HIV and AIDS in the United States by Geographic Distribution
May 20, 2016
HIV Diagnoses, by Race/Ethnicity, Region, and State
Most HIV diagnoses in 2014 were among blacks/African Americans,1 Hispanics/Latinos,2 or whites, reflecting the majority population groups of the United States.
The rates (per 100,000 people) of HIV diagnoses in 2014 were 18.5 in the South, 14.2 in the Northeast, 11.2 in the West, and 8.2 in the Midwest.3
Lifetime Risk of HIV, by State
Overall, an American has a 1 in 99 chance of being diagnosed with HIV at some point in his or her life. But that lifetime risk is greater for people living in the South than in other regions of the country. The lifetime risk of HIV diagnosis is highest in the District of Columbia, followed by Maryland, Georgia, Florida, Louisiana, New York, Texas, New Jersey, Mississippi, South Carolina, North Carolina, Delaware, and Alabama.
Living With HIV, by Region
Southern states account for an estimated 44 percent of all people living with an HIV diagnosis, despite making up roughly one-third (37 percent) of the national population. States reporting the highest rates of people living with HIV are predominantly in the South and the Northeast. At the end of 2013, the overall prevalence rate of people living with diagnosed HIV infection in the United States was 295.1 per 100,000 people. By region, the prevalence rates were 420.5 in the Northeast, 343.6 in the South, 241.2 in the West, and 165.3 in the Midwest.
Knowledge of HIV status and the health of persons living with HIV vary widely across the United States, with Southern states generally behind other regions in some key HIV prevention and care indicators.
AIDS, by Region
New AIDS diagnoses: In 2014, the South accounted for 52% (10,965) of the estimated 20,896 new AIDS diagnoses in the United States, followed by the Northeast (18%, 3,793), the West (17%, 3,511), and the Midwest (13%, 2,627).
In 2014, the rate of new AIDS diagnoses was 9.2 in the South, 6.8 in the Northeast, 4.7 in the West, and 3.9 in the Midwest.
AIDS deaths: Of the 6,955 deaths attributed directly to HIV or AIDS in 2013, 3,630 (52%) were in the South, 1,462 (21%) were in the Northeast, 1,111 (16%) were in the West, and 752 (11%) were in the Midwest.
What CDC Is Doing
Because the burden of HIV is not evenly distributed across populations, CDC is pursuing a high-impact prevention approach to invest prevention resources in the places and populations most affected by HIV, advance the goals of the National HIV/AIDS Strategy for the United States: Updated to 2020, and maximize the effectiveness of HIV prevention efforts. For example,
CDC. Diagnoses of HIV infection in the United States and dependent areas, 2014. HIV Surveillance Report 2015;26.
CDC. Monitoring selected national HIV prevention and care objectives by using HIV surveillance data -- United States and 6 dependent areas -- 2013. HIV Surveillance Supplemental Report 2015;20(2).
Lifetime risk of HIV diagnosis [news release and graphics]. Atlanta, GA: National Center for HIV/AIDS, Viral Hepatitis, Sexually Transmitted Diseases, and Tuberculosis Prevention, CDC. February 23, 2016. Accessed March 9, 2016.
CDC. State HIV Prevention Progress Report, 2010-2013. December 2015.
CDC. Deaths: Final Data for 2013. National Vital Statistics Reports 2016;64(2). Accessed March 8, 2016.
This article was provided by U.S. Centers for Disease Control and Prevention. Visit the CDC's website to find out more about their activities, publications and services.
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