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Nearly one in seven of these people are unaware they have HIV.1 The size of the epidemic is relatively small compared to the country’s population, but is heavily concentrated among several key affected populations.Around 70% of annual new HIV infections occur among gay and other men who have sex with men (sometimes referred to as MSM), among whom African American/black men are most affected, followed by Latino/Hispanic men.Heterosexual African American/black women and transgender women of all ethnicities are also disproportionately affected.
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.
When analysed on ethnicity, 38% were among African American/black people, 40% were among white people, and 19% were among Hispanics/Latino people.35 Young people (aged 13-24) accounted for one in five (22%) new HIV infections in 2015.
Eighty percent of those diagnoses occurred in people aged 20 to 24.36 Although new HIV infections are declining among young men who have sex with men, this group still accounted for 81% of new HIV infections among young people in 2015.
This group accounted for 44% of all new HIV infections in 2014 despite only making up 12% of the population.16 At the end of 2014, an estimated 471,500 African American/black people were living with HIV, making up 43% of the total number of people living with HIV.
One in six were unaware of their status.17 Among all African American/black people diagnosed with HIV in 2016, the largest proportion were men who have sex with men who accounted for six out of ten diagnoses.18 Between 20, HIV diagnoses fell by 8% among African Americans/black people overall, except for among African American/black men who have sex with men aged 25-34 (see ‘men who have sex with men’ section above).