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HIV/AIDS and African Americans

What is HIV/AIDS?

According to the Centers for Disease Control and Prevention (CDC), HIV (human immunodeficiency virus) is a virus that attacks the body’s immune system. If HIV is not treated, it can lead to AIDS (acquired immunodeficiency syndrome). There is currently no effective cure. Once people get HIV, they have it for life. But with proper medical care, HIV can be controlled. People with HIV who get effective HIV treatment can live long, healthy lives and protect their partner.

How Does HIV/AIDS affect African American Populations?

  • Although Black/African Americans represent almost 13 percent of the U.S. population, they account for 42.1 percent of HIV infection cases in 2019.
  • In 2020, African Americans were 7.8 times more likely to be diagnosed with HIV infection, as compared to the white population.
  • African American males have 8.1 times the AIDS rate as compared to white males.
  • African American females have 15 times the AIDS rate as compared to white females.
  • African American men are 6.0 times as likely to die from HIV infection as non-Hispanic white men.
  • African American women are 15.3 times as likely to die from HIV infection as white women.

 

HIV Infection Cases and Rates (Adults)

Estimated number of diagnosed cases and rates (per 100,000) of HIV infection, 2020

 

# Cases

Rate

African American/
White Ratio

African American males

9,859

60.9

7.8

White males

6,542

7.8

 

 

African American females

2,965

16.4

10.9

White females

1,289

1.5

 

 

African American (total, all ages)

12,856

31.0

7.8

White (total, all ages)

7,843

4.0

 

Note: Data for 2020 should be interpreted with caution due to the impact of the COVID-19 pandemic on access to HIV testing, care-related services, and case surveillance activities in state/local jurisdictions.

Source: CDC 2022. HIV Surveillance Report: Diagnoses of HIV Infection in the United States and Dependent Areas, 2020, v.33. Tables 3a and 3b.
https://www.cdc.gov/hiv/pdf/library/reports/surveillance/cdc-hiv-surveillance-report-2020-updated-vol-33.pdf [PDF | 6.0 MB]

 

HIV Infection Cases and Rates (Children <13 years)

Estimated number of diagnosed cases and rates (per 100,000) of HIV infection, 2020

 

# Cases

Rate

African American

32

0.4

White

12

0.0

Total Population

57

0.1

Source: CDC 2022. HIV Surveillance Report: Diagnoses of HIV Infection in the United States and Dependent Areas, 2020, v.33. Table 2a.
https://www.cdc.gov/hiv/pdf/library/reports/surveillance/cdc-hiv-surveillance-report-2020-updated-vol-33.pdf [PDF | 6.0 MB]

 

HIV Infection Cases (Adults and Children)

Estimated number of cases of HIV infection by year of diagnosis, 2020

 

# Cases

% of Total Cases

African American

12,856

42.2

White

7,843

25.8

Total Population

30,403

 

Source: CDC 2022. HIV Surveillance Report: Diagnoses of HIV Infection in the United States and Dependent Areas, 2020, v.33. Table 1a. https://www.cdc.gov/hiv/pdf/library/reports/surveillance/cdc-hiv-surveillance-report-2020-updated-vol-33.pdf [PDF | 6.0 MB]

 

Estimated number of persons living with diagnosed HIV infection and rates (per 100,000) by year, 2020

 

Rate

# Cases

% of Total Cases

African American

1,038

430,015

40.1

White

155.5

305,956

28.5

Total Population

321.9

1,072,051

 

Source: CDC 2022. HIV Surveillance Report: Diagnoses of HIV Infection in the United States and Dependent Areas, 2020, v.33. Table 15b.
https://www.cdc.gov/hiv/pdf/library/reports/surveillance/cdc-hiv-surveillance-report-2020-updated-vol-33.pdf [PDF | 6.0 MB]

 

AIDS Cases and Rates (Adults)

Estimated number of cases and rates (per 100,000) of AIDS, 2020

 

# Cases

Rate

African American/
White Ratio

African American males

4,466

27.6

8.1

White males

2,883

3.4

 

 

African American females

1,899

10.5

15.0

White females

596

0.7

 

 

African American (both sexes)

6,365

18.6

9.3

White (both sexes)

3,479

2.0

 

Source: CDC 2022. NCHHSTP Atlas Plus.
https://gis.cdc.gov/grasp/nchhstpatlas/tables.html [Accessed 12/13/2022]

 

Estimated number of cases of AIDS by year of diagnosis, 2020

 

Cumulative # Cases*

% of Total Cases

African American

527,795

40.0

White

447,525

33.9

Total Population

1,320,364

 

Source: CDC 2022. HIV Surveillance Report: Diagnoses of HIV Infection in the United States and Dependent Areas, 2020. Slide Set: HIV Infection, Stage 3 (AIDS) 2022.  https://www.cdc.gov/hiv/pdf/library/reports/surveillance/cdc-hiv-surveillance-report-2020-updated-vol-33.pdf [PDF | 6.0 MB]

 

Death Rate

HIV infection death rates per 100,000 population for

persons >=13 years, 2020

 

African Americans

White

African American/
White Ratio

Men

33.5

5.6

6.0

Women

13.8

0.9

15.3

 

Total Population

19.1

2.8

6.8

Source: CDC 2022. HIV Surveillance Report: Diagnoses of HIV Infection in the United States and Dependent Areas, 2020, v.33. Table 12a.
https://www.cdc.gov/hiv/pdf/library/reports/surveillance/cdc-hiv-surveillance-report-2020-updated-vol-33.pdf [PDF | 6.0 MB]

 

AIDS Deaths

Estimated number of deaths, and death rates, of persons with AIDS by year of death, 2020

 

# Deaths

2020

Rate

2020

Cumulative # Deaths*

% of Total Cases

African Americans

6,018

17.6

311,902

40.0

White

4,079

2.4

297,177

38.1

Total Population

13,875

5.0

780,579

 

Source: CDC 2022. NCHHSTP Atlas Plus
https://gis.cdc.gov/grasp/nchhstpatlas/tables.html [Accessed 12/13/2022]

Source: CDC 2022. HIV Surveillance Report: Diagnoses of HIV Infection in the United States and Dependent Areas, 2020. Slide Set: HIV Infection, Stage 3 (AIDS) 2020. Slide 4
 https://www.cdc.gov/hiv/pdf/library/slidesets/cdc-hiv-slideset-stage-3-infection-2020.pdf [PDF | 1.0MB]

 

HIV Testing

Age-adjusted percent of HIV testing status among persons 18 years of age and over, 2018

 

Non-Hispanic Black

Non-Hispanic White

Non-Hispanic Black/
Non-Hispanic White Ratio

Ever tested

62.7

40.7

1.5

Never tested

37.3

59.3

0.6

Source: CDC 2022. Summary Health Statistics for U.S. Adults: 2018. Table A-20a.
http://www.cdc.gov/nchs/nhis/SHS/tables.htm

Last Modified: 2/17/2023 3:45:00 PM