HIV/AIDS in the U.S.
HIV/AIDS in the U.S.
Over 1.1 million people in the United States are living with HIV, and approximately 13% of them don’t know it.
- New HIV diagnoses in 2023: 38, 793.
- In 2023, Southern states accounted for 51% of new HIV diagnoses.
- Black/African Americans accounted for 38% of new HIV acquisitions in 2023, although they comprise only about 12% of the population. In 2023, people who identify as Hispanic/Latino accounted for 34% of new HIV acquisitions, although they comprise only about 18% of the population.
- Injection drug use accounted for 6% of all HIV diagnoses in the U.S. in 2023.
- For every 100 people with diagnosed HIV in the U.S. in 2023, 87 knew their status, about 76 received some HIV care, 55 were retained in care, and about 67 were virally suppressed.
- About 83% of people overall with HIV diagnosed in 2025 were linked to care within one month of diagnosis.
- Over 21% of people diagnosed with HIV in 2023 were at the most advanced stage of HIV disease.
- In 2022, only 36% of people who could benefit from PrEP received the HIV prevention medication.
- In 2023, there were 4,496 HIV-related deaths among people with diagnosed HIV in the U.S. and six territories and freely associated states.
Gay, Bisexual and Other MSM
- MSM were the population most affected by HIV in the U.S. in 2023.
- Of the 38,793 new HIV diagnoses in the U.S. and dependent areas in 2023, 66% were among gay, bisexual and other men who reported male-to-male sexual contact. This includes acquisition attributed to male-to-male sexual contact and injection drug use (men who reported both risk factors.)
- In 2023, among males aged 13–24 years, Black/African American males accounted for the highest percentage (47%) of diagnoses attributed to male-to-male sexual contact.
- In 2023, among males aged older than 24 years, Hispanic/Latino males accounted for the highest percentage (40%) of diagnoses attributed to male-to-male sexual contact.
- Half (50%) of all diagnoses attributed to male-to-male sexual contact were among males residing in the South.
Transgender and Additional Gender Identity (AGI) People
- While transgender men accounted for less than 1% (66) of new HIV diagnoses, transgender women accounted for 2% (869) of new HIV diagnoses.
- Among transgender and AGI people diagnosed in 2022, 40% (396) were Black/African American and 38% (379) were Hispanic/Latino.
- By age group, the largest percentage of new diagnoses among transgender and AGI people occurred among people ages 25–34 (45%) and 13–24 (31%).
HIV in Women (Based on Sex Assigned at Birth)
- Women accounted for approximately 19% of new HIV diagnoses in 2023.
- Among all women aged 13 and older diagnosed with HIV in 2023, nearly 50% were Black/African American, over 23% were Hispanic/Latina, and over 21% were white.
- Among people living with HIV at the end of 2023, women had a lower rate of viral suppression than men.
HIV in Young People
- Youth aged 13–24 accounted for 18% of new HIV diagnoses in 2023. People aged 25–34 accounted for 37% of new HIV acquisitions in 2023, the highest among all age ranges.
- Condom use among sexually active students, when surveyed about their last sexual intercourse, decreased from 59% in 2013 to about 52% in 2023.
- Among people living with HIV, those aged 13–24 are least likely of any age group to be aware of their HIV status.
- This age group has high rates of sexually transmitted diseases and low rates of condom use, both factors in increasing the risk of getting or transmitting HIV.
- Only 6% of cisgender and heterosexual high school students have ever tested for HIV; only 9% of LGBTQ+ students have ever tested.
HIV in Black/African Americans
- Despite only representing 12% of the U.S. population, Black people accounted for 38% of all people living with HIV in the U.S. in 2023.
- In 2023, young Black people accounted for almost half of all new HIV diagnoses among youth.
- Across racial/ethnic categories in 2023, Black men had the highest rate of new HIV diagnoses among men and Black women had the highest rate of new HIV diagnoses among women.
- Despite representing the highest percentage of people living with HIV and number of new diagnoses among all races/ethnicities in the U.S., Black people accounted for the lowest percentage (15%) of PrEP users in 2024.
Sources:
HIV Surveillance Report: 2025 Update (CDC)
Youth Risk Behavior Survey, 2013-2023 (CDC)
*Data that includes 2020–2022 should be interpreted with caution due to the impact of the COVID-19 pandemic on access to HIV testing, care-related services, and case surveillance activities in state and local jurisdictions. Data for transgender and additional gender identity people was last available for 2022.
(Last updated February 2026)