HIV in the United States and Dependent Areas
In 2018, 37,968 people received an HIV diagnosisa in the United States (US) and dependent areas.b From 2014 to 2018, HIV diagnoses decreased 7% among adults and adolescents. However, annual diagnoses have increased among some groups.
HIV Diagnoses
![HIV In The US: At A Glance (New Diagnoses) This banner shows 69% of the 37,968 new HIV diagnoses in the United States and dependent areas were among gay and bisexual men, 24% were among heterosexuals, and 7% were among people who inject drugs.](https://webarchive.library.unt.edu/web/20201220185109im_/https://www.cdc.gov/hiv/images/statistics/overview/2020/hiv-us-ataglance-2020-new-diagnoses.png)
New HIV Diagnoses in the US and Dependent Areas for the Most-Affected Subpopulations, 2018
![HIV In The US: At A Glance (Gay/Bisexual Men Most Affected - Text) Gay and bisexual men are the population most affected by HIV.](https://webarchive.library.unt.edu/web/20201220185109im_/https://www.cdc.gov/hiv/images/statistics/overview/2020/hiv-us-ataglance-2020-msm-most-affected.png)
![HIV In The US: At A Glance (Gay/Bisexual Men Most Affected - Chart) This bar chart shows new HIV diagnoses among the most affected subpopulations United States and dependent areas in 2018. Black/African American, male-to-male sexual contact = 9,444; Hispanic/Latino, male-to-male sexual contact = 7,653; White, male-to-male sexual contact = 6,372; Black/African American women, heterosexual contact = 3,758; Black/African American men, heterosexual contact = 1,739; Hispanic women/Latinas, heterosexual contact = 1,109; White women, heterosexual contact = 956.](https://webarchive.library.unt.edu/web/20201220185109im_/https://www.cdc.gov/hiv/images/statistics/overview/2020/hiv-us-ataglance-2020-msm-most-affected-chart.png)
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Subpopulations representing 2% or less of all people who received an HIV diagnosis in 2018 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 Americans of African descent with ancestry in North America.
† Hispanics/Latinos can be of any race.
Source: CDC. Diagnoses of HIV infection in the United States and dependent areas, 2018 (updated). HIV Surveillance Report 2020;31.
New HIV Diagnoses in the US and Dependent Areas by Age, 2018
![HIV In The US: At A Glance (New Diagnoses by Age - Text) The number of new HIV diagnoses was highest among people aged 25 to 34.](https://webarchive.library.unt.edu/web/20201220185109im_/https://www.cdc.gov/hiv/images/statistics/overview/2020/hiv-us-ataglance-2020-new-diagnoses-age.png)
![HIV In The US: At A Glance (New Diagnoses by Age - Chart) This bar chart shows new HIV diagnoses by age in the United States and dependent areas in 2018. 13 to 24 = 7,891; 25 to 34 = 13,491; 35 to 44 = 7,275; 45 to 54 = 5,389; 55 and older = 3,835.](https://webarchive.library.unt.edu/web/20201220185109im_/https://www.cdc.gov/hiv/images/statistics/overview/2020/hiv-us-ataglance-2020-new-diagnoses-age-chart.png)
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Source: CDC. Diagnoses of HIV infection in the United States and dependent areas, 2018 (updated). HIV Surveillance Report 2020;31.
Transgender Peoplec
In 2018, transgender people accounted for 2% of the 37,968 new HIV diagnoses.
- Transgender male-to-female (MTF)d accounted for 1% of new HIV diagnoses.
- Transgender female-to-male (FTM)e accounted for less than 1% of new HIV diagnoses.
Gay and Bisexual Men
Gay, bisexual, and other men who reported male-to-male sexual contactf are the population most affected by HIV. In 2018, gay and bisexual men accounted for 69% of the 37,968 new HIV diagnoses and 86% of diagnoses among males.g
New HIV Diagnoses Among Gay and Bisexual Men in the US and Dependent Areas by Race/Ethnicity, 2018
![HIV In The US: At A Glance (Gay/Bisexual Men, Racial Disparities - Text ) Among gay and bisexual men who received an HIV diagnosis in 2018, racial and ethnic disparities continue to exist.](https://webarchive.library.unt.edu/web/20201220185109im_/https://www.cdc.gov/hiv/images/statistics/overview/2020/hiv-us-ataglance-2020-msm-racial-disparities.png)
![HIV In The US: At A Glance (Gay/Bisexual Men, Racial Disparities - Chart) This bar chart shows HIV diagnoses among gay and bisexual men in the United States and dependent areas in 2018 by race. Black/African American gay and bisexual men made up 37% of new HIV diagnoses, Hispanic/Latino gay and bisexual men made up 30%, white gay and bisexual men made up 27%, Asian gay and bisexual men made up 3%, gay and bisexual men of multiple races made up 3%, American Indian/Alaska Native gay and bisexual men made up 1% and Native Hawaiian and Other Pacific Islander gay and bisexual men made up less than 1% of new HIV diagnoses.](https://webarchive.library.unt.edu/web/20201220185109im_/https://www.cdc.gov/hiv/images/statistics/overview/2020/hiv-us-ataglance-2020-msm-racial-disparities-chart.png)
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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 Americans of African descent with ancestry in North America.
† Hispanics/Latinos can be of any race.
Source: CDC. Diagnoses of HIV infection in the United States and dependent areas, 2018 (updated). HIV Surveillance Report 2020;31.
From 2014 to 2018, HIV diagnoses decreased 7% 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, 2014-2018
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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 Americans of African descent with ancestry in North America.
† Hispanics/Latinos can be of any race.
‡ Changes in subpopulations with fewer HIV diagnoses can lead to a large percentage increase or decrease.
Source: CDC. Diagnoses of HIV infection in the United States and dependent areas, 2018 (updated). HIV Surveillance Report 2020;31.
Heterosexuals
Heterosexuals continue to be affected by HIV. In 2018, heterosexuals accounted for 24% of the 37,968 new HIV diagnoses.h
- Heterosexual men accounted for 8% of new HIV diagnoses.
- Heterosexual women accounted for 16% of new HIV diagnoses.
From 2014 to 2018, HIV diagnoses decreased 10% among heterosexuals overall.
HIV Diagnoses Among Heterosexuals in the US and Dependent Areas, 2014-2018
![HIV In The US: At A Glance (Trends by Sex - Heterosexuals) This trend chart shows HIV diagnoses among heterosexuals in the US and dependent areas from 2014 to 2018. By sex, heterosexual men decreased 13% and heterosexual women decreased 9%.](https://webarchive.library.unt.edu/web/20201220185109im_/https://www.cdc.gov/hiv/images/statistics/overview/2020/hiv-us-ataglance-2020-trends-by-sex-heterosexuals.png)
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Source: CDC. Diagnoses of HIV infection in the United States and dependent areas, 2018 (updated). HIV Surveillance Report 2020;31.
People Who Inject Drugs (PWID)
In 2018, PWID accounted for 7% of the 37,968 new HIV diagnoses.i
- Men who inject drugs accounted for 4% of new HIV diagnoses.
- Women who inject drugs accounted for 3% of new HIV diagnoses.
From 2014 to 2018, HIV diagnoses increased 9% among people who inject drugs overall.
HIV Diagnoses Among People Who Inject Drugs in the US and Dependent Areas, 2014-2018
![HIV In The US: At A Glance (Trends by Sex - Persons who Inject Drugs) This trend chart shows HIV diagnoses among people who inject drugs in the US and dependent areas from 2014 to 2018. By sex, men who inject drugs increased 10% and women who inject drugs increased 7%.](https://webarchive.library.unt.edu/web/20201220185109im_/https://www.cdc.gov/hiv/images/statistics/overview/2020/hiv-us-ataglance-2020-trends-by-sex-inject-drugs.png)
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Source: CDC. Diagnoses of HIV infection in the United States and dependent areas, 2018 (updated). HIV Surveillance Report 2020;31.
By Race/Ethnicity
Blacks/African Americansj and Hispanics/Latinosk are disproportionately affected by HIV. In 2018:
- Blacks/African Americans accounted for 42% of new HIV diagnoses and 13% of the population.l
- Hispanics/Latinos accounted for 27% of new HIV diagnoses and 18% of the population.l
New HIV Diagnoses in the US and Dependent Areas by Race/Ethnicity, 2018
![HIV In The US: At A Glance (Disproportionally Affected Groups - Text) Blacks/African Americans and Hispanics/Latinos are disproportionately affected by HIV.](https://webarchive.library.unt.edu/web/20201220185109im_/https://www.cdc.gov/hiv/images/statistics/overview/2020/hiv-us-ataglance-2020-disproportionally-affected-groups.png)
![HIV In The US: At A Glance (Disproportionally Affected Groups - Chart) This bar chart shows HIV diagnoses in the United States and dependent areas in 2018 by race/ethnicity. Blacks/African Americans made up 42% of new HIV diagnoses, Hispanics/Latinos made up 27%, whites made up 25%, Asians made up 2%, multiple races made up 2%, American Indians/Alaska Natives made up less than 1%, and Native Hawaiians and Other Pacific Islanders made up less than 1% of new HIV diagnoses.](https://webarchive.library.unt.edu/web/20201220185109im_/https://www.cdc.gov/hiv/images/statistics/overview/2020/hiv-us-ataglance-2020-disproportionally-affected-groups-chart.png)
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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 Americans of African descent with ancestry in North America.
† Hispanics/Latinos can be of any race.
Source: CDC. Diagnoses of HIV infection in the United States and dependent areas, 2018 (updated). HIV Surveillance Report 2020;31.
HIV Diagnoses in the US and Dependent Areas by Race/Ethnicity, 2014-2018
![HIV In The US: At A Glance (Trends by Race/Ethnicity - General) This trend chart shows HIV diagnoses by race/ethnicity in the US and dependent areas from 2014 to 2018. HIV diagnoses among Blacks/African Americans decreased 7%; Hispanics/Latinos remained stable; whites decreased 8%; Asians remained stable; multiple races decreased 42%; American Indians/Alaska Natives increased 6%; and Native Hawaiians and Other Pacific Islanders increased 55%.](https://webarchive.library.unt.edu/web/20201220185109im_/https://www.cdc.gov/hiv/images/statistics/overview/2020/hiv-us-ataglance-2020-trends-general-race-ethnicity.png)
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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 Americans of African descent with ancestry in North America.
† Hispanics/Latinos can be of any race.
‡ Changes in populations with fewer HIV diagnoses can lead to a large percentage increase or decrease.
Source: CDC. Diagnoses of HIV infection in the United States and dependent areas, 2018 (updated). HIV Surveillance Report 2020;31.
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, 2018*
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*Rates are per 100,000 people.
Source: CDC. Diagnoses of HIV infection in the United States and dependent areas, 2018 (updated). HIV Surveillance Report 2020;31.
Living With HIV
Adults and Adolescents With HIV in the 50 States and District of Columbia
![HIV In The US: At A Glance (Total Persons with HIV) At the end of 2018, an estimated 1.2 million Americans had HIV in the 50 states and the District of Columbia.](https://webarchive.library.unt.edu/web/20201220185109im_/https://www.cdc.gov/hiv/images/statistics/overview/2020/hiv-us-ataglance-2020-total-with-hiv.png)
![HIV In The US: At A Glance (6 in 7 Knew They Had the Virus) 6 in 7 Americans knew they had the virus.](https://webarchive.library.unt.edu/web/20201220185109im_/https://www.cdc.gov/hiv/images/statistics/overview/2020/hiv-us-ataglance-2020-6-in-7-knew.png)
![Pill bottle graphic](https://webarchive.library.unt.edu/web/20201220185109im_/https://www.cdc.gov/hiv/images/statistics/overview/2020/hiv-us-ataglance-2020-pill-bottle.png)
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 stay virally suppressed) can live a long and healthy life. They also have effectively no risk of transmitting HIV to HIV-negative sex partners.
![HIV In The US: At A Glance (Adults & Adolescents in Care - Horizontal) Although more than half of adults and adolescents with HIV are virally suppressed, more work is needed to increase these rates. For every 100 adults and adolescents with HIV, 65 received some HIV care, 50 were retained in care, and 56 were virally suppressed.](https://webarchive.library.unt.edu/web/20201220185109im_/https://www.cdc.gov/hiv/images/statistics/overview/2020/hiv-us-ataglance-2020-hiv-care-horizontal.png)
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* Includes diagnosed and undiagnosed HIV infections.
† Had 2 viral load or CD4 tests at least 3 months apart in a year.
‡ Based on most recent viral load test.
Source: CDC. Estimated HIV incidence and prevalence in the United States 2014–2018pdf icon. HIV Surveillance Supplemental Report 2020;25(1).
Source: CDC. Selected national HIV prevention and care outcomes (slides)pdf icon.
Deaths
In 2018, there were 15,820 deaths among adults and adolescents with diagnosed HIV in the US and dependent areas. These deaths may be due to any cause.
a HIV diagnoses refers to the number of people who received an HIV diagnosis during a given time period, not when the people got HIV infection.
b Unless otherwise noted, the term United States (US) includes the 50 states, the District of Columbia, and the 6 dependent areas of 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 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.
g Includes infections attributed to male-to-male sexual contact and injection drug use (men who reported both risk factors).
h Heterosexual contact with a person known to have, or to be at high risk 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 Americans of African descent with ancestry in North America.
k Hispanics/Latinos 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 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
- CDC-INFO 1-800-CDC-INFO (232-4636)
- CDC HIV Website
- Let’s Stop HIV Together
- CDC HIV Risk Reduction Tool
- CDC. Diagnoses of HIV infection in the United States and dependent areas, 2018 (updated). HIV Surveillance Report 2020;31.
- CDC. Estimated HIV incidence and prevalence in the United States, 2014-2018pdf icon. HIV Surveillance Supplemental Report 2020;25(1).
- CDC. Monitoring selected national HIV prevention and care objectives by using HIV surveillance data—United States and 6 dependent areas, 2018pdf icon. HIV Surveillance Supplemental Report 2020;25(2).
- CDC. Selected national HIV prevention and care outcomespdf icon (slides).