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.
- In 2024, Southern states accounted for 51% of new HIV diagnoses.
- New HIV diagnoses (aged 13 and older) in 2024: 38,793.
- Black/African Americans accounted for 39% of new HIV acquisitions in 2024, although they comprise only about 13% of the population. In 2024, people who identify as Hispanic/Latino accounted for 34% of new HIV acquisitions, although they comprise only about 19% of the population.
- Injection drug use accounted for 6% of all HIV diagnoses in the U.S. in 2024.
- For every 100 people with diagnosed HIV in the U.S. in 2024, 87 knew their status, about 77 received some HIV care, 56 were retained in care, and about 69 were virally suppressed.
- About 83% of people overall with HIV diagnosed in 2024 were linked to care within one month of diagnosis.
- About 22% of people diagnosed with HIV in 2024 were at the most advanced stage of HIV disease.
- U.S. states with the highest PrEP coverage saw a 38% decrease in new HIV diagnoses from 2012 to 2022, while states with the lowest coverage saw a 27% increase.
- Across all regions in the U.S., the PrEP-to-Need Ratio (the ratio of the number of PrEP users to the number of people newly diagnosed with HIV) was highest among White individuals and lowest among Black individuals.
- In 2024, there were 4,296 HIV-related deaths among people with diagnosed HIV in the U.S. and dependent territories.
Gay, Bisexual and Other MSM
- MSM were the population most affected by HIV in the U.S. in 2024.
- Of the 38,793 new HIV diagnoses in the U.S. and dependent areas in 2024, 68% 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 2024, 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 2024, 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 in 2024.
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 20% of new HIV diagnoses in 2024.
- Among all women aged 13 and older diagnosed with HIV in 2024, 52% were Black/African American, 22% were Hispanic/Latina, and 20% were White.
- Among people living with HIV at the end of 2024, women had a slightly lower rate of viral suppression than men.
- Women continued to be underrepresented when it comes to PrEP use, comprising only 9% of PrEP users in 2024.
HIV in Young People
- Youth aged 13–24 accounted for 18% of new HIV diagnoses in 2024. People aged 25–34 accounted for 37% of new HIV acquisitions in 2024, the highest among all age ranges.
- Condom use among sexually active youths, 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 13% of the U.S. population, Black people accounted for 38% of all people living with HIV in the U.S. in 2023.
- In 2024, young Black people accounted for almost half of all new HIV diagnoses among youth.
- Across racial/ethnic categories in 2024, 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 Diagnoses, Deaths, and Prevalence: 2026 Update
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 September 2026)