Diagnoses of HIV Infection in the United States and Dependent Areas 2020: Figures

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Diagnoses of HIV Infection in the United States and Dependent Areas, 2020

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The annual number of HIV diagnoses in 2020 was 17% lower than 2019. The decline in 2020 was larger than the average yearly decline (2-3%) observed during 2016-2019.

Note: Diagnoses of HIV infection reported to CDC through December 2021. The annual number of HIV diagnoses in 2020 was 17% lower than 2019. The decline in 2020 was larger than the average yearly decline (2%–3%) observed during 2016–2019.

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In 2020, in the United States and 6 dependent areas, there were 30,635 HIV diagnoses (rate: 10.9 per 100,00) among persons aged ≥13 years.

Note: Data for 2020 should be interpreted with caution due to the impact of the COVID-19 pandemic on access to HIV testing, care-related services, and case surveillance activities in state/local jurisdictions. Asterisk (*) indicates incomplete reporting.

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In 2020, in the United States and 6 dependent areas, 80% of HIV diagnoses were among males, 18% females, and 2% transgender women/girls.

Note: Data for 2020 should be interpreted with caution due to the impact of the COVID-19 pandemic on access to HIV testing, care-related services, and case surveillance activities in state/local jurisdictions.

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In 2020, in the United States and 6 dependent areas, 20% of HIV diagnoses were among 13-24 years, 37% 25-34 years, and 20% 35-44 years.

Note: Data for 2020 should be interpreted with caution due to the impact of the COVID-19 pandemic on access to HIV testing, care-related services, and case surveillance activities in state/local jurisdictions.

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If Black/African American persons had the same rate of HIV diagnoses as White persons, 33 cases per 100,000 would have been prevented. The rate was 8.1 times as high as White persons.

Note: Rates are per 100,000 population. Data for 2020 should be interpreted with caution due to the impact of the COVID-19 pandemic on access to HIV testing, care-related services, and case surveillance activities in state/local jurisdictions. Absolute disparity measures the difference between rates in groups with the highest rates and a reference group (Ratehighest group − Ratereference group). Relative disparity (rate ratio) measures the rates in groups with the highest rates divided by a reference group (Ratehighest group ÷ Ratereference group).

a Hispanic/Latino persons can be of any race.

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In 2020, in the United States and 6 dependent areas, 42% of HIV diagnoses were among Black/African American and 27% Hispanic/Latino persons.

Note: Data for 2020 should be interpreted with caution due to the impact of the COVID-19 pandemic on access to HIV testing, care-related services, and case surveillance activities in state/local jurisdictions.

a Hispanic/Latino persons can be of any race.

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In 2020, in the United States and 6 dependent areas, 68% of HIV diagnoses were attributed to male-to-male sexual contact.

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

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In 2020, in the United States and 6 dependent areas, there were 18,489 deaths (rate: 6.6 per 100,000) among persons aged ≥13 years with diagnosed HIV infection.

Note: Deaths of persons with a diagnosis of HIV infection may be due to any cause. Data for the year 2020 are preliminary and based on deaths reported to CDC as of December 2021. Asterisk (*) indicates incomplete reporting. Data for 2020 should be interpreted with caution due to the impact of the COVID-19 pandemic on access to HIV testing, care-related services, and case surveillance activities in state/local jurisdictions.

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In 2020, in the United States and 6 dependent areas, 43% of deaths of persons with a diagnosis of HIV infection were among Black/African American persons and 47% were in the South.

Note: Deaths of persons with a diagnosis of HIV infection may be due to any cause. Data for the year 2020 are preliminary and based on deaths reported to CDC as of December 2021. Data for 2020 should be interpreted with caution due to the impact of the COVID-19 pandemic on access to HIV testing, care-related services, and case surveillance activities in state/local jurisdictions.

a Includes Asian/Pacific Islander legacy cases.

b Hispanic/Latino persons can be of any race.

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If multiracial persons had the same rate of HIV diagnoses as White persons, 23 cases per 100,000 would have been prevented. The rate was 8.0 times as high as White persons.

Note: Deaths of persons with a diagnosis of HIV infection may be due to any cause. Data for the year 2020 are preliminary and based on deaths reported to CDC as of December 2021. Asterisk (*) indicates incomplete reporting. Data for 2020 should be interpreted with caution due to the impact of the COVID-19 pandemic on access to HIV testing, care-related services, and case surveillance activities in state/local jurisdictions. Absolute disparity measures the difference between rates in groups with the highest rates and a reference group (Ratehighest group − Ratereference group). Relative disparity (rate ratio) measures the rates in groups with the highest rates divided by a reference group (Ratehighest group ÷ Ratereference group).

a Hispanic/Latino persons can be of any race.

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At year-end 2020 in the United States and 6 dependent areas, 1,070,604 persons aged ≥13 years (rate: 381.4) were living with diagnosed HIV infection.

Note: Data for the year 2020 are preliminary and based on deaths reported to CDC as of December 2021. Data are based on address of residence as of December 31, 2020 (i.e., most recent known address). Data for 2020 should be interpreted with caution due to the impact of the COVID-19 pandemic on access to HIV testing, care-related services, and case surveillance activities in state/local jurisdictions. Asterisk (*) indicates incomplete reporting.

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In 2020, in the United States and 6 dependent areas, the percentage of persons aged ≥13 years living with diagnosed HIV infection was 35% among Black/African American males (sex at birth) 57% among Black/African American females (sex at birth).

Note: Data for 2020 should be interpreted with caution due to the impact of the COVID-19 pandemic on access to HIV testing, care-related services, and case surveillance activities in state/local jurisdictions.

aIncludes Asian/Pacific Islander legacy cases.

bHispanic/Latino persons can be of any race.

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In 2020, in the United States and 6 dependent areas, 71% of HIV diagnoses were among men who have sex with men. Black/African American persons accounted for 39% of the diagnoses of HIV infection among men who have sex with men.

Note: Data have been statistically adjusted to account for missing transmission category. Data for 2020 should be interpreted with caution due to the impact of the COVID-19 pandemic on access to HIV testing, care-related services, and case surveillance activities in state/local jurisdictions.

a Hispanic/Latino persons can be of any race.

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In 2020, in the United States and 6 dependent areas, the highest percentage of diagnoses of HIV infection among men who have sex with men aged 13-24 years and >24 years were among Black/African American persons, 54% and 34%, respectively.

Note: Data have been statistically adjusted to account for missing transmission category. Data for 2020 should be interpreted with caution due to the impact of the COVID-19 pandemic on access to HIV testing, care-related services, and case surveillance activities in state/local jurisdictions.

a Hispanic/Latino persons can be of any race.

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In 2020, Black/African American persons had the highest percentage of diagnoses of HIV infection among men who have sex with men in three regions of the United States: 36% in the Northeast, 47% in the Midwest, and 49% in the South.

Note: Data have been statistically adjusted to account for missing transmission category. Data for 2020 should be interpreted with caution due to the impact of the COVID-19 pandemic on access to HIV testing, care-related services, and case surveillance activities in state/local jurisdictions.

a Hispanic/Latino persons can be of any race.

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In 2020, among persons diagnosed with HIV infection who inject drugs, White persons had the highest percentage of diagnoses of HIV infection (47%), followed by Black/African American persons (27%), and Hispanic/Latino persons (20%).

Note: Data have been statistically adjusted to account for missing transmission category. Data for 2020 should be interpreted with caution due to the impact of the COVID-19 pandemic on access to HIV testing, care-related services, and case surveillance activities in state/local jurisdictions.

a Hispanic/Latino persons can be of any race.

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In 2020, among persons diagnosed with HIV infection who inject drugs, White males and females (sex at birth) had the highest percentage of diagnoses of HIV infection, 45% and 49%, respectively.

Note: Data have been statistically adjusted to account for missing transmission category. Data for 2020 should be interpreted with caution due to the impact of the COVID-19 pandemic on access to HIV testing, care-related services, and case surveillance activities in state/local jurisdictions.

a Hispanic/Latino persons can be of any race.

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In 2020, White persons had the highest percentage of diagnoses of HIV infection among persons who inject drugs in four regions of the United States: 37% in the Northeast, 53% in the Midwest, 52% in the South, and 44% in the West.

Note: Data have been statistically adjusted to account for missing transmission category. Data for 2020 should be interpreted with caution due to the impact of the COVID-19 pandemic on access to HIV testing, care-related services, and case surveillance activities in state/local jurisdictions.

a Hispanic/Latino persons can be of any race.

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In 2020, in the United States and 6 dependent areas, 2% of HIV diagnoses were among transgender and additional gender identity (AGI) persons. Black/African American persons accounted for 47% of the diagnoses of HIV infection among transgender and AGI persons.

Note: Data for 2020 should be interpreted with caution due to the impact of the COVID-19 pandemic on access to HIV testing, care-related services, and case surveillance activities in state/local jurisdictions.

a Hispanic/Latino persons can be of any race.

b For persons assigned “male” sex at birth, sexual contact with any person. For persons assigned “female” sex at birth, sexual contact with a person assigned “male” sex at birth.

c Other risk factors including perinatal, hemophilia, blood transfusion, and risk factor not reported or not identified. Data were not statistically adjusted to account for missing exposure category; therefore, case counts for “Other” might be high.

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In 2020, African American persons accounted for the highest percentage of diagnoses of HIV infection among transgender women and additional gender identity persons, 48% and 47%, respectively.

Note: Data for 2020 should be interpreted with caution due to the impact of the COVID-19 pandemic on access to HIV testing, care-related services, and case surveillance activities in state/local jurisdictions.

a Hispanic/Latino persons can be of any race.

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In 2020, sexual contact was the highest percentage of all exposure categories among transgender men (73%), transgender women (90%), and additional gender identity persons with diagnosed HIV infection (82%).

Note: Data for 2020 should be interpreted with caution due to the impact of the COVID-19 pandemic on access to HIV testing, care-related services, and case surveillance activities in state/local jurisdictions.

a For persons assigned “male” sex at birth, sexual contact with any person. For persons assigned “female” sex at birth, sexual contact with a person assigned “male” sex at birth.

b Other risk factors including perinatal, hemophilia, blood transfusion, and risk factor not reported or not identified. Data were not statistically adjusted to account for missing exposure category; therefore, case counts for “Other” might be high.

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In 2020, in the United States and 6 dependent areas, the rate of diagnoses of HIV infection among female aged ≥13 years was 3.8.

Note: Data for 2020 should be interpreted with caution due to the impact of the COVID-19 pandemic on access to HIV testing, care-related services, and case surveillance activities in state/local jurisdictions. Asterisk (*) indicates incomplete reporting.

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In 2020, there was a disproportionate number of diagnoses of HIV infections among Black/African American females aged ≥13 years, who accounted for 54% of diagnoses among females, yet make up 13% of the female population.

Note: Data for 2020 should be interpreted with caution due to the impact of the COVID-19 pandemic on access to HIV testing, care-related services, and case surveillance activities in state/local jurisdictions.

a Hispanic/Latino persons can be of any race.

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If Black/African American females aged ≥13 years had the same rate of HIV diagnoses as White persons, 33 cases per 100,000 would have been prevented. The rate was 8.1 times as high as White persons.

Note: Data for 2020 should be interpreted with caution due to the impact of the COVID-19 pandemic on access to HIV testing, care-related services, and case surveillance activities in state/local jurisdictions. Absolute disparity measures the difference between rates in groups with the highest rates and a reference group (Ratehighest group − Ratereference group). Relative disparity (rate ratio) measures the rates in groups with the highest rates divided by a reference group (Ratehighest group ÷ Ratereference group).

a Hispanic/Latino persons can be of any race.

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In 2020, among females aged ≥13 years, the highest percentages of diagnoses with HIV infection attributed to injecting drugs was among American Indian/Alaska Native females (47%); attributed to heterosexual contact was the highest among Asian females (92%).

Note: Data have been statistically adjusted to account for missing transmission category. Data for 2020 should be interpreted with caution due to the impact of the COVID-19 pandemic on access to HIV testing, care-related services, and case surveillance activities in state/local jurisdictions.

a Hispanic/Latino persons can be of any race.

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In 2020, in the United States, the highest percentage of diagnoses of HIV infection among females aged ≥13 years were among Black/African American females for all the U.S. regions: 16.3% in the Northeast, 13.8% in the Midwest, 17.2% in the South, and 15.9% in the West.

Note: Rates are per 100,000 population. Data for 2020 should be interpreted with caution due to the impact of the COVID-19 pandemic on access to HIV testing, care-related services, and case surveillance activities in state/local jurisdictions.

a Hispanic/Latino persons can be of any race.

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In 2020, in the United States and 6 dependent areas, there were 6,135 diagnoses of HIV infection among persons aged 13–24 years. Black/African American persons accounts for 54% of these diagnoses, followed by Hispanic/Latino persons (26%).

Note: Data for 2020 should be interpreted with caution due to the impact of the COVID-19 pandemic on access to HIV testing, care-related services, and case surveillance activities in state/local jurisdictions.

a Hispanic/Latino persons can be of any race.

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In 2020, among persons aged 13-24 years, 82% of diagnoses of HIV infection were attributed to male-to-male sexual contact (MMSC) among males (sex at birth) and 10% among females (sex at birth) was attributed to heterosexual contact.

Note: Data for 2020 should be interpreted with caution due to the impact of the COVID-19 pandemic on access to HIV testing, care-related services, and case surveillance activities in state/local jurisdictions.

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In 2020, among persons aged 13-24 years, persons in the South accounted for 17.3% of diagnoses of HIV infection. If the South had the same rate as the Midwest, 9 cases per 100,000 population would have been prevented.

Note: Data for 2020 should be interpreted with caution due to the impact of the COVID-19 pandemic on access to HIV testing, care-related services, and case surveillance activities in state/local jurisdictions. Absolute disparity measures the difference between rates in groups with the highest rates and a reference group (Ratehighest group − Ratereference group). Relative disparity (rate ratio) measures the rates in groups with the highest rates divided by a reference group (Ratehighest group ÷ Ratereference group).

a Hispanic/Latino persons can be of any race.

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In 2020, among children in the United States, Black/African American children made up approximately 14% of the population of children but accounted for 56% of diagnoses of HIV infection.

Note: Data for 2020 should be interpreted with caution due to the impact of the COVID-19 pandemic on access to HIV testing, care-related services, and case surveillance activities in state/local jurisdictions.

a Hispanic/Latino persons can be of any race.

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At year-end 2020 in the United States and 6 dependent areas, approximately 1,447 children were living with diagnosed HIV infection. The overall rate of persons living with diagnosed HIV infection was 2.8.

Note: Data for the year 2020 are preliminary and based on deaths reported to CDC as of December 2021. Data are based on address of residence as of December 31, 2020 (i.e., most recent known address). Asterisk (*) indicates incomplete reporting. Data for 2020 should be interpreted with caution due to the impact of the COVID-19 pandemic on access to HIV testing, care-related services, and case surveillance activities in state/local jurisdictions.

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At year-end 2020 in the United States and 6 dependent areas, there were 12,588 persons living with diagnosed, perinatally acquired HIV infection.

Note: Data for the year 2020 are preliminary and based on deaths reported to CDC as of December 2021. Data are based on address of residence as of December 31, 2020 (i.e., most recent known address). Asterisk (*) indicates incomplete reporting. Data for 2020 should be interpreted with caution due to the impact of the COVID-19 pandemic on access to HIV testing, care-related services, and case surveillance activities in state/local jurisdictions.

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View Page In:pdf icon Diagnoses of HIV Infection in the United States and Dependent Areas, 2020
Page last reviewed: May 24, 2022
Content source: Division of HIV Prevention, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention