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HIV and Gay and Bisexual Men

Gay, bisexual, and other men who reported male-to-male sexual contact^a are the population most affected by HIV in the United States. In 2018, gay and bisexual men^b made up 69% of the 37,968 new HIV diagnoses^c in the United States (US) and dependent areas.^d Approximately 492,000 sexually active gay and bisexual men are at high risk for HIV; however, we have more tools to prevent HIV than ever before.

The Numbers

HIV Diagnoses^b

Of the 37,968 new HIV diagnoses in the US and dependent areas in 2018, 69 percent were among gay and bisexual men.

New HIV Diagnoses Among Gay and Bisexual Men in the US and Dependent Areas by Race/Ethnicity, 2018

Among gay and bisexual men who received an HIV diagnosis in 2018, racial and ethnic disparities continue to exist.

This bar chart shows HIV diagnoses among gay and bisexual men in the United States and dependent areas in 2018 by race. Black/African American gay and bisexual men made up 37 percent of new HIV diagnoses, Hispanic/Latino gay and bisexual men made up 30 percent, White gay and bisexual men made up 27 percent, Asian gay and bisexual men made up 3 percent, gay and bisexual men of multiple races made up 3 percent, American Indian/Alaska Native gay and bisexual men made up 1 percent and Native Hawaiian and Other Pacific Islander gay and bisexual men made up less than 1 percent of new HIV diagnoses.

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* Black refers to people having origins in any of the Black racial groups of Africa. African American is a term often used for Americans of African descent with ancestry in North America.
† Hispanics/Latinos can be of any race.
Source: CDC. Diagnoses of HIV infection in the United States and dependent areas, 2018 (updated). HIV Surveillance Report 2020;31.

New HIV Diagnoses Among Gay and Bisexual Men in the US and Dependent Areas by Age, 2018

Gay and bisexual men aged 13 to 34 made up most new HIV diagnoses among all gay and bisexual men.

This bar chart shows new HIV diagnoses among gay and bisexual men in the United States and dependent areas in 2018 by age. Gay and bisexual men aged 13 to 24 made up 25 percent of new HIV diagnoses, gay and bisexual men aged 25 to 34 made up 39 percent, gay and bisexual men aged 35 to 44 made up 17 percent, gay and bisexual men aged 45 to 54 made up 11 percent, and gay and bisexual men aged 55 and older made up 7 percent of new HIV diagnoses.

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Total may not equal 100% due to rounding.
Source: CDC. Diagnoses of HIV infection in the United States and dependent areas, 2018 (updated). HIV Surveillance Report 2020;31.

From 2014 to 2018, HIV diagnoses decreased 7% among gay and bisexual men overall. But trends varied for different groups of gay and bisexual men.

HIV Diagnoses Among Gay and Bisexual Men in the US and Dependent Areas, 2014-2018

This trend chart shows HIV diagnoses among gay and bisexual men in the US and dependent areas from 2014 to 2018. By race/ethnicity, Black/African American gay and bisexual men remained stable; Hispanic/Latino gay and bisexual men remained stable; White gay and bisexual men decreased 15 percent; Asian gay and bisexual men remained stable; gay and bisexual men of multiple races decreased 44 percent; American Indian/Alaska Native gay and bisexual men increased 15 percent; and Native Hawaiian and Other Pacific Islander gay and bisexual men increased 78 percent.

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* Black refers to people having origins in any of the Black racial groups of Africa. African American is a term often used for Americans of African descent with ancestry in North America.
† Hispanics/Latinos can be of any race.
‡ Changes in subpopulations with fewer HIV diagnoses can lead to a large percentage increase or decrease.
Source: CDC. Diagnoses of HIV infection in the United States and dependent areas, 2018 (updated). HIV Surveillance Report 2020;31.

Living With HIV

Gay and Bisexual Men With HIV in 50 States and the District of Columbia

At the end of 2018, an estimated 1.2 million Americans had HIV. Of those, 740,000 were gay and bisexual men.

5 in 6 gay and bisexual men knew they had the virus.

It is important for gay and bisexual men to know their HIV status so they can take medicine to treat HIV if they have the virus. Taking HIV medicine every day can make the viral load undetectable. People who get and keep an undetectable viral load (or stay virally suppressed) can live a long and healthy life. They also have effectively no risk of transmitting HIV to HIV-negative sex partners.

Compared to all people with HIV, gay and bisexual men have about the same viral suppression rates. For every 100 gay and bisexual men with HIV in 2018, 65 received some HIV care, 49 were retained in care, and 57 were virally suppressed. For comparison, for every 100 people overall with HIV, 65 received some HIV care, 50 were retained in care, and 56 were virally suppressed.

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^* Includes infections attributed to male-to-male sexual contact only. Among men with HIV attributed to male-to-male sexual contact and injection drug use, 12 in 13 knew they had HIV.
† Had 2 viral load or CD4 tests at least 3 months apart in a year.
^‡Based on most recent viral load test.
Source: CDC. Estimated HIV incidence and prevalence in the United States 2014–2018 pdf icon[PDF – 3 MB]. HIV Surveillance Supplemental Report 2020;25(1).
Source: CDC. Selected national HIV prevention and care outcomes pdf icon[PDF – 2 MB]. (slides).

Deaths^b

In 2018, there were 8,049 deaths among gay and bisexual men with diagnosed HIV in the US and dependent areas. These deaths could be from any cause.

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HIV and Gay and Bisexual Men

HIV and Gay and Bisexual Men