HIV in the United States and Dependent Areas

In 2018, 37,968 people received an HIV diagnosis^a 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

New HIV Diagnoses in the US and Dependent Areas for the Most-Affected Subpopulations, 2018

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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

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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 People^c

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 contact^f 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

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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

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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

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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 Americans^j and Hispanics/Latinos^k 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

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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

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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 Region^m

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

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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