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 each year.
Subpopulations representing 2% or less of all people who received an HIV diagnosis in 2021 are not represented in this chart.
* Among people aged 13 and older.
† Transmission category is classified based on a hierarchy of risk factors most likely responsible for HIV transmission. Classification is determined based on the person’s assigned sex at birth. Data have been statistically adjusted to account for missing transmission category.
‡ 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, 2021. HIV Surveillance Report 2023;34.
New HIV Diagnoses Among Transgender Peoplee
In 2021, transgender people accounted for 2% (868) of the 36,136 new HIV diagnoses.
- Transgender womenf accounted for 2% (812) of new HIV diagnoses.
- Transgender meng accounted for less than 1% (56) of new HIV diagnoses.
* Among people aged 13 and older.
† 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, 2021. HIV Surveillance Report 2023;34.
* Among people aged 13 and older.
† 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, 2021. HIV Surveillance Report 2023;34.
New HIV Diagnoses Among Gay and Bisexual Menh
Gay, bisexual, and other men who reported male-to-male sexual contacti are the population most affected by HIV. In 2021, gay and bisexual men accounted for 71% (25,482) of the 36,136 new HIV diagnoses and 86% of diagnoses among all men.
* Among people aged 13 and older.
†Includes infections attributed to male-to-male sexual contact and injection drug use (men who reported both risk factors).
‡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, 2021. HIV Surveillance Report 2023;34.
From 2017 to 2021, HIV diagnoses decreased 6% among gay and bisexual men overall. But trends varied for different groups of gay and bisexual men.
* Among people aged 13 and older.
† 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, 2021. HIV Surveillance Report 2023;34.
New HIV Diagnoses Among People Who Reported Heterosexual Contactj
Men and women who reported heterosexual contact continue to be affected by HIV. In 2021, people reporting heterosexual contact accounted for 22% (8,059) of the 36,136 new HIV diagnoses.
- Men reporting heterosexual contact accounted for 7% (2,523) of new HIV diagnoses.
- Women reporting heterosexual contact accounted for 15% (5,536) of new HIV diagnoses.
From 2017 to 2021, HIV diagnoses from heterosexual contact decreased 12% overall.
* Among people aged 13 and older.
† 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, 2021. HIV Surveillance Report 2023;34.
* Among people aged 13 and older.
† Based on assigned sex at birth and includes transgender people.
‡ 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, 2021. HIV Surveillance Report 2023;34.
New HIV Diagnoses Among People Who Inject Drugs (PWID)
In 2021, PWID accounted for 7% (2,512) of the 36,136 new HIV diagnoses.k
- Men who inject drugs accounted for 4% (1,436) of new HIV diagnoses.
- Women who inject drugs accounted for 3% (1,076) of new HIV diagnoses.
From 2017 to 2021, HIV diagnoses remained stable among PWID overall.
* Among people aged 13 and older.
† 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, 2021. HIV Surveillance Report 2023;34.
* Among people aged 13 and older.
† Includes infections attributed to male-to-male sexual contact and injection drug use (men who reported both risk factors).
‡ Based on assigned sex at birth and includes transgender people.
** 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, 2021. HIV Surveillance Report 2023;34.
New HIV Diagnoses by Regionl
HIV diagnoses are not evenly distributed regionally in the US and dependent areas.
*Rates are per 100,000 people.
† Among adults, adolescents, and children under the age of 13.
Source: CDC. Diagnoses of HIV infection in the United States and dependent areas, 2021. HIV Surveillance Report 2023;34.
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 HIV incidence data are not available for transgender people.
d Includes infections attributed to male-to-male sexual contact and injection drug use (men who reported both risk factors).
e A person whose gender identity or expression is different from their assigned sex at birth.
f A person assigned male at birth who identifies as female.
g A person assigned female at birth who identifies as male.
h Includes infections attributed to male-to-male sexual contact and injection drug use (men who reported both risk factors).
i 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.
j Includes people who have ever had sexual contact with a person known to have, or with a risk factor for, HIV. Does not include men who have ever had sexual contact with both men and women.
k Does not include infections attributed to male-to-male sexual contact and injection drug use (men who reported both risk factors).
l 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
- CDC. Diagnoses of HIV infection in the United States and dependent areas, 2021. HIV Surveillance Report 2023;34.
- CDC. Estimated HIV incidence and prevalence in the United States 2017–2021. HIV Surveillance Supplemental Report 2023;28(3).
- CDC. Monitoring selected national HIV prevention and care objectives by using HIV surveillance data—United States and 6 dependent areas, 2021. HIV Surveillance Supplemental Report 2023;28(4).
- CDC. Quality of life and HIV stigma—Indicators for the National HIV/AIDS Strategy, 2022–2025, CDC Medical Monitoring Project, 2017–2020 cycles. HIV Surveillance Special Report2022;30.
- CDC. Behavioral and clinical characteristics of persons with diagnosed HIV infection—Medical Monitoring Project, United States 2020 cycle (June 2020–May 2021). HIV Surveillance Special Report 2022;29.