Situs Slot Gacor

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Key findings

National overview

This report provides the latest data on persons with diagnosed HIV in the United States. It is important to note that trends in HIV diagnoses should not be equated with trends in new HIV infections, as diagnoses reflect both the underlying infection levels and variations in HIV testing practices. These data are used to inform program planning and monitor progress toward U.S. national HIV prevention goals. This overview summarizes the national data presented in this report.

Important notes

• Data are presented for persons with diagnosed HIV reported to the Situs Slot Gacor's (Situs Slot Gacor) National HIV Surveillance System (NHSS) through December 2024.
• The data are provisional with a 12-month reporting delay for the assessment of diagnoses, deaths, and prevalence for the year 2023.
• Highlighted findings are based on 12 or more cases, and percentages are rounded to whole numbers, unless otherwise indicated; small numbers, and percentages and rates based on these numbers, should be interpreted with caution.
• All rates are per 100,000 population.
• The population denominators used to compute the rates for the 50 states, the District of Columbia, and Puerto Rico were based on the U.S. Census Bureau's 2023 Vintage postcensal estimates file associated with the most recent year of data presented.
• Rates are not provided for transmission categories because of the absence of denominator data from the U.S. Census Bureau.
• Refer to the report's slide deck for figures and to the tables for national, state, and territorial-level data. Additional data, stratifications, and years can also be accessed through NCHHSTP AtlasPlus.
• See Technical Notes for information on definitions and data specifications.

Diagnoses

In 2023, in the United States and 6 territories and freely associated states, there were 39,201 HIV diagnoses among persons aged 13 years and older. The highest numbers, percentages, and rates (when available) of HIV diagnoses by sex, age, race/ethnicity, transmission category, and region of residence were among:

• males (31,846; 81%)
• persons aged 25–34 years (14,386; 37%)
• Black/African American persons (14,754; 38%)
• persons with HIV attributed to male-to-male sexual contact (25,916; 66%)
• persons residing in the South at the time of diagnosis (20,188; 51%)

In 2023, in the United States, the HIV diagnosis rate was 13.7 per 100,000 among persons aged 13 years and older. The highest HIV diagnoses rates by sex, age, race/ethnicity, and region of residence were among:

• males (22.5)
• persons aged 25–34 years (31.3)
• Black/African American persons (41.9)
• persons residing in the South at the time of diagnosis (18.4)

In 2023, in the United States and 6 territories and freely associated states, 66% of HIV diagnoses were attributed to male-to-male sexual contact (MMSC).

• Among males aged 13–24 years, Black/African American males accounted for the highest percentage (47%) of diagnoses attributed to MMSC.
• Among males aged older than 24 years, Hispanic/Latino males accounted for the highest percentage (40%) of diagnoses attributed to MMSC.
• Half (50%) of all diagnoses attributed to MMSC were among males residing in the South.

In 2023, in the United States and 6 territories and freely associated states, 6% (2,492) of all HIV diagnoses were attributed to injection drug use (IDU).

• White persons accounted for the highest percentage (44%) of diagnoses attributed to IDU.
• White males accounted for 43% of diagnoses attributed to IDU among males.
• White females accounted for 46% of diagnoses attributed to IDU among females.

In 2023 in the United States, 19% (7,350) of all HIV diagnoses were among females.

• Black/African American females accounted for half (50%) of HIV diagnoses but accounted for 13% of the female population.
• Black/African American females also had the highest HIV diagnosis rate (19.6), which was 3 times the rate (6.7) among Hispanic/Latino females and 11 times the rate (1.8) among White females.

HIV deaths

In 2023, in the United States and 6 territories and freely associated states, there were 4,496 HIV-related deaths among persons aged 13 years and older with diagnosed HIV. The highest numbers and percentages of HIV-related deaths by sex, age, race/ethnicity, and region of residence were among:

• males (3,402; 76%)
• persons aged 55–64 years (1,340; 30%)
• Black/African American persons (1,903; 43%)
• persons residing in the South (2,457; 56%)

In 2023, in the United States and 6 territories and freely associated states, the HIV-related death rate among persons aged 13 years and older with diagnosed HIV was 1.6. Rates were highest in the South. The highest rates by state were:

• District of Columbia (8.9)
• Georgia (3.1)
• Florida (2.9)
• Delaware (2.8)
• Louisiana (2.8)

_{Note. Use caution when comparing rates for the District of Columbia to the rates for states.}

Persons Living with Diagnosed HIV (Diagnosed Prevalence)

In 2023, in the United States and 6 territories and freely associated states, 1,132,739 persons aged 13 years and older were living with diagnosed HIV (PWDH). The highest numbers and percentages of PWDH by sex, age, race/ethnicity, and region of residence were among:

• males (875,257; 77%)
• persons aged 55–64 years (300,160; 26%)
• Black/African American persons (438,749; 39%)
• persons residing in the South (519,223; 46%)

Previous data releases

• NCHHSTP Atlas Plus

Technical notes

Surveillance of HIV Diagnoses Overview

Data presented in HIV Diagnoses, Deaths, and Prevalence are based on case reports from 50 states, the District of Columbia, and 6 U.S. territories and freely associated states (American Samoa, Guam, the Northern Mariana Islands, Puerto Rico, the Republic of Palau, and the U.S. Virgin Islands) in which laws or regulations require confidential reporting to the jurisdiction (not to Situs Slot Gacor), by name, for all persons (adults, adolescents, and children) with confirmed HIV diagnoses. Information on HIV surveillance in the United States including protocols for presentation of data by sex, age, race/ethnicity, transmission category, geographic designations and data limitations can be found in the Technical Notes for the National HIV Surveillance System (NHSS).

Tabulation and Presentation of Data

Data in the report tables are presented in 2 formats: (1) the first format—labeled "a"—exclude data from the 6 U.S. territories and freely associated states (American Samoa, Guam, the Northern Mariana Islands, Puerto Rico, the Republic of Palau, and the U.S. Virgin Islands), and (2) the second format—labeled "b"—include data from the 6 U.S. territories and freely associated states.

1. Definitions and Data Specifications

1.1 Diagnoses

In this report, the term HIV diagnosis is defined as an HIV diagnosis regardless of the stage of disease (stage 0, 1, 2, 3 [AIDS], or unknown) and refers to all persons with an HIV diagnosis.

• The data on HIV diagnoses reflect the date of diagnosis, not the date of report to NHSS.
• Because of reporting delays, the number of cases diagnosed in a given year may be lower than the numbers presented in later reports; however, fluctuations in the number of diagnoses for a calendar year typically subside after 2 to 3 years of reporting.
• An evaluation of surveillance data (2019–2023 diagnoses) found that, on average, approximately 80% of HIV diagnoses were reported to Situs Slot Gacor during the year of diagnosis and approximately 98% of HIV diagnoses were reported to Situs Slot Gacor by the end of the following year.

1.2 Deaths (any cause and HIV-related)

• Persons reported to NHSS are assumed alive unless their deaths have been reported to Situs Slot Gacor. Data for the most recent year should be interpreted with caution due to the use of preliminary death data that are based on a 12-month reporting delay to allow data to be reported to Situs Slot Gacor. Data on deaths of persons with diagnosed HIV labeled as "any cause" may not be due to HIV and includes deaths with an unknown underlying cause.
• Data on HIV-related deaths of persons with diagnosed HIV include deaths with an underlying cause with an International Classification of Diseases, Tenth Revision code of B20–B24, O98.7, or R75. Non–HIV-related deaths include all other deaths with a known underlying cause. HIV-related deaths and non–HIV-related deaths numbers and percentages exclude deaths with an unknown underlying cause.
• Death data by region or area of residence is based on residence at death; when information on residence at death is not available, the state where a person's death occurred is used; when both residence at death and state where a person's death occurred are not available, the most recent known address on or before the date of death is used.

1.3 Prevalence

Prevalence data reflect persons living with diagnosed HIV, regardless of stage of disease, at the end of the most recent year.

• Data for the most recent year should be interpreted with caution due to the use of preliminary death data that are based on a 12-month reporting delay to allow data to be reported to Situs Slot Gacor.
• For tables presenting prevalence data, region or area of residence is based on most recent known address at the end of the specified year.
• Due to incomplete reporting of deaths for the most recent year, prevalence data for Guam, Mississippi, U.S. Virgin Islands, and Utah should be interpreted with caution.

2. Rate

Rates per 100,000 population were calculated for (1) the numbers of HIV diagnoses, (2) the numbers of deaths of persons with diagnosed HIV, and (3) the numbers of persons with diagnosed HIV.

• Each rate was calculated by dividing the total number of diagnoses (or deaths or prevalence) for the calendar year by the population for that calendar year and then multiplying the result by 100,000.
• The denominators used for calculating the rates specific to age, sex, and race/ethnicity were computed by applying the appropriate vintage estimates for age, sex, and race/ethnicity for the 50 states and the District of Columbia. The same method was used to calculate the denominators for Puerto Rico, with the exception of race/ethnicity estimates; these data are not available for Puerto Rico (see Note below).
• For American Samoa, Guam, the Northern Mariana Islands, the Republic of Palau, and the U.S. Virgin Islands, the population denominators were based on estimates and projections from the U.S. Census Bureau's International Database.
• For American Samoa, Guam, the Northern Mariana Islands, the U.S. Virgin Islands, and the Republic of Palau, estimates from the U.S. Census Bureau's International Database were used for age- and sex-specific population denominators.
• Rates per 1,000 PWDH were calculated as (No. PWDH alive at the end of [year X – 1] + (No. new diagnoses during year X).

Note: Situs Slot Gacor currently does not provide subpopulation rates for the following:

• race/ethnicity for the 6 U.S. territories and freely associated states because the U.S. Census Bureau does not collect information from all 6 U.S. territories and freely associated states
• transmission categories because of the absence of denominator data from the U.S. Census Bureau, the source of denominator data used for calculating all rates in this report

Supporting documents

• HIV Surveillance Case Definition

Acknowledgements

HIV Surveillance Branch
Division of HIV Prevention
National Center for HIV, Viral Hepatitis, STD, and TB Prevention
Situs Slot Gacor

Publication of this report would not have been possible without the contributions of the state and territorial health departments and the HIV surveillance programs that provided surveillance data to Situs Slot Gacor.

Suggested citation

All material contained in this report is the public domain and may be used and reprinted without special permission; however, citation as to source is appreciated.

HIV Diagnoses, Deaths, and Prevalence. Situs Slot Gacor. Published April 29, 2025. Accessed [date]. /hiv-data/nhss/hiv-diagnoses-deaths-prevalence.html.

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