HIV Continuum of Care, U.S., 2014, Overall and by Age, Race/Ethnicity, Transmission Route and Sex

July 27, 2017 – Latest Data Show Increase in People with HIV Who have the Virus Under Control

A core focus of CDC’s high-impact HIV prevention strategy is to help ensure everyone living with HIV is aware of their infection; receives treatment; and ultimately achieves viral suppression — because people who achieve and maintain viral suppression live longer, healthier lives and are at extremely low risk for transmitting HIV to others. For a person to achieve viral suppression, several steps must be completed, including testing/diagnosis, receipt of HIV care, and retention in HIV care. The HIV Care Continuum shows how the nation is doing at each step, from diagnosis through viral suppression.

In July 2017, CDC published a comprehensive analysis of the U.S. HIV care continuum showing that, in 2014, of the estimated 1.1 million people living with HIV in the United States, 85% knew they were infected, and about half (49%) were virally suppressed. The analysis also details differences in HIV diagnosis, care and treatment by age, race / ethnicity, transmission route, and sex. It shows that although the United States has reached some important milestones, sustained, focused efforts are needed so that everyone living with HIV is aware of their infection and can effectively control the virus through treatment.

Resources:

Press Release: More people with HIV have the virus under control
Slide Set: Selected National HIV Prevention and Care Outcomespdf icon
Infographic: HIV in the United States – Continuum of Careimage icon

Graphics: HIV Continuum of Care, U.S., 2014

Overall and by Age, Race/Ethnicity, Transmission Route and Sex
HIV diagnosis, care and viral suppression are top prevention priorities. When HIV is effectively treated, people living with HIV stat healthy and their chance of passing the virus to others is dramatically reduced. The HIV Care Continuum shows how the nation is doing at each step, from diagnosis through viral suppression. This new analysis details differences in HIV diagnoses, care and treatment by age, race/ethnicity, transmission route and sex.

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This graphic provides an overview of two stages of the HIV care continuum. It shows that of the estimated 1.1 million people living with HIV in America, 85 percent were diagnosed and knew they had HIV, and 49 percent had the virus under control through HIV treatment.

More people living with HIV in the U.S. have virus under control

Of the estimated 1.1 million people living with HIV in America, 85 percent were diagnosed and knew they had HIV, and 49 percent had the virus under control through HIV treatment.

This bar graph illustrates the HIV continuum of care for 2014. Of the estimated 1.1 million Americans living with diagnosed or undiagnosed HIV infection, 85 percent are diagnosed, 62 percent are receiving care, 48 percent are retained in care and 49 percent are virally suppressed.

HIV Care Continuum, Overall, U.S., 2014

Of the estimated 1.1 million Americans living with diagnosed or undiagnosed HIV infection, 85 percent are diagnosed and about half of all Americans living with HIV are successfully controlling the virus through treatment.

This bar graph illustrates the HIV continuum of care for 2014 by age. Of those aged 13 to 24, living with HIV, 56% are diagnosed, 41% are in care, 31% are receiving care, and 24% are virally suppressed. Of those aged 25 to 34, living with HIV, 71% are diagnosed, 51% are in care, 38% are receiving care, and 37% are virally suppressed. Of those aged 34 to 44, living with HIV, 85% are diagnosed, 61% are in care, 46% are receiving care, and 48% are virally suppressed. Of those aged 45 to 54, living with HIV, 91% are diagnosed, 67% are in care, 53% are receiving care, and 55% are virally suppressed. Of those aged 55 and older, living with HIV, 93% are diagnosed, 67% are in care, 55% are receiving care, and 57% are virally suppressed.

HIV Care Continuum, by Age U.S., 2014

Young people living with HIV are less likely than older Americans to be diagnosed, to be in care, and to be virally suppressed.

This bar graph illustrates the HIV continuum of care for 2014 by race/ethnicity. Of African Americans living with HIV, 84% are diagnosed, 59% are in care, 46% are receiving care, and 43% are virally suppressed. Of Latinos living with HIV, 83% are diagnosed, 58% are in care, 48% are receiving care, and 48% are virally suppressed. Of whites living with HIV, 88% are diagnosed, 67% are in care, 51% are receiving care, and 57% are virally suppressed.

HIV Care Continuum, by Race/Ethnicity, U.S., 2014

African Americans and Latinos living with HIV are less likely than whites living with HIV to have their infections diagnosed, to be in care, and to be virally suppressed.

This bar graph illustrates the HIV continuum of care for 2014 by transmission route. Of people who inject drugs living with HIV, 94% are diagnosed, 62% are in care, 50% are receiving care, and 47% are virally suppressed. Of gay and bisexual men living with HIV, 83% are diagnosed, 61% are in care, 48% are receiving care, and 51% are virally suppressed. Of heterosexuals living with HIV, 84% are diagnosed, 60% are in care, 47% are receiving care, and 47% are virally suppressed.

HIV Care Continuum, by Transmission Route, U.S., 2014

People who inject drugs are most likely to have their infection diagnosed, while gay and bisexual men are slightly more likely than others to have the virus under control through treatment.

This bar graph illustrates the HIV continuum of care for 2014 by sex. Of men living with HIV, 84% are diagnosed, 61% are in care, 48% are receiving care, and 49% are virally suppressed. Of women living with HIV, 88% are diagnosed, 64% are in care, 50% are receiving care, and 48% are virally suppressed.

HIV Care Continuum, by Sex, U.S., 2014

Men and women have similar rates of diagnosis, care and viral suppression.

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Page last reviewed: July 27, 2017

Content source: National Center for HIV, Viral Hepatitis, STD, and TB Prevention