Despite these grim statistics, there have been gains.
States that hadn’t adopted Medicaid expansion as of 2022 accounted for 43% of all new infections.
Florida, Texas, Georgia, and North Carolina represent the lions share of these infections.
BigFive Images / Gallo Images / Getty Images
Moreover, nearly half of all Americans without health insurance live in the South.
By Age
In the United States, the primarymode of HIV transmissionis sex.
Youth also accounts for the highest rate of undiagnosed infections.
The picture is little improved among adults 25 to 34, where more than a quarter remain undiagnosed.
By contrast, women who exclusively have sex with women are considered to be at low risk of infection.
Among MSM living with HIV, White men accounted for 34%.
By Race
HIV and race are integrally linked, with people of color disproportionately affected.
Poverty, again, is a driving factor.
Race also plays an integral role in the risk of HIV among MSM.
The risk is especially high among Black women due tosocioeconomic and gender inequalities.
The decline for Black women and teenage girls was about 32%.
None of this should suggest that heterosexual men have less to worry about.
When theimmune defenses have been fully compromised, these infections can become life-threatening.
It is these so-calledopportunistic infectionsthat are among the main causes of death in people living with HIV.
In the early days of the AIDS pandemic, most people died within two years of their diagnosis.
In 2022, a total of 19,310 people living with HIV died in the United States.
Of these, more than a fifth were believed to have been because of an HIV-related complication.
Most occurred in the South and Northeast, accounting to the CDC.
Today, the annual number of HIV-related deaths is around 630,000a reduction of roughly 69%.
Stagnating economic contributions from developed countries are only part of the reason why.
The vast majority of people living with HIV are in low- to medium-income countries.
These are described in the latest surveillance report from the Joint United Nations Programme on HIV/AIDS (UNAIDS).
Government inaction and discrimination against gay men and other high-risk groups also help fuel the infection rates.
Women are often disproportionately affected.
That number is expected to increase as the 90-90-90 targets are met.
Globally, there are an estimated 30.7 million people on antiretroviral therapyroughly 77% of the worlds HIV population.
When used appropriately, the preventive strategy can reduce the risk of MTCT by 98% or more.
Without treatment, the risk of transmission runs anywhere from 15% to 45%.
HIV remains a leading cause of death worldwide andtheleading cause of death globally of women of reproductive age.
Not every country is following this trend.
Frequently Asked Questions
In 2019, there were 1.2 million people with HIV in the US.
In 2019, the incidence rate of HIV in the US was 12.6 per 100,000 people.
The number of HIV infections that were estimated to have appeared that year came to 34,800.
Joint United Nations Programme on HIV/AIDS.Global HIV & AIDS statisticsfact sheet.
UNICEF.Elimination of mother-to-child transmission.
Centers for Disease Control and Prevention.CDC publishes new HIV surveillance reports.
Centers for Disease Control and Prevention.National HIV prevention and care outcomes.
2013;68(4):197-209. doi:10.1037/a0032694
U.S. Census Bureau.Income and poverty in the United States.
2016;28(1):9-15. doi:10.1080/19317611.2015.1068904
U.S. Census Bureau.United States: Quick facts.
Centers for Disease Control and Prevention.HIV Surveillance Report.
U.S. Census Bureau.Inequalities persist despite decline in poverty for all major race and hispanic origin groups.
2013;68(4):225-36. doi:10.1037/a0032705
Department of Health and Human Services.Impact on racial and ethnic minorities.
2017;27(4):238-43. doi:10.1016/j.annepidem.2017.02.003
Centers for Disease Control and Prevention.Fast facts: HIV and women.
Centers for Disease Control and Prevention.Estimated HIV incidence and prevalence in the United States, 20182022.
HIV surveillance supplemental report 2024.
Department of Health and Human Services.A timeline of HIV and AIDS.
Joint United Nations Programme on HIV/AIDS.2024 global AIDS report.
The urgency of now: AIDS at a crossroads.
Joint United Nations Programme on HIV/AIDS.Ending AIDS: progress toward the 90-90-90 targets.
2024;9(4):e218-e230.
doi:10.1016/S2468-2667(24)00020-3
Joint United Nations Programme on HIV/AIDS.Regional profile: Eastern Europe and Central Asia.
2019;6(12):e831-59.
2016;11(2):e0148502.
2018;13(11):e0207005.
2010;13:35. doi:10.1186/1758-2652-13-35
Reuters.Africa to get state-of-the-art HIV drugs for $75 a year.
Joint United Nations Programme on HIV/AIDS.HIV prevention: from crisis to opportunity.
KFF.The global HIV/AIDS pandemic.
Joint United Nations Programme on HIV/AIDS.Russian Federation commits to reach 75% antiretroviral therapy coverage in 2019.
Department of Health and Human Services.U.S.
Department of Health and Human Services.Who is at risk for HIV?.
Joint United Nations Programme on HIV/AIDS.Country: Mozambique.
Joint United Nations Programme on HIV/AIDS.Country: South Africa.
Joint United Nations Programme on HIV/AIDS.