Hiv Infections By State
In the United States, where you live plays a large part in how likely you are to get HIV. While it is clear that dense urban populations with high prevalence rates contribute to the risk, there are other unique factors that account for a growing disparity between U.S. states.
A prime example is the rate of infection in states that have either adopted or refused Medicaid expansion, intended to expand healthcare to economically disadvantaged people.
According to the CDC, the 13 states that refused Medicaid expansion account for 42% of all new infections. Florida, Texas, Georgia, and North Carolina represent the lion’s share of these infections.
Poverty remains a driving force for HIV infections, particularly in the South where the rates of poverty are highest. Moreover, nearly half of all Americans without health insurance live in the South.
With that being said, the Northeast has a higher prevalence rate overall, centered mainly in dense urban populations like New York City, Baltimore, and Washington, D.C.
These dynamics are reflected in the 10 U.S. states with the highest HIV prevalence rates, according to the CDC.
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Youth also accounts for the highest rate of undiagnosed infections. Today, nearly half of all HIV-positive youth between the ages of 13 and 24 are unaware of their status and, as a result, are more likely to infect others. The picture is little improved among adults 25 to 34, where one in three remains undiagnosed.
Around 207 Million People Are Living With Hiv In Southern And Eastern Africa
That translates to over half of all people with HIV. Whats more, two-thirds, or 67%, of children with HIV are also found in this region. That said, AIDS trends worldwide suggest that nearly all nations in that region have a generalized HIV epidemic, meaning their national HIV prevalence is higher than 1%.
Hiv And African American People
Black/African Americana people account for a higher proportion of new HIV diagnosesb and people with HIV, compared to other races and ethnicities. In 2018, Black/African Americanc people accounted for 13% of the US populationd but 42% of the 37,968 new HIV diagnoses in the United States and dependent areas.e
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New Hiv Diagnoses Among Gay And Bisexual Men In The Us And Dependent Areas By Race/ethnicity 2019
* 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.
From 2015 to 2019, HIV diagnoses decreased 9% among gay and bisexual men overall. But trends varied for different groups of gay and bisexual men.
The Global Hiv/aids Epidemic
HIV, the virus that causes AIDS, is one of the worlds most serious public health challenges. But there is a global commitment to stopping new HIV infections and ensuring that everyone with HIV has access to HIV treatment.
According to UNAIDS:
Number of People with HIVThere were approximately 37.7 million people across the globe with HIV in 2020. Of these, 36 million were adults and 1.7 million were children aged 0-14 years. More than half were women and girls.
New HIV InfectionsAn estimated 1.5 million individuals worldwide acquired HIV in 2020, marking a 31% decline in new HIV infections since 2010. Of these new HIV infections:
- 1.3 million were individuals ages 15+
- 160,000 were among children aged 0-14 years
HIV TestingApproximately 84% of people with HIV globally knew their HIV status in 2020. The remaining 16% still need access to HIV testing services. HIV testing is an essential gateway to HIV prevention, treatment, care and support services.
HIV Treatment AccessAs of June 2020, 28.2 million people with HIV were accessing antiretroviral therapy globally. That means 9.5 million people are still waiting. HIV treatment access is key to the global effort to end AIDS as a public health threat. People with HIV who are aware of their status, take ART as prescribed, and get and keep an undetectable viral load can live long, healthy lives and have effectively no risk of sexually transmitting HIV to their HIV-negative partners.
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Tuberculosis Among People Living With Hiv
Tuberculosis is the leading HIV-associated opportunistic infection in low- and middle- income countries, and it is a leading cause of death globally among people living with HIV. Death due to tuberculosis still remains high among people living with HIV, however the number of deaths is decreasing. Most of the global mortality due to TB among those with HIV is from cases in Sub-Saharan Africa.
In the charts here we see the number of tuberculosis patients who tested positive for HIV the number receiving antiretroviral therapy and the number of TB-related deaths among those living with HIV.
People who use ART are living longer
ART not only saves lives but also gives a chance for people living with HIV/AIDS to live long lives. Without ART very few infected people survive beyond ten years.3
Today, a person living in a high-income country who started ART in their twenties can expect to live for another 46 years that is well into their 60s.4
ART prevents new HIV infections
There is considerable evidence to show that people who use ART are less likely to transmit HIV to another person.7 ART reduces the number of viral particles present in an HIV-positive individual and therefore, the likelihood of passing the virus to another person decreases.
We need to increase ART coverage
In 2019 36060 People Lived With Hiv In Atlanta As Per Atlanta Hiv Rates
Moreover, Atlanta had 1,530 new cases in 2018. According to the data on the Atlanta HIV rate, 80% of the cases were males, and more than 70% of those affected were Black. Then, nearly 71% of the male transmissions stemmed from male-to-male sexual contact. And stats on HIV transmission rates found that almost 60% of the female transmissions occurred due to heterosexual contact.
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Hiv Testing And Counselling In The Usa
It is estimated that 40% of new HIV infections in the country are transmitted by people who are living with undiagnosed HIV, making increasing access to testing and counselling a fundamental priority for HIV prevention.57
In 2015, the US government expanded Medicare coverage to include annual HIV testing for everyone aged 15 to 65-years-old, regardless of their risk, as well as pregnant women and people outside of this age range who are at increased risk. This means that people with health insurance both public and private have good access to testing, often at no cost. For those without insurance or those wishing not to use their insurance, HIV testing can often be obtained at little or no cost.58
In July 2012, the first HIV home-testing kit was approved for use in the USA. Between then and 2017, approximately 1.1 million home-testing kits were sold in the country, primarily through private purchase, online and at pharmacies.59
HIV testing is also available in non-clinical or community-based settings. These services typically provide same-day rapid HIV testing and some offer HIV prevention services. Nonclinical testers may also offer outreach and mobile testing to reach people who are particularly marginalised. Settings include churches, bathhouses, parks, shelters, syringe services programmes, health-related shops and peoples homes.60
HIV related stigma, socially conservative communities, and low HIV risk perception all serve as barriers to testing.64
Civil Societys Role In The Usa
Freedom of expression in the USA has allowed political activism has been a key part of the countrys HIV response since the very beginning.
In the early days of the response, HIV activism was closely associated with gay communities in the USA . To some extent, grassroots activism in many parts of the USA declined as antiretroviral treatment became more available in the late 1980s and the early 1990s. During the early 1990s, activists shifted their focus more into providing HIV prevention and treatment programmes for people most affected by HIV.117 However, concerns over the rollback of sexual and reproductive health rights, and rights for people who are lesbian, gay, bisexual, transgender and intersex under President Trump has seen a resurgence of activism in recent years.118
There is a systematic and sinister erasing of LGBTQ protections and policies happening at the hands of this Administration. Now more than ever, its vital LGBTQ Americans and marginalised communities raise their voices and tell their stories. The LGBTQ community will not go into hiding, and we will not be silenced.
– Zeke Stokes, Chief Programs Officer at GLAAD.119
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Hiv/aids In The United States
|Rates of HIV Diagnoses in the US, 2017|
|New HIV Infections by Race and Transmission Group|
|HIV Diagnosis Trends in the U.S. and Dependent Areas, 20122016|
|The estimated number of U.S. HIV/AIDS Cases, in 2007 by transmission category|
The AIDS epidemic, caused by HIV , found its way to the United States as early as 1960, but was first noticed after doctors discovered clusters of Kaposi’s sarcoma and pneumocystis pneumonia in homosexual men in Los Angeles, New York City, and San Francisco in 1981. Treatment of HIV/AIDS is primarily via a “drug cocktail” of antiretroviral drugs, and education programs to help people avoid infection.
Initially, infected foreign nationals were turned back at the U.S. border to help prevent additional infections. The number of U.S. deaths from AIDS has declined sharply since the early years of the disease’s presentation domestically. In the United States in 2016, 1.1 million people aged over 13 lived with an HIV infection, of whom 14% were unaware of their infection.Gay and bisexual men, African Americans, and Latinos remain disproportionately affected by HIV/AIDS in the U.S.
Do Some Parts Of The Country Have More Hiv Than Other Parts
Yes. HIV is largely an urban disease, with most cases occurring in metropolitan areas with 500,000 or more people. The South has the highest number of people living with HIV, but if population size is taken into account, the Northeast has the highest rate of people living with HIV.
HIV in the United States by Geographic Distribution is a fact sheet that explains the geography of HIV in the United States.
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Top Ten Hiv Statistics For 2021 To Remember
- 38 million people across the world live with HIV.
- About 1.8 million children under the age of 14 are living with HIV.
- The number of new infections increased by 72% in Eastern Europe and Central Asia.
- The number of HIV infections worldwide has declined by 23% in the last ten years.
- 1.2 million people are living with HIV in the USA.
- 62% of new HIV infections worldwide were among key populations.
- 690,000 people worldwide died from AIDS in 2019
- Almost 75.7 million people have been infected with the virus since the start of the HIV epidemic.
- 44.9% of adolescents were not aware of being infected by HIV.
- Almost 99% of HIV infections can be prevented through consistent use of PrEP.
Want to fact-check your knowledge of HIV? Or learn some truly astonishing information about the virus? Then, go over these fascinating facts we have prepared for you.
Impact On Communities Of Color
- Racial and ethnic minorities have been disproportionately affected by HIV/AIDS since the beginning of the epidemic, and represent the majority of new HIV diagnoses, people living with HIV disease, and deaths among people with HIV.37,38
- Black and Latino people account for a disproportionate share of new HIV diagnoses, relative to their size in the U.S. population .39,40 Black people also account for more people living with HIV than any other racial group â an estimated 479,300 of the 1.2 million people living with HIV in the U.S. are black.41
- Black people also have the highest rate of new HIV diagnoses, followed by Latino people â in 2019, the rate of new HIV diagnoses per 100,000 for Black people was about 8 times that of white people Latino people had a rate 4 times that of white people.42
- Black people accounted for close to half of deaths among people with an HIV diagnosis in 2019.43,44
- Survival after an AIDS diagnosis is lower for Black people than for most other racial/ethnic groups, and Black people have had the highest age-adjusted death rate due to HIV disease throughout most of the epidemic.45 HIV ranks higher as a cause of death for Black and Latino people, compared with White people.46 Further, HIV was the 6th leading cause of death for Black people ages 25-34 in 2019.47
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How Are We Monitoring Progress In Canada
In February 2018, PHAC convened an expert working group meeting to discuss the measures within the HIV continuum of care for Canada. Based on a review of measures used internationally, the PHAC expert group recommended monitoring a four-stage continuum: Stage 1 the estimated number of all people living with HIV Stage 2 the number of all PLHIV who have been diagnosed Stage 3 the number on PLHIV who have been diagnosed and who are on ART and Stage 4 the number of PLHIV on ART who are virally suppressed .
Figure 1. Four-stage HIV continuum of care framework for Canada
This diagram shows the four-stage continuum Canada uses to measure the HIV continuum of care:
Stage 1 the estimated number of all people living with HIV Stage 2 the number of all PLHIV who have been diagnosed Stage 3 the number on PLHIV who have been diagnosed and who are on ART and Stage 4 the number of PLHIV on ART who are virally suppressed.
HIV estimates related to incidence, prevalence and the first 90-90-90 target were developed using HIV surveillance data reported by provinces and territories, estimated deaths among persons living with HIV, and back-calculation statistical modelling methods. Additional detail on these methods is provided in Appendix 1.
The development of estimates for the second and third 90-90-90 targets required additional information from the provinces and territories, including the following where available:
Data limitations and caveats
Hiv And Aids In The United States Of America
- More than one million people are living with HIV in the United States of America one in seven are unaware of their status.
- The HIV epidemic is driven by sexual contact and is concentrated among certain key populations, in particular gay men and other men who have sex with men.
- African Americans are worse affected by HIV across all key population groups.
- Despite condoms being widely available, use is falling, even among people who are at heightened risk of acquiring HIV.
- The USA is experiencing a public health emergency in the form of an opioid epidemic which is threatening the gains made on reducing HIV among people who use drugs.
- Stigma remains a huge barrier to preventing HIV, and is linked to low testing rates, as well as poor adherence to treatment, particularly among young people.
Explore this page to find out more about the , ,, and the.
Around 1.1 million people are living with HIV in the United States of America . Nearly one in seven of these people are unaware they have HIV.1 The size of the epidemic is relatively small compared to the overall population but is heavily concentrated among several . In 2017, 66% of annual new HIV infections occurred among gay men and other men who have sex with men 2 among whom African American/black men are most affected, followed by Latino/Hispanic men. Heterosexual African American/black women, young people and transgender women of all ethnicities are also disproportionately affected.
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Is The World Making Progress In Its Fight Against Hiv/aids
The 1990s saw a substantial increase in the number of people infected with HIV and dying of AIDS.
Between 1996 and 2001 more than 3 million people were infected with HIV ever year. Since then the number of new infections began to decline and in 2017 it was reduced to below 2 million. The lowest number of new infections since 1990.
The number of AIDS-related deaths increased throughout the 1990s and reached a peak in 2005, 2006 when in both years close to 2 million people died. Since then the annual number of deaths from AIDS declined as well and was since halved. 2017 was the first year since the peak in which fewer than 1 million people died from AIDS.
The chart also shows the continuing increase in the number of people living with HIV. The rate of increase has slowed down compared to the 1990s, but the absolute number is at the highest ever with more than 36 million people globally living with HIV.
The Use Of The Term Four
Among the more disturbing facts about HIV is that it was a source of a great deal of stigmatization and discrimination in its beginning. Namely, the main at-risk groups in the early stages of the epidemic were homosexuals, hemophiliacs, Haitians, and heroin addicts. This was both due to how easily it transferred among these groups, as well as the diseases geographic origins. In brief, all these individuals were, and to some extent still are, exposed to discrimination.
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Men Who Have Sex With Men
Men who have sex with men are the group most affected by HIV in the USA, accounting for an estimated 2% of the population, but 66% of new annual HIV infections.13 At the end of 2015, the most recent data available, around 632,300 USA-based men who have sex with men were living with HIV. One in six of these people were unaware they were HIV positive.14
Between 2010 and 2016, new HIV infections among men who have sex with men remained stable at about 26,000 a year.15 However, trends vary greatly by age and ethnicity. For example, new infections among African American/black men who have sex with men remained stable overall, at about 10,000 new infections but they increased by 65% among those aged 25 to 34 . Among Latino and Hispanic men who have sex with men, new infections rose by around 30%, from 6,400 to 8,300. Again, the greatest rise was among 25 to 34-year-olds, where new infections increased by 68%. Among white men who have sex with men, new infections decreased to less than a-fifth overall, from 8,000 to 6,700.16
In 2016, it was estimated that, if current diagnosis rates continued, one in six American men who have sex with men would be diagnosed with HIV in their lifetime. This equates to one in two African American/black men who have sex with men, one in four Hispanic/Latino men who have sex with men and one in 11 white men who have sex with men.17