Print this page    •   Back to Web version of article

Fact Sheet
HIV Among Transgender People

November 20, 2013

Fast Facts
  • Transgender women are at high risk for HIV infection.
  • By race/ethnicity, black/African American transgender women have the highest percentage of new HIV-positive test results.
  • Efforts are under way to improve the quality of HIV data collected on transgender communities.

HIV Among Transgender People
Transgender communities in the United States are among the groups at highest risk for HIV infection. The term gender identity refers to a person's basic sense of self, and transgender refers to people whose gender identity does not conform to a binary classification of gender based on biological sex, external genitalia, or their sex assigned at birth. It includes gender-nonconforming people with identities beyond the gender binary who self-identify as: male-to-female or transgender women; female-to-male or transgender men; two-spirit; and people who self-identify simply as women or men.

The Numbers

Because data for this population are not uniformly collected, information is lacking on how many transgender people in the United States are infected with HIV. However, data collected by local health departments and scientists studying these communities show high levels of HIV infection and racial/ethnic disparities.

Prevention Challenges


Individual behaviors alone do not account for the high burden of HIV infection among transgender people. Many cultural, socioeconomic, and health-related factors contribute to the HIV epidemic and prevention challenges in U.S. transgender communities.

What CDC Is Doing

CDC and its partners are pursuing a high-impact prevention approach to advance the goals of the National HIV/AIDS Strategy and maximize the effectiveness of current HIV prevention methods among transgender people. Activities include:

HIV Among Transgender People

For more information, visit CDC's Lesbian, Gay, Bisexual, and Transgender Health website at

For more background information view the bibliography and other references used in this factsheet.

This article was provided by U.S. Centers for Disease Control and Prevention. You can find this article online by typing this address into your Web browser:

General Disclaimer: is designed for educational purposes only and is not engaged in rendering medical advice or professional services. The information provided through should not be used for diagnosing or treating a health problem or a disease. It is not a substitute for professional care. If you have or suspect you may have a health problem, consult your health care provider.