How Common Is Hiv Aids – Racism, systemic inequality, social and economic marginalization, residential segregation and other long-standing barriers are key drivers of the disproportionate impact of HIV among black or African-American (hereafter black) communities in the United States.
Donut chart showing the estimated 34,800 people with new HIV infections in the United States, by race and ethnicity, in 2019
How Common Is Hiv Aids
A growing body of research shows that centuries of racism and discrimination in this country have had profound negative effects on communities of color. Its effects are widespread and profound in society, affecting where people live, study, work, worship and play and create inequalities in access to housing, quality education, wealth, employment and a series of other social and economic benefits. These conditions – often called the social determinants of health – are a major driver of health inequalities, putting people in some populations at greater risk for poor health outcomes.
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With effective prevention and treatment tools at our disposal, the country has an opportunity decades in the making to end the domestic HIV epidemic and eliminate gaps in HIV prevention and care. working with partners in a variety of areas – including the federal initiative Ending the HIV Epidemic in the U.S. (EHE) – to deliver and improve key science-based HIV treatment and prevention strategies in innovative ways that equitably reach populations.
The COVID-19 pandemic in the United States caused disruptions in HIV testing and access to clinical services throughout 2020. Although the full impact of the COVID-19 pandemic on HIV in the United States will not be known for some time, recent data have shown that it is. setbacks to HIV prevention, including a sharp decline in HIV testing and diagnosis, as well as slow prescription of pre-exposure prophylaxis (PrEP). In 2020, 44% fewer HIV tests were given among blacks in non-healthcare settings than in 2019.
Due to disruptions in testing services and clinical care, it is not possible to estimate new HIV infections (“HIV incidence”) for the year 2020 or provide HIV trends until 2020. “HIV Prevalence “); or knowledge of HIV status.
Estimates that, as of 2019, approximately 1.2 million people in the United States are living with HIV. In 2019, black people accounted for 13% of the US population, but 40% (479,300) of people with HIV.
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Although new HIV infections declined 8% overall from 2015 to 2019, they remained stable among Blacks during that time.
BLACK MEN accounted for three-quarters of new HIV infections among all blacks in the United States in 2019, with 82% of infections linked to male-to-male sexual contact. Additionally, the analysis found that black and bisexual gay men were less likely to receive an HIV diagnosis, use PrEP to prevent HIV, and be virally suppressed than white and bisexual gay men.
FOR BLACK WOMEN, 91% of new HIV infections are associated with heterosexual relationships while HIV infection rates among black women are the highest compared to women of all other races and ethnicities.
Additionally, a recent study found that black transgender women accounted for 62% of HIV infections among transgender women with HIV living in seven major US cities.
Hiv And Infections
To end the HIV epidemic, countries must increase HIV testing; connecting people with HIV to care and treatment; and ensure equitable access to HIV prevention, including PrEP, for all who can benefit.
About 13% of black people with HIV in the United States do not know their status, and few receive the appropriate HIV care and treatment that would help them achieve and maintain viral suppression, and live longer, healthier lives. Additionally, PrEP use was lowest among blacks compared to whites and Hispanics and Latinos.
Bar chart showing the percentage of people living with HIV in the United States who are virally suppressed by race and ethnicity.
The bar chart shows the percentage of people eligible for prescribed PrEP by race and ethnicity.
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To achieve health equity and end the HIV epidemic, countries must overcome systemic racism, homophobia, transphobia, HIV-related stigma, and other entrenched barriers that have contributed to disparities for too long.
Innovation is also important. For example, a comprehensive approach to care integrates HIV prevention and treatment into health services that people have sought. This approach also addresses interrelated epidemics, such as sexually transmitted infections and hepatitis. HIV self-testing and mobile services need to be maximized to reach people where they are – which, for many, is outside of traditional healthcare settings. And because not all areas can implement the latest advances in HIV prevention and care, health care providers and prevention partners must provide resources to the communities most in need.
To end the HIV epidemic once and for all, countries must work together to increase the accessibility and use of powerful HIV prevention and treatment tools by all.
If you are a member of the media and need more information, please visit /nchhstp/newsroom or contact the Media Office at 404-639-3286 or [email protected] remains an ongoing public health problem in the United States. Although great progress has been made in HIV prevention and treatment, much remains to be done. This section provides an overview of HIV in the United States and its territories. For a more detailed analysis of HIV data and its impact in the United States, visit our Statistics Center. For information on the impact of HIV around the world, visit the Global HIV and TB website.
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New HIV Diagnoses and Persons Diagnosed with HIV in the United States and Dependent Regions by Region of Residence, 2021*
Living with HIV at the end of 2021, the latest year this information is available. Of these, about 87% knew they had HIV.
They represent 67% (24, 107) of all new HIV diagnoses in the United States and dependent areas. In the same year, heterosexual relationships accounted for 22% (8,059) of all HIV diagnoses.
If we look at HIV diagnoses by race and ethnicity, we see that blacks/African Americans are more affected by HIV. In 2021, blacks/African Americans will account for 40% (14,528) of all new HIV diagnoses. In addition, Hispanics/Latinos are also particularly affected. They account for 29% (10,467) of all new HIV diagnoses.
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Subpopulations representing 2% or less of all people receiving an HIV diagnosis in 2021 are not represented in this chart.
†Transmission categories are classified based on a hierarchy of risk factors most likely to be responsible for HIV transmission. Classification is determined based on a person’s assigned gender at birth. Data were statistically adjusted to account for missing delivery categories.
Yes. Most HIV cases occur in metropolitan areas with 500,000 or more people. South has the highest
People living with HIV, but if population size is taken into account, the North East has the highest
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People living with HIV. (Rates are the number of disease cases per 100,000 people. Rates allow numerical comparisons between groups of different sizes.)
American Samoa, Guam, Northern Mariana Islands, Puerto Rico, Republic of Palau and US Virgin Islands.
The term male-to-male sexual relations is used in the surveillance system. It shows the behavior that transmits HIV infection, not how individuals identify themselves in terms of their sexuality.
Source: Division of HIV Prevention, National Center for HIV, Viral Hepatitis, STD and Tuberculosis Prevention, Centers for Disease Control and Prevention The full impact of the COVID-19 pandemic on HIV in the United States will not be known for some time. . However, the data shows a setback to HIV prevention, including a sharp decline in HIV testing and diagnosis from 2019 to 2020. This decline is due to high levels of disruption to care clinics and community services, a reduction in patients accessing available clinical services. , and reductions in partner services and testing as public health staff transition to the COVID-19 response.
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Prescriptions for pre-exposure prophylaxis (PrEP) have also increased at a slower rate than before COVID-19, and not at the rate required to meet federal government mandates.
Countries must accelerate efforts to protect health, expand access to proven HIV prevention tools, and meet national goals that are approaching to end the HIV epidemic.
Due to disruptions in testing services and clinical care, it is not possible to estimate new HIV infections (“HIV incidence”) for the year 2020 or provide HIV trends until 2020. “HIV Prevalence “); or knowledge of HIV status.
Estimates that, as of 2019, approximately 1.2 million people in the United States are living with HIV. New HIV infections have declined in recent years, after a period of general stability. Overall, new infections fell 8% from 37,800 in 2015 to 34,800 in 2019.
Hiv And Children And Adolescents
Much of this progress is due to greater declines among gay and bisexual youth (ages 13-24) in recent years. From 2015 to 2019, new infections decreased by 33% overall among this population.
There are promising signs of progress in HIV prevention, but gains remain uneven, and HIV continues to affect some groups severely and disproportionately.
Gay and bisexual men continue to account for the majority of new HIV infections (66%), and HIV disparities remain severe among some racial and ethnic minority groups. Blacks or African Americans (hereafter referred to as Blacks) face eight times higher rates of infection.
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