Figures | Volume 32 | HIV Surveillance | Reports | Resource Library | HIV/AIDS

• Alt text: In 2019, the overall rate was 11.1; among adults and adolescents, the rate was 13.2.

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From 2015 through 2019 in the United States and 6 dependent areas, the number of diagnoses of HIV infection for transgender male-to-female (MTF) and transgender female-to-male (FTM) adults and adolescents increased.

Note: See section D2.2 in the Technical Notes for more information on gender.

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From 2015 through 2019 in the United States and 6 dependent areas, the rates for persons aged 13–24, 35–44, 45–54, and ≥55 years decreased. The rate for persons aged 25–34 years remained stable.

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• Alt text: From 2015 through 2019 in the United States, the rate for diagnoses of HIV infection among American Indian/Alaska Native adults and adolescents increased.

Note: See section D3 in the Technical Notes for more information on race/ethnicity. aHispanic/Latino persons can be of any race.

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From 2015 through 2019 in the United States and 6 dependent areas among all adults and adolescents, the annual percentage of diagnoses of HIV infection attributed to male-to-male sexual contact (MMSC) accounted for over 65% of diagnoses.

Note: Data have been statistically adjusted to account for missing transmission category. See section D4 in the Technical Notes for more information on transmission categories.

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Note: Data have been statistically adjusted to account for missing transmission category. See section D4 in the Technical Notes for more information on transmission categories.

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• Alt text: In 2019, the rate of deaths among adults and adolescents was 5.7.

Note: Data for the year 2019 are preliminary and based on deaths reported to CDC as of December 2020. Data are based on address of residence as of December 31, 2019 (i.e., most recent known address). Asterisk (*) indicates incomplete reporting. See section C1.2 in Technical Notes for more information on deaths

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From 2015 through 2019 in the United States, the rates of deaths for Asian persons increased. The rates of deaths for American Indian/Alaska Native, Black/African American, and multiracial persons decreased. The rates for Hispanic/Latino and White persons remained stable.

Note: See sections C1.2 and D3 in Technical Notes for more information on deaths and race/ethnicity.
^aIncludes Asian/Pacific Islander legacy cases.
^bHispanic/Latino persons can be of any race.

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At year-end 2019 in the United States and 6 dependent areas among adults and adolescents only, the prevalence of diagnosed HIV infection was 379.7.

Note: Data for the year 2019 are preliminary and based on deaths reported to CDC as of December 2020. Data are based on address of residence as of December 31, 2019 (i.e., most recent known address). Asterisk (*) indicates incomplete reporting. See section C1.3 in Technical Notes for more information on prevalence.

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At year-end 2019 in the United States and 6 dependent areas, 1,059,784 adults and adolescents were living with diagnosed HIV infection.

Note: Data for the year 2019 are preliminary and based on deaths reported to CDC as of December 2020. See section D3 in Technical Notes for more information on race/ethnicity.
^aIncludes Asian/Pacific Islander legacy cases.
^bHispanic/Latino persons can be of any race.

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From 2015 through 2019 in the United States and 6 dependent areas, the largest number of diagnoses of HIV infection attributed to MMSC was among MSM aged 25–34 years.

Note: Data have been statistically adjusted to account for missing transmission category. See section D4 in the Technical Notes for more information on transmission categories.

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From 2015 through 2019 in the United States and 6 dependent areas, Black/African American MSM accounted for more than 36% and White MSM accounted for more than 30% of HIV diagnoses among MSM annually.

Note: Data have been statistically adjusted to account for missing transmission category. See sections D3 and D4 in the Technical Notes for more information on race/ethnicity and transmission categories.
^aHispanic/Latino persons can be of any race.

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In 2019, in the United States and 6 dependent areas, Black/African American MSM accounted for 25% of the 36,801 HIV diagnoses and 38% of diagnoses (51% of MSM aged 13–24 years and 33% of MSM aged >24 years) among all MSM.

Note: Data have been statistically adjusted to account for missing transmission category. See sections D3 and D4 in the Technical Notes for more information on race/ethnicity and transmission categories.
^aHispanic/Latino persons can be of any race.

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In 2019 in the United States and 6 dependent areas, the South had more diagnoses of HIV infection (12,325) among MSM than any other region and accounted for 51% of all diagnoses of HIV infection among MSM.

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In 2019, among 1,397 male PWID with diagnosed HIV infection, approximately 43% were White, 29% were Black/African American, and 23% were Hispanic/Latino persons.

Note: Data have been statistically adjusted to account for missing transmission category. See sections D3 and D4 in the Technical Notes for more information on race/ethnicity and transmission categories.
^aHispanic/Latino persons can be of any race.

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White persons accounted for 537 diagnosed infections among PWID (50%) in the South, Black/African American persons accounted for 347 (32%), and Hispanic/Latino persons accounted for 160 (15%).

Note: Data have been statistically adjusted to account for missing transmission category. See sections C, D3, D4, and E1 in the Technical Notes for more information on interpreting numbers, race/ethnicity, transmission categories and U.S. Census Regions.
^aHispanic/Latino persons can be of any race.

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From 2015 through 2019 in the United States and 6 dependent areas, the number of diagnoses of HIV infection among transgender persons aged 25–34 and 35–44 years increased. The number for transgender persons aged 13–24 and 45–54 years decreased.

Note: See section D2.2 in the Technical Notes for more information on gender.

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From 2015 through 2019 in the United States and 6 dependent areas, the number of diagnoses of HIV infection among White transgender adults and adolescents increased.

Note: See sections D2.2 and D3 in the Technical Notes for more information on gender and race/ethnicity.

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In 2019 in the United States and 6 dependent areas, among transgender MTF adults and adolescents, the largest percentage of diagnoses of HIV infection was for Black/African American persons (46%), followed by Hispanic/Latino (35%), and White (13%) persons.

Note: See sections D2.2 and D3 in the Technical Notes for more information on gender and race/ethnicity.
^aHispanic/Latino persons can be of any race.

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In 2019 in the United States and 6 dependent areas, the rate of diagnoses of HIV infection among female adults and adolescents was 4.9. Rates ranged from a low of 0.0 in American Samoa, Guam, and the Republic of Palau to a high of 18.1 in the District of Columbia, followed by 10.2 in Georgia, 9.9 in Maryland, 9.7 in Florida, and 9.6 in Louisiana.

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In 2019 in the United States, Black/African American female adults and adolescents made up 13% of the female population but accounted for 55% of diagnoses of HIV infection among females. White female adults and adolescents made up 62% of the female population and accounted for 22% of diagnoses of HIV infection. Hispanic/Latino female adults and adolescents made up 17% of the female population and accounted for 18% of diagnoses of HIV infection. Asian female adults and adolescents made up 6% of the female population but accounted for 1% of HIV diagnoses. Multiracial females made up 2% of the female population and accounted for 3% of HIV diagnoses. Native Hawaiian/other Pacific Islander and American Indian/Alaska Native female adults and adolescents each made up 1% or less of the female population and each accounted for less than 1% of HIV diagnoses.

Note: See section D3 in the Technical Notes for more information on race/ethnicity.
^aHispanic/Latino persons can be of any race.

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From 2015 through 2019 in the United States and 6 dependent areas, Black/African American female adults and adolescents accounted for the largest numbers of diagnoses of HIV infection each year although the number decreased from 4,262 in 2015 to 3,812 in 2019. White female adults and adolescents was the only race/ethnicity group among females where the number of diagnoses of HIV infection increased (from 1,364 in 2015 to 1,508 in 2019).

Note: See section D3 in the Technical Notes for more information on race/ethnicity.
^aHispanic/Latino persons can be of any race.

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In 2019 in the United States and 6 dependent areas, Asian female adults and adolescents had the largest percentage (93%) of diagnoses of HIV infection attributed to heterosexual contact, followed by Black/African American (91%), and Hispanic/Latino (87%) female adults and adolescents. The percentage (40%) of diagnoses of HIV infection attributed to injection drug use was largest among American Indian/Alaska Native female adults and adolescents, followed by White (36%) and multiracial (20%) female adults and adolescents.

Note: Data have been statistically adjusted to account for missing transmission category. See sections D3 and D4 in the Technical Notes for more information on race/ethnicity and transmission categories.
^aHispanic/Latino persons can be of any race.

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In 2019 in the United States among female adults and adolescents, the South had the highest number of diagnoses (3,848) of HIV infection. The highest rates of diagnoses of HIV infection among American Indian/Alaska Native (8.3), Asian (1.5), Black/African American (22.2), and White (2.4) female adults and adolescents were in the South. The highest rate of diagnoses of HIV infection among Hispanic/Latino (8.0) and multiracial (13.5) female adults and adolescents were in the Northeast.

Note: See sections D3 and E1 in the Technical Notes for more information on race/ethnicity and U.S. Census Regions.
^aHispanic/Latino persons can be of any race.

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From 2015 through 2019 in the United States and 6 dependent areas, the number of diagnoses of HIV infection among adolescents and young adults for males, females, and transgender MTF decreased.

Note: See section D2.2 in the Technical Notes for more information on gender.

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From 2015 through 2019 in the United States, the rate of diagnosis of HIV infection for Asian, Black/African American, and multiracial adolescents decreased. The rates of diagnosis of HIV infection for Hispanic/Latino and White adolescents remained stable.

Note: See section D3 in the Technical Notes for more information on race/ethnicity.
^aHispanic/Latino persons can be of any race.

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From 2015 through 2019 in the United States, the rate of diagnosis of HIV infection for American Indian/Alaska Native young adults increased. The rates of diagnosis of HIV infection for Asian, Black/African American, Hispanic/Latino, White and multiracial young adults decreased.

Note: See section D3 in the Technical Notes for more information on race/ethnicity.
^aHispanic/Latino persons can be of any race.

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From 2015 through 2019 in the United States and 6 dependent areas, the annual number of diagnosed HIV infections for male adolescents and young adults attributed to MMSC, IDU, MMSC and IDU, and heterosexual contact decreased.

Data have been statistically adjusted to account for missing transmission category. See section D4 in the Technical Notes for more information on transmission categories.

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In 2019, diagnoses of HIV infection for adolescents and young adults attributed to MMSC (approximately 83%, including 3% MMSC and IDU) and those attributed to heterosexual contact (13%) accounted for approximately 97% of diagnoses in the United States.

Note: Data have been statistically adjusted to account for missing transmission category. See section D4 in the Technical Notes for more information on transmission categories.

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In the United States and Puerto Rico, a total of 35 children born during 2018 had HIV infection attributed to perinatal transmission. Florida and Texas reported the largest numbers of diagnosed HIV infections attributed to perinatal transmission in infants born in 2018.

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From 2015 through 2019 in the United States and 6 dependent areas, a total of 524 children received a diagnosis of HIV infection. Approximately 35% of children had their HIV infection diagnosed within the first 6 months of life (i.e., 0–5 months), and an additional 4% during months 6–11.

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From 2015 through 2018 in the United States and Puerto Rico, among the 214 children born with diagnosed, perinatally acquired HIV infection, 47% were born to mothers who were tested before pregnancy, 18% were born to mothers who were tested during pregnancy, and 9% to mothers tested at the time of birth. An additional 19% of children with diagnosed, perinatally acquired HIV infection were born to mothers who were tested after the child’s birth, and 7% were born to mothers whose time of maternal HIV testing was unknown.

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From 2015 through 2019 in the United States and 6 dependent areas, among children, the percentage of diagnosed HIV infection in Black/African American children ranged from 55% to 61%.

Note: See section D3 in the Technical Notes for more information on race/ethnicity.
^aHispanic/Latino persons can be of any race.

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In 2019 in the United States, Black/African American children made up approximately 14% of the population of children but accounted for 57% of diagnoses of HIV infection among children. Hispanic/Latino children made up 26% of the population of children but accounted for 13% of diagnoses. White children made up 50% of the population of children but accounted for 11% of diagnoses.

Note: See section D3 in the Technical Notes for more information on race/ethnicity.
^aHispanic/Latino persons can be of any race.

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At the end of 2019 in the United States and 6 dependent areas, approximately 1,698 children aged less than 13 years were living with diagnosed HIV infection. Areas with the highest rates of children aged less than 13 years living with diagnosed HIV infection at the end of 2019 were the District of Columbia (14.7), the U.S. Virgin Islands (10.7), Maine (7.5), and Vermont (6.3). Data for the year 2019 are preliminary and based on deaths reported to CDC as of December 2020.

Note: Data for the year 2019 are preliminary and based on deaths reported to CDC as of December 2020. Data are based on address of residence as of December 31, 2019 (i.e., most recent known address). Asterisk (*) indicates incomplete reporting. See section C1.3 in Technical Notes for more information on prevalence.

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At the end of 2019 in the United States and 6 dependent areas, there were 12,355 persons living with diagnosed perinatally acquired HIV infection. The number of persons living with diagnosed, perinatally acquired HIV infections ranged from 0 in American Samoa, the Northern Mariana Islands, and the Republic of Palau to 2,398 in New York. Data reflect all persons (i.e., children, adolescents, and adults) with diagnosed perinatally acquired HIV infection who were alive at year-end 2019, regardless of their age at year-end 2019. Data for the year 2019 are preliminary and based on deaths reported to CDC through December 2020.

Note: Data for the year 2019 are preliminary and based on deaths reported to CDC as of December 2020. Data are based on address of residence as of December 31, 2019 (i.e., most recent known address). Asterisk (*) indicates incomplete reporting. See section C1.3 in Technical Notes for more information on prevalence.

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Diagnoses of HIV Infection in the United States and Dependent Areas 2019: Figures

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