Diagnoses of HIV Infection among Adults and Adolescents in Metropolitan Statistical Areas United States and Puerto Rico, 2018

HIV Surveillance Data Tables

Diagnoses of HIV Infection among Adults and Adolescents in Metropolitan Statistical Areas United States and Puerto Rico, 2018

This issue of HIV Surveillance Data Tables is published by the Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention (CDC), U.S. Department of Health and Human Services, Atlanta, Georgia.

Data are presented for diagnoses of HIV infection reported to CDC through December 2019.

The HIV Surveillance Data Tables is not copyrighted and may be used and copied without permission. Citation of the source is, however, appreciated.

Suggested Citation

Centers for Disease Control and Prevention. Diagnoses of HIV infection among adults and adolescents in metropolitan statistical areas—United States and Puerto Rico, 2018. HIV Surveillance Data Tables 2020;1(No. 3). http://www.cdc.gov/hiv/library/reports/surveillance-data-tables/vol-1-no-3/index.html. Published August 2020. Accessed [date].

Download the full report pdf icon[PDF – 4 MB].

Surveillance of HIV Infection

In 2018, rates of diag­noses of HIV infection (13.6) and HIV preva­lence (369.4) among persons residing in metropolitan statistical areas (MSAs, population of 500,000 or more) of the United States and Puerto Rico were approximately 2 times the rates of those residing in smaller metropolitan areas (8.1 and 180.1, respectively), and approximately 3 times the rates of those residing in nonmetro­politan areas (5.2 and 124.5, respectively) [1]. Understanding the burden of disease among different subgroups and by geographic area can help HIV programs to focus on populations and areas at greatest need for HIV prevention and treatment services. Data presented for persons 13 years and older were reported (after the removal of personally identifiable information) to the Centers for Disease Control and Prevention (CDC) through December 2019. Please use caution when interpreting the following:

  • Data on diagnoses of HIV infection. HIV surveillance reports may not be representative of all persons with HIV because not all infected persons have been (1) tested or (2) tested at a time when the infection could be detected and diagnosed. Also, some states offer anonymous HIV testing; the results of anonymous tests are not reported to the confidential, name-based HIV registries of state and local health departments. Therefore, reports of confidential test results may not represent all persons who tested positive for HIV infection.
  • Deaths and prevalence-based data. Data for the year 2018 are preliminary and are based on deaths reported to CDC through December 2019.
  • Numbers less than 12 and rates based on these numbers.

Data re-release agreements between CDC and state/local HIV surveillance programs require specific levels of cell suppression at the state and county level in order to ensure confidentiality of personally identifiable information.

Tabulation and Presentation of Data

The data are presented for adults and adolescents aged 13 years and older with HIV infection diagnosed during 2018. The tables also present data for persons living with diagnosed HIV infection (prevalence) as of December 31, 2018. Tables include the total numbers and rates of diagnoses of HIV infection in 2018 by MSA of residence at diagnosis, and the total numbers and rates of HIV prevalence by MSA of residence at year-end 2018 (i.e., most recent known address). Summary data are provided for persons residing in MSAs (populations of 500,000 or more), in smaller metropolitan areas (populations of 50,000–499,999), and in nonmetropolitan areas (populations of less than 50,000). Summary data also include diagnoses of HIV infection among persons with an unknown county of residence.

Numbers and rates for 107 MSAs and 28 divisions located within any of these MSAs were included in the tabulations. Aside from the summary totals for smaller metropolitan (50,000–499,999 population) and nonmetropolitan areas (less than 50,000) that are provided in the final rows of each table, data on diagnosed HIV infection among persons who resided in MSAs with populations of less than 500,000 are not presented in detail. The MSAs and divisions were located in 44 states (Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, and Wisconsin), the District of Columbia, and 1 U.S. dependent area (Puerto Rico). Alaska, Montana, North Dakota, South Dakota, Vermont, and Wyoming do not have MSAs within their borders.

Diagnosis of HIV Infection

The data are presented for adults and adolescents (aged 13 years and older) with HIV infection diagnosed during 2018. The term diagnosis of HIV infection is defined as a diagnosis of HIV infection regardless of the stage of disease (stage 0, 1, 2, 3 [AIDS], or unknown) and refers to all persons with a diagnosis of HIV infection.

More information on counting diagnoses of HIV infection can be found in the Technical Notes of the 2018 HIV Surveillance Report at https://www.cdc.gov/hiv/library/reports/hiv-surveillance/vol-31/index.html).

Prevalence: Persons Living with Diagnosed HIV Infection

Prevalence data reflect persons living with diagnosed HIV infection, regardless of the stage of disease, as of December 31, 2018. For tables presenting prevalence data, MSA of residence is based on the most recent known address as of December 31, 2018. Data for the year 2018 are preliminary and based on death data received by CDC as of December 2019. Due to incomplete reporting of deaths for the year 2018, prevalence data for MSAs in Alabama, Oklahoma, and South Carolina should be interpreted with caution.  

Deaths

Persons reported to the National HIV Surveillance System are assumed alive unless their deaths have been reported to CDC. Death data include all deaths of persons with diagnosed HIV infection, regardless of the cause of death (Table 10). Data are reported for deaths that occurred by December 31, 2018, thereby allowing at least 12 months for deaths to be reported to CDC. For death data, MSA of residence is based on residence at death. When information on residence at death is not available, the MSA where a person’s death occurred is used.

Data Suppression and Exclusions

In accordance with Data Re-Release Agreement for HIV Surveillance and Surveillance-Related Data (issued July 2018) [2], a suppression rule was applied for population denominators less than 100.

Data for American Indians/Alaska Natives and Asians were excluded from tabulations by MSA, race/ethnicity, and transmission category (Tables 8a–9c), as nearly all of the case counts for American Indians/Alaska Natives and Asians in these tables were less than 12 and thus were associated with small numbers and unstable rates.

We excluded data for San Juan-Carolina-Caguas, PR, from tables displaying diagnoses of HIV infection by race/ethnicity (Tables 4a–5b, 8a–9c). The 2018 postcensal estimates do not include population estimates for Puerto Rico by race/ethnicity, thereby preventing assessment of the suppression rule for these population denominators.

Population of Area of Residence

In the Federal Register for June 28, 2010, the Office of Management and Budget (OMB) published revised standards for defining MSAs in federal statistical activities [3]. These standards, which provided for the identification of MSAs in the United States and Puerto Rico, replaced the 2000 standards. The adoption of the new standards was effective as of June 28, 2010. On February 28, 2013, OMB announced new MSA delineations based on the new standards and Census 2010 data [4]. OMB defines populations of area of residence as areas with populations of 500,000 or more (MSAs), areas with populations of 50,000–499,999, or areas with populations of less than 50,000 (nonmetropolitan areas). The Boston-Cambridge-Newton, MA-NH, New York-Newark-Jersey City, NY-NJ-PA, and San Francisco-Oakland-Hayward, CA MSAs all include 1 division with a population less than 500,000. Therefore, data presented for divisions in these 3 MSAs do not sum to the MSA totals.

Rates

Rates per 100,000 population were calculated for (1) the numbers of diagnoses of HIV infection in 2018, (2) the numbers of persons living with diagnosed HIV infection at year-end 2018 (prevalence), and (3) the numbers of deaths during 2018 of persons with diagnosed HIV infection.

The population denominators used to compute rates for areas in the United States and Puerto Rico were based on the Vintage 2018 postcensal estimates file from the U.S. Census Bureau [5]. Each rate was calculated by dividing the total number of diagnoses (or deaths or prevalence) for the calendar year by the population for that calendar year and then multiplying that number by 100,000. The denominators used for calculating the rates specific to age, sex, and race/ethnicity were computed by applying the appropriate vintage estimates for age, sex, and race/ethnicity for the 50 states and the District of Columbia [5]. The same method was used to calculate the denominators for Puerto Rico.

CDC currently does not provide subpopulation rates by race/ethnicity for Puerto Rico because the U.S. Census Bureau does not collect information on race/ethnicity from the dependent areas. For this reason, and because the suppression rule could not be assessed for all population denominators (see Tabulation and Presentation of Data), rates for San Juan-Carolina-Caguas, PR were not calculated for the tables displaying race/ethnicity (Tables 4a/b, 5a/b, 8a/b/c, 9a/b/c). Rates for transmission categories are not provided because of the absence of denominator data from the U.S. Census Bureau, the source of data used for calculating all rates in the tables.

Ranks

Rank refers to the number assigned to an area or an MSA according to the magnitude of the measure, without consideration for the distance between the values [6]. The lowest rank number was assigned to the highest value of the measure. Ties were resolved by assigning the smallest of the corresponding ranks according to the SAS rank procedure [7]. Because rank indicates a relative position in a series, a rank value is influenced by fluctuations associated with the corresponding area or MSA as well as those of the other sites in the series. Rates based on reported numbers less than 12 were not assigned a rank.

Age

The designation “adults and adolescents” refers to persons aged 13 years and older. For presentations of data on diagnoses of HIV infection in 2018, the age-group assignment is based on the person’s age at the time of diagnosis. For presentations of data on persons living with diagnosed HIV infection (Tables 1a/b/c, 2b, 3b, 4b, 5b, 6b, 7b, 9a/b/c), the age-group assignment (e.g., 13–24 years) is based on the person’s age as of December 31, 2018. For presentations of data on deaths of persons with diagnosed HIV infection (Table 10), age-group assignment (i.e., 13 years and older) is determined based on the person’s age at the time of death.

Age-group designations for transmission categories in tables displaying data on prevalence are based on a person’s age at the end of 2018. That is, the transmission categories in these tables include persons who were children at the time of diagnosis but who were aged 13 years and older on December 31, 2018.

Sex at Birth

Sex designations in the tables are based on a person’s sex at birth. Data for transgender persons are not presented due to small numbers.

References

  1. HIV Surveillance Report, 2018 (Updated); vol. 31. http://www.cdc.gov/hiv/library/reports/hiv-surveillance.html. Published May 2020. Accessed June 15,2020
  2. HIV Incidence and Case Surveillance Branch. Data re-release agreement for HIV surveillance and surveillance-related data. Agreement sent to funded areas, July
  3. Office of Management and 2010 Standards for delineating metropolitan and micropolitan statistical areas. Federal Register 2010;75(123):37246–39052. https://go.usa.gov/x56yhexternal icon. Published June 28, 2010. Accessed June 15, 2020.
  4. Office of Management and Budget. Revised delineations of metropolitan statistical areas, micropolitan statistical areas, and combined statistical areas, and guidance on uses of the delineations of these areas. OMB Bulletin 13-01. https://go.usa.gov/xQWPhexternal icon. Published February 28, 2013. Accessed June 15,2020.
  5. S. Census Bureau. Population estimates [entire data set]. http://www2.census.gov/programs-surveys/popest/datasets/2010-2018/metro/totals/external icon. Published April 2019. Accessed June 15, 2020.
  6. Colton Statistics in Medicine. Boston: Little, Brown; 1974:14.external icon
  7. SAS Institute Inc. RANK procedure. In: Base SAS 3 Procedures Guide. Cary, NC: SAS Institute Inc; 2014:1181–1201.pdf iconexternal icon

Suggested Citation

Centers for Disease Control and Prevention. Diagnoses of HIV infection among adults and adolescents in metropolitan statistical areas—United States and Puerto Rico, 2018. HIV Surveillance Data Tables 2020;1(No. 3). http://www.cdc.gov/hiv/library/reports/surveillance-data-tables/vol-1-no-3/index.html. Published August 2020. Accessed [date].

Acknowledgments

Publication of HIV Surveillance Data Tables was made possible with the contributions of the state and territorial health departments and the HIV surveillance programs that provided surveillance data to CDC.

HIV Surveillance Data Tables was prepared by the following staff and contractors of the Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, CDC: William Adih, Muhling Chong, Baohua Wu, Shihua Wang, Anna Satcher Johnson, and Michael Friend and the Prevention Communications Branch Web & Consumer Services  Team  (desktop publishing).

Table 1a. Diagnoses of HIV infection, 2018, and persons living with diagnosed HIV infection (prevalence), year-end 2018, adults and adolescents, by metropolitan statistical area of residence—United States and Puerto Rico
Diagnosis, 2018a Prevalence of diagnosed HIV infection, year-end 2018b
MSA of residence No. Ratec Rankd No. Ratec
Top 10 MSAs by rate of diagnoses of HIV infection, 2018
Miami-Fort Lauderdale-West Palm Beach, FL 2,087 39.4 1 53,716 1,014.1
Fort Lauderdale Division 626 37.8 19,483 1,177.3
Miami Division 1,177 49.9 26,316 1,116.3
West Palm Beach Division 284 22.1 7,917 616.2
Atlanta-Sandy Springs-Roswell, GA 1,650 33.5 2 36,493 741.1
Baton Rouge, LA 227 32.9 3 5,176 750.2
Memphis, TN-MS-AR 364 32.8 4 7,138 643.4
Orlando-Kissimmee-Sanford, FL 674 31.0 5 12,182 561.1
Augusta-Richmond County, GA-SC 146 29.0 6 2,347 465.6
New Orleans-Metairie, LA 307 28.8 7 7,981 749.0
Jackson, MS 137 28.4 8 3,239 672.4
Houston-The Woodlands-Sugar Land, TX 1,426 25.2 9 30,550 540.4
Jacksonville, FL 318 24.7 10 7,046 548.0
MSAs, alphabetical order
Akron, OH 53 8.8 74 1,031 170.8
Albany-Schenectady-Troy, NY 50 6.6 92 2,167 284.7
Albuquerque, NM 55 7.1 88 1,806 233.6
Allentown-Bethlehem-Easton, PA-NJ 52 7.2 86 1,165 161.9
Atlanta-Sandy Springs-Roswell, GA 1,650 33.5 2 36,493 741.1
Augusta-Richmond County, GA-SC 146 29.0 6 2,347 465.6
Austin-Round Rock, TX 268 14.8 39 6,281 347.6
Bakersfield, CA 153 21.6 12 1,697 239.6
Baltimore-Columbia-Towson, MD 454 19.2 19 15,010 635.4
Baton Rouge, LA 227 32.9 3 5,176 750.2
Birmingham-Hoover, AL 160 16.6 30 4,302 446.9
Boise City, ID 18 3.0 104 232 38.6
Boston-Cambridge-Newton, MA-NHe 477 11.4 60 14,278 340.3
Boston Division 252 14.4 8,137 464.1
Cambridge Division 219 10.6 5,843 283.5
Bridgeport-Stamford-Norwalk, CT 54 6.8 91 2,657 333.1
Buffalo-Cheektowaga-Niagara Falls, NY 55 5.7 99 2,542 262.3
Cape Coral-Fort Myers, FL 75 11.4 61 2,151 325.6
Charleston-North Charleston, SC 134 20.2 16 2,637 398.1
Charlotte-Concord-Gastonia, NC-SC 361 16.9 29 8,621 403.7
Chattanooga, TN-GA 54 11.3 62 1,172 246.1
Chicago-Naperville-Elgin, IL-IN-WI 1,207 15.2 37 29,248 367.1
Chicago Division 1,062 17.3 26,644 435.1
Elgin Division 35 6.6 439 83.1
Gary Division 61 10.4 1,209 205.5
Lake County Division 49 6.7 956 131.5
Cincinnati, OH-KY-IN 284 15.6 33 4,400 241.1
Cleveland-Elyria, OH 173 9.9 69 5,454 311.5
Colorado Springs, CO 48 7.9 81 932 152.4
Columbia, SC 145 20.7 15 4,249 605.5
Columbus, OH 234 13.4 48 5,726 327.8
Dallas-Fort Worth-Arlington, TX 1,308 21.3 14 28,461 463.5
Dallas Division 1,013 24.8 22,213 544.5
Fort Worth Division 295 14.3 6,248 303.2
Dayton, OH 79 11.6 57 1,652 242.9
Deltona-Daytona Beach-Ormond Beach, FL 89 15.4 35 1,958 338.9
Denver-Aurora-Lakewood, CO 263 10.7 66 9,437 383.4
Des Moines-West Des Moines, IA 38 7.1 89 881 164.8
Detroit-Warren-Dearborn, MI 473 12.9 50 10,123 277.0
Detroit Division 300 20.6 6,737 462.4
Warren Division 173 7.9 3,386 154.1
Durham-Chapel Hill, NC 80 16.3 32 2,182 444.8
El Paso, TX 129 19.0 20 2,233 328.2
Fayetteville-Springdale-Rogers, AR-MO 26 5.8 97 640 142.7
Fresno, CA 108 13.7 46 1,981 251.3
Grand Rapids-Wyoming, MI 49 5.5 100 1,180 133.1
Greensboro-High Point, NC 120 18.5 23 2,795 431.5
Greenville-Anderson-Mauldin, SC 94 12.3 52 2,108 276.9
Harrisburg-Carlisle, PA 41 8.4 77 809 166.3
Hartford-West Hartford-East Hartford, CT 99 9.5 71 3,601 346.6
Honolulu (Urban), HI 57 6.9 90 1,530 185.3
Houston-The Woodlands-Sugar Land, TX 1,426 25.2 9 30,550 540.4
Indianapolis-Carmel-Anderson, IN 250 14.8 40 5,707 338.5
Jackson, MS 137 28.4 8 3,239 672.4
Jacksonville, FL 318 24.7 10 7,046 548.0
Kansas City, MO-KS 205 11.6 59 4,831 272.8
Knoxville, TN 66 8.7 75 1,097 145.3
Lakeland-Winter Haven, FL 105 17.6 26 2,442 409.2
Lancaster, PA 16 3.5 103 564 124.9
Las Vegas-Henderson-Paradise, NV 450 24.2 11 8,600 463.0
Lexington-Fayette, KY 63 14.5 41 1,108 255.0
Little Rock-North Little Rock-Conway, AR 132 21.4 13 2,306 374.4
Los Angeles-Long Beach-Anaheim, CA 1,976 17.6 25 56,328 502.1
Anaheim Division 286 10.6 6,879 255.7
Los Angeles Division 1,690 19.8 49,449 579.8
Louisville/Jefferson County, KY-IN 191 17.5 27 3,702 339.9
Madison, WI 29 5.2 101 591 105.1
McAllen-Edinburg-Mission, TX 92 13.9 44 1,464 221.1
Memphis, TN-MS-AR 364 32.8 4 7,138 643.4
Miami-Fort Lauderdale-West Palm Beach, FL 2,087 39.4 1 53,716 1,014.1
Fort Lauderdale Division 626 37.8 19,483 1,177.3
Miami Division 1,177 49.9 26,316 1,116.3
West Palm Beach Division 284 22.1 7,917 616.2
Milwaukee-Waukesha-West Allis, WI 119 9.0 73 2,329 177.0
Minneapolis-St. Paul-Bloomington, MN-WI 230 7.6 84 7,243 240.6
Modesto, CA 61 13.8 45 795 179.6
Nashville-Davidson-Murfreesboro-Franklin, TN 215 13.4 49 5,107 317.3
New Haven-Milford, CT 82 11.1 63 3,231 438.2
New Orleans-Metairie, LA 307 28.8 7 7,981 749.0
New York-Newark-Jersey City, NY-NJ-Pae 2,976 17.6 24 138,673 821.0
Nassau County Division 192 7.9 6,143 254.0
New York Division 2,359 19.6 118,069 982.6
Newark Division 407 19.3 13,434 635.7
North Port–Sarasota-Bradenton, FL 68 9.3 72 1,990 273.2
Ogden-Clearfield, UT 15 2.9 105 403 76.7
Oklahoma City, OK 137 12.0 54 2,817 245.9
Omaha-Council Bluffs, NE-IA 50 6.5 93 385 50.2
Orlando-Kissimmee-Sanford, FL 674 31.0 5 12,182 561.1
Oxnard-Thousand Oaks-Ventura, CA 52 7.3 85 1,070 150.1
Palm Bay-Melbourne-Titusville, FL 63 12.1 53 1,576 302.9
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD 777 15.1 38 24,515 475.6
Camden Division 99 9.4 2,926 277.7
Montgomery Division 103 6.1 1,432 85.1
Philadelphia Division 505 28.0 17,816 987.6
Wilmington Division 70 11.4 2,341 381.5
Phoenix-Mesa-Scottsdale, AZ 574 14.2 42 12,291 304.8
Pittsburgh, PA 116 5.8 98 2,966 147.4
Portland-South Portland, ME 11 2.4 857 184.2
Portland-Vancouver-Hillsboro, OR-WA 178 8.5 76 5,502 262.2
Providence-Warwick, RI-MA 115 8.2 79 2,610 187.0
Provo-Orem, UT 13 2.7 106 218 45.5
Raleigh, NC 131 11.6 58 3,821 338.2
Richmond, VA 207 18.7 21 3,286 297.5
Riverside-San Bernardino-Ontario, CA 531 14.1 43 13,483 357.3
Rochester, NY 59 6.4 94 2,867 313.0
Sacramento-Roseville-Arden-Arcade, CA 192 9.8 70 5,125 261.1
St. Louis, MO-IL 255 10.8 65 7,135 302.1
Salt Lake City, UT 76 7.8 82 1,979 202.0
San Antonio-New Braunfels, TX 351 17.0 28 6,898 334.6
San Diego-Carlsbad-San Marcos, CA 378 13.4 47 13,131 466.4
San Francisco-Oakland-Hayward, CAe 628 15.5 34 23,354 575.5
Oakland Division 310 13.0 8,730 366.0
San Francisco Division 297 20.5 13,827 954.3
San Jose-Sunnyvale-Santa Clara, CA 169 10.0 68 3,320 197.3
San Juan-Carolina-Caguas, PR 330 18.6 22 9,049 510.8
Scranton–Wilkes-Barre–Hazelton, PA 37 7.8 83 510 106.9
Seattle-Tacoma-Bellevue, WA 389 11.7 56 9,522 286.9
Seattle Division 328 12.7 8,029 311.1
Tacoma Division 61 8.3 1,493 202.5
Spokane-Spokane Valley, WA 22 4.6 102 675 139.9
Springfield, MA 65 11.9 55 2,162 396.7
Stockton-Lodi, CA 66 10.9 64 1,316 217.0
Syracuse, NY 35 6.3 96 1,319 238.0
Tampa-St. Petersburg-Clearwater, FL 545 20.2 17 12,818 475.7
Toledo, OH 54 10.7 67 1,037 205.1
Tucson, AZ 113 12.8 51 2,579 291.8
Tulsa, OK 65 8.0 80 1,912 234.0
Virginia Beach-Norfolk-Newport News, VA-NC 239 16.5 31 6,036 415.7
Washington-Arlington-Alexandria, DC-VA-MD-WV 1,010 19.4 18 31,167 598.8
Silver Spring Division 150 13.7 4,041 370.3
Washington Division 860 20.9 27,126 659.4
Wichita, KS 44 8.4 78 935 177.6
Winston-Salem, NC 87 15.4 36 1,979 349.2
Worcester, MA-CT 52 6.4 95 2,128 262.7
Youngstown-Warren-Boardman, OH-PA 33 7.1 87 779 168.1
Subtotal for MSAs (population ≥ 500,000) 30,543 16.2 828,837 440.0
Metropolitan areas (population of 50,000 – 499,999) 4,823 9.6 106,957 213.9
Nonmetropolitan areas 2,371 6.1 57,211 146.5
Totalf 37,864 13.6 1,039,680 374.8

Abbreviations: MSA, metropolitan statistical area; CDC, Centers for Disease Control and Prevention [footnotes only]
Note. 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. Data for the year 2018 are considered preliminary and are based on death data reported to CDC through December 2019 (this applies to prevalence data).
MSA definitions for this report can be found at https://www.census.gov/programs-surveys/metro-micro.htmlexternal icon
Numbers less than 12, and rates based on these numbers, should be interpreted with caution.
aData are based on residence at time of diagnosis of HIV of HIV infection.
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. Ranks were not assigned to MSAs with rates that were based on reported numbers less than 12.
eCounts of diagnoses and persons living with diagnosed 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.

Table 1b. Diagnoses of HIV infection, 2018, and persons living with diagnosed HIV infection (prevalence), year-end 2018, adult and adolescent males, by metropolitan statistical area of residence—United States and Puerto Rico
Diagnosis, 2018a Prevalence of diagnosed HIV infection, year-end 2018b
MSA of residence No. Ratec Rankd No. Ratec
Top 10 MSAs by rate of diagnoses of HIV infection, 2018
Miami-Fort Lauderdale-West Palm Beach, FL 1,664 65.2 1 39,130 1,532.7
Fort Lauderdale Division 494 61.8 14,421 1,802.9
Miami Division 977 86.1 19,649 1,731.0
West Palm Beach Division 193 31.2 5,060 818.7
Atlanta-Sandy Springs-Roswell, GA 1,349 57.3 2 28,966 1,231.2
Memphis, TN-MS-AR 295 56.4 3 4,969 949.3
Orlando-Kissimmee-Sanford, FL 547 52.0 4 9,095 864.6
Jackson, MS 112 49.1 5 2,207 967.6
Augusta-Richmond County, GA-SC 117 48.1 6 1,600 658.4
New Orleans-Metairie, LA 238 46.9 7 5,935 1,168.6
Baton Rouge, LA 155 46.3 8 3,305 986.6
Las Vegas-Henderson-Paradise, NV 392 42.5 9 7,203 781.7
Houston-The Woodlands-Sugar Land, TX 1,122 40.3 10 22,937 822.8
MSAs, alphabetical order
Akron, OH 48 16.5 70 830 285.0
Albany-Schenectady-Troy, NY 35 9.5 97 1,447 391.0
Albuquerque, NM 47 12.5 86 1,614 427.7
Allentown-Bethlehem-Easton, PA-NJ 38 10.8 93 755 215.4
Atlanta-Sandy Springs-Roswell, GA 1,349 57.3 2 28,966 1,231.2
Augusta-Richmond County, GA-SC 117 48.1 6 1,600 658.4
Austin-Round Rock, TX 231 25.6 35 5,370 595.1
Bakersfield, CA 137 37.6 13 1,428 392.4
Baltimore-Columbia-Towson, MD 344 30.5 24 9,862 875.6
Baton Rouge, LA 155 46.3 8 3,305 986.6
Birmingham-Hoover, AL 134 29.3 27 3,219 704.6
Boise City, ID 15 5.0 104 187 62.6
Boston-Cambridge-Newton, MA-NHe 334 16.5 69 10,232 505.8
Boston Division 181 21.5 5,995 713.7
Cambridge Division 148 14.9 3,989 400.6
Bridgeport-Stamford-Norwalk, CT 42 10.9 91 1,742 452.0
Buffalo-Cheektowaga-Niagara Falls, NY 42 9.0 101 1,784 383.3
Cape Coral-Fort Myers, FL 56 17.4 65 1,513 470.9
Charleston-North Charleston, SC 107 33.4 18 1,933 603.3
Charlotte-Concord-Gastonia, NC-SC 308 30.1 26 6,259 610.9
Chattanooga, TN-GA 46 20.1 55 889 389.0
Chicago-Naperville-Elgin, IL-IN-WI 1,007 26.0 34 23,508 607.4
Chicago Division 884 29.8 21,530 726.5
Elgin Division 31 11.9 342 130.9
Gary Division 51 17.9 920 323.5
Lake County Division 41 11.4 716 198.3
Cincinnati, OH-KY-IN 220 24.8 41 3,434 386.8
Cleveland-Elyria, OH 151 18.0 63 4,321 516.2
Colorado Springs, CO 44 14.3 79 761 246.8
Columbia, SC 110 32.7 20 3,071 911.5
Columbus, OH 182 21.3 53 4,554 533.4
Dallas-Fort Worth-Arlington, TX 1,091 36.4 14 22,668 756.5
Dallas Division 854 42.8 17,903 897.6
Fort Worth Division 237 23.7 4,765 475.6
Dayton, OH 73 22.3 50 1,305 399.3
Deltona-Daytona Beach-Ormond Beach, FL 71 25.4 36 1,389 497.2
Denver-Aurora-Lakewood, CO 240 19.6 58 8,333 679.5
Des Moines-West Des Moines, IA 27 10.3 95 696 266.0
Detroit-Warren-Dearborn, MI 387 21.9 52 7,942 450.4
Detroit Division 242 34.9 5,170 746.3
Warren Division 145 13.5 2,772 258.9
Durham-Chapel Hill, NC 61 26.3 33 1,597 689.2
El Paso, TX 121 36.3 15 1,949 585.2
Fayetteville-Springdale-Rogers, AR-MO 21 9.4 98 528 237.5
Fresno, CA 99 25.3 37 1,664 425.9
Grand Rapids-Wyoming, MI 41 9.4 99 921 211.3
Greensboro-High Point, NC 97 31.7 22 1,977 646.1
Greenville-Anderson-Mauldin, SC 78 21.3 54 1,599 436.4
Harrisburg-Carlisle, PA 35 14.8 76 579 244.4
Hartford-West Hartford-East Hartford, CT 76 15.1 75 2,428 482.0
Honolulu (Urban), HI 54 13.1 84 1,354 327.6
Houston-The Woodlands-Sugar Land, TX 1,122 40.3 10 22,937 822.8
Indianapolis-Carmel-Anderson, IN 194 23.8 45 4,518 553.6
Jackson, MS 112 49.1 5 2,207 967.6
Jacksonville, FL 241 38.8 11 4,677 753.0
Kansas City, MO-KS 160 18.6 61 4,013 465.4
Knoxville, TN 50 13.7 81 866 236.7
Lakeland-Winter Haven, FL 79 27.3 31 1,624 560.3
Lancaster, PA 13 5.9 103 370 168.9
Las Vegas-Henderson-Paradise, NV 392 42.5 9 7,203 781.7
Lexington-Fayette, KY 51 24.2 42 917 434.7
Little Rock-North Little Rock-Conway, AR 114 38.7 12 1,847 627.1
Los Angeles-Long Beach-Anaheim, CA 1,761 32.1 21 49,935 909.1
Anaheim Division 259 19.6 6,064 459.9
Los Angeles Division 1,502 36.0 43,871 1,051.1
Louisville/Jefferson County, KY-IN 162 30.7 23 2,955 560.7
Madison, WI 28 10.0 96 492 176.2
McAllen-Edinburg-Mission, TX 77 24.0 44 1,195 373.1
Memphis, TN-MS-AR 295 56.4 3 4,969 949.3
Miami-Fort Lauderdale-West Palm Beach, FL 1,664 65.2 1 39,130 1,532.7
Fort Lauderdale Division 494 61.8 14,421 1,802.9
Miami Division 977 86.1 19,649 1,731.0
West Palm Beach Division 193 31.2 5,060 818.7
Milwaukee-Waukesha-West Allis, WI 102 16.0 72 1,879 295.4
Minneapolis-St. Paul-Bloomington, MN-WI 175 11.8 87 5,440 366.6
Modesto, CA 50 23.0 48 638 292.9
Nashville-Davidson-Murfreesboro-Franklin, TN 179 22.9 49 4,042 518.0
New Haven-Milford, CT 59 16.8 67 2,097 595.9
New Orleans-Metairie, LA 238 46.9 7 5,935 1,168.6
New York-Newark-Jersey City, NY-NJ-Pae 2,348 29.0 28 97,809 1,208.5
Nassau County Division 148 12.6 4,248 361.4
New York Division 1,890 33.0 84,224 1,470.8
Newark Division 297 29.1 8,564 838.0
North Port–Sarasota-Bradenton, FL 50 14.4 77 1,446 417.2
Ogden-Clearfield, UT 13 4.9 106 348 132.1
Oklahoma City, OK 124 22.1 51 2,322 414.3
Omaha-Council Bluffs, NE-IA 43 11.4 89 308 81.6
Orlando-Kissimmee-Sanford, FL 547 52.0 4 9,095 864.6
Oxnard-Thousand Oaks-Ventura, CA 47 13.4 82 917 261.2
Palm Bay-Melbourne-Titusville, FL 48 19.0 59 1,071 424.0
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD 596 24.1 43 17,306 700.9
Camden Division 84 16.5 2,062 405.3
Montgomery Division 82 10.0 1,098 134.2
Philadelphia Division 379 44.8 12,605 1,490.6
Wilmington Division 51 17.2 1,541 519.8
Phoenix-Mesa-Scottsdale, AZ 496 24.9 40 10,548 529.1
Pittsburgh, PA 101 10.4 94 2,366 243.1
Portland-South Portland, ME 7 3.1 656 292.3
Portland-Vancouver-Hillsboro, OR-WA 159 15.4 74 4,898 474.6
Providence-Warwick, RI-MA 95 14.1 80 1,868 277.8
Provo-Orem, UT 12 5.0 105 190 78.9
Raleigh, NC 108 19.8 56 2,834 519.3
Richmond, VA 180 34.1 17 2,472 468.7
Riverside-San Bernardino-Ontario, CA 469 25.1 39 11,999 642.1
Rochester, NY 52 11.8 88 2,003 453.4
Sacramento-Roseville-Arden-Arcade, CA 162 17.0 66 4,296 451.3
St. Louis, MO-IL 210 18.5 62 5,737 506.2
Salt Lake City, UT 70 14.3 78 1,669 340.5
San Antonio-New Braunfels, TX 309 30.5 25 5,892 582.0
San Diego-Carlsbad-San Marcos, CA 330 23.4 47 11,788 834.6
San Francisco-Oakland-Hayward, CAe 556 27.8 30 20,873 1,045.3
Oakland Division 267 23.0 7,269 625.7
San Francisco Division 272 37.5 12,896 1,775.9
San Jose-Sunnyvale-Santa Clara, CA 151 17.8 64 2,885 339.5
San Juan-Carolina-Caguas, PR 272 32.9 19 6,337 767.5
Scranton–Wilkes-Barre–Hazelton, PA 26 11.2 90 351 150.6
Seattle-Tacoma-Bellevue, WA 274 16.6 68 8,087 488.5
Seattle Division 234 18.1 6,899 534.4
Tacoma Division 40 11.0 1,188 325.9
Spokane-Spokane Valley, WA 21 8.8 102 577 242.4
Springfield, MA 49 19.0 60 1,434 555.8
Stockton-Lodi, CA 49 16.3 71 1,048 349.2
Syracuse, NY 29 10.8 92 934 349.2
Tampa-St. Petersburg-Clearwater, FL 456 35.2 16 9,772 754.2
Toledo, OH 48 19.7 57 775 317.6
Tucson, AZ 102 23.6 46 2,227 515.3
Tulsa, OK 50 12.6 85 1,564 393.7
Virginia Beach-Norfolk-Newport News, VA-NC 190 26.8 32 4,365 615.7
Washington-Arlington-Alexandria, DC-VA-MD-WV 727 28.8 29 21,858 866.9
Silver Spring Division 96 18.3 2,498 476.9
Washington Division 631 31.6 19,360 969.2
Wichita, KS 41 15.8 73 766 295.3
Winston-Salem, NC 68 25.3 38 1,376 511.2
Worcester, MA-CT 36 9.1 100 1,367 344.4
Youngstown-Warren-Boardman, OH-PA 30 13.3 83 596 264.6
Subtotal for MSAs (population ≥ 500,000) 24,940 27.2 636,429 695.0
Metropolitan areas (population of 50,000 – 499,999) 3,804 15.5 79,869 325.6
Nonmetropolitan areas 1,834 9.4 43,437 223.0
Totalf 30,675 22.6 794,784 586.2

Abbreviations: MSA, metropolitan statistical area; CDC, Centers for Disease Control and Prevention [footnotes only].
Note. 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. Data for the year 2018 are considered preliminary and are based on death data reported to CDC through December 2019 (this applies to prevalence data).
MSA definitions for this report can be found at https://www.census.gov/programs-surveys/metro-micro.htmlexternal icon
Numbers less than 12, and rates based on these numbers, should be interpreted with caution.
aData are based on residence at time of diagnosis of HIV of HIV infection.
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. Ranks were not assigned to MSAs with rates that were based on reported numbers less than 12.
eCounts of diagnoses and persons living with diagnosed 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.

Table 1c. Diagnoses of HIV infection, 2018, and persons living with diagnosed HIV infection (prevalence), year-end 2018, adult and adolescent females, by metropolitan statistical area of residence—United States and Puerto Rico
Diagnosis, 2018a Prevalence of diagnosed HIV infection, year-end 2018b
MSA of residence No. Ratec Rankd No. Ratec
Top 10 MSAs by rate of diagnoses of HIV infection, 2018
Baton Rouge, LA 72 20.3 1 1,871 527.2
Miami-Fort Lauderdale-West Palm Beach, FL 423 15.4 2 14,586 531.6
Fort Lauderdale Division 132 15.4 5,062 592.1
Miami Division 200 16.4 6,667 545.4
West Palm Beach Division 91 13.6 2,857 428.5
New Orleans-Metairie, LA 69 12.4 3 2,046 366.9
Memphis, TN-MS-AR 69 11.8 4 2,169 370.1
Atlanta-Sandy Springs-Roswell, GA 301 11.7 5 7,527 292.7
Jacksonville, FL 77 11.6 6 2,369 356.4
Orlando-Kissimmee-Sanford, FL 127 11.3 7 3,087 275.8
Augusta-Richmond County, GA-SC 29 11.1 8 747 286.1
Houston-The Woodlands-Sugar Land, TX 304 10.6 9 7,613 265.6
Washington-Arlington-Alexandria, DC-VA-MD-WV 283 10.5 10 9,309 346.9
Silver Spring Division 54 9.5 1,543 271.9
Washington Division 229 10.8 7,766 366.9
MSAs, alphabetical order
Akron, OH 5 1.6 201 64.3
Albany-Schenectady-Troy, NY 15 3.8 57 720 184.1
Albuquerque, NM 8 2.0 192 48.5
Allentown-Bethlehem-Easton, PA-NJ 14 3.8 59 410 111.1
Atlanta-Sandy Springs-Roswell, GA 301 11.7 5 7,527 292.7
Augusta-Richmond County, GA-SC 29 11.1 8 747 286.1
Austin-Round Rock, TX 37 4.1 52 911 100.7
Bakersfield, CA 16 4.6 46 269 78.1
Baltimore-Columbia-Towson, MD 110 8.9 13 5,148 416.5
Baton Rouge, LA 72 20.3 1 1,871 527.2
Birmingham-Hoover, AL 26 5.1 40 1,083 214.2
Boise City, ID 3 1.0 45 14.9
Boston-Cambridge-Newton, MA-NHe 143 6.6 24 4,046 186.2
Boston Division 71 7.8 2,142 234.5
Cambridge Division 71 6.7 1,854 174.1
Bridgeport-Stamford-Norwalk, CT 12 2.9 68 915 221.9
Buffalo-Cheektowaga-Niagara Falls, NY 13 2.6 70 758 150.5
Cape Coral-Fort Myers, FL 19 5.6 35 638 188.0
Charleston-North Charleston, SC 27 7.9 15 704 205.8
Charlotte-Concord-Gastonia, NC-SC 53 4.8 43 2,362 212.6
Chattanooga, TN-GA 8 3.2 283 114.3
Chicago-Naperville-Elgin, IL-IN-WI 200 4.9 42 5,740 140.1
Chicago Division 178 5.6 5,114 161.9
Elgin Division 4 1.5 97 36.4
Gary Division 10 3.3 289 95.1
Lake County Division 8 2.2 240 65.6
Cincinnati, OH-KY-IN 64 6.8 20 966 103.1
Cleveland-Elyria, OH 22 2.4 72 1,133 123.9
Colorado Springs, CO 4 1.3 171 56.4
Columbia, SC 35 9.6 12 1,178 322.9
Columbus, OH 52 5.8 32 1,172 131.2
Dallas-Fort Worth-Arlington, TX 217 6.9 19 5,793 184.3
Dallas Division 159 7.6 4,310 206.7
Fort Worth Division 58 5.5 1,483 140.1
Dayton, OH 6 1.7 347 98.2
Deltona-Daytona Beach-Ormond Beach, FL 18 6.0 30 569 190.7
Denver-Aurora-Lakewood, CO 23 1.9 75 1,104 89.4
Des Moines-West Des Moines, IA 11 4.0 185 67.8
Detroit-Warren-Dearborn, MI 86 4.5 47 2,181 115.3
Detroit Division 58 7.6 1,567 205.1
Warren Division 28 2.5 614 54.5
Durham-Chapel Hill, NC 19 7.3 16 585 226.0
El Paso, TX 8 2.3 284 81.8
Fayetteville-Springdale-Rogers, AR-MO 5 2.2 112 49.5
Fresno, CA 9 2.3 317 79.7
Grand Rapids-Wyoming, MI 8 1.8 259 57.5
Greensboro-High Point, NC 23 6.7 22 818 239.3
Greenville-Anderson-Mauldin, SC 16 4.1 53 509 128.9
Harrisburg-Carlisle, PA 6 2.4 230 92.2
Hartford-West Hartford-East Hartford, CT 23 4.3 50 1,173 219.2
Honolulu (Urban), HI 3 0.7 176 42.7
Houston-The Woodlands-Sugar Land, TX 304 10.6 9 7,613 265.6
Indianapolis-Carmel-Anderson, IN 56 6.4 25 1,189 136.7
Jackson, MS 25 9.9 11 1,032 406.9
Jacksonville, FL 77 11.6 6 2,369 356.4
Kansas City, MO-KS 45 5.0 41 818 90.1
Knoxville, TN 16 4.1 51 231 59.4
Lakeland-Winter Haven, FL 26 8.5 14 818 266.5
Lancaster, PA 3 1.3 194 83.4
Las Vegas-Henderson-Paradise, NV 58 6.2 28 1,397 149.3
Lexington-Fayette, KY 12 5.4 38 191 85.4
Little Rock-North Little Rock-Conway, AR 18 5.6 34 459 142.8
Los Angeles-Long Beach-Anaheim, CA 215 3.8 60 6,393 111.7
Anaheim Division 27 2.0 815 59.4
Los Angeles Division 188 4.3 5,578 128.1
Louisville/Jefferson County, KY-IN 29 5.2 39 747 132.9
Madison, WI 1 0.4 99 35.0
McAllen-Edinburg-Mission, TX 15 4.4 48 269 78.7
Memphis, TN-MS-AR 69 11.8 4 2,169 370.1
Miami-Fort Lauderdale-West Palm Beach, FL 423 15.4 2 14,586 531.6
Fort Lauderdale Division 132 15.4 5,062 592.1
Miami Division 200 16.4 6,667 545.4
West Palm Beach Division 91 13.6 2,857 428.5
Milwaukee-Waukesha-West Allis, WI 17 2.5 71 450 66.2
Minneapolis-St. Paul-Bloomington, MN-WI 55 3.6 62 1,803 118.1
Modesto, CA 11 4.9 157 69.8
Nashville-Davidson-Murfreesboro-Franklin, TN 36 4.3 49 1,065 128.4
New Haven-Milford, CT 23 6.0 31 1,134 294.2
New Orleans-Metairie, LA 69 12.4 3 2,046 366.9
New York-Newark-Jersey City, NY-NJ-Pae 628 7.1 17 40,864 464.5
Nassau County Division 44 3.5 1,895 152.4
New York Division 469 7.5 33,845 538.1
Newark Division 110 10.1 4,870 446.2
North Port–Sarasota-Bradenton, FL 18 4.7 44 544 142.4
Ogden-Clearfield, UT 2 0.8 55 21.0
Oklahoma City, OK 13 2.2 73 495 84.6
Omaha-Council Bluffs, NE-IA 7 1.8 77 19.8
Orlando-Kissimmee-Sanford, FL 127 11.3 7 3,087 275.8
Oxnard-Thousand Oaks-Ventura, CA 5 1.4 153 42.3
Palm Bay-Melbourne-Titusville, FL 15 5.6 33 505 188.6
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD 181 6.7 21 7,209 268.4
Camden Division 15 2.8 864 158.6
Montgomery Division 21 2.4 334 38.6
Philadelphia Division 126 13.1 5,211 543.8
Wilmington Division 19 6.0 800 252.3
Phoenix-Mesa-Scottsdale, AZ 78 3.8 58 1,743 85.5
Pittsburgh, PA 15 1.4 77 600 57.7
Portland-South Portland, ME 4 1.7 201 83.4
Portland-Vancouver-Hillsboro, OR-WA 19 1.8 76 604 56.7
Providence-Warwick, RI-MA 20 2.8 69 742 102.5
Provo-Orem, UT 1 0.4 28 11.7
Raleigh, NC 23 3.9 55 987 169.0
Richmond, VA 27 4.7 45 814 141.1
Riverside-San Bernardino-Ontario, CA 62 3.3 66 1,484 77.9
Rochester, NY 7 1.5 864 182.2
Sacramento–Roseville–Arden-Arcade, CA 30 3.0 67 829 82.0
St. Louis, MO-IL 45 3.7 61 1,398 113.8
Salt Lake City, UT 6 1.2 310 63.3
San Antonio-New Braunfels, TX 42 4.0 54 1,006 95.9
San Diego-Carlsbad-San Marcos, CA 48 3.4 65 1,343 95.7
San Francisco-Oakland-Hayward, CAe 72 3.5 64 2,481 120.4
Oakland Division 43 3.5 1,461 119.4
San Francisco Division 25 3.5 931 128.8
San Jose-Sunnyvale-Santa Clara, CA 18 2.2 74 435 52.2
San Juan-Carolina-Caguas, PR 58 6.1 29 2,712 286.7
Scranton–Wilkes-Barre–Hazelton, PA 11 4.5 159 65.1
Seattle-Tacoma-Bellevue, WA 115 6.9 18 1,435 86.3
Seattle Division 94 7.3 1,130 87.6
Tacoma Division 21 5.6 305 81.8
Spokane-Spokane Valley, WA 1 0.4 98 40.1
Springfield, MA 16 5.6 36 728 253.7
Stockton-Lodi, CA 17 5.6 37 268 87.5
Syracuse, NY 6 2.1 385 134.2
Tampa-St. Petersburg-Clearwater, FL 89 6.4 27 3,046 217.8
Toledo, OH 6 2.3 262 100.1
Tucson, AZ 11 2.4 352 78.0
Tulsa, OK 15 3.6 63 348 82.9
Virginia Beach-Norfolk-Newport News, VA-NC 49 6.6 23 1,671 224.8
Washington-Arlington-Alexandria, DC-VA-MD-WV 283 10.5 10 9,309 346.9
Silver Spring Division 54 9.5 1,543 271.9
Washington Division 229 10.8 7,766 366.9
Wichita, KS 3 1.1 169 63.2
Winston-Salem, NC 19 6.4 26 603 202.7
Worcester, MA-CT 16 3.9 56 761 184.2
Youngstown-Warren-Boardman, OH-PA 3 1.3 183 76.8
Subtotal for MSAs (population ≥ 500,000) 5,603 5.8 192,408 198.8
Metropolitan areas (population of 50,000 – 499,999) 1,019 4.0 27,088 106.3
Nonmetropolitan areas 537 2.7 13,774 70.4
Totalf 7,189 5.1 244,896 172.7

Abbreviations: MSA, metropolitan statistical area; CDC, Centers for Disease Control and Prevention [footnotes only].
Note. 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. Data for the year 2018 are considered preliminary and are based on death data reported to CDC through December 2019 (this applies to prevalence data).
MSA definitions for this report can be found at https://www.census.gov/programs-surveys/metro-micro.htmlexternal icon
Numbers less than 12, and rates based on these numbers, should be interpreted with caution.
aData are based on residence at time of diagnosis of HIV of HIV infection.
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. Ranks were not assigned to MSAs with rates that were based on reported numbers less than 12.
eCounts of diagnoses and persons living with diagnosed 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.

Table 2a. Diagnoses of HIV infection among adult and adolescent males, by age and metropolitan statistical area of residence, 2018—United States and Puerto Rico
13–24 years 25–34 years 35–44 years 45–54 years ≥ 55 years
MSA of residence No. Ratea Rankb No. Ratea Rankb No. Ratea Rankb No. Ratea Rankb No. Ratea Rankb
Akron, OH 15 26.1 50 15 32.7 73 7 17.6 5 11.2 6 5.8
Albany-Schenectady-Troy, NY 5 6.7 15 25.6 87 7 13.5 4 7.0 4 3.1
Albuquerque, NM 11 15.4 19 28.5 84 5 8.6 10 18.4 2 1.6
Allentown-Bethlehem-Easton, PA-NJ 8 11.9 17 31.9 76 6 12.1 4 7.2 3 2.4
Atlanta-Sandy Springs-Roswell, GA 337 69.3 5 564 135.9 2 216 55.2 5 133 32.6 13 99 15.2 4
Augusta-Richmond County, GA-SC 39 79.4 2 38 88.1 10 17 47.7 9 17 47.9 2 6 7.5
Austin-Round Rock, TX 52 29.7 43 93 47.7 49 51 29.4 34 23 16.4 37 12 5.5 31
Bakersfield, CA 34 40.3 22 52 68.9 21 24 39.6 16 19 37.1 8 8 8.7
Baltimore-Columbia-Towson, MD 85 40.1 23 129 64.4 24 57 33.3 28 44 24.8 20 29 7.9 19
Baton Rouge, LA 35 47.9 16 54 89.7 9 31 58.6 4 23 46.6 3 12 12.1 6
Birmingham-Hoover, AL 43 50.0 11 53 69.3 20 18 25.4 46 11 15.3 9 5.9
Boise City, ID 4 6.5 4 7.8 1 2.0 4 8.8 2 2.2
Boston-Cambridge-Newton, MA-NHc 40 10.3 74 128 34.5 68 81 27.0 42 44 13.9 46 41 6.4 27
Boston Division 17 10.4 70 41.9 48 38.5 26 20.3 20 7.8
Cambridge Division 23 12.1 57 32.3 31 20.5 16 10.2 21 6.6
Bridgeport-Stamford-Norwalk, CT 9 11.6 12 22.0 92 8 14.0 6 8.9 7 5.4
Buffalo-Cheektowaga-Niagara Falls, NY 16 18.7 64 12 15.0 94 5 8.1 7 10.0 2 1.2
Cape Coral-Fort Myers, FL 10 21.8 25 59.8 30 8 20.7 5 11.7 8 5.3
Charleston-North Charleston, SC 30 49.9 12 37 60.7 28 15 29.4 35 16 33.4 10 9 9.0
Charlotte-Concord-Gastonia, NC-SC 74 37.2 25 114 63.9 26 60 35.4 24 39 22.0 27 21 7.0 22
Chattanooga, TN-GA 5 12.2 21 55.5 35 5 14.8 7 19.6 8 10.0
Chicago-Naperville-Elgin, IL-IN-WI 255 33.7 35 369 53.7 41 181 28.9 36 133 21.7 28 69 5.8 29
Chicago Division 219 39.1 335 60.5 156 32.0 115 24.6 59 6.6
Elgin Division 11 18.6 9 22.7 5 11.9 4 9.3 2 2.6
Gary Division 16 28.5 13 30.6 9 20.6 8 18.3 5 5.1
Lake County Division 9 11.2 12 23.1 11 20.4 6 10.0 3 2.6
Cincinnati, OH-KY-IN 53 29.7 42 82 55.4 36 43 32.1 31 34 24.5 21 8 2.8
Cleveland-Elyria, OH 37 24.1 54 56 42.4 57 26 22.3 56 14 10.9 52 18 5.9 28
Colorado Springs, CO 12 17.2 65 22 35.7 65 7 14.7 3 7.0 0 0.0
Columbia, SC 30 39.0 24 49 85.7 11 18 36.3 22 10 20.0 3 2.9
Columbus, OH 40 23.9 55 77 46.3 54 35 24.8 49 19 14.2 45 11 4.5
Dallas-Fort Worth-Arlington, TX 270 42.9 19 438 78.6 16 199 38.2 17 121 24.5 22 63 7.9 18
Dallas Division 202 48.2 349 92.9 160 45.1 93 27.9 50 9.8
Fort Worth Division 68 32.2 89 49.1 39 23.5 28 17.4 13 4.6
Dayton, OH 22 34.1 32 20 37.2 63 12 26.4 43 14 29.1 16 5 4.4
Deltona-Daytona Beach-Ormond Beach, FL 16 36.3 28 27 71.1 19 11 32.8 10 25.6 7 5.6
Denver-Aurora-Lakewood, CO 47 21.8 57 102 40.1 59 48 21.8 57 21 10.9 51 22 6.4 26
Des Moines-West Des Moines, IA 4 7.9 15 30.8 77 2 4.4 3 7.3 3 4.0
Detroit-Warren-Dearborn, MI 111 33.9 34 156 53.2 42 47 18.7 61 44 15.2 42 29 4.8 34
Detroit Division 78 57.5 97 79.1 26 26.6 24 21.7 17 7.5
Warren Division 33 17.2 59 34.6 21 13.6 20 11.2 12 3.2
Durham-Chapel Hill, NC 20 42.3 20 22 52.0 45 11 30.5 2 5.7 6 8.5
El Paso, TX 40 48.1 15 37 55.5 34 23 43.9 12 11 24.0 10 11.8
Fayetteville-Springdale-Rogers, AR-MO 6 11.9 8 19.5 3 7.9 1 3.1 3 5.0
Fresno, CA 31 35.0 30 36 46.1 55 16 25.1 47 10 18.1 6 5.7
Grand Rapids-Wyoming, MI 7 7.6 14 18.0 93 6 9.1 9 14.0 5 3.7
Greensboro-High Point, NC 42 68.2 6 29 59.8 29 7 16.1 8 15.9 11 10.8
Greenville-Anderson-Mauldin, SC 11 14.8 31 52.3 43 17 31.7 32 13 22.7 25 6 4.9
Harrisburg-Carlisle, PA 13 30.3 40 12 30.5 79 4 11.6 6 16.2 0 0.0
Hartford-West Hartford-East Hartford, CT 14 13.8 71 27 34.2 69 11 15.6 19 24.0 24 5 2.9
Honolulu (Urban), HI 7 9.0 20 25.3 89 15 23.6 52 6 10.2 6 4.5
Houston-The Woodlands-Sugar Land, TX 286 48.9 14 434 82.2 13 190 38.1 18 145 32.7 12 67 9.1 12
Indianapolis-Carmel-Anderson, IN 59 36.5 27 76 52.3 44 30 22.4 55 16 12.3 49 13 5.3 33
Jackson, MS 33 69.7 4 39 97.9 5 24 65.3 2 10 29.4 6 8.6
Jacksonville, FL 64 56.5 10 91 81.5 15 39 41.1 13 29 29.9 14 18 8.8 14
Kansas City, MO-KS 38 23.5 56 56 36.4 64 34 24.1 50 22 16.5 36 10 3.7
Knoxville, TN 8 11.2 23 41.4 58 9 17.3 6 10.6 4 3.1
Lakeland-Winter Haven, FL 14 26.4 48 38 81.7 14 15 36.4 21 8 19.0 4 3.7
Lancaster, PA 3 7.1 5 13.9 3 9.8 2 6.2 0 0.0
Las Vegas-Henderson-Paradise, NV 78 46.8 17 157 93.4 8 77 49.9 8 49 32.8 11 31 11.0 7
Lexington-Fayette, KY 10 21.5 18 48.1 48 11 33.0 5 15.8 7 11.3
Little Rock-North Little Rock-Conway, AR 37 62.3 7 48 93.6 7 14 30.1 33 12 27.3 17 3 3.2
Los Angeles-Long Beach-Anaheim, CA 379 36.2 29 687 64.0 25 339 37.8 19 230 25.9 19 126 7.9 17
Anaheim Division 63 25.1 95 40.1 48 23.5 30 13.7 23 5.6
Los Angeles Division 316 39.7 592 70.7 291 42.0 200 30.0 103 8.7
Louisville/Jefferson County, KY-IN 44 45.3 18 69 77.0 18 33 40.2 15 13 15.6 41 3 1.7
Madison, WI 9 14.8 6 11.6 6 13.7 6 15.1 1 1.2
McAllen-Edinburg-Mission, TX 18 20.7 60 32 54.3 40 18 33.8 27 3 6.7 6 7.9
Memphis, TN-MS-AR 92 84.5 1 103 110.8 3 43 53.4 6 30 36.8 9 27 16.9 3
Miami-Fort Lauderdale-West Palm Beach, FL 252 58.3 8 616 145.3 1 323 80.6 1 272 63.7 1 201 23.1 1
Fort Lauderdale Division 81 59.1 198 150.2 82 64.6 85 63.5 48 17.8
Miami Division 130 66.3 357 177.3 198 104.5 164 81.8 128 36.8
West Palm Beach Division 41 41.3 61 67.3 43 51.0 23 24.9 25 9.9
Milwaukee-Waukesha-West Allis, WI 25 20.3 61 36 33.0 72 16 16.4 65 16 16.6 35 9 4.3
Minneapolis-St. Paul-Bloomington, MN-WI 25 9.0 75 69 25.6 88 46 18.8 60 26 11.1 50 9 2.0
Modesto, CA 10 20.9 18 44.5 56 13 37.0 20 5 15.5 4 6.4
Nashville-Davidson-Murfreesboro-Franklin, TN 41 26.9 47 74 50.5 46 31 23.8 51 20 16.0 40 13 5.7 30
New Haven-Milford, CT 15 21.5 58 22 38.2 61 2 4.1 10 18.1 10 8.3
New Orleans-Metairie, LA 63 70.0 3 91 100.3 4 41 51.6 7 34 44.5 4 9 5.3
New York-Newark-Jersey City, NY-NJ-PAc 440 29.8 41 898 61.1 27 435 34.0 25 314 24.2 23 261 10.1 9
Nassau County Division 20 9.0 53 30.9 40 23.8 15 7.5 20 4.8
New York Division 360 35.1 739 66.0 337 36.3 254 28.5 200 11.3
Newark Division 60 30.9 101 65.5 57 35.7 41 22.9 38 11.4
North Port–Sarasota-Bradenton, FL 6 13.1 13 33.5 70 15 40.3 14 10 22.0 6 3.3
Ogden-Clearfield, UT 4 6.4 4 8.2 2 4.1 3 8.5 0 0.0
Oklahoma City, OK 31 26.2 49 48 46.3 53 26 28.4 37 13 16.3 39 6 3.6
Omaha-Council Bluffs, NE-IA 10 13.2 16 23.2 91 4 6.3 7 12.4 6 5.3
Orlando-Kissimmee-Sanford, FL 116 57.7 9 192 96.7 6 112 64.4 3 70 42.5 5 57 18.2 2
Oxnard-Thousand Oaks-Ventura, CA 7 10.1 22 37.2 62 9 17.0 3 5.4 6 5.3
Palm Bay-Melbourne-Titusville, FL 9 22.6 10 28.7 9 29.8 9 24.8 11 9.9
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD 155 33.2 36 202 46.3 52 101 27.4 39 75 19.4 32 63 7.8 20
Camden Division 23 24.0 28 33.9 13 17.1 12 14.4 8 4.7
Montgomery Division 12 8.1 27 22.6 13 10.8 13 9.6 17 5.8
Philadelphia Division 108 64.5 131 71.6 65 50.9 45 37.4 30 12.1
Wilmington Division 12 21.3 16 31.3 10 22.9 5 10.6 8 8.1
Phoenix-Mesa-Scottsdale, AZ 103 25.9 52 197 54.5 39 90 28.2 38 66 22.0 26 40 6.5 25
Pittsburgh, PA 23 14.1 70 46 28.9 82 11 8.2 11 7.5 10 2.7
Portland-South Portland, ME 0 0.0 4 11.5 2 6.4 1 2.8 0 0.0
Portland-Vancouver-Hillsboro, OR-WA 27 15.2 68 62 32.2 75 35 19.1 59 21 12.8 48 14 4.5 36
Providence-Warwick, RI-MA 20 15.4 67 30 27.0 85 16 16.8 63 18 16.9 34 11 4.8
Provo-Orem, UT 4 4.8 4 8.5 3 7.4 0 0.0 1 2.3
Raleigh, NC 35 32.0 38 45 47.2 50 16 16.5 64 10 10.4 2 1.4
Richmond, VA 49 49.7 13 78 83.2 12 29 35.7 23 10 12.0 14 8.2 16
Riverside-San Bernardino-Ontario, CA 107 26.0 51 173 50.0 47 74 24.9 48 57 20.1 30 58 10.9 8
Rochester, NY 10 11.6 22 30.6 78 7 12.0 7 10.4 6 3.8
Sacramento–Roseville–Arden-Arcade, CA 37 19.7 62 50 29.6 80 41 27.2 40 25 17.4 33 9 3.0
St. Louis, MO-IL 69 33.1 37 67 35.4 66 32 18.6 62 26 15.1 43 16 4.1 37
Salt Lake City, UT 14 13.0 72 29 28.5 83 11 12.0 9 12.9 7 5.8
San Antonio-New Braunfels, TX 60 27.4 46 128 65.7 23 57 34.0 26 45 29.8 15 19 6.8 24
San Diego-Carlsbad, CA 55 19.1 63 135 46.8 51 59 25.8 45 44 21.4 29 37 9.2 11
San Francisco-Oakland-Hayward, CAc 87 27.5 45 227 57.5 32 115 33.2 29 85 26.2 18 42 6.8 23
Oakland Division 46 22.6 110 51.3 51 25.3 36 19.0 24 6.8
San Francisco Division 38 39.6 112 66.5 59 45.6 45 39.2 18 8.3
San Jose-Sunnyvale-Santa Clara, CA 22 14.4 69 58 33.4 71 40 27.0 41 18 13.0 47 13 5.5 32
San Juan-Carolina-Caguas, PR 49 30.9 39 82 66.3 22 53 44.7 11 51 40.5 6 37 12.4 5
Scranton–Wilkes-Barre–Hazelton, PA 8 19.3 10 27.5 4 12.6 1 2.7 3 3.5
Seattle-Tacoma-Bellevue, WA 36 12.8 73 112 32.3 74 67 23.1 54 37 14.2 44 22 4.6 35
Seattle Division 30 14.2 94 34.1 57 24.6 32 15.6 21 5.7
Tacoma Division 6 8.5 18 25.2 10 17.0 5 9.1 1 0.9
Spokane-Spokane Valley, WA 3 6.7 6 14.2 7 20.0 5 14.8 0 0.0
Springfield, MA 10 16.5 14 34.8 67 8 24.3 10 26.9 7 8.0
Stockton-Lodi, CA 14 20.9 59 16 29.6 81 10 20.3 4 8.7 5 6.0
Syracuse, NY 10 18.4 5 12.0 7 19.8 6 14.6 1 1.1
Tampa-St. Petersburg-Clearwater, FL 87 40.7 21 160 77.4 17 86 45.4 10 81 39.8 7 42 8.7 15
Toledo, OH 13 25.2 53 16 39.0 60 5 14.7 9 25.2 5 6.1
Tucson, AZ 26 27.9 44 38 54.6 38 14 23.6 53 10 17.9 14 9.1 13
Tulsa, OK 13 16.5 66 17 24.8 90 8 12.9 6 10.0 6 4.7
Virginia Beach-Norfolk-Newport News, VA-NC 53 34.7 31 78 56.6 33 28 26.4 44 16 16.3 38 15 7.0 21
Washington-Arlington-Alexandria, DC-VA-MD-WV 160 34.1 33 271 58.4 31 144 32.6 30 84 19.9 31 68 9.4 10
Silver Spring Division 20 20.6 34 41.1 23 26.6 11 12.5 8 4.7
Washington Division 140 37.6 237 62.2 121 34.0 73 21.9 60 10.8
Wichita, KS 11 20.3 12 27.0 86 10 25.4 6 16.4 2 2.4
Winston-Salem, NC 19 37.1 26 22 55.0 37 6 15.9 11 24.3 10 10.5
Worcester, MA-CT 5 6.5 8 12.7 12 21.2 58 8 12.0 3 2.2
Youngstown-Warren-Boardman, OH-PA 7 17.4 10 31.3 5 16.9 4 11.8 4 4.5
Subtotal for MSAs (population ≥ 500,000) 5,567 31.5 9,496 57.6 4,546 31.2 3,207 22.3 2,124 7.5
Metropolitan areas (population of 50,000 – 499,999) 945 18.4 1,412 35.0 626 17.8 484 13.8 337 4.0
Nonmetropolitan areas 386 10.5 613 21.3 354 13.1 264 9.2 217 2.9
Totald 6,910 26.1 11,560 49.4 5,544 26.7 3,969 19.1 2,692 6.1

Abbreviation: MSA, metropolitan statistical area.
Note. 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. Data are based on residence at time of diagnosis of HIV infection.
MSA definitions for this report can be found at https://www.census.gov/programs-surveys/metro-micro.htmlexternal icon
Numbers less than 12, and rates based on these numbers, should be interpreted with caution.
aRates are per 100,000 population.
bBased on rate. Ranks were not assigned to MSAs with rates that were based on reported numbers less than 12.
cCounts 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.
dIncludes persons whose county of residence is unknown.

Table 2b. Adult and adolescent males living with diagnosed HIV infection (prevalence), by age and metropolitan statistical area of residence, year-end 2018—United States and Puerto Rico
13–24 years 25–34 years 35–44 years 45–54 years ≥ 55 years
MSA of residence No. Ratea No. Ratea No. Ratea No. Ratea No. Ratea
Akron, OH 48 83.5 168 366.7 129 323.8 204 457.9 281 271.4
Albany-Schenectady-Troy, NY 32 42.6 179 305.8 189 364.9 404 709.2 643 503.5
Albuquerque, NM 50 69.9 246 369.0 274 468.6 440 808.2 604 478.3
Allentown-Bethlehem-Easton, PA-NJ 21 31.3 84 157.5 109 219.9 215 386.7 326 261.0
Atlanta-Sandy Springs-Roswell, GA 1,149 236.1 6,973 1,680.7 6,123 1,565.6 7,575 1,857.0 7,146 1,095.7
Augusta-Richmond County, GA-SC 102 207.7 331 767.3 256 718.4 364 1,026.1 547 686.7
Austin-Round Rock, TX 194 110.8 1,115 572.2 1,158 668.2 1,435 1,020.4 1,468 672.0
Bakersfield, CA 79 93.7 288 381.5 268 442.5 357 698.0 436 472.0
Baltimore-Columbia-Towson, MD 270 127.4 1,614 806.3 1,515 884.8 2,416 1,364.5 4,047 1,106.3
Baton Rouge, LA 159 217.7 691 1,147.3 712 1,346.9 807 1,634.2 936 940.7
Birmingham-Hoover, AL 133 154.8 670 875.8 591 833.0 839 1,163.7 986 651.3
Boise City, ID 1 1.6 18 35.0 20 40.2 58 127.9 90 98.6
Boston-Cambridge-Newton, MA-NHb 195 50.1 1,184 318.7 1,502 499.9 3,005 948.4 4,346 674.1
Boston Division 97 59.4 664 397.3 882 707.1 1,739 1,359.4 2,613 1,017.3
Cambridge Division 96 50.3 501 283.7 589 390.4 1,184 751.6 1,619 506.0
Bridgeport-Stamford-Norwalk, CT 32 41.3 202 369.8 250 436.5 464 691.5 794 615.8
Buffalo-Cheektowaga-Niagara Falls, NY 71 83.2 294 368.5 278 447.9 481 684.8 660 392.8
Cape Coral-Fort Myers, FL 46 100.4 202 482.8 203 524.6 465 1,087.1 597 392.3
Charleston-North Charleston, SC 77 128.0 403 661.1 315 617.7 453 945.0 685 682.6
Charlotte-Concord-Gastonia, NC-SC 275 138.4 1,431 802.0 1,133 667.6 1,674 943.2 1,746 581.5
Chattanooga, TN-GA 22 53.7 149 393.5 153 451.7 292 816.6 273 340.9
Chicago-Naperville-Elgin, IL-IN-WI 934 123.6 4,643 675.1 4,602 734.0 6,064 988.3 7,265 612.3
Chicago Division 846 151.1 4,262 769.8 4,223 866.0 5,559 1,191.4 6,640 741.0
Elgin Division 23 38.9 60 151.1 66 157.6 100 232.4 93 119.8
Gary Division 40 71.2 187 439.6 161 368.9 220 503.1 312 317.5
Lake County Division 25 31.0 134 258.5 152 282.2 185 307.3 220 191.9
Cincinnati, OH-KY-IN 150 84.2 763 515.5 595 444.8 861 620.1 1,065 368.7
Cleveland-Elyria, OH 185 120.6 825 624.5 688 590.5 1,114 866.5 1,509 492.5
Colorado Springs, CO 26 37.3 128 207.4 120 252.6 208 484.8 279 322.8
Columbia, SC 131 170.5 681 1,190.5 527 1,062.6 778 1,556.0 954 923.8
Columbus, OH 154 92.0 911 547.3 871 618.1 1,327 989.4 1,291 527.0
Dallas-Fort Worth-Arlington, TX 989 157.0 4,966 891.4 4,746 910.9 6,017 1,217.4 5,950 749.2
Dallas Division 753 179.6 3,938 1,047.7 3,839 1,082.2 4,751 1,426.3 4,622 903.2
Fort Worth Division 236 111.9 1,028 567.2 907 545.5 1,266 785.6 1,328 470.2
Dayton, OH 70 108.4 246 457.0 233 513.2 305 633.7 451 392.6
Deltona-Daytona Beach-Ormond Beach, FL 60 136.2 191 503.3 176 524.6 406 1,039.3 556 445.7
Denver-Aurora-Lakewood, CO 167 77.3 1,056 415.1 1,428 647.1 2,165 1,123.9 3,517 1,026.4
Des Moines-West Des Moines, IA 25 49.5 116 238.3 137 299.2 188 458.5 230 304.0
Detroit-Warren-Dearborn, MI 399 121.7 1,891 644.8 1,363 542.0 1,895 656.1 2,394 397.7
Detroit Division 279 205.5 1,296 1,056.5 897 919.0 1,184 1,069.4 1,514 669.8
Warren Division 120 62.5 595 348.7 466 302.8 711 399.2 880 234.1
Durham-Chapel Hill, NC 68 143.9 286 676.3 271 752.3 391 1,109.1 581 819.7
El Paso, TX 90 108.3 370 555.0 381 727.4 545 1,187.0 563 662.5
Fayetteville-Springdale-Rogers, AR-MO 25 49.8 63 153.7 106 278.1 175 536.4 159 263.5
Fresno, CA 91 102.9 333 426.3 360 565.2 398 720.1 482 458.3
Grand Rapids-Wyoming, MI 39 42.2 137 176.4 175 266.3 269 417.9 301 221.7
Greensboro-High Point, NC 147 238.7 395 814.6 365 838.9 496 986.0 574 562.2
Greenville-Anderson-Mauldin, SC 53 71.4 319 538.5 284 529.9 457 797.6 486 398.2
Harrisburg-Carlisle, PA 20 46.6 89 226.1 87 251.3 158 426.3 225 271.1
Hartford-West Hartford-East Hartford, CT 52 51.2 269 340.4 342 484.0 676 855.4 1,089 627.7
Honolulu (Urban), HI 19 24.3 171 216.6 227 356.9 327 558.3 610 455.1
Houston-The Woodlands-Sugar Land, TX 953 162.9 4,996 946.4 4,877 977.7 5,903 1,331.7 6,208 847.5
Indianapolis-Carmel-Anderson, IN 202 124.8 908 624.8 874 651.8 1,258 969.0 1,276 520.8
Jackson, MS 101 213.3 501 1,258.2 417 1,134.9 569 1,672.8 619 882.4
Jacksonville, FL 212 187.0 976 873.8 847 892.1 1,167 1,203.5 1,475 722.4
Kansas City, MO-KS 130 80.4 682 443.3 768 544.9 1,091 816.1 1,342 493.1
Knoxville, TN 33 46.1 135 242.8 156 299.9 275 484.0 267 205.7
Lakeland-Winter Haven, FL 57 107.5 256 550.7 284 690.0 412 978.9 615 574.2
Lancaster, PA 14 32.9 45 125.5 60 195.5 118 368.0 133 170.8
Las Vegas-Henderson-Paradise, NV 238 142.7 1,520 904.5 1,466 949.1 1,975 1,320.5 2,004 708.9
Lexington-Fayette, KY 30 64.4 161 430.3 194 581.1 263 831.6 269 434.4
Little Rock-North Little Rock-Conway, AR 109 183.5 437 852.4 367 789.9 428 975.3 506 541.0
Los Angeles-Long Beach-Anaheim, CA 1,235 117.9 8,042 748.7 10,095 1,125.9 14,463 1,631.1 16,100 1,013.9
Anaheim Division 195 77.6 979 413.6 1,246 610.5 1,720 784.0 1,924 472.6
Los Angeles Division 1,040 130.7 7,063 843.4 8,849 1,277.8 12,743 1,909.5 14,176 1,200.6
Louisville/Jefferson County, KY-IN 118 121.5 604 674.1 551 672.0 766 919.3 916 523.5
Madison, WI 20 32.9 86 166.6 83 189.3 133 334.2 170 204.7
McAllen-Edinburg-Mission, TX 58 66.8 266 451.4 325 610.0 302 671.3 244 320.1
Memphis, TN-MS-AR 297 272.9 1,143 1,229.5 1,036 1,287.5 1,245 1,526.1 1,248 782.0
Miami-Fort Lauderdale-West Palm Beach, FL 885 204.7 5,031 1,187.0 6,146 1,533.4 11,123 2,605.9 15,945 1,834.5
Fort Lauderdale Division 296 215.9 1,706 1,293.9 2,084 1,641.5 4,200 3,138.5 6,135 2,270.8
Miami Division 457 233.0 2,711 1,346.7 3,372 1,779.3 5,600 2,791.8 7,509 2,160.4
West Palm Beach Division 132 133.1 614 677.1 690 818.2 1,323 1,431.3 2,301 915.2
Milwaukee-Waukesha-West Allis, WI 82 66.7 383 351.6 338 346.8 481 497.6 595 283.1
Minneapolis-St. Paul-Bloomington, MN-WI 140 50.6 824 306.0 1,041 425.0 1,565 669.7 1,870 407.0
Modesto, CA 20 41.9 101 249.9 122 347.3 197 609.1 198 318.2
Nashville-Davidson-Murfreesboro-Franklin, TN 150 98.6 805 549.4 712 546.9 1,169 935.0 1,206 532.9
New Haven-Milford, CT 64 91.9 258 447.8 273 562.4 534 967.6 968 800.5
New Orleans-Metairie, LA 264 293.5 1,187 1,307.7 1,148 1,443.6 1,421 1,858.2 1,915 1,118.8
New York-Newark-Jersey City, NY-NJ-PAb 2,187 148.2 14,007 953.6 15,843 1,239.2 25,106 1,933.8 40,666 1,581.2
Nassau County Division 113 50.6 634 370.2 657 391.2 1,053 528.9 1,791 432.8
New York Division 1,838 179.1 12,175 1,088.1 13,778 1,485.2 21,700 2,435.3 34,733 1,970.9
Newark Division 220 113.4 1,125 729.4 1,306 818.4 2,168 1,208.8 3,745 1,118.9
North Port–Sarasota-Bradenton, FL 25 54.5 132 339.9 203 545.1 389 855.1 697 389.0
Ogden-Clearfield, UT 10 16.0 70 144.0 78 159.1 82 231.4 108 159.3
Oklahoma City, OK 82 69.2 464 447.2 437 477.2 634 793.4 705 422.8
Omaha-Council Bluffs, NE-IA 8 10.6 42 61.0 60 95.2 103 182.3 95 83.7
Orlando-Kissimmee-Sanford, FL 366 182.2 1,686 848.7 1,694 973.3 2,456 1,492.2 2,893 922.3
Oxnard-Thousand Oaks-Ventura, CA 30 43.3 145 244.9 167 315.4 228 410.7 347 303.9
Palm Bay-Melbourne-Titusville, FL 31 77.9 138 395.9 144 476.1 284 783.2 474 425.5
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD 586 125.4 2,946 675.5 2,818 765.6 4,337 1,123.9 6,619 815.6
Camden Division 55 57.4 319 386.6 302 396.8 530 634.9 856 501.1
Montgomery Division 19 12.8 142 118.8 162 134.5 279 206.6 496 168.0
Philadelphia Division 469 280.2 2,261 1,235.6 2,118 1,657.2 3,126 2,599.2 4,631 1,873.3
Wilmington Division 43 76.5 224 438.3 236 540.0 402 853.8 636 646.7
Phoenix-Mesa-Scottsdale, AZ 349 87.8 1,821 503.6 2,069 648.5 2,989 997.6 3,320 539.2
Pittsburgh, PA 69 42.4 411 258.4 358 265.8 608 416.5 920 248.1
Portland-South Portland, ME 6 16.2 45 129.6 77 245.2 208 583.8 320 374.3
Portland-Vancouver-Hillsboro, OR-WA 84 47.3 595 309.1 904 492.3 1,463 892.1 1,852 588.9
Providence-Warwick, RI-MA 44 33.8 222 200.0 265 278.4 541 507.3 796 346.9
Provo-Orem, UT 13 15.7 37 79.0 45 110.7 45 166.9 50 114.6
Raleigh, NC 111 101.6 537 562.7 525 541.6 850 882.0 811 548.9
Richmond, VA 101 102.5 475 506.7 413 508.2 601 720.8 882 517.3
Riverside-San Bernardino-Ontario, CA 315 76.6 1,531 442.4 1,615 543.4 2,969 1,049.1 5,569 1,048.1
Rochester, NY 49 56.7 299 416.3 267 458.3 500 745.4 888 561.1
Sacramento–Roseville–Arden-Arcade, CA 147 78.4 664 393.6 701 465.2 1,153 801.8 1,631 541.2
St. Louis, MO-IL 270 129.5 1,144 604.0 998 581.5 1,492 866.7 1,833 468.0
Salt Lake City, UT 45 41.9 241 237.0 356 388.1 457 655.8 570 475.8
San Antonio-New Braunfels, TX 255 116.3 1,270 652.2 1,208 719.9 1,531 1,014.6 1,628 582.4
San Diego-Carlsbad, CA 224 77.8 1,558 540.1 2,126 929.8 3,503 1,703.5 4,377 1,088.9
San Francisco-Oakland-Hayward, CAb 281 88.8 2,378 602.1 3,366 972.2 5,922 1,826.0 8,926 1,451.1
Oakland Division 163 80.1 1,057 493.2 1,222 606.3 1,972 1,040.2 2,855 809.1
San Francisco Division 107 111.6 1,263 749.5 2,051 1,585.6 3,763 3,278.7 5,712 2,623.6
San Jose-Sunnyvale-Santa Clara, CA 66 43.3 407 234.2 616 416.3 852 617.7 944 397.0
San Juan-Carolina-Caguas, PR 113 71.1 686 554.6 1,060 893.6 1,869 1,485.3 2,609 873.6
Scranton–Wilkes-Barre–Hazelton, PA 10 24.2 56 154.0 66 207.3 96 261.2 123 141.9
Seattle-Tacoma-Bellevue, WA 145 51.4 1,063 306.4 1,581 544.0 2,511 963.7 2,787 586.3
Seattle Division 112 52.9 891 323.4 1,341 578.6 2,148 1,044.0 2,407 657.1
Tacoma Division 33 46.9 172 240.8 240 407.7 363 662.1 380 348.5
Spokane-Spokane Valley, WA 12 26.7 83 196.1 114 325.8 158 466.8 210 256.1
Springfield, MA 33 54.4 162 402.9 187 567.6 410 1,101.4 642 737.9
Stockton-Lodi, CA 40 59.7 191 353.2 182 370.0 305 661.2 330 393.8
Syracuse, NY 38 70.1 157 375.8 140 396.3 251 612.3 348 365.9
Tampa-St. Petersburg-Clearwater, FL 297 138.9 1,510 730.1 1,572 830.6 2,672 1,313.2 3,721 771.6
Toledo, OH 44 85.4 127 309.4 123 362.1 223 624.7 258 315.4
Tucson, AZ 65 69.7 263 377.9 327 550.6 583 1,046.1 989 641.5
Tulsa, OK 43 54.7 261 380.9 302 487.5 459 767.7 499 388.4
Virginia Beach-Norfolk-Newport News, VA-NC 221 144.6 995 721.5 686 647.4 1,061 1,080.1 1,402 655.0
Washington-Arlington-Alexandria, DC-VA-MD-WV 566 120.5 3,660 789.0 4,059 917.7 5,733 1,359.7 7,840 1,083.2
Silver Spring Division 81 83.4 380 459.5 476 550.0 676 767.5 885 522.6
Washington Division 485 130.1 3,280 860.5 3,583 1,007.2 5,057 1,516.1 6,955 1,254.4
Wichita, KS 29 53.5 139 312.3 118 299.3 218 594.2 262 309.7
Winston-Salem, NC 69 134.8 216 539.8 233 618.9 371 820.3 487 512.0
Worcester, MA-CT 27 34.9 151 240.5 207 364.9 389 585.7 593 443.9
Youngstown-Warren-Boardman, OH-PA 20 49.6 89 278.6 93 314.7 169 499.3 225 251.3
Subtotal for MSAs (population ≥ 500,000) 19,788 112.0 107,512 652.1 113,845 781.5 170,807 1,189.3 224,477 787.9
Metropolitan areas (population of 50,000 – 499,999) 3,123 60.9 13,350 331.0 13,520 384.7 21,318 606.7 28,558 342.5
Nonmetropolitan areas 1,389 37.8 6,342 220.0 7,928 294.5 12,249 427.7 15,529 210.9
Totalc 25,371     95.8 132,399 565.7 141,260 680.0 214,066 1,032.2 281,688 637.5

Abbreviations: MSA, metropolitan statistical area; CDC, Centers for Disease Control and Prevention [footnotes only].
Note. 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. Data are based on address of residence at the end of the specified year (i.e., most recent known address). Data for the year 2018 are considered preliminary and are based on death data reported to CDC through December 2019.
MSA definitions for this report can be found at https://www.census.gov/programs-surveys/metro-micro.htmlexternal icon
Numbers less than 12, and rates based on these numbers, should be interpreted with caution.
aRates are per 100,000 population.
bCounts of persons living with diagnosed HIV infection in the metropolitan divisions do not sum to the MSA total. MSA total includes data from 1 metropolitan division with population of <500,000.
cIncludes persons whose county of residence is unknown.

Table 3a. Diagnoses of HIV infection among adult and adolescent females, by age and metropolitan statistical area of residence, 2018—United States and Puerto Rico
13–24 years 25–34 years 35–44 years 45–54 years ≥ 55 years
MSA of residence No. Ratea Rankb No. Ratea Rankb No. Ratea Rankb No. Ratea Rankb No. Ratea Rankb
Akron, OH 0 0.0 3 6.6 1 2.5 0 0.0 1 0.8
Albany-Schenectady-Troy, NY 4 5.5 2 3.5 4 7.6 4 6.8 1 0.7
Albuquerque, NM 0 0.0 3 4.7 4 6.9 1 1.8 0 0.0
Allentown-Bethlehem-Easton, PA-NJ 1 1.6 4 7.8 0 0.0 6 10.4 3 2.0
Atlanta-Sandy Springs-Roswell, GA 51 10.6 2 88 20.2 6 73 16.9 5 53 12.1 9 36 4.6 7
Augusta-Richmond County, GA-SC 10 22.2 7 16.2 4 10.6 0 0.0 8 8.3
Austin-Round Rock, TX 6 3.5 12 6.6 25 5 3.0 6 4.4 8 3.2
Bakersfield, CA 3 3.9 4 6.2 4 7.4 1 2.0 4 4.0
Baltimore-Columbia-Towson, MD 9 4.4 36 17.4 8 16 8.7 21 25 13.0 7 24 5.4 5
Baton Rouge, LA 7 9.7 20 33.8 1 24 44.8 1 11 21.6 10 8.4
Birmingham-Hoover, AL 5 5.9 6 7.4 8 10.5 5 6.5 2 1.1
Boise City, ID 1 1.7 1 2.0 0 0.0 0 0.0 1 1.0
Boston-Cambridge-Newton, MA-NHc 8 2.1 33 8.9 20 43 14.0 10 31 9.2 15 28 3.6 9
Boston Division 3 1.8 15 8.8 16 12.5 17 12.5 20 6.4
Cambridge Division 5 2.7 17 9.8 27 17.4 14 8.3 8 2.1
Bridgeport-Stamford-Norwalk, CT 0 0.0 3 5.6 2 3.3 4 5.6 3 2.0
Buffalo-Cheektowaga-Niagara Falls, NY 3 3.6 5 6.4 3 4.7 2 2.7 0 0.0
Cape Coral-Fort Myers, FL 0 0.0 5 12.2 6 15.5 4 8.8 4 2.4
Charleston-North Charleston, SC 5 9.1 10 15.9 7 13.2 4 7.9 1 0.8
Charlotte-Concord-Gastonia, NC-SC 7 3.6 11 5.9 8 4.4 16 8.6 16 11 3.1
Chattanooga, TN-GA 0 0.0 2 5.2 2 5.7 0 0.0 4 4.1
Chicago-Naperville-Elgin, IL-IN-WI 42 5.7 7 49 7.2 24 45 7.1 24 36 5.7 20 28 2.0 14
Chicago Division 35 6.4 44 8.0 43 8.7 34 7.0 22 2.0
Elgin Division 0 0.0 2 5.2 0 0.0 1 2.3 1 1.1
Gary Division 5 9.3 1 2.3 0 0.0 1 2.2 3 2.6
Lake County Division 2 2.8 2 4.1 2 3.6 0 0.0 2 1.6
Cincinnati, OH-KY-IN 7 4.1 28 19.0 7 22 16.1 6 5 3.5 2 0.6
Cleveland-Elyria, OH 4 2.7 5 3.7 8 6.6 2 1.5 3 0.8
Colorado Springs, CO 1 1.7 0 0.0 1 2.2 1 2.3 1 1.0
Columbia, SC 1 1.4 6 10.2 8 14.9 10 18.3 10 8.0
Columbus, OH 5 3.1 21 12.7 14 10 7.1 11 8.2 5 1.7
Dallas-Fort Worth-Arlington, TX 33 5.4 9 62 11.0 17 51 9.4 20 49 9.7 14 22 2.4 12
Dallas Division 24 5.9 47 12.4 37 10.1 37 11.0 14 2.4
Fort Worth Division 9 4.4 15 8.1 14 8.0 12 7.2 8 2.5
Dayton, OH 1 1.6 3 5.6 1 2.1 0 0.0 1 0.7
Deltona-Daytona Beach-Ormond Beach, FL 5 12.2 3 8.2 2 5.8 5 12.0 3 2.1
Denver-Aurora-Lakewood, CO 4 1.9 4 1.7 7 3.3 3 1.6 5 1.3
Des Moines-West Des Moines, IA 2 4.0 3 6.2 4 8.9 2 4.9 0 0.0
Detroit-Warren-Dearborn, MI 18 5.7 8 35 12.1 15 12 4.5 26 12 3.9 25 9 1.3
Detroit Division 12 9.0 25 19.7 8 7.4 6 5.1 7 2.5
Warren Division 6 3.3 10 6.2 4 2.5 6 3.2 2 0.5
Durham-Chapel Hill, NC 2 4.0 7 15.6 2 5.3 3 8.0 5 5.7
El Paso, TX 1 1.3 2 3.3 2 3.8 1 2.0 2 1.9
Fayetteville-Springdale-Rogers, AR-MO 0 0.0 1 2.5 1 2.7 2 6.2 1 1.4
Fresno, CA 1 1.2 2 2.7 0 0.0 4 7.2 2 1.7
Grand Rapids-Wyoming, MI 4 4.4 2 2.6 1 1.5 1 1.6 0 0.0
Greensboro-High Point, NC 4 6.3 7 13.4 4 8.3 4 7.4 4 3.2
Greenville-Anderson-Mauldin, SC 1 1.4 3 4.9 7 12.4 3 5.0 2 1.4
Harrisburg-Carlisle, PA 0 0.0 1 2.6 2 5.8 1 2.7 2 2.0
Hartford-West Hartford-East Hartford, CT 4 4.1 3 4.0 8 11.1 3 3.6 5 2.4
Honolulu (Urban), HI 1 1.5 1 1.4 0 0.0 1 1.7 0 0.0
Houston-The Woodlands-Sugar Land, TX 42 7.5 4 83 15.9 11 76 15.2 7 54 12.0 10 49 5.9 4
Indianapolis-Carmel-Anderson, IN 7 4.4 25 16.6 9 15 10.9 13 5 3.7 4 1.4
Jackson, MS 2 4.2 7 16.8 7 18.0 3 8.0 6 6.8
Jacksonville, FL 11 10.2 31 27.6 2 15 15.1 8 13 12.6 8 7 2.9
Kansas City, MO-KS 8 5.1 10 6.6 14 9.8 18 5 3.7 8 2.5
Knoxville, TN 3 4.4 7 12.5 2 3.8 3 5.0 1 0.7
Lakeland-Winter Haven, FL 4 7.8 5 10.8 3 6.9 10 23.3 4 3.3
Lancaster, PA 0 0.0 0 0.0 1 3.2 2 6.1 0 0.0
Las Vegas-Henderson-Paradise, NV 7 4.4 13 7.9 22 18 11.7 12 12 8.2 17 8 2.6
Lexington-Fayette, KY 1 2.1 7 19.2 3 8.9 0 0.0 1 1.3
Little Rock-North Little Rock-Conway, AR 2 3.4 4 7.4 7 14.2 3 6.4 2 1.8
Los Angeles-Long Beach-Anaheim, CA 30 2.9 13 52 5.1 30 53 5.9 25 39 4.3 24 41 2.2 13
Anaheim Division 3 1.2 6 2.7 9 4.3 4 1.8 5 1.1
Los Angeles Division 27 3.5 46 5.7 44 6.4 35 5.1 36 2.6
Louisville/Jefferson County, KY-IN 4 4.3 7 7.8 8 9.6 2 2.3 8 3.8
Madison, WI 0 0.0 1 2.1 0 0.0 0 0.0 0 0.0
McAllen-Edinburg-Mission, TX 4 4.7 5 8.7 4 7.1 1 2.0 1 1.1
Memphis, TN-MS-AR 11 10.3 20 20.2 5 16 17.9 4 12 13.2 6 10 5.0
Miami-Fort Lauderdale-West Palm Beach, FL 58 13.9 1 92 22.3 4 98 23.9 2 84 19.0 1 91 8.6 1
Fort Lauderdale Division 18 13.6 33 25.0 31 23.2 28 19.9 22 7.0
Miami Division 30 15.8 43 22.3 43 22.6 36 17.6 48 10.8
West Palm Beach Division 10 10.5 16 18.4 24 27.9 20 20.5 21 7.0
Milwaukee-Waukesha-West Allis, WI 3 2.5 6 5.4 0 0.0 4 4.0 4 1.6
Minneapolis-St. Paul-Bloomington, MN-WI 4 1.5 17 6.5 26 18 7.5 23 11 4.7 5 1.0
Modesto, CA 0 0.0 2 5.1 4 11.5 1 3.0 4 5.5
Nashville-Davidson-Murfreesboro-Franklin, TN 3 2.0 13 8.6 21 9 6.8 6 4.7 5 1.9
New Haven-Milford, CT 3 4.4 2 3.5 7 13.4 6 10.1 5 3.4
New Orleans-Metairie, LA 11 12.4 23 23.5 3 19 22.4 3 12 14.6 4 4 2.0
New York-Newark-Jersey City, NY-NJ-PAc 71 4.9 11 139 9.4 19 137 10.4 17 138 10.0 12 143 4.5 8
Nassau County Division 6 2.8 7 4.3 7 4.1 11 5.3 13 2.7
New York Division 54 5.3 104 9.1 102 10.6 103 10.8 106 4.8
Newark Division 10 5.3 27 17.9 26 15.6 23 12.2 24 6.0
North Port–Sarasota-Bradenton, FL 0 0.0 4 10.3 5 12.7 6 12.0 3 1.4
Ogden-Clearfield, UT 0 0.0 1 2.1 0 0.0 1 2.9 0 0.0
Oklahoma City, OK 1 0.9 4 3.9 7 7.6 1 1.2 0 0.0
Omaha-Council Bluffs, NE-IA 1 1.4 3 4.5 1 1.6 1 1.8 1 0.8
Orlando-Kissimmee-Sanford, FL 17 8.5 3 31 15.9 10 23 12.8 11 30 17.4 2 26 7.0 2
Oxnard-Thousand Oaks-Ventura, CA 0 0.0 1 1.8 2 3.8 1 1.8 1 0.8
Palm Bay-Melbourne-Titusville, FL 4 11.2 4 12.0 0 0.0 4 10.2 3 2.3
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD 23 5.0 10 58 13.2 13 41 10.7 15 28 6.8 18 31 3.1 11
Camden Division 1 1.1 4 5.0 5 6.3 2 2.2 3 1.5
Montgomery Division 2 1.4 8 6.9 10 8.2 0 0.0 1 0.3
Philadelphia Division 19 11.3 42 21.7 23 16.6 21 15.8 21 6.5
Wilmington Division 1 1.8 4 7.9 3 6.7 5 9.9 6 5.2
Phoenix-Mesa-Scottsdale, AZ 6 1.6 20 5.9 28 30 9.6 19 14 4.6 23 8 1.1
Pittsburgh, PA 1 0.6 2 1.3 3 2.3 6 4.0 3 0.7
Portland-South Portland, ME 1 2.8 1 2.9 1 3.1 1 2.7 0 0.0
Portland-Vancouver-Hillsboro, OR-WA 3 1.8 5 2.6 8 4.4 3 1.9 0 0.0
Providence-Warwick, RI-MA 3 2.3 3 2.8 6 6.2 6 5.3 2 0.7
Provo-Orem, UT 1 1.2 0 0.0 0 0.0 0 0.0 0 0.0
Raleigh, NC 2 1.9 6 6.1 8 7.8 3 3.0 4 2.3
Richmond, VA 4 4.1 7 7.3 9 10.7 2 2.2 5 2.4
Riverside-San Bernardino-Ontario, CA 10 2.6 15 4.6 32 13 4.4 28 16 5.6 21 8 1.3
Rochester, NY 1 1.2 2 2.8 2 3.3 1 1.4 1 0.5
Sacramento–Roseville–Arden-Arcade, CA 2 1.1 7 4.2 12 7.8 22 3 2.0 6 1.7
St. Louis, MO-IL 4 2.0 15 7.7 23 9 5.0 9 4.9 8 1.7
Salt Lake City, UT 2 2.0 2 2.0 1 1.1 1 1.5 0 0.0
San Antonio-New Braunfels, TX 7 3.4 12 6.4 27 8 4.8 9 5.7 6 1.8
San Diego-Carlsbad, CA 4 1.6 14 5.3 29 10 4.5 12 5.8 19 8 1.7
San Francisco-Oakland-Hayward, CAc 12 3.9 12 15 4.0 33 15 4.4 27 16 5.0 22 14 2.0 15
Oakland Division 8 4.0 9 4.2 10 4.9 8 4.1 8 1.9
San Francisco Division 3 3.2 5 3.2 5 4.2 7 6.6 5 2.0
San Jose-Sunnyvale-Santa Clara, CA 2 1.4 4 2.7 6 4.3 4 3.0 2 0.7
San Juan-Carolina-Caguas, PR 9 5.8 9 6.9 9 6.7 19 13.3 5 12 3.1 10
Scranton–Wilkes-Barre–Hazelton, PA 1 2.5 4 12.0 1 3.2 3 8.1 2 1.9
Seattle-Tacoma-Bellevue, WA 10 3.7 16 4.9 31 30 10.8 14 25 9.8 13 34 6.3 3
Seattle Division 9 4.4 13 5.1 25 11.4 20 10.0 27 6.5
Tacoma Division 1 1.6 3 4.4 5 8.4 5 9.0 7 5.6
Spokane-Spokane Valley, WA 0 0.0 0 0.0 1 2.9 0 0.0 0 0.0
Springfield, MA 1 1.6 0 0.0 7 19.0 7 17.0 1 0.9
Stockton-Lodi, CA 4 6.3 5 9.7 1 2.1 6 13.1 1 1.0
Syracuse, NY 2 3.6 1 2.4 0 0.0 1 2.3 2 1.8
Tampa-St. Petersburg-Clearwater, FL 13 6.3 6 23 10.9 18 21 10.6 16 24 11.3 11 8 1.4
Toledo, OH 1 2.0 2 4.9 2 5.7 0 0.0 1 1.0
Tucson, AZ 1 1.1 3 4.7 5 8.5 0 0.0 2 1.1
Tulsa, OK 2 2.7 5 7.3 6 9.5 1 1.6 1 0.7
Virginia Beach-Norfolk-Newport News, VA-NC 9 6.7 15 11.5 16 10 9.2 8 7.4 7 2.7
Washington-Arlington-Alexandria, DC-VA-MD-WV 34 7.3 5 64 13.6 12 65 14.3 9 75 17.0 3 45 5.3 6
Silver Spring Division 2 2.1 15 17.9 11 12.0 16 16.9 10 4.9
Washington Division 32 8.6 49 12.6 54 14.8 59 17.1 35 5.4
Wichita, KS 0 0.0 1 2.3 0 0.0 1 2.7 1 1.0
Winston-Salem, NC 2 3.9 7 16.5 3 7.3 5 10.4 2 1.7
Worcester, MA-CT 2 2.7 5 8.3 3 5.2 4 5.9 2 1.3
Youngstown-Warren-Boardman, OH-PA 0 0.0 1 3.4 1 3.4 1 2.9 0 0.0
Subtotal for MSAs (population ≥ 500,000) 752 4.4 1,471 9.1 1,331 9.0 1,116 7.5 933 2.8
Metropolitan areas (population of 50,000 – 499,999) 154 3.2 288 7.5 253 7.2 195 5.4 129 1.3
Nonmetropolitan areas 73 2.2 156 6.0 140 5.5 95 3.4 73 0.9
Totald 981 3.9 1,923 8.5 1,729 8.3 1,416 6.6 1,140 2.2

Abbreviation: MSA, metropolitan statistical area.
Note. 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. Data are based on residence at time of diagnosis of HIV infection.
MSA definitions for this report can be found at https://www.census.gov/programs-surveys/metro-micro.htmlexternal icon
Numbers less than 12, and rates based on these numbers, should be interpreted with caution.
aRates are per 100,000 population.
bBased on rate. Ranks were not assigned to MSAs with rates that were based on reported numbers less than 12.
cCounts 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.
dIncludes persons whose county of residence is unknown.

Table 3b. Adult and adolescent females living with diagnosed HIV infection (prevalence), by age and metropolitan statistical area of residence, year-end 2018—United States and Puerto Rico
13–24 years 25–34 years 35–44 years 45–54 years ≥ 55 years
MSA of residence No. Ratea No. Ratea No. Ratea No. Ratea No. Ratea
Akron, OH 6 10.4 23 50.8 44 108.5 62 132.5 66 54.0
Albany-Schenectady-Troy, NY 18 24.8 63 111.0 109 205.8 259 437.1 271 181.0
Albuquerque, NM 5 7.3 29 45.5 45 77.3 54 95.7 59 39.7
Allentown-Bethlehem-Easton, PA-NJ 4 6.3 26 50.7 59 117.5 156 271.5 165 112.6
Atlanta-Sandy Springs-Roswell, GA 239 49.9 956 219.6 1,834 424.1 2,208 505.0 2,290 290.9
Augusta-Richmond County, GA-SC 43 95.3 90 207.7 125 330.3 203 524.6 286 297.6
Austin-Round Rock, TX 33 19.2 117 63.9 222 134.5 274 200.3 265 106.8
Bakersfield, CA 11 14.3 48 74.7 54 100.4 74 150.1 82 81.9
Baltimore-Columbia-Towson, MD 107 52.3 513 247.8 921 500.7 1,637 850.0 1,970 439.8
Baton Rouge, LA 52 72.0 336 568.1 591 1,103.3 476 932.6 416 349.7
Birmingham-Hoover, AL 25 29.4 121 149.8 285 374.1 317 414.9 335 179.0
Boise City, ID 4 7.0 2 4.0 9 18.4 14 31.5 16 15.7
Boston-Cambridge-Newton, MA-NHb 102 26.3 370 100.3 763 247.7 1,245 370.5 1,566 203.1
Boston Division 50 29.7 196 115.4 373 292.5 647 476.3 876 280.8
Cambridge Division 52 28.1 169 97.6 382 245.7 587 349.8 664 173.2
Bridgeport-Stamford-Norwalk, CT 20 26.9 59 110.7 143 239.2 296 414.4 397 259.0
Buffalo-Cheektowaga-Niagara Falls, NY 20 23.9 86 109.6 181 282.9 247 332.7 224 110.2
Cape Coral-Fort Myers, FL 6 13.5 83 203.3 160 413.7 177 389.5 212 124.8
Charleston-North Charleston, SC 27 49.0 105 167.2 107 202.3 207 406.3 258 214.5
Charlotte-Concord-Gastonia, NC-SC 51 26.0 241 130.2 487 266.5 763 409.3 820 227.6
Chattanooga, TN-GA 4 10.0 36 93.4 80 228.7 81 217.5 82 84.7
Chicago-Naperville-Elgin, IL-IN-WI 248 33.9 776 114.2 1,233 193.8 1,718 270.9 1,765 124.8
Chicago Division 225 41.0 700 127.3 1,069 216.3 1,532 316.7 1,588 146.7
Elgin Division 2 3.5 13 34.1 23 55.9 36 83.8 23 26.4
Gary Division 13 24.3 35 81.7 74 161.7 84 184.1 83 71.4
Lake County Division 8 11.1 28 57.6 67 121.8 66 106.8 71 55.3
Cincinnati, OH-KY-IN 62 36.1 190 128.9 259 189.5 230 160.7 225 66.5
Cleveland-Elyria, OH 36 24.2 120 89.2 232 190.4 350 255.8 395 106.2
Colorado Springs, CO 6 10.2 21 37.9 35 76.3 63 143.2 46 46.4
Columbia, SC 20 27.8 85 144.5 265 494.2 387 709.2 421 334.9
Columbus, OH 34 21.0 208 125.4 300 212.5 336 249.2 294 101.7
Dallas-Fort Worth-Arlington, TX 199 32.4 916 161.9 1,601 295.8 1,686 333.9 1,391 151.5
Dallas Division 147 36.1 699 183.9 1,188 323.9 1,256 372.3 1,020 171.8
Fort Worth Division 52 25.2 217 116.9 413 236.6 430 256.7 371 114.3
Dayton, OH 11 17.7 60 111.2 81 171.8 113 222.0 82 59.0
Deltona-Daytona Beach-Ormond Beach, FL 23 56.1 56 153.3 125 364.6 168 403.2 197 136.0
Denver-Aurora-Lakewood, CO 38 18.4 123 51.3 261 124.0 332 176.5 350 89.8
Des Moines-West Des Moines, IA 11 22.0 27 55.9 64 142.6 48 117.2 35 39.3
Detroit-Warren-Dearborn, MI 64 20.3 310 107.1 487 183.8 644 211.6 676 94.3
Detroit Division 39 29.2 229 180.2 331 307.3 471 399.9 497 178.8
Warren Division 25 13.8 81 49.9 156 99.2 173 92.7 179 40.8
Durham-Chapel Hill, NC 8 16.0 53 118.1 115 302.0 170 452.5 239 270.6
El Paso, TX 12 15.9 32 52.8 67 126.4 74 145.5 99 92.3
Fayetteville-Springdale-Rogers, AR-MO 4 8.3 11 27.8 25 68.0 26 80.2 46 66.3
Fresno, CA 10 11.7 36 48.4 68 109.8 88 159.5 115 95.2
Grand Rapids-Wyoming, MI 19 21.0 48 63.0 65 99.5 78 121.2 49 31.8
Greensboro-High Point, NC 26 40.8 105 200.7 194 402.9 253 469.2 240 194.2
Greenville-Anderson-Mauldin, SC 7 9.7 60 98.9 119 211.4 160 265.2 163 112.3
Harrisburg-Carlisle, PA 5 12.0 24 63.6 45 130.0 78 209.9 78 79.2
Hartford-West Hartford-East Hartford, CT 26 26.8 81 108.7 177 244.6 380 451.9 509 245.5
Honolulu (Urban), HI 6 9.1 15 21.4 36 58.6 45 77.4 74 47.3
Houston-The Woodlands-Sugar Land, TX 250 44.5 1,134 216.7 2,216 444.4 2,162 479.6 1,851 222.8
Indianapolis-Carmel-Anderson, IN 49 31.1 223 148.5 313 227.4 331 247.1 273 93.9
Jackson, MS 39 81.5 140 336.7 256 659.5 321 856.4 276 313.8
Jacksonville, FL 51 47.3 315 280.5 636 639.4 679 660.0 688 284.1
Kansas City, MO-KS 30 19.1 110 72.4 214 150.2 229 168.5 235 73.2
Knoxville, TN 13 19.1 33 59.1 63 118.7 61 102.5 61 40.0
Lakeland-Winter Haven, FL 26 50.4 102 220.8 156 360.5 271 630.8 263 213.9
Lancaster, PA 9 21.4 13 36.3 30 96.2 59 180.0 83 91.4
Las Vegas-Henderson-Paradise, NV 33 20.6 190 115.3 327 212.5 403 274.6 444 143.1
Lexington-Fayette, KY 7 14.9 30 82.4 54 160.4 55 170.6 45 60.5
Little Rock-North Little Rock-Conway, AR 24 41.1 78 144.8 102 206.9 127 269.2 128 113.6
Los Angeles-Long Beach-Anaheim, CA 193 18.9 727 70.8 1,360 151.6 1,882 207.2 2,231 119.0
Anaheim Division 25 10.3 57 25.5 183 87.8 249 109.6 301 64.3
Los Angeles Division 168 21.7 670 83.5 1,177 170.9 1,633 239.7 1,930 137.2
Louisville/Jefferson County, KY-IN 18 19.2 106 118.1 200 240.0 204 236.8 219 104.8
Madison, WI 5 8.5 16 33.8 27 63.7 24 60.2 27 28.5
McAllen-Edinburg-Mission, TX 12 14.0 50 86.8 71 126.3 71 141.8 65 70.7
Memphis, TN-MS-AR 60 56.0 319 322.7 631 706.2 647 712.7 512 256.2
Miami-Fort Lauderdale-West Palm Beach, FL 371 88.9 1,499 364.1 3,009 734.5 4,139 934.7 5,568 524.1
Fort Lauderdale Division 136 102.5 515 389.9 1,146 857.8 1,438 1,021.7 1,827 578.4
Miami Division 165 86.9 738 382.9 1,241 652.7 1,829 894.5 2,694 605.1
West Palm Beach Division 70 73.8 246 283.1 622 723.8 872 893.4 1,047 347.4
Milwaukee-Waukesha-West Allis, WI 12 10.0 54 48.5 107 106.2 139 138.2 138 55.7
Minneapolis-St. Paul-Bloomington, MN-WI 68 25.3 265 101.4 511 212.3 505 216.1 454 87.0
Modesto, CA 5 11.0 22 56.0 23 66.3 50 150.9 57 78.7
Nashville-Davidson-Murfreesboro-Franklin, TN 30 20.1 123 81.3 255 191.3 335 261.6 322 120.4
New Haven-Milford, CT 13 18.9 75 130.7 157 301.5 393 659.4 496 336.0
New Orleans-Metairie, LA 56 63.0 339 346.8 617 727.9 542 657.9 492 241.4
New York-Newark-Jersey City, NY-NJ-PAb 853 58.8 3,306 224.1 6,213 470.4 11,904 861.0 18,588 586.9
Nassau County Division 47 22.0 165 100.7 282 166.8 538 257.1 863 176.9
New York Division 698 68.5 2,740 240.6 5,154 535.2 9,804 1,025.9 15,449 698.1
Newark Division 103 55.0 375 248.2 740 444.5 1,495 792.1 2,157 542.0
North Port–Sarasota-Bradenton, FL 12 27.5 51 131.8 110 280.4 166 332.7 205 97.4
Ogden-Clearfield, UT 2 3.5 2 4.2 13 27.3 19 54.3 19 25.8
Oklahoma City, OK 16 14.1 78 75.5 138 150.5 139 170.6 124 63.5
Omaha-Council Bluffs, NE-IA 5 6.9 8 11.9 19 30.5 27 47.8 18 13.7
Orlando-Kissimmee-Sanford, FL 98 49.0 329 168.4 624 346.3 933 541.4 1,103 297.0
Oxnard-Thousand Oaks-Ventura, CA 4 6.0 17 30.8 32 60.5 37 65.1 63 48.3
Palm Bay-Melbourne-Titusville, FL 16 44.8 50 150.2 101 318.8 140 356.3 198 155.0
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD 162 35.5 792 180.1 1,347 350.3 2,323 562.1 2,585 260.7
Camden Division 17 19.0 85 106.3 140 175.8 279 311.5 343 166.6
Montgomery Division 10 6.9 43 37.3 67 55.2 106 75.6 108 31.4
Philadelphia Division 115 68.5 580 299.2 1,001 720.9 1,688 1,269.6 1,827 562.5
Wilmington Division 20 36.6 84 165.7 139 310.7 250 493.9 307 263.6
Phoenix-Mesa-Scottsdale, AZ 58 15.5 245 71.9 425 135.6 508 167.8 507 71.6
Pittsburgh, PA 17 10.8 56 36.8 128 96.1 190 125.9 209 46.9
Portland-South Portland, ME 8 22.3 20 57.9 57 177.6 56 149.6 60 59.3
Portland-Vancouver-Hillsboro, OR-WA 15 8.8 62 32.7 140 76.9 191 118.2 196 54.2
Providence-Warwick, RI-MA 16 12.5 54 49.8 120 123.2 248 219.4 304 109.9
Provo-Orem, UT 3 3.7 3 6.8 9 22.8 6 22.7 7 14.5
Raleigh, NC 28 26.2 85 86.2 229 223.6 304 304.4 341 193.3
Richmond, VA 20 20.6 81 83.9 153 181.2 259 288.2 301 144.0
Riverside-San Bernardino-Ontario, CA 49 12.6 176 53.6 301 100.9 467 162.5 491 81.8
Rochester, NY 11 13.0 59 83.1 117 190.6 277 388.9 400 215.1
Sacramento–Roseville–Arden-Arcade, CA 27 14.7 93 55.8 148 96.6 235 156.7 326 91.1
St. Louis, MO-IL 54 26.8 199 102.6 392 219.0 428 232.7 325 69.1
Salt Lake City, UT 7 6.9 39 39.8 89 101.1 95 141.1 80 59.6
San Antonio-New Braunfels, TX 33 15.9 181 97.1 238 141.5 274 174.6 280 84.6
San Diego-Carlsbad, CA 42 16.8 144 54.9 287 130.4 374 180.2 496 107.0
San Francisco-Oakland-Hayward, CAb 76 24.5 224 59.3 456 134.0 697 217.2 1,028 144.2
Oakland Division 44 22.2 139 65.6 266 129.7 428 220.5 584 141.0
San Francisco Division 27 28.4 77 49.6 171 142.5 248 232.8 408 166.0
San Jose-Sunnyvale-Santa Clara, CA 12 8.5 43 28.7 123 88.1 125 92.6 132 49.4
San Juan-Carolina-Caguas, PR 57 36.6 203 154.6 461 344.2 783 548.0 1,208 316.0
Scranton–Wilkes-Barre–Hazelton, PA 5 12.6 22 65.9 37 118.7 53 144.0 42 40.7
Seattle-Tacoma-Bellevue, WA 43 16.1 167 51.6 404 144.9 390 153.0 431 80.0
Seattle Division 37 18.3 134 52.5 311 141.8 310 155.5 338 81.8
Tacoma Division 6 9.4 33 48.2 93 156.4 80 143.9 93 74.2
Spokane-Spokane Valley, WA 8 18.9 12 29.8 26 75.5 27 78.7 25 26.9
Springfield, MA 10 15.7 49 122.7 137 372.7 239 581.6 293 277.8
Stockton-Lodi, CA 11 17.4 32 61.8 54 110.8 79 172.0 92 95.1
Syracuse, NY 7 12.7 38 90.8 84 228.0 117 269.8 139 126.8
Tampa-St. Petersburg-Clearwater, FL 80 38.5 340 161.1 647 327.0 928 436.3 1,051 184.6
Toledo, OH 12 23.7 30 73.1 67 191.3 96 254.5 57 58.6
Tucson, AZ 12 13.3 37 58.3 81 137.0 94 161.8 128 70.9
Tulsa, OK 18 24.0 65 94.6 104 164.0 97 158.4 64 42.3
Virginia Beach-Norfolk-Newport News, VA-NC 39 29.0 217 165.9 368 340.2 480 442.9 567 216.9
Washington-Arlington-Alexandria, DC-VA-MD-WV 200 43.1 951 201.8 2,147 471.2 2,904 659.4 3,107 364.3
Silver Spring Division 22 23.5 159 190.1 394 430.9 510 537.2 458 224.7
Washington Division 178 48.1 792 204.3 1,753 481.3 2,394 692.9 2,649 408.1
Wichita, KS 6 11.8 27 61.9 41 103.3 54 145.1 41 42.7
Winston-Salem, NC 15 29.1 53 124.9 103 252.2 209 436.7 223 194.3
Worcester, MA-CT 15 20.1 62 102.3 154 267.1 243 356.5 287 188.9
Youngstown-Warren-Boardman, OH-PA 6 15.9 25 83.9 35 120.0 50 145.5 67 62.5
Subtotal for MSAs (population ≥ 500,000) 5,214 30.5 21,351 131.5 40,367 272.1 57,071 383.2 68,405 202.8
Metropolitan areas (population of 50,000 – 499,999) 888 18.3 3,535 92.1 6,269 179.2 7,936 219.9 8,460 87.5
Nonmetropolitan areas 399 11.8 1,796 68.7 3,133 122.3 4,124 146.7 4,322 52.7
Totalc 6,838 27.0 27,813 122.6 52,131 249.5 72,747 341.3 85,367 165.4

Abbreviations: MSA, metropolitan statistical area; CDC, Centers for Disease Control and Prevention [footnotes only].
Note. Because of the lack of U.S. census information for all U.S. dependent areas, table includes data for onlythe United States and Puerto Rico. Data are based on address of residence at the end of the specified year (i.e., most recent known address). Data for the year 2018 are considered preliminary and are based on death data reported to CDC through December 2019.
MSA definitions for this report can be found at https://www.census.gov/programs-surveys/metro-micro.htmlexternal icon
Numbers less than 12, and trends based on these numbers, should be interpreted with caution.
aRates are per 100,000 population.
bCounts of persons living with diagnosed HIV infection in the metropolitan divisions do not sum to the MSA total. MSA total includes data from 1 metropolitan division with population of <500,000.
cIncludes persons whose county of residence is unknown.

Table 4a. Diagnoses of HIV infection among adult and adolescent males, by race/ethnicity and metropolitan statistical area of residence, 2018—United States
American Indian/Alaska Native Asian Black/African American Hispanic/Latinoa White
MSA of residence No. Rateb Rankc No. Rateb Rankc No. Rateb Rankc No. Rateb Rankc No. Rateb Rankc
Akron, OH 0 0.0 0 0.0 23 71.5 41 0 0.0 25 10.5 46
Albany-Schenectady-Troy, NY 0 0.0 0 0.0 10 35.8 9 49.9 13 4.3 91
Albuquerque, NM 10 52.8 1 13.2 5 48.9 22 12.4 64 9 5.7
Allentown-Bethlehem-Easton, PA-NJ 0 0.0 1 9.5 10 54.9 12 21.4 59 12 4.6 88
Atlanta-Sandy Springs-Roswell, GA 0 0.0 8 5.4 952 126.6 1 162 66.4 4 196 16.8 16
Augusta-Richmond County, GA-SC 0 0.0 1 21.8 92 114.1 6 2 14.5 20 14.4 28
Austin-Round Rock, TX 0 0.0 3 5.4 39 60.8 54 91 32.6 45 93 19.1 9
Bakersfield, CA 0 0.0 1 5.7 24 114.3 5 88 46.8 14 22 17.0 14
Baltimore-Columbia-Towson, MD 1 34.8 6 9.2 262 85.6 22 20 31.4 49 49 7.3 74
Baton Rouge, LA 2 221.4 0 0.0 133 117.5 4 2 14.6 17 8.6 61
Birmingham-Hoover, AL 0 0.0 0 0.0 95 76.5 30 5 25.9 30 10.0 53
Boise City, ID 2 106.9 0 0.0 1 29.9 4 10.5 8 3.3
Boston-Cambridge-Newton, MA-NHd 1 32.6 15 9.0 11 83 54.5 66 97 44.2 19 133 9.2 57
Boston Division 0 0.0 7 10.6 52 49.4 50 51.4 68 12.2
Cambridge Division 1 80.6 8 8.3 31 69.2 47 40.3 60 8.3
Bridgeport-Stamford-Norwalk, CT 0 0.0 1 4.8 20 50.8 71 12 16.0 63 8 3.3
Buffalo-Cheektowaga-Niagara Falls, NY 0 0.0 1 7.0 21 41.8 76 7 32.9 9 2.4
Cape Coral-Fort Myers, FL 0 0.0 1 21.2 14 60.0 58 22 33.4 43 19 8.5 64
Charleston-North Charleston, SC 0 0.0 0 0.0 56 74.0 37 10 57.0 37 17.2 12
Charlotte-Concord-Gastonia, NC-SC 0 0.0 3 7.2 194 90.4 17 34 34.6 39 66 10.1 51
Chattanooga, TN-GA 0 0.0 0 0.0 16 56.2 63 3 29.8 26 14.2 29
Chicago-Naperville-Elgin, IL-IN-WI 3 60.6 19 7.1 14 473 81.4 26 288 34.3 41 206 9.7 55
Chicago Division 3 87.4 15 6.5 429 85.8 245 37.4 177 11.5
Elgin Division 0 0.0 1 9.9 4 28.4 20 28.0 5 3.1
Gary Division 0 0.0 2 47.3 28 64.5 5 11.1 16 8.5
Lake County Division 0 0.0 1 4.2 12 51.5 18 26.1 8 3.3
Cincinnati, OH-KY-IN 0 0.0 3 12.3 76 74.4 34 11 41.9 121 16.8 15
Cleveland-Elyria, OH 0 0.0 0 0.0 90 60.2 55 19 40.0 28 39 6.4 80
Colorado Springs, CO 2 99.0 1 13.2 10 50.2 11 23.1 20 9.0 59
Columbia, SC 0 0.0 0 0.0 87 82.4 25 6 31.8 15 7.6 70
Columbus, OH 0 0.0 1 2.5 96 75.9 32 12 35.5 36 69 10.8 44
Dallas-Fort Worth-Arlington, TX 0 0.0 20 9.2 10 416 93.8 16 365 43.8 21 256 17.7 11
Dallas Division 0 0.0 16 9.5 316 101.7 294 51.1 199 22.0
Fort Worth Division 0 0.0 4 8.3 100 75.2 71 27.5 57 10.5
Dayton, OH 0 0.0 2 26.3 36 76.0 31 4 45.2 26 10.2 50
Deltona-Daytona Beach-Ormond Beach, FL 0 0.0 1 18.8 27 101.0 12 15 41.0 25 25 12.1 37
Denver-Aurora-Lakewood, CO 2 33.5 2 4.0 32 46.5 73 100 37.8 33 101 12.4 34
Des Moines-West Des Moines, IA 0 0.0 0 0.0 10 72.0 3 16.6 13 6.1 81
Detroit-Warren-Dearborn, MI 0 0.0 3 3.6 261 74.1 36 21 28.2 54 91 7.5 71
Detroit Division 0 0.0 1 4.0 194 78.4 10 25.3 33 9.0
Warren Division 0 0.0 2 3.4 67 63.8 11 31.6 58 6.8
Durham-Chapel Hill, NC 0 0.0 1 8.0 45 78.3 27 9 36.0 6 4.5
El Paso, TX 0 0.0 2 55.0 7 53.6 108 40.7 26 2 4.3
Fayetteville-Springdale-Rogers, AR-MO 0 0.0 2 27.3 4 69.0 4 11.8 10 6.1
Fresno, CA 0 0.0 2 4.9 10 53.8 68 33.9 42 16 13.1 31
Grand Rapids-Wyoming, MI 0 0.0 3 25.3 9 32.6 6 15.6 23 6.6 78
Greensboro-High Point, NC 0 0.0 1 8.5 64 82.4 24 11 45.8 19 10.2 49
Greenville-Anderson-Mauldin, SC 0 0.0 2 27.0 37 65.6 47 15 62.1 5 21 7.7 69
Harrisburg-Carlisle, PA 0 0.0 0 0.0 18 76.8 29 4 28.7 12 6.5 79
Hartford-West Hartford-East Hartford, CT 0 0.0 1 3.8 23 43.5 75 24 34.4 40 25 7.2 75
Honolulu (Urban), HI 0 0.0 17 10.1 8 5 37.7 4 11.1 17 19.4 8
Houston-The Woodlands-Sugar Land, TX 0 0.0 29 12.9 2 441 97.9 14 456 44.8 18 161 15.3 24
Indianapolis-Carmel-Anderson, IN 0 0.0 2 7.3 101 86.6 20 29 56.3 7 55 9.1 58
Jackson, MS 0 0.0 0 0.0 96 89.9 18 5 75.7 11 10.0
Jacksonville, FL 0 0.0 2 8.1 149 123.5 2 25 44.9 17 61 15.0 26
Kansas City, MO-KS 1 27.0 2 7.9 56 55.9 64 26 35.2 38 73 11.4 42
Knoxville, TN 0 0.0 0 0.0 11 54.3 5 38.2 34 10.6 45
Lakeland-Winter Haven, FL 0 0.0 0 0.0 24 60.1 57 27 41.3 24 27 15.4 23
Lancaster, PA 0 0.0 0 0.0 2 24.5 6 27.6 5 2.8
Las Vegas-Henderson-Paradise, NV 2 47.9 22 25.5 1 113 110.7 7 136 50.2 13 112 26.3 3
Lexington-Fayette, KY 0 0.0 0 0.0 20 88.1 19 6 46.0 24 14.5 27
Little Rock-North Little Rock-Conway, AR 0 0.0 0 0.0 67 106.0 11 12 78.4 1 34 16.5 18
Los Angeles-Long Beach-Anaheim, CA 5 45.6 100 11.4 5 334 95.7 15 904 38.0 31 368 21.0 6
Anaheim Division 0 0.0 28 10.4 6 25.3 140 32.9 81 14.4
Los Angeles Division 5 61.0 72 11.9 328 100.8 764 39.1 287 24.1
Louisville/Jefferson County, KY-IN 0 0.0 4 35.9 52 73.5 39 9 35.5 91 22.2 4
Madison, WI 0 0.0 1 6.7 9 74.5 6 40.5 12 5.2 84
McAllen-Edinburg-Mission, TX 0 0.0 0 0.0 0 0.0 75 25.8 57 2 8.4
Memphis, TN-MS-AR 0 0.0 1 8.8 247 106.1 10 15 52.8 9 30 12.3 36
Miami-Fort Lauderdale-West Palm Beach, FL 0 0.0 11 17.3 516 107.5 9 852 73.5 2 268 32.6 1
Fort Lauderdale Division 0 0.0 6 20.5 195 94.3 178 74.8 107 34.1
Miami Division 0 0.0 2 11.3 232 138.5 626 79.7 110 70.1
West Palm Beach Division 0 0.0 3 17.8 89 84.2 48 35.1 51 14.5
Milwaukee-Waukesha-West Allis, WI 0 0.0 2 8.1 57 62.9 51 19 29.5 51 22 4.9 86
Minneapolis-St. Paul-Bloomington, MN-WI 3 36.3 7 7.3 64 54.3 67 29 35.3 37 67 5.8 82
Modesto, CA 0 0.0 3 25.1 3 48.1 29 29.7 50 15 15.9 20
Nashville-Davidson-Murfreesboro-Franklin, TN 1 42.6 4 18.4 76 67.6 45 20 36.8 34 70 12.1 38
New Haven-Milford, CT 0 0.0 0 0.0 25 58.8 60 17 28.4 53 17 7.4 72
New Orleans-Metairie, LA 0 0.0 3 20.0 161 98.1 13 21 45.6 16 51 18.6 10
New York-Newark-Jersey City, NY-NJ-Pad 3 20.9 99 10.7 6 839 69.2 43 979 50.9 11 335 8.6 63
Nassau County Division 0 0.0 3 3.7 48 45.5 55 26.5 36 4.7
New York Division 1 9.2 92 12.1 653 72.0 812 54.5 253 10.2
Newark Division 2 145.2 3 3.8 134 72.5 109 53.7 41 7.6
North Port–Sarasota-Bradenton, FL 0 0.0 1 16.8 12 61.1 53 18 43.8 20 16 5.8 83
Ogden-Clearfield, UT 1 76.8 1 24.8 0 0.0 4 12.0 7 3.3
Oklahoma City, OK 7 33.1 2 10.8 34 60.2 56 20 28.5 52 46 12.4 35
Omaha-Council Bluffs, NE-IA 0 0.0 2 17.5 16 58.9 59 9 24.5 15 5.1 85
Orlando-Kissimmee-Sanford, FL 2 80.7 11 23.8 168 107.7 8 221 69.1 3 140 27.4 2
Oxnard-Thousand Oaks-Ventura, CA 0 0.0 1 4.0 4 56.1 26 18.2 60 15 9.0 60
Palm Bay-Melbourne-Titusville, FL 0 0.0 2 34.1 12 51.7 70 4 15.9 30 15.5 22
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD 1 25.4 14 9.3 9 308 65.4 48 113 50.4 12 154 9.7 54
Camden Division 0 0.0 0 0.0 37 47.1 19 35.0 28 8.2
Montgomery Division 0 0.0 3 6.0 18 33.2 15 32.6 43 6.6
Philadelphia Division 1 65.2 10 16.1 223 80.0 72 74.0 70 17.8
Wilmington Division 0 0.0 1 7.1 30 50.7 7 26.3 13 6.8
Phoenix-Mesa-Scottsdale, AZ 12 33.0 1 9 11.4 81 75.7 33 220 37.9 32 164 14.2 30
Pittsburgh, PA 0 0.0 6 24.1 48 64.8 49 6 35.3 37 4.4 90
Portland-South Portland, ME 0 0.0 1 27.8 2 45.2 2 47.8 2 1.0
Portland-Vancouver-Hillsboro, OR-WA 1 13.7 2 2.8 12 37.7 78 47 40.0 27 89 11.6 40
Providence-Warwick, RI-MA 0 0.0 4 20.0 19 51.8 69 20 24.4 58 52 10.0 52
Provo-Orem, UT 0 0.0 1 23.8 0 0.0 5 18.3 5 2.5
Raleigh, NC 0 0.0 3 9.0 64 63.3 50 11 20.5 25 7.2 76
Richmond, VA 0 0.0 4 18.9 110 74.1 35 18 54.9 8 40 12.7 33
Riverside-San Bernardino-Ontario, CA 1 11.9 13 10.4 7 60 44.7 74 245 26.5 56 136 21.3 5
Rochester, NY 0 0.0 0 0.0 18 40.4 77 13 42.7 22 17 4.9 87
Sacramento–Roseville–Arden-Arcade, CA 2 38.9 10 7.8 31 46.6 72 54 27.5 55 54 10.5 47
St. Louis, MO-IL 0 0.0 1 3.3 126 68.1 44 9 26.3 67 7.8 68
Salt Lake City, UT 0 0.0 4 18.6 3 32.0 14 16.7 61 46 12.9 32
San Antonio-New Braunfels, TX 0 0.0 3 11.9 41 58.8 61 195 36.1 35 57 15.8 21
San Diego-Carlsbad, CA 1 15.6 20 12.4 3 40 54.3 68 143 32.5 46 117 17.1 13
San Francisco-Oakland-Hayward, Cad 3 62.7 61 11.7 4 122 85.6 21 217 52.3 10 139 16.6 17
Oakland Division 1 32.7 26 8.9 81 73.9 101 38.3 53 11.9
San Francisco Division 2 141.4 35 15.7 39 134.4 111 82.7 77 24.6
San Jose-Sunnyvale-Santa Clara, CA 1 56.4 24 7.8 12 8 37.6 82 39.2 29 32 11.3 43
San Juan-Carolina-Caguas, PRe
Scranton–Wilkes-Barre–Hazelton, PA 0 0.0 0 0.0 5 54.3 4 18.6 16 8.2 66
Seattle-Tacoma-Bellevue, WA 1 7.5 16 6.8 15 57 55.7 65 60 38.7 30 126 11.7 39
Seattle Division 1 10.9 16 7.5 45 60.5 56 47.6 106 12.9
Tacoma Division 0 0.0 0 0.0 12 42.9 4 10.7 20 8.0
Spokane-Spokane Valley, WA 0 0.0 1 21.1 2 41.3 3 23.9 14 6.9 77
Springfield, MA 0 0.0 3 36.6 13 77.8 28 22 46.0 15 11 6.1
Stockton-Lodi, CA 0 0.0 2 4.3 10 46.1 20 16.6 62 16 16.0 19
Syracuse, NY 0 0.0 0 0.0 11 56.7 6 58.2 8 3.6
Tampa-St. Petersburg-Clearwater, FL 1 30.5 9 20.3 170 121.9 3 104 41.7 23 166 19.8 7
Toledo, OH 0 0.0 0 0.0 27 82.8 23 4 25.6 15 8.0 67
Tucson, AZ 3 31.2 2 15.3 12 72.1 40 48 32.2 47 36 15.2 25
Tulsa, OK 3 9.5 1 10.2 8 26.2 10 26.8 23 8.6 62
Virginia Beach-Norfolk-Newport News, VA-NC 0 0.0 3 10.9 125 62.2 52 16 33.1 44 42 10.2 48
Washington-Arlington-Alexandria, DC-VA-MD-WV 2 36.0 20 7.6 13 448 73.8 38 125 32.0 48 100 8.3 65
Silver Spring Division 1 108.6 8 11.6 43 51.9 27 30.1 16 5.9
Washington Division 1 21.5 12 6.2 405 77.3 98 32.5 84 9.0
Wichita, KS 0 0.0 4 41.8 13 69.5 42 6 19.1 18 9.4 56
Winston-Salem, NC 0 0.0 1 22.2 30 67.5 46 15 60.5 6 22 11.5 41
Worcester, MA-CT 0 0.0 1 5.5 10 57.8 11 25.6 14 4.5 89
Youngstown-Warren-Boardman, OH-PA 0 0.0 0 0.0 13 58.3 62 3 34.6 14 7.4 73
Subtotal for MSAs (population ≥ 500,000) 80 21.4 680 10.1 9,642 81.1 7,591 41.1 6,013 11.7
Metropolitan areas (population of 50,000 – 499,999) 32 15.8 61 9.4 1,506 62.5 735 23.3 1,280 7.4
Nonmetropolitan areas 44 11.3 23 12.1 707 44.2 268 16.4 755 4.9
Totalf 156 16.2 767 10.1 11,897 74.9 8,622 37.0 8,066 9.6

Abbreviation: MSA, metropolitan statistical area.
Note. Because of the lack of U.S. census information for all U.S. dependent areas, table includes data for only the United States. Data are based on residence at time of diagnosis of HIV infection.
MSA definitions for this report can be found at https://www.census.gov/programs-surveys/metro-micro.htmlexternal icon
Numbers less than 12, and rates based on these numbers, should be interpreted with caution.
Data for Native Hawaiians/other Pacific Islanders are not presented due to small population denominators (i.e., less than 100).
aHispanics/Latinos can be of any race.
bRates are per 100,000 population.
cBased on rate. Ranks were not assigned to MSAs with rates that were based on reported numbers less than 12.
dCounts 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.
eData are not presented for San Juan-Carolina-Caguas, PR. The 2018 postcensal estimates do not include population denominators by race/ethnicity for Puerto Rico, thereby preventing assessment of the suppression rule for population denominators (i.e., cells suppressed when population denominator <100).
fIncludes persons whose county of residence is unknown.

Table 4b. Adult and adolescent males living with diagnosed HIV infection (prevalence), by race/ethnicity and metropolitan statistical area of residence, year-end 2018—United States
American Indian/Alaska Native Asiana Black/African American Hispanic/Latinob White
MSA of residence No. Ratec No. Ratec No. Ratec No. Ratec No. Ratec
Akron, OH 0 0.0 5 50.2 335  1,041.93 37 640.4 418 175.7
Albany-Schenectady-Troy, NY 0 0.0 8 49.7 379  1,357.67 277 1535.9 570 189.7
Albuquerque, NM 66 348.7 9 118.5 104  1,017.31 794 447.1 590 375.6
Allentown-Bethlehem-Easton, PA-NJ 0 0.0 9 85.4 127 697.09 281 501.0 295 113.0
Atlanta-Sandy Springs-Roswell, GA 14 300.9 163 109.5 19,064  2,535.65 2,397 982.9 5,711 488.7
Augusta-Richmond County, GA-SC 0 0.0 9 196.6 1,107  1,373.37 72 523.6 347 249.8
Austin-Round Rock, TX 1 36.9 67 119.8 887  1,383.35 1,968 705.5 2,216 455.8
Bakersfield, CA 2 85.4 13 74.7 189 900.44 783 416.3 404 312.8
Baltimore-Columbia-Towson, MD 7 243.4 71 108.6 7,064  2,306.70 528 828.4 1,540 230.7
Baton Rouge, LA 5 553.5 7 94.0 2,588  2,287.21 79 576.5 587 298.5
Birmingham-Hoover, AL 3 232.2 5 72.4 1,887  1,519.64 110 570.7 1,003 333.3
Boise City, ID 2 106.9 2 35.5 7 209.04 38 99.9 133 54.7
Boston-Cambridge-Newton, MA-NHd 12 391.4 297 177.8 2,587  1,700.23 2,469 1125.5 4,646 319.9
Boston Division 6 401.0 158 238.9 1,765  1,675.29 1,392 1429.9 2,540 456.0
Cambridge Division 6 483.6 137 142.2 806  1,798.77 1,061 909.2 1,902 263.3
Bridgeport-Stamford-Norwalk, CT 0 0.0 22 104.7 504  1,279.80 627 836.2 531 216.6
Buffalo-Cheektowaga-Niagara Falls, NY 0 0.0 23 161.8 594  1,181.27 322 1513.5 608 164.1
Cape Coral-Fort Myers, FL 1 136.1 8 169.5 426  1,824.49 330 500.8 714 319.6
Charleston-North Charleston, SC 1 78.3 5 80.1 1,136  1,500.98 135 770.0 589 274.5
Charlotte-Concord-Gastonia, NC-SC 10 271.2 34 81.9 3,674  1,711.50 582 593.1 1,627 249.3
Chattanooga, TN-GA 1 153.5 4 107.5 315  1,105.92 64 636.1 484 265.0
Chicago-Naperville-Elgin, IL-IN-WI 23 464.5 340 126.3 10,208  1,756.93 5,502 655.1 6,098 286.6
Chicago Division 23 670.4 316 136.6 9,489  1,896.96 5,012 765.7 5,433 353.4
Elgin Division 0 0.0 12 118.3 70 496.80 130 182.3 119 73.2
Gary Division 0 0.0 3 71.0 445  1,025.25 121 268.4 321 170.8
Lake County Division 0 0.0 9 38.2 204 875.64 239 346.9 225 94.0
Cincinnati, OH-KY-IN 2 139.4 21 86.3 1,504  1,471.66 163 620.8 1,590 220.8
Cleveland-Elyria, OH 0 0.0 18 86.5 2,171  1,452.65 489 1029.5 1,414 233.4
Colorado Springs, CO 4 198.0 8 105.9 111 557.68 146 306.7 460 207.9
Columbia, SC 0 0.0 6 76.0 2,220  2,102.44 153 811.3 622 313.8
Columbus, OH 6 340.9 32 80.9 1,596  1,262.31 264 780.4 2,396 376.7
Dallas-Fort Worth-Arlington, TX 9 77.5 288 133.0 7,999  1,802.93 5,924 710.6 7,233 499.9
Dallas Division 8 110.3 212 125.9 6,268  2,017.73 4,729 822.3 5,710 630.8
Fort Worth Division 1 22.9 76 157.9 1,731  1,301.30 1,195 462.2 1,523 281.2
Dayton, OH 0 0.0 10 131.4 555  1,171.90 53 598.5 629 245.9
Deltona-Daytona Beach-Ormond Beach, FL 2 241.7 7 131.5 452  1,691.34 215 588.2 665 322.4
Denver-Aurora-Lakewood, CO 36 602.1 73 145.6 1,063  1,544.50 1,967 742.8 4,960 610.9
Des Moines-West Des Moines, IA 0 0.0 19 162.0 106 763.69 75 415.6 459 214.7
Detroit-Warren-Dearborn, MI 6 111.6 53 63.1 5,088  1,444.12 398 534.7 2,121 174.3
Detroit Division 5 205.7 22 88.1 3,911  1,581.44 224 565.7 841 230.1
Warren Division 1 34.0 31 52.5 1,177  1,120.75 174 499.5 1,280 150.3
Durham-Chapel Hill, NC 3 394.9 14 111.8 929  1,616.61 195 780.5 383 289.4
El Paso, TX 0 0.0 5 137.5 70 535.95 1,742 656.4 113 240.2
Fayetteville-Springdale-Rogers, AR-MO 2 67.1 10 136.4 48 827.42 86 254.3 362 219.3
Fresno, CA 8 334.1 55 135.5 200  1,076.79 929 462.9 431 353.0
Grand Rapids-Wyoming, MI 3 196.5 15 126.7 235 850.24 148 385.4 487 139.4
Greensboro-High Point, NC 2 145.3 16 135.8 1,283  1,652.02 130 541.6 478 256.1
Greenville-Anderson-Mauldin, SC 2 243.4 6 80.9 838  1,486.49 148 612.8 561 205.3
Harrisburg-Carlisle, PA 0 0.0 4 39.2 181 772.72 92 659.6 276 149.1
Hartford-West Hartford-East Hartford, CT 1 124.5 29 110.0 710  1,342.51 891 1276.5 756 217.9
Honolulu (Urban), HI 2 231.9 263 155.6 80 603.10 159 441.3 559 638.3
Houston-The Woodlands-Sugar Land, TX 9 136.8 319 141.7 9,240  2,050.80 7,505 736.7 4,918 466.9
Indianapolis-Carmel-Anderson, IN 3 178.5 100 367.4 1,813  1,554.87 421 817.2 2,005 330.5
Jackson, MS 1 288.1 1 36.7 1,746  1,634.87 77 1166.2 295 268.4
Jacksonville, FL 3 137.3 36 146.6 2,699  2,236.42 357 640.5 1,427 351.0
Kansas City, MO-KS 5 135.2 37 145.4 1,256  1,254.03 478 647.5 2,032 316.8
Knoxville, TN 0 0.0 6 104.5 184 908.04 60 458.8 587 183.2
Lakeland-Winter Haven, FL 4 473.3 6 117.4 651  1,631.33 364 556.1 563 321.8
Lancaster, PA 0 0.0 4 81.4 46 562.96 124 570.2 181 99.8
Las Vegas-Henderson-Paradise, NV 25 598.5 260 301.0 1,713  1,678.27 2,133 787.5 2,783 654.2
Lexington-Fayette, KY 0 0.0 4 61.7 225 991.61 116 889.7 553 335.1
Little Rock-North Little Rock-Conway, AR 1 80.7 5 101.4 899  1,422.82 118 770.6 728 354.0
Los Angeles-Long Beach-Anaheim, CA 55 501.9 1,964 223.8 8,035  2,301.76 23,181 973.2 14,530 827.8
Anaheim Division 7 254.0 443 164.1 268  1,129.84 2,951 692.6 2,232 396.7
Los Angeles Division 48 585.2 1,521 250.3 7,767  2,387.20 20,230 1034.3 12,298 1031.2
Louisville/Jefferson County, KY-IN 1 88.1 20 179.5 1,066  1,506.83 210 828.1 1,535 373.9
Madison, WI 0 0.0 10 67.5 110 910.85 63 425.6 296 127.6
McAllen-Edinburg-Mission, TX 1 513.9 0 0.0 27  1,387.84 1,108 381.2 49 206.9
Memphis, TN-MS-AR 1 97.0 9 79.6 3,923  1,685.26 166 584.3 656 268.3
Miami-Fort Lauderdale-West Palm Beach, FL 15 416.4 202 317.0 13,893  2,895.08 14,915 1285.9 9,223 1122.7
Fort Lauderdale Division 8 510.3 106 362.6 5,094  2,463.90 3,231 1357.4 5,534 1764.9
Miami Division 4 412.2 67 379.8 6,263  3,739.36 10,739 1367.9 2,273 1448.3
West Palm Beach Division 3 282.0 29 172.2 2,536  2,400.40 945 690.9 1,416 403.4
Milwaukee-Waukesha-West Allis, WI 4 150.6 20 81.5 915  1,010.30 290 450.4 594 133.4
Minneapolis-St. Paul-Bloomington, MN-WI 47 568.5 111 115.3 1,559  1,323.70 627 762.7 2,866 248.9
Modesto, CA 1 82.6 20 167.4 52 833.93 288 294.6 257 273.1
Nashville-Davidson-Murfreesboro-Franklin, TN 1 42.6 27 124.0 1,728  1,537.52 310 571.0 1,826 316.1
New Haven-Milford, CT 1 159.8 16 110.0 715  1,682.44 678 1131.3 631 275.1
New Orleans-Metairie, LA 5 245.5 35 232.9 3,429  2,088.93 442 959.0 1,889 687.2
New York-Newark-Jersey City, NY-NJ-PAd 43 300.1 1,825 197.5 33,489  2,762.77 36,317 1889.2 19,074 487.1
Nassau County Division 0 0.0 48 59.3 822 779.75 1,401 675.2 1,349 175.9
New York Division 39 357.7 1,719 226.4 27,955  3,082.90 32,403 2174.6 16,357 659.1
Newark Division 4 290.4 50 63.8 4,533  2,452.90 2,225 1096.0 1,164 214.5
North Port–Sarasota-Bradenton, FL 1 148.0 7 117.5 333  1,694.91 237 577.0 830 301.3
Ogden-Clearfield, UT 8 614.7 6 148.6 16 422.86 78 234.4 221 102.7
Oklahoma City, OK 77 364.2 23 124.0 570  1,009.57 271 386.5 1,255 337.0
Omaha-Council Bluffs, NE-IA 4 246.0 6 52.6 69 254.09 58 157.9 167 56.8
Orlando-Kissimmee-Sanford, FL 9 363.0 73 158.2 2,973  1,906.62 2,693 842.3 3,100 605.9
Oxnard-Thousand Oaks-Ventura, CA 0 0.0 24 96.5 38 533.22 459 321.0 359 214.7
Palm Bay-Melbourne-Titusville, FL 1 115.9 9 153.4 312  1,343.91 123 490.3 599 310.3
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD 22 558.8 167 110.6 9,599  2,038.44 2,873 1281.4 3,985 251.7
Camden Division 0 0.0 21 85.4 812  1,033.28 490 903.0 618 180.5
Montgomery Division 3 333.5 10 19.9 278 512.00 168 365.5 573 87.3
Philadelphia Division 19 1239.6 133 213.6 7,634  2,737.33 2,038 2093.5 2,369 603.1
Wilmington Division 0 0.0 3 21.4 875  1,479.73 177 664.6 425 222.2
Phoenix-Mesa-Scottsdale, AZ 248 682.9 133 168.0 1,265  1,182.40 3,430 591.6 5,118 444.1
Pittsburgh, PA 0 0.0 18 72.4 777  1,048.20 136 800.2 1,276 151.3
Portland-South Portland, ME 0 0.0 2 55.6 91  2,056.24 49 1171.2 496 238.1
Portland-Vancouver-Hillsboro, OR-WA 31 423.7 106 150.6 321  1,007.63 741 630.8 3,509 456.1
Providence-Warwick, RI-MA 5 206.0 24 120.1 318 866.97 446 544.2 1,019 195.7
Provo-Orem, UT 0 0.0 4 95.4 9 522.20 63 230.0 106 53.1
Raleigh, NC 4 227.9 25 74.8 1,514  1,498.25 326 607.3 858 246.9
Richmond, VA 1 49.2 20 94.4 1,469 989.54 186 567.7 687 218.7
Riverside-San Bernardino-Ontario, CA 33 392.7 201 160.3 1,236 920.60 3,945 427.1 6,200 973.1
Rochester, NY 0 0.0 6 49.7 651  1,462.57 408 1340.9 702 202.3
Sacramento–Roseville–Arden-Arcade, CA 20 389.0 145 113.5 769  1,156.13 961 489.5 2,212 429.7
St. Louis, MO-IL 1 39.8 31 102.2 2,967  1,602.61 248 725.8 2,282 264.1
Salt Lake City, UT 12 377.5 37 171.8 102  1,086.70 392 468.9 1,080 302.9
San Antonio-New Braunfels, TX 3 107.8 38 150.3 685 981.56 3,749 693.9 1,190 329.5
San Diego-Carlsbad, CA 32 498.2 349 215.6 1,289  1,749.66 4,432 1007.9 5,308 773.9
San Francisco-Oakland-Hayward, CAd 53 1108.4 1,396 267.8 3,737  2,622.75 4,923 1187.1 9,831 1172.4
Oakland Division 17 555.6 453 155.0 2,243  2,045.62 1,685 638.9 2,514 562.9
San Francisco Division 35 2474.2 928 416.0 1,374  4,734.05 3,059 2279.8 6,946 2222.5
San Jose-Sunnyvale-Santa Clara, CA 4 225.7 342 110.7 228  1,070.42 1,281 612.3 939 330.1
San Juan-Carolina-Caguas, PRe  –
Scranton–Wilkes-Barre–Hazelton, PA 1 352.3 2 47.8 76 825.75 62 288.9 187 95.6
Seattle-Tacoma-Bellevue, WA 41 307.8 316 134.7 1,184  1,156.72 1,298 836.9 4,604 428.8
Seattle Division 31 337.9 290 136.3 956  1,285.46 1,105 938.5 3,985 483.8
Tacoma Division 10 241.2 26 119.3 228 814.63 193 516.7 619 247.6
Spokane-Spokane Valley, WA 6 151.3 10 210.6 47 969.77 55 438.6 434 212.5
Springfield, MA 0 0.0 18 219.9 254  1,520.31 694 1449.8 446 246.3
Stockton-Lodi, CA 2 144.5 46 99.2 241  1,111.08 401 332.9 311 310.7
Syracuse, NY 2 118.7 11 149.9 238  1,227.01 146 1416.3 413 184.4
Tampa-St. Petersburg-Clearwater, FL 2 60.9 87 196.5 2,966  2,126.95 1,808 725.6 4,644 553.0
Toledo, OH 0 0.0 3 76.0 324 993.23 52 332.9 363 194.3
Tucson, AZ 46 477.7 20 153.0 192  1,153.79 778 522.5 1,123 475.4
Tulsa, OK 83 262.1 24 244.2 304 995.70 163 436.7 876 327.6
Virginia Beach-Norfolk-Newport News, VA-NC 4 149.1 31 112.8 2,802  1,393.67 226 467.9 1,109 269.7
Washington-Arlington-Alexandria, DC-VA-MD-WV 17 305.6 309 118.0 12,672  2,087.10 2,847 727.8 4,679 390.4
Silver Spring Division 1 108.6 62 90.0 1,139  1,374.04 492 548.0 597 220.9
Washington Division 16 344.7 247 128.0 11,533  2,199.85 2,355 781.4 4,082 439.7
Wichita, KS 2 93.5 17 177.5 176 941.17 119 378.1 399 208.4
Winston-Salem, NC 2 233.3 3 66.6 728  1,637.11 172 693.4 413 216.0
Worcester, MA-CT 2 233.9 28 153.8 257  1,484.39 435 1011.2 616 197.4
Youngstown-Warren-Boardman, OH-PA 0 0.0 1 65.9 217 973.28 75 863.8 261 137.9
Subtotal for MSAs (population ≥ 500,000) 1,241 331.8 11,208 166.6 224,050  1,885.17 163,949 886.9 199,771 387.8
Metropolitan areas (population of 50,000 – 499,999) 412 203.2 716 110.9 27,554  1,144.13 12,644 400.2 33,168 192.5
Nonmetropolitan areas 587 150.8 167 87.6 15,572 972.58 6,230 382.2 18,695 122.2
Totalf 2,328 241.0 12,429 164.3 280,088  1,762.20 187,284 804.7 264,023 314.1

Abbreviation: MSA, metropolitan statistical area; CDC, Centers for Disease Control and Prevention [footnotes only].
Note. Because of the lack of U.S. census information for all U.S. dependent areas, table includes data for only the United States. Data are based on address of residence at the end of the specified year (i.e., most recent known address). Data exclude 526 persons whose race/ethnicity is unknown. Data for the year 2018 are considered preliminary and are based on death data reported to CDC through December 2019.
MSA definitions for this report can be found at https://www.census.gov/programs-surveys/metro-micro.htmlexternal icon
Numbers less than 12, and rates based on these numbers, should be interpreted with caution.
Data for Native Hawaiians/other Pacific Islanders are not presented due to small population denominators (i.e., less than 100).
aIncludes Asian/Pacific Islander legacy cases.
bHispanics/Latinos can be of any race.
cRates are per 100,000 population.
dCounts of persons living with diagnosed HIV infection in the metropolitan divisions do not sum to the MSA total. MSA total includes data from 1 metropolitan division with population of <500,000.
eData are not presented for San Juan-Carolina-Caguas, PR. The 2018 postcensal estimates do not include population denominators by race/ethnicity for Puerto Rico, thereby preventing assessment of the suppression rule for population denominators (i.e., cells suppressed when population denominator <100).
fIncludes persons whose county of residence is unknown.

Table 5a. Diagnoses of HIV infection among adult and adolescent females, by race/ethnicity and metropolitan statistical area of residence, 2018—United States
American Indian/Alaska Native Asian Black/African American Hispanic/Latinoa White
MSA of residence No. Rateb Rankc No. Rateb Rankc No. Rateb Rankc No. Rateb Rankc No. Rateb Rankc
Akron, OH 0 0.0 0 0.0 2 5.2 0 0.0 3 1.2
Albany-Schenectady-Troy, NY 0 0.0 0 0.0 6 19.9 5 27.6 4 1.3
Albuquerque, NM 0 0.0 0 0.0 1 13.1 6 3.2 1 0.6
Allentown-Bethlehem-Easton, PA-NJ 0 0.0 0 0.0 10 56.5 3 5.3 1 0.4
Atlanta-Sandy Springs-Roswell, GA 0 0.0 3 1.9 238 26.0 15 23 10.1 4 31 2.5 11
Augusta-Richmond County, GA-SC 0 0.0 0 0.0 24 25.5 16 0 0.0 5 3.5
Austin-Round Rock, TX 0 0.0 1 1.7 8 12.3 15 5.5 10 12 2.4 12
Bakersfield, CA 0 0.0 0 0.0 4 24.1 9 5.2 3 2.3
Baltimore-Columbia-Towson, MD 0 0.0 0 0.0 86 23.0 19 7 11.8 14 2.0 21
Baton Rouge, LA 0 0.0 0 0.0 61 47.7 3 0 0.0 9 4.4
Birmingham-Hoover, AL 0 0.0 0 0.0 19 12.6 43 0 0.0 4 1.2
Boise City, ID 0 0.0 0 0.0 0 0.0 0 0.0 3 1.2
Boston-Cambridge-Newton, MA-NHd 0 0.0 5 2.7 70 41.6 4 34 15.4 1 33 2.1 20
Boston Division 0 0.0 1 1.3 40 33.3 17 17.4 12 2.0
Cambridge Division 0 0.0 4 3.9 30 64.3 17 14.3 20 2.6
Bridgeport-Stamford-Norwalk, CT 0 0.0 0 0.0 7 14.7 4 5.4 0 0.0
Buffalo-Cheektowaga-Niagara Falls, NY 0 0.0 1 6.5 4 6.7 2 8.8 6 1.5
Cape Coral-Fort Myers, FL 0 0.0 0 0.0 8 31.6 5 7.7 6 2.5
Charleston-North Charleston, SC 0 0.0 0 0.0 14 15.6 36 3 19.5 8 3.6
Charlotte-Concord-Gastonia, NC-SC 0 0.0 0 0.0 40 15.3 38 1 1.0 10 1.4
Chattanooga, TN-GA 0 0.0 0 0.0 7 20.4 0 0.0 1 0.5
Chicago-Naperville-Elgin, IL-IN-WI 0 0.0 3 1.0 158 22.2 23 22 2.7 17 14 0.6 30
Chicago Division 0 0.0 3 1.2 147 23.9 16 2.5 9 0.6
Elgin Division 0 0.0 0 0.0 2 13.1 1 1.5 1 0.6
Gary Division 0 0.0 0 0.0 6 11.0 2 4.5 2 1.0
Lake County Division 0 0.0 0 0.0 3 12.1 3 4.6 2 0.8
Cincinnati, OH-KY-IN 0 0.0 0 0.0 23 19.7 29 2 8.2 35 4.6 3
Cleveland-Elyria, OH 0 0.0 0 0.0 14 7.6 47 1 2.1 7 1.1
Colorado Springs, CO 0 0.0 0 0.0 2 12.6 1 2.1 1 0.5
Columbia, SC 0 0.0 0 0.0 29 23.0 20 1 6.3 4 1.9
Columbus, OH 0 0.0 0 0.0 29 21.2 27 2 6.5 19 2.9 10
Dallas-Fort Worth-Arlington, TX 0 0.0 3 1.3 124 23.7 18 48 5.9 9 36 2.4 15
Dallas Division 0 0.0 0 0.0 100 27.0 33 6.0 21 2.2
Fort Worth Division 0 0.0 3 5.6 24 15.7 15 5.9 15 2.6
Dayton, OH 0 0.0 0 0.0 3 5.4 0 0.0 3 1.1
Deltona-Daytona Beach-Ormond Beach, FL 0 0.0 0 0.0 10 33.8 2 5.3 6 2.7
Denver-Aurora-Lakewood, CO 0 0.0 0 0.0 9 14.0 7 2.7 7 0.9
Des Moines-West Des Moines, IA 0 0.0 0 0.0 6 45.8 1 6.0 3 1.3
Detroit-Warren-Dearborn, MI 0 0.0 1 1.2 65 15.0 40 3 4.1 16 1.3 27
Detroit Division 0 0.0 0 0.0 49 16.3 3 7.7 5 1.3
Warren Division 0 0.0 1 1.7 16 12.1 0 0.0 11 1.2
Durham-Chapel Hill, NC 0 0.0 1 7.1 15 21.3 25 0 0.0 2 1.4
El Paso, TX 0 0.0 0 0.0 0 0.0 7 2.4 1 2.7
Fayetteville-Springdale-Rogers, AR-MO 0 0.0 0 0.0 2 41.2 1 3.1 2 1.2
Fresno, CA 0 0.0 0 0.0 0 0.0 8 4.0 0 0.0
Grand Rapids-Wyoming, MI 0 0.0 0 0.0 2 7.4 2 5.5 3 0.8
Greensboro-High Point, NC 0 0.0 0 0.0 18 18.9 31 2 8.9 3 1.5
Greenville-Anderson-Mauldin, SC 0 0.0 0 0.0 7 10.6 0 0.0 9 3.1
Harrisburg-Carlisle, PA 0 0.0 0 0.0 3 12.7 1 7.2 1 0.5
Hartford-West Hartford-East Hartford, CT 0 0.0 0 0.0 10 17.6 5 6.8 8 2.2
Honolulu (Urban), HI 0 0.0 0 0.0 0 0.0 0 0.0 2 3.0
Houston-The Woodlands-Sugar Land, TX 0 0.0 7 2.9 175 33.6 9 85 8.6 6 26 2.4 13
Indianapolis-Carmel-Anderson, IN 0 0.0 0 0.0 37 27.4 13 3 6.3 15 2.3 16
Jackson, MS 0 0.0 1 31.5 19 15.2 39 0 0.0 4 3.4
Jacksonville, FL 0 0.0 0 0.0 49 34.6 7 3 5.4 23 5.4 1
Kansas City, MO-KS 0 0.0 0 0.0 25 22.2 24 4 5.7 16 2.4 14
Knoxville, TN 1 91.5 0 0.0 8 37.0 1 8.5 5 1.5
Lakeland-Winter Haven, FL 0 0.0 0 0.0 15 34.4 8 3 4.7 8 4.3
Lancaster, PA 0 0.0 0 0.0 2 27.1 0 0.0 1 0.5
Las Vegas-Henderson-Paradise, NV 0 0.0 2 1.8 33 30.3 10 5 1.9 18 4.4 4
Lexington-Fayette, KY 0 0.0 0 0.0 6 24.8 0 0.0 6 3.4
Little Rock-North Little Rock-Conway, AR 0 0.0 0 0.0 13 16.7 35 0 0.0 5 2.3
Los Angeles-Long Beach-Anaheim, CA 1 8.7 8 0.8 71 18.1 32 87 3.6 16 40 2.3 17
Anaheim Division 0 0.0 1 0.3 4 18.6 14 3.3 7 1.2
Los Angeles Division 1 11.6 7 1.0 67 18.0 73 3.7 33 2.8
Louisville/Jefferson County, KY-IN 0 0.0 0 0.0 14 17.1 33 1 4.5 13 3.0 7
Madison, WI 0 0.0 0 0.0 1 9.1 0 0.0 0 0.0
McAllen-Edinburg-Mission, TX 0 0.0 0 0.0 0 0.0 15 4.8 12 0 0.0
Memphis, TN-MS-AR 0 0.0 0 0.0 60 21.3 26 3 12.6 5 1.9
Miami-Fort Lauderdale-West Palm Beach, FL 0 0.0 3 4.1 280 51.1 2 95 7.6 8 40 4.8 2
Fort Lauderdale Division 0 0.0 2 5.9 99 40.8 14 5.5 15 4.8
Miami Division 0 0.0 1 4.9 116 62.0 71 8.3 11 7.4
West Palm Beach Division 0 0.0 0 0.0 65 54.8 10 7.3 14 3.7
Milwaukee-Waukesha-West Allis, WI 0 0.0 0 0.0 12 10.9 46 1 1.6 3 0.6
Minneapolis-St. Paul-Bloomington, MN-WI 0 0.0 0 0.0 34 29.1 11 3 3.9 16 1.3 26
Modesto, CA 0 0.0 3 22.6 1 17.3 5 5.2 2 2.0
Nashville-Davidson-Murfreesboro-Franklin, TN 0 0.0 2 8.2 22 17.0 34 3 6.3 7 1.1
New Haven-Milford, CT 0 0.0 0 0.0 14 28.4 12 3 4.7 5 2.0
New Orleans-Metairie, LA 0 0.0 0 0.0 45 22.5 22 11 26.5 12 4.1 5
New York-Newark-Jersey City, NY-NJ-PAd 0 0.0 18 1.8 1 363 24.8 17 175 8.7 5 45 1.1 28
Nassau County Division 0 0.0 0 0.0 23 18.9 10 5.0 5 0.6
New York Division 0 0.0 18 2.1 253 22.8 147 9.2 32 1.2
Newark Division 0 0.0 0 0.0 82 37.5 18 9.0 8 1.4
North Port–Sarasota-Bradenton, FL 0 0.0 1 12.7 9 40.0 1 2.4 7 2.3
Ogden-Clearfield, UT 0 0.0 0 0.0 1 39.7 0 0.0 1 0.5
Oklahoma City, OK 0 0.0 1 4.6 5 8.2 4 6.2 3 0.8
Omaha-Council Bluffs, NE-IA 0 0.0 0 0.0 2 7.0 1 2.9 4 1.3
Orlando-Kissimmee-Sanford, FL 0 0.0 1 1.8 67 38.6 5 43 12.7 3 16 3.0 6
Oxnard-Thousand Oaks-Ventura, CA 0 0.0 0 0.0 0 0.0 2 1.4 3 1.7
Palm Bay-Melbourne-Titusville, FL 0 0.0 0 0.0 4 15.4 2 7.5 9 4.5
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD 0 0.0 1 0.6 116 20.6 28 31 14.1 2 28 1.7 25
Camden Division 0 0.0 0 0.0 12 13.6 0 0.0 2 0.5
Montgomery Division 0 0.0 1 1.8 9 15.8 4 9.6 7 1.0
Philadelphia Division 0 0.0 0 0.0 80 22.9 24 24.0 18 4.3
Wilmington Division 0 0.0 0 0.0 15 22.0 3 12.1 1 0.5
Phoenix-Mesa-Scottsdale, AZ 5 12.9 3 3.3 20 19.1 30 22 3.8 15 27 2.3 18
Pittsburgh, PA 0 0.0 1 4.0 5 5.9 0 0.0 9 1.0
Portland-South Portland, ME 0 0.0 0 0.0 1 26.4 0 0.0 3 1.3
Portland-Vancouver-Hillsboro, OR-WA 0 0.0 0 0.0 0 0.0 3 2.7 15 1.9 22
Providence-Warwick, RI-MA 0 0.0 0 0.0 9 24.6 6 7.3 4 0.7
Provo-Orem, UT 0 0.0 0 0.0 0 0.0 0 0.0 1 0.5
Raleigh, NC 0 0.0 0 0.0 18 14.9 41 1 1.9 4 1.1
Richmond, VA 0 0.0 1 4.3 20 11.3 45 0 0.0 5 1.5
Riverside-San Bernardino-Ontario, CA 0 0.0 1 0.7 16 11.5 44 22 2.4 18 19 3.0 8
Rochester, NY 0 0.0 1 7.4 3 5.9 1 3.2 2 0.5
Sacramento-Roseville-Arden-Arcade, CA 0 0.0 3 2.1 11 15.8 8 4.0 6 1.1
St. Louis, MO-IL 0 0.0 0 0.0 34 14.7 42 0 0.0 8 0.9
Salt Lake City, UT 0 0.0 0 0.0 2 31.9 1 1.2 3 0.8
San Antonio-New Braunfels, TX 0 0.0 0 0.0 11 16.2 25 4.4 13 6 1.6
San Diego-Carlsbad, CA 0 0.0 1 0.5 11 18.3 22 4.9 11 12 1.8 23
San Francisco-Oakland-Hayward, CAd 0 0.0 4 0.7 35 23.0 21 16 3.9 14 15 1.8 24
Oakland Division 0 0.0 1 0.3 23 18.5 8 3.1 9 2.0
San Francisco Division 0 0.0 3 1.1 10 38.2 7 5.4 5 1.8
San Jose-Sunnyvale-Santa Clara, CA 0 0.0 3 0.9 3 16.3 8 3.9 4 1.5
San Juan-Carolina-Caguas, PRe
Scranton–Wilkes-Barre–Hazelton, PA 0 0.0 0 0.0 3 48.8 4 19.3 3 1.4
Seattle-Tacoma-Bellevue, WA 1 7.1 3 1.1 73 81.0 1 9 6.3 24 2.2 19
Seattle Division 1 10.5 3 1.3 59 88.3 8 7.4 18 2.2
Tacoma Division 0 0.0 0 0.0 14 60.1 1 2.9 6 2.3
Spokane-Spokane Valley, WA 0 0.0 0 0.0 1 31.7 0 0.0 0 0.0
Springfield, MA 0 0.0 2 19.3 6 33.9 3 5.6 4 2.0
Stockton-Lodi, CA 0 0.0 1 2.0 6 27.1 4 3.4 5 4.8
Syracuse, NY 0 0.0 0 0.0 2 9.0 1 9.3 2 0.8
Tampa-St. Petersburg-Clearwater, FL 0 0.0 0 0.0 43 26.8 14 20 7.8 7 26 2.9 9
Toledo, OH 0 0.0 0 0.0 2 5.3 0 0.0 4 2.0
Tucson, AZ 0 0.0 0 0.0 6 46.6 3 1.9 1 0.4
Tulsa, OK 3 8.9 0 0.0 1 2.9 3 8.7 7 2.5
Virginia Beach-Norfolk-Newport News, VA-NC 0 0.0 0 0.0 36 15.5 37 5 11.3 7 1.7
Washington-Arlington-Alexandria, DC-VA-MD-WV 1 17.1 1 0.3 252 35.7 6 9 2.4 13 1.1 29
Silver Spring Division 0 0.0 1 1.2 47 48.8 2 2.3 2 0.7
Washington Division 1 20.8 0 0.0 205 33.6 7 2.5 11 1.2
Wichita, KS 0 0.0 0 0.0 1 5.4 1 3.4 1 0.5
Winston-Salem, NC 0 0.0 0 0.0 8 14.6 1 4.2 10 4.8
Worcester, MA-CT 0 0.0 0 0.0 7 43.9 4 9.2 5 1.5
Youngstown-Warren-Boardman, OH-PA 0 0.0 0 0.0 0 0.0 0 0.0 3 1.5
Subtotal for MSAs (population ≥ 500,000) 12 3.0 91 1.2 3,287 24.0 1,025 5.5 980 1.8
Metropolitan areas (population of 50,000 – 499,999) 5 2.4 6 0.8 536 21.0 110 3.6 311 1.7
Nonmetropolitan areas 13 3.2 6 2.7 254 16.9 49 3.5 196 1.3
Totalf 30 3.0 104 1.2 4,097 23.0 1,189 5.2 1,491 1.7

Abbreviation: MSA, metropolitan statistical area.
Note. Because of the lack of U.S. census information for all U.S. dependent areas, table includes data for only the United States. Data are based on residence at time of diagnosis of HIV infection.
MSA definitions for this report can be found at https://www.census.gov/programs-surveys/metro-micro.htmlexternal icon
Numbers less than 12, and rates based on these numbers, should be interpreted with caution.
Data for Native Hawaiians/other Pacific Islanders are not presented due to small population denominators (i.e., less than 100).
aHispanics/Latinos can be of any race.
bRates are per 100,000 population.
cBased on rate. Ranks were not assigned to MSAs with rates that were based on reported numbers less than 12.
dCounts 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.
eData are not presented for San Juan-Carolina-Caguas, PR. The 2018 postcensal estimates do not include population denominators by race/ethnicity for Puerto Rico, thereby preventing assessment of the suppression rule for population denominators (i.e., cells suppressed when population denominator <100).
fIncludes persons whose county of residence is unknown.

Table 5b. Adult and adolescent females living with diagnosed HIV infection (prevalence), by race/ethnicity and metropolitan statistical area of residence, year-end 2018—United States
American Indian/Alaska Native Asiana Black/African American Hispanic/Latinob White
MSA of residence No. Ratec No. Ratec No. Ratec No. Ratec No. Ratec
Akron, OH 1 182.4 3 30.1 116 302.1 5 84.7 69 27.4
Albany-Schenectady-Troy, NY 0 0.0 6 35.3 262 868.6 149 821.7 177 55.6
Albuquerque, NM 19 87.5 0 0.0 36 470.5 80 42.8 53 32.4
Allentown-Bethlehem-Easton, PA-NJ 1 223.2 1 8.9 98 553.2 200 351.4 93 33.4
Atlanta-Sandy Springs-Roswell, GA 1 19.9 46 28.9 6,029 659.1 504 220.5 599 49.0
Augusta-Richmond County, GA-SC 0 0.0 2 33.2 597 634.5 33 284.2 94 65.4
Austin-Round Rock, TX 0 0.0 10 17.3 425 654.7 243 89.3 187 38.0
Bakersfield, CA 1 40.2 5 26.8 49 295.2 118 68.5 86 67.3
Baltimore-Columbia-Towson, MD 5 160.9 16 22.2 4,213 1,128.3 164 276.9 452 64.1
Baton Rouge, LA 0 0.0 3 40.8 1,665 1,302.8 25 222.4 163 79.9
Birmingham-Hoover, AL 1 72.9 2 24.8 815 541.1 27 163.6 156 48.1
Boise City, ID 1 54.5 0 0.0 11 518.4 7 19.3 25 10.1
Boston-Cambridge-Newton, MA-NHd 5 157.6 79 42.6 2,248 1,336.9 900 406.8 749 47.9
Boston Division 3 183.5 24 31.2 1,348 1,121.7 409 418.8 324 53.8
Cambridge Division 2 162.6 55 53.3 892 1,910.9 485 408.5 393 50.4
Bridgeport-Stamford-Norwalk, CT 2 418.9 8 33.7 458 964.2 313 424.6 120 45.8
Buffalo-Cheektowaga-Niagara Falls, NY 0 0.0 12 78.4 337 565.8 157 690.6 159 40.2
Cape Coral-Fort Myers, FL 0 0.0 0 0.0 375 1,482.3 117 179.7 129 54.1
Charleston-North Charleston, SC 1 76.8 0 0.0 542 604.1 30 195.2 113 50.7
Charlotte-Concord-Gastonia, NC-SC 2 52.3 17 40.0 1,775 678.6 162 168.7 291 42.1
Chattanooga, TN-GA 0 0.0 1 24.4 154 448.1 19 222.8 100 50.8
Chicago-Naperville-Elgin, IL-IN-WI 7 127.2 63 21.1 3,958 557.0 898 111.3 571 25.7
Chicago Division 7 179.7 56 21.9 3,616 586.8 790 125.3 425 26.3
Elgin Division 0 0.0 5 44.8 40 261.3 21 31.1 27 15.9
Gary Division 0 0.0 0 0.0 180 331.2 29 65.1 70 35.6
Lake County Division 0 0.0 2 7.7 122 492.0 58 89.7 49 20.0
Cincinnati, OH-KY-IN 0 0.0 7 26.7 541 464.1 43 175.4 331 43.9
Cleveland-Elyria, OH 2 140.1 3 12.9 684 373.2 183 383.8 206 31.9
Colorado Springs, CO 0 0.0 3 27.8 59 370.6 31 65.7 69 31.7
Columbia, SC 0 0.0 3 36.2 966 766.8 40 251.1 144 69.2
Columbus, OH 1 54.7 9 21.7 723 528.4 61 197.8 324 48.8
Dallas-Fort Worth-Arlington, TX 5 40.7 76 32.9 3,667 700.5 986 121.9 744 49.0
Dallas Division 2 25.7 54 30.5 2,838 766.4 739 133.3 442 46.8
Fort Worth Division 3 66.7 22 40.8 829 541.2 247 97.0 302 52.5
Dayton, OH 1 128.9 1 11.2 226 403.3 2 23.5 98 36.0
Deltona-Daytona Beach-Ormond Beach, FL 2 240.5 2 31.3 287 970.3 79 210.9 180 81.8
Denver-Aurora-Lakewood, CO 14 222.0 21 35.4 469 728.2 228 87.6 340 41.5
Des Moines-West Des Moines, IA 0 0.0 12 101.2 91 694.1 16 96.6 50 22.0
Detroit-Warren-Dearborn, MI 5 86.4 14 16.4 1,730 400.0 93 127.0 277 22.0
Detroit Division 3 112.2 3 11.3 1,325 441.1 69 176.3 125 32.8
Warren Division 2 64.2 11 18.8 405 306.5 24 70.4 152 17.3
Durham-Chapel Hill, NC 0 0.0 8 56.8 469 667.0 48 215.5 46 31.3
El Paso, TX 0 0.0 1 22.3 27 324.4 235 80.0 15 40.0
Fayetteville-Springdale-Rogers, AR-MO 1 32.1 0 0.0 16 329.9 18 56.3 73 42.4
Fresno, CA 3 115.3 14 32.8 83 456.4 151 76.4 58 44.8
Grand Rapids-Wyoming, MI 1 64.2 9 67.1 144 529.7 30 82.3 67 18.4
Greensboro-High Point, NC 6 400.7 8 62.3 630 660.9 34 150.9 110 53.8
Greenville-Anderson-Mauldin, SC 0 0.0 1 12.6 329 499.9 35 157.9 133 45.4
Harrisburg-Carlisle, PA 0 0.0 0 0.0 97 410.6 41 296.4 73 37.1
Hartford-West Hartford-East Hartford, CT 1 125.6 10 37.7 402 705.9 511 694.3 237 64.1
Honolulu (Urban), HI 1 142.6 42 20.8 15 196.1 15 45.2 51 76.7
Houston-The Woodlands-Sugar Land, TX 3 43.9 63 25.8 4,996 958.8 1,565 159.2 685 63.7
Indianapolis-Carmel-Anderson, IN 0 0.0 49 171.9 703 521.2 93 194.4 287 44.6
Jackson, MS 0 0.0 2 63.0 901 720.2 14 315.7 79 66.5
Jacksonville, FL 1 47.3 14 48.8 1,803 1,273.1 108 195.4 385 90.7
Kansas City, MO-KS 0 0.0 10 36.3 494 437.8 77 109.5 195 28.9
Knoxville, TN 1 91.5 1 16.0 90 416.5 13 110.0 114 33.3
Lakeland-Winter Haven, FL 1 116.0 2 31.2 448 1,028.1 160 248.1 182 97.0
Lancaster, PA 0 0.0 2 35.1 59 799.3 78 353.6 46 23.6
Las Vegas-Henderson-Paradise, NV 10 218.6 50 45.3 689 632.6 237 88.3 363 88.8
Lexington-Fayette, KY 1 228.4 1 15.1 103 425.1 23 224.1 58 32.5
Little Rock-North Little Rock-Conway, AR 1 73.5 2 33.0 316 406.9 22 169.7 94 43.0
Los Angeles-Long Beach-Anaheim, CA 7 61.0 229 22.4 1,879 478.2 3,016 124.8 983 56.0
Anaheim Division 0 0.0 57 18.5 108 503.2 407 95.0 223 38.7
Los Angeles Division 7 81.0 172 24.0 1,771 476.8 2,609 131.2 760 64.4
Louisville/Jefferson County, KY-IN 1 95.6 6 49.6 409 500.5 38 170.6 258 59.2
Madison, WI 0 0.0 3 19.9 50 455.9 11 82.1 31 13.0
McAllen-Edinburg-Mission, TX 0 0.0 0 0.0 3 323.8 256 81.7 8 34.9
Memphis, TN-MS-AR 1 82.7 4 30.8 1,891 669.9 47 197.7 139 53.5
Miami-Fort Lauderdale-West Palm Beach, FL 7 187.0 26 35.3 10,796 1,970.2 2,477 198.0 1,040 123.8
Fort Lauderdale Division 5 299.4 13 38.5 4,009 1,654.2 517 202.4 406 131.3
Miami Division 2 192.4 7 34.6 4,611 2,465.5 1,663 193.8 302 203.7
West Palm Beach Division 0 0.0 6 30.5 2,176 1,835.1 297 216.3 332 86.8
Milwaukee-Waukesha-West Allis, WI 2 63.8 9 34.8 285 258.3 73 117.3 68 14.5
Minneapolis-St. Paul-Bloomington, MN-WI 38 418.8 33 32.3 1,205 1,031.0 111 145.4 328 27.5
Modesto, CA 0 0.0 7 52.7 33 570.6 56 58.2 54 53.2
Nashville-Davidson-Murfreesboro-Franklin, TN 1 43.6 12 49.3 674 519.7 65 135.8 273 44.6
New Haven-Milford, CT 1 158.9 6 36.1 504 1,020.8 361 569.8 229 91.7
New Orleans-Metairie, LA 1 47.0 5 31.5 1,640 821.0 130 313.4 241 82.6
New York-Newark-Jersey City, NY-NJ-PAd 11 68.7 321 31.2 21,047 1,435.7 13,595 676.4 2,979 71.6
Nassau County Division 0 0.0 9 10.3 604 496.9 568 285.2 319 38.9
New York Division 11 90.7 292 34.5 17,062 1,534.3 12,086 759.9 2,282 86.5
Newark Division 0 0.0 18 20.7 3,286 1,501.7 884 441.2 320 56.1
North Port–Sarasota-Bradenton, FL 0 0.0 2 25.4 266 1,183.5 75 181.6 176 57.6
Ogden-Clearfield, UT 0 0.0 1 18.1 8 317.2 9 28.8 34 15.8
Oklahoma City, OK 29 128.1 11 50.9 201 329.6 55 85.2 176 45.0
Omaha-Council Bluffs, NE-IA 2 118.6 3 25.1 34 118.5 7 20.5 28 9.1
Orlando-Kissimmee-Sanford, FL 1 38.0 15 27.6 1,784 1,029.0 847 250.7 376 70.4
Oxnard-Thousand Oaks-Ventura, CA 0 0.0 1 3.3 18 303.0 74 52.1 55 31.6
Palm Bay-Melbourne-Titusville, FL 0 0.0 2 26.2 256 987.4 50 188.3 185 91.6
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD 15 341.0 53 31.6 4,984 885.9 1,078 488.9 840 49.7
Camden Division 1 113.5 7 25.2 464 524.6 212 393.7 139 38.1
Montgomery Division 1 107.6 4 7.2 171 300.7 40 95.6 94 13.4
Philadelphia Division 10 518.4 40 57.1 3,777 1,082.1 754 753.2 482 114.4
Wilmington Division 3 455.4 2 14.0 572 838.2 72 291.6 125 61.3
Phoenix-Mesa-Scottsdale, AZ 62 160.6 39 43.4 549 525.5 465 81.3 563 47.1
Pittsburgh, PA 0 0.0 10 39.5 374 440.7 20 125.5 165 18.4
Portland-South Portland, ME 1 137.1 3 62.6 112 2,958.3 15 364.9 66 29.4
Portland-Vancouver-Hillsboro, OR-WA 9 121.7 34 41.1 133 470.8 73 66.4 330 41.2
Providence-Warwick, RI-MA 4 160.9 5 21.7 235 641.3 198 242.3 293 51.6
Provo-Orem, UT 0 0.0 1 20.3 7 632.2 7 26.5 13 6.5
Raleigh, NC 0 0.0 13 37.6 725 600.3 81 155.8 135 37.0
Richmond, VA 1 49.2 4 17.2 604 340.9 56 189.5 120 35.9
Riverside-San Bernardino-Ontario, CA 5 57.7 36 24.6 491 354.4 520 56.2 373 57.9
Rochester, NY 0 0.0 8 59.5 357 701.9 243 777.6 156 42.1
Sacramento–Roseville–Arden-Arcade, CA 1 17.4 39 26.7 345 495.8 133 67.3 274 50.0
St. Louis, MO-IL 0 0.0 7 20.5 1,004 433.9 51 163.3 268 29.4
Salt Lake City, UT 3 89.6 14 60.4 105 1,673.3 65 81.2 118 32.7
San Antonio-New Braunfels, TX 0 0.0 13 42.6 279 411.6 517 90.9 142 38.8
San Diego-Carlsbad, CA 5 85.0 60 31.8 327 545.2 540 119.5 365 56.0
San Francisco-Oakland-Hayward, CAd 9 195.2 153 25.6 1,154 757.2 516 127.0 541 65.9
Oakland Division 3 91.7 70 21.4 836 673.3 232 88.5 257 56.3
San Francisco Division 6 518.9 80 30.7 305 1,164.8 261 202.7 240 86.0
San Jose-Sunnyvale-Santa Clara, CA 2 113.1 56 17.6 118 639.7 147 72.0 88 32.8
San Juan-Carolina-Caguas, PRe  –  –  –
Scranton–Wilkes-Barre–Hazelton, PA 0 0.0 1 21.5 44 715.8 41 197.4 62 29.5
Seattle-Tacoma-Bellevue, WA 24 171.2 59 22.5 711 789.1 155 108.6 391 36.4
Seattle Division 19 199.8 48 20.7 590 883.0 117 108.0 294 35.9
Tacoma Division 5 110.9 11 37.3 121 519.5 38 110.5 97 37.8
Spokane-Spokane Valley, WA 5 119.4 4 65.2 22 696.7 1 8.3 62 29.4
Springfield, MA 0 0.0 8 77.1 137 773.0 458 848.0 113 56.5
Stockton-Lodi, CA 1 70.0 16 31.4 112 506.3 57 48.8 69 66.2
Syracuse, NY 1 51.3 6 71.3 162 732.8 59 551.0 102 42.8
Tampa-St. Petersburg-Clearwater, FL 1 28.7 15 28.5 1,693 1,054.0 536 208.4 712 78.8
Toledo, OH 0 0.0 1 22.5 144 384.8 20 126.5 91 45.8
Tucson, AZ 10 94.3 5 32.2 93 722.5 95 59.9 138 56.1
Tulsa, OK 23 68.5 18 170.7 115 334.3 35 101.9 136 47.8
Virginia Beach-Norfolk-Newport News, VA-NC 2 78.3 8 23.9 1,281 550.2 101 228.2 222 54.1
Washington-Arlington-Alexandria, DC-VA-MD-WV 7 119.4 83 27.3 7,620 1,078.0 604 162.8 532 43.1
Silver Spring Division 2 190.6 20 24.9 1,160 1,203.5 127 143.6 149 51.5
Washington Division 5 103.9 63 28.2 6,460 1,058.2 477 168.9 383 40.6
Wichita, KS 0 0.0 3 27.6 72 389.1 26 87.1 60 30.1
Winston-Salem, NC 1 103.3 1 17.0 443 809.9 36 149.8 109 52.4
Worcester, MA-CT 1 129.6 8 40.3 295 1,849.8 265 606.5 180 55.1
Youngstown-Warren-Boardman, OH-PA 0 0.0 0 0.0 79 326.4 25 365.4 56 27.8
Subtotal for MSAs (population ≥ 500,000) 403 101.9 2,194 29.0 114,329 833.4 38,013 205.2 26,046 48.5
Metropolitan areas (population of 50,000 – 499,999) 153 72.8 264 35.9 14,542 570.4 3,143 103.9 7,015 38.9
Nonmetropolitan areas 215 53.0 62 27.6 6,988 463.8 1,259 90.0 4,486 28.6
Totalf 799 79.0 2,621 30.8 141,754 797.5 43,787 190.8 39,862 45.6

Abbreviations: MSA, metropolitan statistical area; CDC, Centers for Disease Control and Prevention [footnotes only].
Note. Because of the lack of U.S. census information for all U.S. dependent areas, table includes data for only the United States. Data are based on address of residence at the end of the specified year (i.e., most recent known address). Data exclude 207 persons whose race/ethnicity is unknown. Data for the year 2018 are considered preliminary and are based on death data reported to CDC through December 2019.
MSA definitions for this report can be found at https://www.census.gov/programs-surveys/metro-micro.htmlexternal icon
Numbers less than 12, and rates based on these numbers, should be interpreted with caution.
Data for Native Hawaiians/other Pacific Islanders are not presented due to small population denominators (i.e., less than 100).
aIncludes Asian/Pacific Islander legacy cases.
bHispanics/Latinos can be of any race.
cRates are per 100,000 population.
dCounts of persons living with diagnosed HIV infection in the metropolitan divisions do not sum to the MSA total. MSA total includes data from 1 metropolitan division with population of <500,000.
eData are not presented for San Juan-Carolina-Caguas, PR. The 2018 postcensal estimates do not include population denominators by race/ethnicity for Puerto Rico, thereby preventing assessment of the suppression rule for population denominators (i.e., cells suppressed when population denominator <100).
fIncludes persons whose county of residence is unknown.

Table 6a. Diagnoses of HIV infection among adult and adolescent males, by transmission category and metropolitan statistical area of residence, 2018—United States and Puerto Rico
Male-to-male sexual contact Injection drug use (IDU) Male-to-male sexual contact/IDU Heterosexual contacta Otherb
MSA of residence No. No. No. No. No.
Akron, OH 45 1 0 2 0
Albany-Schenectady-Troy, NY 27 5 0 3 0
Albuquerque, NM 39 4 5 0 0
Allentown-Bethlehem-Easton, PA-NJ 29 2 1 5 0
Atlanta-Sandy Springs-Roswell, GA 1,189 24 19 117 0
Augusta-Richmond County, GA-SC 97 4 1 15 0
Austin-Round Rock, TX 195 10 12 13 0
Bakersfield, CA 116 9 9 3 0
Baltimore-Columbia-Towson, MD 262 23 5 54 0
Baton Rouge, LA 97 4 4 50 1
Birmingham-Hoover, AL 117 4 1 12 0
Boise City, ID 10 1 3 1 0
Boston-Cambridge-Newton, MA-NHc 233 53 14 35 0
Boston Division 124 23 10 24 0
Cambridge Division 105 28 4 11 0
Bridgeport-Stamford-Norwalk, CT 32 1 1 8 0
Buffalo-Cheektowaga-Niagara Falls, NY 34 2 1 5 0
Cape Coral-Fort Myers, FL 37 1 3 15 0
Charleston-North Charleston, SC 92 2 3 10 0
Charlotte-Concord-Gastonia, NC-SC 270 9 9 21 0
Chattanooga, TN-GA 34 4 3 5 0
Chicago-Naperville-Elgin, IL-IN-WI 861 34 28 77 7
Chicago Division 763 31 25 59 6
Elgin Division 27 2 0 2 0
Gary Division 38 1 0 12 0
Lake County Division 32 1 3 5 0
Cincinnati, OH-KY-IN 137 62 13 9 0
Cleveland-Elyria, OH 133 4 4 11 0
Colorado Springs, CO 38 1 3 1 0
Columbia, SC 90 6 2 12 0
Columbus, OH 145 15 10 12 0
Dallas-Fort Worth-Arlington, TX 958 22 47 64 1
Dallas Division 755 19 37 43 0
Fort Worth Division 204 3 9 21 0
Dayton, OH 64 1 4 4 0
Deltona-Daytona Beach-Ormond Beach, FL 52 6 11 2 0
Denver-Aurora-Lakewood, CO 201 8 26 6 0
Des Moines-West Des Moines, IA 17 0 5 5 0
Detroit-Warren-Dearborn, MI 339 21 12 14 1
Detroit Division 212 12 8 10 0
Warren Division 127 9 5 4 0
Durham-Chapel Hill, NC 50 1 3 7 0
El Paso, TX 105 4 9 4 0
Fayetteville-Springdale-Rogers, AR-MO 19 0 1 1 0
Fresno, CA 91 2 4 3 0
Grand Rapids-Wyoming, MI 36 2 2 1 0
Greensboro-High Point, NC 83 4 2 8 0
Greenville-Anderson-Mauldin, SC 71 1 0 6 0
Harrisburg-Carlisle, PA 31 1 1 2 0
Hartford-West Hartford-East Hartford, CT 56 7 2 11 0
Honolulu (Urban), HI 46 4 3 1 0
Houston-The Woodlands-Sugar Land, TX 975 30 36 80 1
Indianapolis-Carmel-Anderson, IN 133 11 10 40 0
Jackson, MS 96 3 1 12 0
Jacksonville, FL 170 6 4 60 0
Kansas City, MO-KS 122 10 20 9 0
Knoxville, TN 42 3 2 3 0
Lakeland-Winter Haven, FL 52 3 4 20 0
Lancaster, PA 8 2 0 3 0
Las Vegas-Henderson-Paradise, NV 338 11 22 19 2
Lexington-Fayette, KY 44 3 2 2 0
Little Rock-North Little Rock-Conway, AR 103 5 1 5 0
Los Angeles-Long Beach-Anaheim, CA 1,586 59 67 49 0
Anaheim Division 210 13 11 25 0
Los Angeles Division 1,376 45 56 24 0
Louisville/Jefferson County, KY-IN 133 12 15 3 0
Madison, WI 24 1 1 1 0
McAllen-Edinburg-Mission, TX 70 0 2 5 0
Memphis, TN-MS-AR 246 5 10 35 0
Miami-Fort Lauderdale-West Palm Beach, FL 1,287 29 27 321 0
Fort Lauderdale Division 350 10 14 120 0
Miami Division 801 13 9 154 0
West Palm Beach Division 136 6 4 47 0
Milwaukee-Waukesha-West Allis, WI 88 2 5 7 0
Minneapolis-St. Paul-Bloomington, MN-WI 136 5 19 16 0
Modesto, CA 36 1 7 6 0
Nashville-Davidson-Murfreesboro-Franklin, TN 163 3 7 5 0
New Haven-Milford, CT 45 4 2 9 0
New Orleans-Metairie, LA 185 14 7 33 0
New York-Newark-Jersey City, NY-NJ-Pac 1,880 127 82 255 5
Nassau County Division 112 7 8 20 0
New York Division 1,542 96 66 185 1
Newark Division 218 23 6 47 3
North Port–Sarasota-Bradenton, FL 36 2 3 9 0
Ogden-Clearfield, UT 11 1 0 0 0
Oklahoma City, OK 102 9 7 6 0
Omaha-Council Bluffs, NE-IA 36 2 2 3 0
Orlando-Kissimmee-Sanford, FL 413 16 11 107 0
Oxnard-Thousand Oaks-Ventura, CA 45 1 0 1 0
Palm Bay-Melbourne-Titusville, FL 36 1 2 8 0
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD 413 71 25 88 0
Camden Division 53 11 2 18 0
Montgomery Division 52 5 5 20 0
Philadelphia Division 270 55 15 40 0
Wilmington Division 38 0 2 10 0
Phoenix-Mesa-Scottsdale, AZ 421 25 30 19 2
Pittsburgh, PA 84 7 5 5 0
Portland-South Portland, ME 5 2 0 0 0
Portland-Vancouver-Hillsboro, OR-WA 124 9 22 5 0
Providence-Warwick, RI-MA 78 6 7 4 0
Provo-Orem, UT 10 0 2 0 0
Raleigh, NC 92 2 5 9 0
Richmond, VA 163 2 5 10 0
Riverside-San Bernardino-Ontario, CA 416 20 21 12 0
Rochester, NY 42 1 3 6 0
Sacramento–Roseville–Arden-Arcade, CA 131 10 13 8 0
St. Louis, MO-IL 187 1 6 16 0
Salt Lake City, UT 57 0 12 1 0
San Antonio-New Braunfels, TX 262 13 18 16 0
San Diego-Carlsbad, CA 281 18 16 15 0
San Francisco-Oakland-Hayward, CAc 458 33 47 16 1
Oakland Division 228 9 18 10 1
San Francisco Division 217 20 29 6 0
San Jose-Sunnyvale-Santa Clara, CA 128 3 11 9 0
San Juan-Carolina-Caguas, PR 190 19 9 54 0
Scranton–Wilkes-Barre–Hazelton, PA 14 2 4 6 0
Seattle-Tacoma-Bellevue, WA 207 23 25 17 2
Seattle Division 172 19