.0	7	4.2
Northern Mariana Islands	1	2.5	0	0.0	1	1.9	1	2.5	0	0.0	1	1.9
Puerto Rico	448	15.5	0	0.0	448	13.5	436	15.6	0	0.0	436	13.6
Republic of Palau	0	0.0	0	0.0	0	0.0	0	0.0	0	0.0	0	0.0
U.S. Virgin Islands	8	9.1	0	0.0	8	7.5	9	10.2	0	0.0	9	8.4
Subtotal	463	14.5	0	0.0	463	12.4	453	14.6	0	0.0	453	12.6
Total	38,814	14.1	105	0.2	38,919	11.8	37,881	13.6	87	0.2	37,968	11.5

Note: Numbers less than 12, and rates based on these numbers, should be interpreted with caution.
Data are based on residence at time of diagnosis of HIV infection.
^aRates are per 100,000 population.

Table 19. Adults and adolescents living with diagnosed HIV infection, by race/ethnicity and area of residence, year-end 2018—United States and 6 dependent areas
	American Indian/ Alaska Native		Asian^a		Black/African American		Hispanic/ Latino^b		Native Hawaiian/ other Pacific Islander		White		Multiple races		Total^c
Area of residence	No.	Rate^d	No.	Rate^d	No.	Rate^d	No.	Rate^d	No.	Rate^d	No.	Rate^d	No.	Rate^d	No.	Rate^d
Alabama	6	24.8	39	64.5	8,581	803.7	469	310.7	2	95.5	3,667	133.1	770	1,590.0	13,579	330.4
Alaska	189	227.9	27	66.3	93	455.8	71	181.2	4	53.4	274	72.4	50	152.9	708	117.6
Arizona	656	291.1	217	102.9	2,215	865.4	5,190	298.1	27	238.3	7,745	224.3	507	513.4	16,601	276.9
Arkansas	5	25.9	22	54.6	2,518	672.9	412	244.9	5	70.2	2,467	132.4	289	781.4	5,722	228.1
California	299	213.7	5,409	106.5	21,755	1,147.3	49,883	410.5	234	191.8	48,415	374.4	5,009	651.0	131,013	395.9
Colorado	79	252.7	129	80.6	1,910	1,007.4	2,978	313.3	16	255.0	7,237	215.1	299	333.3	12,696	265.0
Connecticut	10	160.2	97	67.7	3,497	1,143.2	3,620	790.0	9	878.9	3,028	143.6	240	568.9	10,502	342.6
Delaware	3	113.0	6	18.3	1,914	1,094.6	301	444.1	1	369.0	962	181.9	128	899.6	3,316	403.6
District of Columbia	13	1,035.0	71	257.3	9,969	3781.9	1,177	1,917.2	5	1,689.2	2,191	929.9	763	6,649.2	14,194	2,360.8
Florida	67	140.8	589	111.4	49,805	1,845.4	27,369	596.4	48	416.8	30,376	298.9	2,651	1,134.5	110,907	607.0
Georgia	23	110.2	269	72.0	37,455	1,379.0	4,119	548.8	15	288.6	9,838	207.1	2,874	2,364.2	54,600	624.9
Hawaii	4	147.4	390	83.2	129	551.3	299	281.1	220	198.5	1,125	408.4	269	128.9	2,436	203.6
Idaho	15	95.1	8	35.5	108	1,074.7	192	118.0	3	118.2	802	66.9	48	198.7	1,176	81.9
Illinois	33	199.3	488	78.0	16,513	1,113.8	7,205	422.1	20	675.2	9,609	142.5	1,971	1,476.8	35,841	334.5
Indiana	9	67.2	217	161.0	4,278	840.6	1,099	316.7	0	0.0	5,462	121.6	438	574.1	11,503	206.4
Iowa	6	78.9	60	85.6	624	692.7	282	203.0	0	0.0	1,665	72.7	151	474.8	2,788	106.0
Kansas	12	61.1	49	65.5	784	579.2	534	209.3	1	46.4	1,538	82.3	159	329.7	3,080	128.1
Kentucky	6	72.5	59	101.3	2,381	798.8	522	424.7	2	89.8	4,077	127.2	288	584.1	7,337	195.9
Louisiana	28	110.9	71	102.5	14,256	1,173.8	1,058	580.6	4	268.5	5,089	218.5	398	935.0	20,907	541.0
Maine	6	81.8	6	42.0	263	1,718.4	114	642.7	0	0.0	1,171	107.2	47	306.0	1,608	138.3
Maryland	22	174.0	238	70.2	23,584	1,564.5	2,359	508.4	2	78.9	4,227	158.9	2,732	2,896.8	33,164	652.9
Massachusetts	28	265.5	459	110.5	6,144	1,482.4	5,609	854.8	6	251.7	8,097	185.8	394	466.1	20,739	349.1
Michigan	27	56.2	139	49.2	8,800	782.1	1,016	262.2	2	87.4	5,411	83.5	585	399.1	15,983	188.7
Minnesota	105	228.3	165	72.7	3,116	1,142.9	927	415.3	4	183.4	3,878	101.4	375	477.5	8,575	183.5
Mississippi	12	100.7	21	78.5	6,903	761.1	347	473.4	1	113.5	1,786	123.9	361	1,709.2	9,466	381.4
Missouri	9	39.7	82	75.1	5,532	959.8	779	402.9	6	97.4	5,769	139.0	443	533.8	12,622	245.6
Montana	28	57.6	3	36.5	23	511.5	40	127.8	2	323.6	516	65.7	32	174.4	644	71.8
Nebraska	26	211.7	52	125.8	604	836.4	351	230.4	2	213.4	1,082	84.4	56	250.1	2,174	137.3
Nevada	54	245.0	338	150.8	2,603	1,157.0	2,695	398.8	37	232.8	4,130	316.5	353	510.5	10,212	402.5
New Hampshire	0	0.0	9	26.6	156	1,003.7	177	437.5	0	0.0	864	80.7	53	365.1	1,260	106.9
New Jersey	14	128.9	368	49.9	15,342	1,591.0	10,253	711.3	8	318.1	6,596	154.2	2,313	2,549.6	34,941	464.4
New Mexico	294	196.7	17	59.7	219	666.5	1,724	209.9	1	83.4	1,231	176.9	97	429.1	3,584	204.6
New York	50	102.7	1,969	133.7	47,295	1,974.2	45,302	1,511.2	22	296.3	22,616	239.0	9,597	4,138.4	127,162	765.3
North Carolina	170	175.3	183	69.7	19,538	1,056.9	2,711	381.2	14	257.6	7,862	138.1	1,379	1,090.2	31,864	364.4
North Dakota	18	62.8	5	46.0	175	943.2	22	108.0	1	268.8	210	39.0	16	170.9	447	71.4
Ohio	14	71.2	128	53.9	9,793	823.4	1,592	469.4	2	54.6	9,762	123.6	1,024	663.4	22,418	227.7
Oklahoma	334	126.7	89	118.0	1,466	616.6	704	231.0	9	194.4	3,268	147.7	374	245.5	6,244	192.0
Oregon	56	142.7	148	86.4	496	747.8	1,083	260.9	20	143.0	5,027	182.1	220	226.8	7,050	197.9
Pennsylvania	38	241.8	310	79.2	17,237	1,511.9	6,219	851.0	18	540.4	10,635	125.0	1,683	1,248.2	36,144	330.8
Rhode Island	6	159.4	39	123.6	598	1,136.6	733	567.2	1	179.2	1,141	167.7	79	526.4	2,597	284.4
South Carolina	13	80.8	50	67.3	11,804	1,056.2	953	441.5	3	114.2	4,089	145.4	484	908.1	17,405	405.6
South Dakota	80	151.0	4	33.3	134	916.3	46	186.7	2	543.5	319	52.6	25	219.0	610	84.5
Tennessee	8	47.3	78	74.6	9,621	1,039.1	941	353.3	5	173.4	6,039	140.4	650	874.6	17,344	304.7
Texas	41	51.1	971	80.7	33,174	1,177.0	31,427	360.7	21	103.7	21,939	213.8	4,184	1,522.5	91,764	392.7
Utah	29	122.6	67	96.0	275	980.4	679	207.4	8	33.8	1,788	90.6	80	194.0	2,929	117.7
Vermont	0	0.0	17	157.4	72	1,089.8	63	624.5	0	0.0	525	103.4	34	424.7	711	130.4
Virginia	15	75.4	325	66.2	13,086	961.7	2,243	361.5	9	167.1	6,413	141.5	961	655.8	23,081	321.7
Washington	126	159.9	453	76.2	2,237	926.7	2,113	299.3	56	129.3	7,683	172.5	938	450.3	13,614	215.2
West Virginia	3	87.9	11	83.9	391	726.4	98	427.0	0	0.0	1,283	89.5	101	523.5	1,891	122.2
Wisconsin	26	62.3	86	62.0	2,354	814.3	911	311.4	1	60.8	2,723	66.7	229	377.6	6,331	129.0
Wyoming	12	127.0	3	59.8	22	406.7	60	138.3	0	0.0	238	58.1	13	193.4	348	72.5
Subtotal	3,127	158.2	15,050	93.6	421,842	1,252.9	231,071	499.9	879	183.1	303,885	177.2	47,214	1,004.4	1,023,832	372.8
U.S. dependent areas^e
American Samoa	0	—	0	—	0	—	0	—	1	—	0	—	2	—	3	7.9
Guam	0	—	52	—	5	—	8	—	21	—	10	—	7	—	103	80.9
Northern Mariana Islands	1	—	4	—	0	—	0	—	5	—	2	—	2	—	14	34.7
Puerto Rico	1	—	2	—	11	—	15,804	—	1	—	26	—	3	—	15,848	566.8
Republic of Palau	0	—	2	—	0	—	1	—	6	—	0	—	0	—	9	49.7
U.S. Virgin Islands	0	—	2	—	293	—	203	—	0	—	37	—	5	—	543	617.0
Subtotal	2	—	62	—	309	—	16,016	—	34	—	75	—	19	—	16,520	531.5
Total	3,129	—	15,112	—	422,151	—	247,087	—	913	—	303,960	—	47,233	—	1,040,352	374.6

Note: Data for the year 2018 are preliminary and based on deaths reported to CDC as of December 2019. Data are based on address of residence at the end of the specified year (i.e., most recent known address). Numbers less than 12, and rates based on these numbers, should be interpreted with caution.
^aIncludes Asian/Pacific Islander legacy cases (see Technical Notes).
^bHispanics/Latinos can be of any race.
^cIncludes persons whose race/ethnicity is unknown.
^dRates are per 100,000 population.
^eRates by race/ethnicity are not provided because U.S. census information is limited for U.S. dependent areas.

Table 20. Diagnoses of HIV infection, 2018, and persons living with diagnosed HIV infection (prevalence), year-end 2018, by metropolitan statistical area of residence—United States and Puerto Rico
	Diagnosis, 2018^a			Prevalence of diagnosed HIV infection, year-end 2018^b
Metropolitan statistical area of residence	No.	Rate^c	Rank^d	No.	Rate^c
Akron, OH	53	7.5	74	1,033	146.6
Albany–Schenectady–Troy, NY	50	5.7	92	2,168	245.5
Albuquerque, NM	55	6.0	88	1,812	197.8
Allentown–Bethlehem–Easton, PA–NJ	53	6.3	84	1,167	138.4
Atlanta–Sandy Springs–Roswell, GA	1,651	27.7	2	36,549	614.3
Augusta–Richmond County, GA–SC	147	24.3	6	2,354	389.6
Austin–Round Rock, TX	269	12.4	39	6,294	290.3
Bakersfield, CA	153	17.1	16	1,697	189.2
Baltimore–Columbia–Towson, MD	456	16.3	19	15,027	536.1
Baton Rouge, LA	227	27.3	3	5,188	624.1
Birmingham–Hoover, AL	162	14.1	29	4,310	374.2
Boise City, ID	18	2.5	104	232	31.8
Boston–Cambridge–Newton, MA–NH^e	479	9.8	57	14,294	293.2
Boston Division	253	12.5	—	8,144	401.0
Cambridge Division	220	9.1	—	5,851	243.2
Bridgeport–Stamford–Norwalk, CT	54	5.7	91	2,659	281.7
Buffalo–Cheektowaga–Niagara Falls, NY	55	4.9	98	2,549	225.5
Cape Coral–Fort Myers, FL	76	10.1	55	2,156	285.7
Charleston–North Charleston, SC	134	17.0	17	2,644	335.7
Charlotte–Concord–Gastonia, NC–SC	363	14.1	28	8,645	336.5
Chattanooga, TN–GA	54	9.6	60	1,175	209.5
Chicago–Naperville–Elgin, IL–IN–WI	1,212	12.8	38	29,350	309.0
Chicago Division	1,067	14.6	—	26,731	366.7
Elgin Division	35	5.5	—	444	69.6
Gary Division	61	8.7	—	1,218	173.7
Lake County Division	49	5.6	—	957	110.0
Cincinnati, OH–KY–IN	285	13.0	35	4,415	201.6
Cleveland–Elyria, OH	173	8.4	69	5,462	265.5
Colorado Springs, CO	48	6.5	82	942	127.5
Columbia, SC	145	17.4	13	4,258	511.4
Columbus, OH	237	11.3	45	5,741	272.5
Dallas–Fort Worth–Arlington, TX	1,309	17.4	14	28,501	378.0
Dallas Division	1,014	20.3	—	22,236	444.1
Fort Worth Division	295	11.6	—	6,265	247.4
Dayton, OH	79	9.8	59	1,655	205.2
Deltona–Daytona Beach–Ormond Beach, FL	89	13.5	33	1,959	297.0
Denver–Aurora–Lakewood, CO	264	9.0	65	9,454	322.4
Des Moines–West Des Moines, IA	38	5.8	90	888	135.5
Detroit–Warren–Dearborn, MI	474	11.0	49	10,143	234.4
Detroit Division	301	17.2	—	6,747	384.7
Warren Division	173	6.7	—	3,396	132.0
Durham–Chapel Hill, NC	80	13.9	32	2,189	380.4
El Paso, TX	129	15.3	23	2,234	264.2
Fayetteville–Springdale–Rogers, AR–MO	26	4.7	99	643	117.1
Fresno, CA	108	10.9	50	1,985	199.6
Grand Rapids–Wyoming, MI	49	4.6	100	1,212	113.3
Greensboro–High Point, NC	121	15.8	22	2,800	364.7
Greenville–Anderson–Mauldin, SC	94	10.4	53	2,113	233.1
Harrisburg–Carlisle, PA	42	7.3	76	816	142.0
Hartford–West Hartford–East Hartford, CT	99	8.2	71	3,607	299.0
Honolulu (Urban), HI	57	5.8	89	1,532	156.3
Houston–The Woodlands–Sugar Land, TX	1,427	20.4	10	30,607	437.4
Indianapolis–Carmel–Anderson, IN	252	12.3	40	5,732	279.8
Jackson, MS	137	23.6	8	3,239	558.3
Jacksonville, FL	322	21.0	9	7,063	460.2
Kansas City, MO–KS	205	9.6	62	4,847	226.1
Knoxville, TN	66	7.5	75	1,102	124.8
Lakeland–Winter Haven, FL	105	14.8	26	2,447	345.6
Lancaster, PA	16	2.9	103	569	104.7
Las Vegas–Henderson–Paradise, NV	451	20.2	11	8,607	385.7
Lexington–Fayette, KY	63	12.2	41	1,113	215.4
Little Rock–North Little Rock–Conway, AR	133	17.9	12	2,311	311.8
Los Angeles–Long Beach–Anaheim, CA	1,979	14.9	25	56,359	424.0
Anaheim Division	286	9.0	—	6,886	216.1
Los Angeles Division	1,693	16.8	—	49,473	489.6
Louisville/Jefferson County, KY–IN	191	14.7	27	3,707	285.7
Madison, WI	29	4.4	101	597	90.4
McAllen–Edinburg–Mission, TX	92	10.6	51	1,468	169.5
Memphis, TN–MS–AR	367	27.2	4	7,163	530.3
Miami–Fort Lauderdale–West Palm Beach, FL	2,089	33.7	1	53,770	867.4
Fort Lauderdale Division	627	32.1	—	19,500	999.4
Miami Division	1,178	42.7	—	26,343	953.9
West Palm Beach Division	284	19.1	—	7,927	533.5
Milwaukee–Waukesha–West Allis, WI	119	7.6	73	2,334	148.1
Minneapolis–St. Paul–Bloomington, MN–WI	230	6.3	83	7,278	200.5
Modesto, CA	61	11.1	47	797	145.0
Nashville–Davidson–Murfreesboro–Franklin, TN	216	11.2	46	5,131	265.7
New Haven–Milford, CT	82	9.6	63	3,232	376.9
New Orleans–Metairie, LA	307	24.2	7	7,991	629.0
New York–Newark–Jersey City, NY–NJ–PA^e	2,981	14.9	24	138,787	694.6
Nassau County Division	192	6.8	—	6,149	216.6
New York Division	2,362	16.6	—	118,151	829.6
Newark Division	409	16.3	—	13,457	537.3
North Port–Sarasota–Bradenton, FL	68	8.3	70	1,996	242.9
Ogden–Clearfield, UT	15	2.2	105	408	60.4
Oklahoma City, OK	137	9.8	58	2,828	202.5
Omaha–Council Bluffs, NE–IA	50	5.3	96	386	41.0
Orlando–Kissimmee–Sanford, FL	678	26.4	5	12,206	474.4
Oxnard–Thousand Oaks–Ventura, CA	52	6.1	87	1,074	126.2
Palm Bay–Melbourne–Titusville, FL	63	10.6	52	1,577	264.2
Philadelphia–Camden–Wilmington, PA–NJ–DE–MD	778	12.8	37	24,553	402.7
Camden Division	99	8.0	—	2,933	235.8
Montgomery County Division	103	5.2	—	1,437	72.6
Philadelphia Division	505	23.5	—	17,836	830.0
Wilmington Division	71	9.8	—	2,347	323.8
Phoenix–Mesa–Scottsdale, AZ	579	11.9	42	12,317	253.5
Pittsburgh, PA	116	5.0	97	2,969	127.7
Portland–South Portland, ME	11	2.1	106	866	161.7
Portland–Vancouver–Hillsboro, OR–WA	178	7.2	77	5,514	222.4
Providence–Warwick, RI–MA	115	7.1	78	2,612	161.1
Provo–Orem, UT	13	2.1	107	218	34.4
Raleigh, NC	131	9.6	61	3,839	281.8
Richmond, VA	207	15.8	21	3,293	252.1
Riverside–San Bernardino–Ontario, CA	532	11.5	43	13,495	292.0
Rochester, NY	59	5.5	93	2,872	268.1
Sacramento–Roseville–Arden-Arcade, CA	192	8.2	72	5,132	218.8
St. Louis, MO–IL	256	9.1	64	7,151	254.9
Salt Lake City, UT	76	6.2	85	1,986	162.4
San Antonio–New Braunfels, TX	353	14.0	30	6,906	274.3
San Diego–Carlsbad, CA	378	11.3	44	13,148	393.3
San Francisco–Oakland–Hayward, CAe	628	13.3	34	23,367	494.1
Oakland Division	310	11.0	—	8,739	310.2
San Francisco Division	297	18.0	—	13,831	836.8
San Jose–Sunnyvale–Santa Clara, CA	169	8.5	68	3,322	166.2
San Juan–Carolina–Caguas, PR	330	16.3	18	9,051	447.4
Scranton–Wilkes-Barre–Hazleton, PA	37	6.7	80	511	92.0
Seattle–Tacoma–Bellevue, WA	392	10.0	56	9,540	242.2
Seattle Division	330	10.8	—	8,044	263.9
Tacoma Division	62	7.0	—	1,496	167.8
Spokane–Spokane Valley, WA	22	3.8	102	677	118.0
Springfield, MA	65	10.3	54	2,164	342.5
Stockton–Lodi, CA	66	8.8	67	1,316	174.8
Syracuse, NY	35	5.4	95	1,322	203.2
Tampa–St. Petersburg–Clearwater, FL	545	17.3	15	12,832	408.3
Toledo, OH	54	9.0	66	1,038	172.2
Tucson, AZ	114	11.0	48	2,590	249.3
Tulsa, OK	65	6.5	81	1,921	193.3
Virginia Beach–Norfolk–Newport News, VA–NC	241	13.9	31	6,044	349.6
Washington–Arlington–Alexandria, DC–VA–MD–WV	1,012	16.2	20	31,199	499.2
Silver Spring Division	150	11.5	—	4,044	309.1
Washington Division	862	17.4	—	27,155	549.5
Wichita, KS	44	6.8	79	937	145.3
Winston-Salem, NC	87	13.0	36	1,986	295.8
Worcester, MA–CT	52	5.5	94	2,132	224.9
Youngstown–Warren–Boardman, OH–PA	33	6.1	86	780	144.7
Subtotal for MSAs (population ≥500,000)	30,615	13.6	—	830,178	369.4
Metropolitan areas (population of 50,000–499,999)	4,833	8.1	—	107,260	180.1
Nonmetropolitan areas	2,376	5.2	—	57,352	124.5
Total^f	37,951	11.5	—	1,041,595	315.3

Abbreviation: MSA, metropolitan statistical area.
Note: Data for the year 2018 are preliminary and based on deaths reported to CDC through December 2019. Because of the lack of U.S. census information for all U.S. dependent areas, table includes data for only the United States and Puerto Rico. Numbers less than 12, and rates based on these numbers, should be interpreted with caution.
MSA definitions for this report can be found at https://www.census.gov/programs-surveys/metro-micro.htmlexternal icon
^aData are based on residence at HIV diagnosis.
^bData are based on address of residence at the end of the specified year (i.e., most recent known address).
^cRates are per 100,000 population.
^dBased on rate.
^eCounts of diagnoses of HIV infection for the metropolitan divisions do not sum to the MSA total. MSA total includes data from 1 metropolitan division with population of <500,000.
^fIncludes persons whose county of residence is unknown.

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View Page In: Diagnoses of HIV Infection in the United States and Dependent Areas, 2018

Page last reviewed: May 7, 2020

Content source: Division of HIV Prevention, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention