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A study in the New York area found 13% of incarcerated men and women reported being sexually active in the previous six months.30 Heroin use is increasing in the USA among men and women in most age groups and across all income levels, rising by 63% between 20.A huge contributing factor to this is prescription opioid misuse, which has seen an increasing number of people turn to injecting drug use, particularly in non-urban areas where previously injecting drugs had not been a significant issue.Language, cultural factors and fear of being deported are all key barriers.24 Around 1 million adults identify as transgender in the USA.From 2009 to 2014, 2,351 transgender people were diagnosed with HIV in the country, the vast majority of whom (84%) were transgender women.Men who have sex with men (sometimes referred to as ‘MSM’) are the group most affected by HIV in the USA, accounting for an estimated 2% of the USA’s population, but 70% of new annual HIV infections.9 Between 20, new HIV infections among men who have sex with men remained stable at about 26,000 a year. For example, new infections declined by 16% among young men who have sex with men (aged 13 to 24) during this time, while increasing by 23% among 25 to 34-year-old men who have sex with men.Similarly, new infections declined by 11% among white men who have sex with men but increased 14% among Hispanic/Latino men who have sex with men.10 Although new infections between 20 have remained stable overall among African American/black men who have sex with men, among younger populations (between the ages of 25-34-year-old) African American/black men who have sex with men they have risen by 30%.11 If current diagnosis rates continue, one in six American men who have sex with men will be diagnosed with HIV in their lifetime.HIV rates are higher in southern states, which are home to around 45% of all people living with HIV, and account for around half of the new diagnoses annually in the USA, despite making up roughly one-third (37%) of the population.3 Since the beginning of the HIV epidemic, 692,790 people have died of AIDS-related illnesses in the USA.4 President Obama created the USA’s first National HIV/AIDS Strategy in 2010.
For example, diagnoses among Hispanic women/Latinas declined steadily by 16% but rose by 13% among Hispanic/Latino men who have sex with men.23 The Hispanic/Latino community faces a number of challenges to accessing HIV prevention and treatment services.
Explore this page to find out more about populations most affected by HIV, HIV testing and counselling, HIV prevention programmes, antiretroviral treatment in the USA, civil society's role in the HIV response, barriers to HIV prevention programmes, funding and the future of HIV in the USA.
Around 1.1 million people are living with HIV in the United States of America (USA).
Rates of AIDS-related deaths among prisoners declined an average of 16% per year between 20, from 24 deaths/100,000 in 2001 to 5/100,000 in 2010.27 Among jail populations, African American/black men are five times more likely to be diagnosed with HIV than white men, and twice as likely as Hispanic/Latino men.
Similarly, African American/black women in prison are more than twice as likely to be diagnosed with HIV than white or Hispanic/Latino women.28 Most prisoners are HIV positive before they are incarcerated, with one study estimating that one in seven people living with HIV in the USA go through the prison system every year.29 Others acquire HIV while they are in prison – for example, via unprotected sex.