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HIV in the United States: At A Glance

Annual HIV infectionsa and diagnosesb are declining in the United States. The declines may be due to targeted HIV prevention efforts. However, progress has been uneven, and annual infections and diagnoses have increased among some groups.

HIV Infections

There were an estimated 37,600 new HIV infections in 2014. Among all populations in the United States, the estimated number of annual infections declined 10% from 2010 (41,900) to 2014 (37,600).

Estimated New HIV Infections in the United States by Transmission Category, 2014

This pie chart shows HIV infections in 2014 by transmission category. Gay and bisexual men: 26,200 (70%); heterosexuals: 8,600 (23%); people who inject drugs 2,800 (7%).

Source: Singh S et al. (CDC). HIV incidence, prevalence, and undiagnosed infections in men who have sex with men. Presentation at Conference on Retroviruses and Opportunistic Infections, 2017, Seattle, WA.

* Includes infections attributed to male-to-male sexual contact and injection drug use.

HIV Diagnoses

In 2016, 39,782 people received an HIV diagnosis. The annual number of HIV diagnoses declined 5% between 2011 and 2015.

New HIV Diagnoses in the United States for the Most-Affected Subpopulations, 2016

This bar chart shows HIV diagnoses in 2016 among the most-affected populations. Black, male-to-male sexual contact: 10,223; Hispanic/Latino, male-to-male sexual contact: 7,425; white, male-to-male sexual contact: 7,390; black women, heterosexual contact: 4,189; black men, heterosexual contact: 1,926; white women, heterosexual contact: 1,032; Hispanic/Latina women, heterosexual contact: 1,025.

Source: CDC. Diagnoses of HIV infection in the United States and dependent areas, 2016. HIV Surveillance Report 2017;28.
Subpopulations representing 2% or less of HIV diagnoses are not reflected in this chart.

Gay and bisexual menc are the population most affected by HIV. In 2016:

  • Gay and bisexual men accounted for 67% (26,570) of all HIV diagnoses and 83% of diagnoses among males.
  • Black/African Americand gay and bisexual men accounted for the largest number of HIV diagnoses (10,223), followed by Hispanic/Latinoe (7,425) and white (7,390) gay and bisexual men.

Trends among gay and bisexual men have varied by race. From 2011 to 2015:

  • Among white gay and bisexual men, diagnoses decreased 10%.
  • Among African American gay and bisexual men, diagnoses increased 4%.
  • After years of sharp increases, diagnoses among young African American gay and bisexual men (aged 13 to 24) stayed about the same.
  • Among Hispanic/Latino gay and bisexual men, diagnoses increased 14%.

Heterosexuals and people who inject drugs (PWID)f also continue to be affected by HIV. In 2016:

  • Heterosexual contact accounted for 24% (9,578) of HIV diagnoses.
  • Women accounted for 19% (7,529) of HIV diagnoses (primarily attributed to heterosexual contact [87%, or 6,541] or injection drug use [12%, or 939]).
  • PWID accounted for 9% (3,425) of HIV diagnoses (includes 1,201 diagnoses among gay and bisexual men who inject drugs).

From 2011 to 2015:

  • Diagnoses among all women declined 16%.
  • Among all heterosexuals, diagnoses declined 15%, and among PWID, diagnoses declined 17%.

By race/ethnicity, African Americans and Hispanics/Latinos are disproportionately affected by HIV. In 2016:

  • African Americans represented 12% of the population, but accounted for 44% (17,528) of HIV diagnoses. African Americans have the highest rate of HIV diagnoses compared to other races and ethnicities.
  • Hispanics/Latinos represented 18% of the population, but accounted for 25% (9,766) of HIV diagnoses.

HIV diagnoses are not evenly distributed geographically. The population rates (per 100,000 people) of people who received an HIV diagnosis were highest in the South (16.8), followed by the Northeast (11.2), the West (10.2), and the Midwest (7.5).g

New HIV Diagnoses in the United States by Age, 2016

This bar chart shows HIV diagnoses in 2016 by age. Aged 13-19: 1,675; aged 20-29: 14,740; aged 30-39: 9,943; aged 40-49: 6,490; aged 50-59: 4,882; aged 60 and over: 1,930.

Source: CDC. Diagnoses of HIV infection in the United States and dependent areas, 2016. HIV Surveillance Report 2017;28.

Living With HIV

  • An estimated 1,122,900 adults and adolescents were living with HIV at the end of 2015. Of those, 162,500 (15%) had not received a diagnosis.
  • Young people were the most likely to be unaware of their infection. Among people aged 13-24 who were living with HIV, an estimated 44% didn’t know.
  • In 2014, among all adults and adolescents living with HIV (diagnosed or undiagnosed),
    • 62% received some HIV medical care,
    • 48% were retained in continuous HIV care, and
    • 49% had achieved viral suppression (having a very low level of the virus).h

    A person living with HIV who takes HIV medicine as prescribed and gets and stays virally suppressed can stay healthy and has effectively no risk of sexually transmitting HIV to HIV-negative partners.

AIDS Diagnoses and Deaths

In 2016, 18,160 people received an AIDS diagnosis. Since the epidemic began in the early 1980s, 1,232,346 people have received an AIDS diagnosis.

In 2014, 6,721 deaths were attributed directly to HIV.

aEstimated annual HIV infections are the estimated number of new infections (HIV incidence) that occurred in a particular year, regardless of when those infections were diagnosed. Incidence data are not available for all subpopulations.
bHIV and AIDS diagnoses indicate when a person is diagnosed with HIV or AIDS, not when the person was infected.
c 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 fact sheet uses the term gay and bisexual men.
d Referred to as African American in this fact sheet.
e Hispanics/Latinos can be of any race.
f In this fact sheet, PWID includes diagnoses attributed to injection drug use as well as those attributed to injection drug use and male-to-male sexual contact.
g Regions defined by the US Census Bureau and 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
h People are considered retained in care if they get two viral load or CD4 tests at least 3 months apart in a year. (CD4 cells are the cells in the body’s immune system that are destroyed by HIV.) Viral suppression (having less than 200 copies of HIV per milliliter of blood) is based on the most recent viral load test.

Bibliography

  1. CDC. Diagnoses of HIV infection in the United States and dependent areas, 2016. HIV Surveillance Report 2017;28.
  2. Singh S et al. HIV incidence, prevalence, and undiagnosed infections in men who have sex with men. Presentation at Conference on Retroviruses and Opportunistic Infections, 2017, Seattle, WA.
  3. CDC. Monitoring selected national HIV prevention and care objectives by using HIV surveillance data—United States and 6 dependent areas—2015. HIV Surveillance Supplemental Report 2017;22(2).
  4. Dailey AF et al. Vital Signs: Human immunodeficiency virus testing and diagnosis delays — United States. Morbidity and Mortality Weekly Report 2017;66.
  5. CDC. Deaths: Final data for 2014. National Vital Statistics Reports 2016;65(4). Accessed May 26, 2017.

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