HIV in the United States and Dependent Areas

In 2019, 36,801 peoplea received an HIV diagnosis in the United States (US) and dependent areas.b From 2015 to 2019, HIV diagnoses decreased 9% overall in the US and dependent areas.

HIV Diagnoses

HIV diagnoses is one of the six Ending the HIV Epidemic in the U.S. indicators. HIV diagnoses refers to the number of people who received an HIV diagnosis during a given year.

EHE goal: decrease the number of new HIV diagnoses to 9,588 and 3,000 by 2030.

There were 36,801 new HIV diagnoses in the US and dependent areas in 2019.

New HIV Diagnoses in the US and Dependent Areas for the Most-Affected Subpopulations, 2019

Gay and bisexual men are the population most affected by HIV.

New HIV diagnoses in the United States and dependent areas among the most affected populations.

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NOTE: Subpopulations representing 2% or less of all people who received an HIV diagnosis in 2019 are not represented in this chart.
* Black refers to people having origins in any of the Black racial groups of Africa. African American is a term often used for people of African descent with ancestry in North America.
† Hispanic/Latino people can be of any race.
Source: CDC. Diagnoses of HIV infection in the United States and dependent areas, 2019HIV Surveillance Report 2021;32.

New HIV Diagnoses in the US and Dependent Areas by Age, 2019

The number of new HIV diagnoses was highest among people aged 25 to 34.

This chart shows new HIV diagnoses in the United States and dependent areas by age.

Transgender Peoplec

In 2019, transgender people accounted for 2% (671) of the 36,801 new HIV diagnoses.

  • Male-to-female (MTF)d transgender people accounted for 2% (625) of new HIV diagnoses.
  • Female-to-male (FTM)e transgender people accounted for less than 1% (46) of new HIV diagnoses.

Gay and Bisexual Menf

Gay, bisexual, and other men who reported male-to-male sexual contactg are the population most affected by HIV. In 2019, gay and bisexual men accounted for 69% (25,552) of the 36,801 new HIV diagnoses and 86% of diagnoses among males.

New HIV Diagnoses Among Gay and Bisexual Men in the US and Dependent Areas by Race/Ethnicity, 2019

Among gay and bisexual men who received an HIV diagnosis in 2019, racial and ethnic disparities continue to exist.

This chart shows new HIV diagnoses in the United States and dependent areas by age.

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* Black refers to people having origins in any of the Black racial groups of Africa. African American is a term often used for people of African descent with ancestry in North America.
† Hispanic/Latino people can be of any race.
Source: CDC. Diagnoses of HIV infection in the United States and dependent areas, 2019HIV Surveillance Report 2021;32.

From 2015 to 2019, HIV diagnoses decreased 9% among gay and bisexual men overall. But trends varied for different groups of gay and bisexual men.

HIV Diagnoses Among Gay and Bisexual Men in the US and Dependent Areas, 2015-2019

HIV diagnoses trends in the US and dependent areas among gay and bisexual men from 2015 to 2019 by race/ethnicity.

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* Changes in subpopulations with fewer HIV diagnoses can lead to a large percentage increase or decrease.
Black refers to people having origins in any of the Black racial groups of Africa. African American is a term often used for people of African descent with ancestry in North America.
‡ Hispanic/Latino people can be of any race.
Source: CDC. Diagnoses of HIV infection in the United States and dependent areas, 2019HIV Surveillance Report 2021;32.

Heterosexuals

Men and women who reported heterosexual contact continue to be affected by HIV. In 2019, heterosexuals accounted for 23% (8,617) of the 36,801 new HIV diagnoses.h

  • Heterosexual men accounted for 7% (2,754) of new HIV diagnoses.
  • Heterosexual women accounted for 16% (5,863) of new HIV diagnoses.

From 2015 to 2019, HIV diagnoses decreased 12% among heterosexuals overall.

HIV Diagnoses Among Heterosexuals in the US and Dependent Areas, 2015-2019*

HIV diagnoses trends in the US and dependent areas among heterosexual men and women from 2015 to 2019.

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* Based on sex assigned at birth and includes transgender people.
Source: CDC. Diagnoses of HIV infection in the United States and dependent areas, 2019HIV Surveillance Report 2021;32.

People Who Inject Drugs (PWID)

In 2019, PWID accounted for 7% (2,508) of the 36,801 new HIV diagnoses.i

  • Men who inject drugs accounted for 4% (1,397) of new HIV diagnoses.
  • Women who inject drugs accounted for 3% (1,111) of new HIV diagnoses.

From 2015 to 2019, HIV diagnoses were stable among people who inject drugs overall.

HIV Diagnoses Among People Who Inject Drugs in the US and Dependent Areas, 2015-2019*

HIV diagnoses trends in the US and dependent areas from 2015 to 2019 among men and women who inject drugs.

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* Based on sex assigned at birth and includes transgender people.
Source: CDC. Diagnoses of HIV infection in the United States and dependent areas, 2019HIV Surveillance Report 2021;32.

By Race/Ethnicity

Black/African Americanj and Hispanic/Latinok people are disproportionately affected by HIV. In 2019:

  • Black/African American people accounted for 42% (15,305) of new HIV diagnoses and 13% of the population.l
  • Hispanic/Latino people accounted for 29% (10,494) of new HIV diagnoses and 18% of the population.l

 New HIV Diagnoses in the US and Dependent Areas by Race/Ethnicity, 2019

Black/African American and Hispanic/Latino people are disproportionately affected by HIV.

Black/African American and Hispanic/Latino people are disproportionately affected by HIV.

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* Black refers to people having origins in any of the Black racial groups of Africa. African American is a term often used for people of African descent with ancestry in North America.
† Hispanic/Latino people can be of any race.
Source: CDC. Diagnoses of HIV infection in the United States and dependent areas, 2019HIV Surveillance Report 2021;32.

HIV Diagnoses in the US and Dependent Areas by Race/Ethnicity, 2015-2019

HIV diagnoses trends in the US and dependent areas from 2015 to 2019 by race/ethnicity.

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* Changes in subpopulations with fewer HIV diagnoses can lead to a large percentage increase or decrease.
Black refers to people having origins in any of the Black racial groups of Africa. African American is a term often used for people of African descent with ancestry in North America.
‡ Hispanic/Latino people can be of any race.
Source: CDC. Diagnoses of HIV infection in the United States and dependent areas, 2019HIV Surveillance Report 2021;32.

By Regionm

HIV diagnoses are not evenly distributed regionally in the US and dependent areas.

Rates of New HIV Diagnoses in the US and Dependent Areas by Region, 2019*

This chart shows rates of HIV diagnoses in the US and dependent areas in 2019.

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*Rates are per 100,000 people.
Source: CDC. Diagnoses of HIV infection in the United States and dependent areas, 2019HIV Surveillance Report 2021;32.

Knowledge of Status

Knowledge of status is one of the six Ending the HIV Epidemic in the U.S. indicators. Knowledge of status refers to the estimated percentage of people with HIV who have received an HIV diagnosis.

EHE goal: increase the percentage of people with HIV who have received an HIV diagnosis to 95 percent by 2025.

People with HIV in the US, 2019

In 2019, an estimated 1,189,700 people had HIV in the US.

In 2019, for every 100 people with HIV, 87 knew their HIV status.

Viral Suppression

Viral suppression is one of the six Ending the HIV Epidemic in the U.S. indicators. Viral suppression refers to the percentage of people with diagnosed HIV who have less than 200 copies of HIV per milliliter of blood.

EHE goal: increase the percentage of people with HIV who have are virally suppressed to 95 percent by 2025.

graphic of a bottle of pills

It is important for people to know their HIV status so they can take medicine to treat HIV if they have the virus. Taking HIV medicine every day can make the viral load undetectable. People who get and keep an undetectable viral load (or remain virally suppressed) can stay healthy for many years and have effectively no risk of transmitting HIV to their sex partners.

People with Diagnosed HIV in 44 States and the District of Columbia, 2019*

More than half of people with diagnosed HIV are virally suppressed.

More than half of people with diagnosed HIV are virally suppressed.

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* The 44 states are AL, AK, AZ, AR, CA, CO, CT, DE, FL, GA, HI, IL, IN, IA, LA, ME, MD, MA, MI, MN, MS, MO, MT,
NE, NV, NH, NM, NY, NC, ND, OH, OK, OR, RI, SC, SD, TN, TX, UT, VA, WA, WV, WI, and WY.
† Had 2 viral load or CD4 tests at least 3 months apart in a year.
‡ Based on most recent viral load test.
Source: CDC. Monitoring selected national HIV prevention and care objectives by using HIV surveillance data—United States and 6 dependent areas, 2019. HIV Surveillance Supplemental Report 2021;26(2).

Deaths

In 2019, there were 15,815 deaths among people with diagnosed HIV in the US and dependent areas. These deaths could be from any cause.

Additional Resources

a Unless otherwise noted, data in this web content are for adults and adolescents aged 13 and older.
b American Samoa, Guam, the Northern Mariana Islands, Puerto Rico, the Republic of Palau, and the US Virgin Islands.
c Transgender is a term that is used to identify people whose sex assigned at birth does not match their current gender identity or expression.
d Individuals who were assigned “male” sex at birth but identify as “female.”
e Individuals who were assigned “female” sex at birth but identify as “male.”
f Includes infections attributed to male-to-male sexual contact and injection drug use (men who reported both risk factors).
g The term male-to-male sexual contact is used in CDC surveillance systems. It indicates a behavior that transmits HIV infection, not how individuals self-identify in terms of their sexuality. This web content uses the term gay and bisexual men to represent gay, bisexual, and other men who reported male-to-male sexual contact.
h Heterosexual contact with a person known to have, or with a risk factor for, HIV.
i Does not include infections attributed to male-to-male sexual contact and injection drug use (men who reported both risk factors).
j Black refers to people having origins in any of the Black racial groups of Africa. African American is a term often used for people of African descent with ancestry in North America.
k Hispanic/Latino people can be of any race.
l The US Census Bureau’s population estimates include the 50 states, the District of Columbia, and Puerto Rico.
m Regions used in CDC’s National HIV Surveillance System:
Northeast: CT, ME, MA, NH, NJ, NY, PA, RI, VT
Midwest: IL, IN, IA, KS, MI, MN, MO, NE, ND, OH, SD, WI
South: AL, AR, DE, DC, FL, GA, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, WV
West: AK, AZ, CA, CO, HI, ID, MT, NV, NM, OR, UT, WA, WY

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