1. HIV Surveillance in Urban and Nonurban Areas through 2013 National Center for HIV/AIDS, Viral Hepatitis, STD & TB Prevention Division of HIV/AIDS Prevention

2. HIV Infection in Urban and Nonurban Areas  Many ways to characterize urban and nonurban areas and populations  CDC uses metropolitan statistical areas (MSAs) as defined by the Office of Management and Budget (OMB)  OMB subdivides MSAs as:  ≥500,000 population  50,000 – 499,999 population  Nonmetropolitan (<50,000 population) 2

3. Diagnoses of HIV Infection among Adults and Adolescents, by Population of Area of Residence 2013—United States MSA PopulationNo.Rate ≥ 500,000 38,57522.0 50,000 – 499,999 6,45610.3 Nonmetropolitan 1,7386.9 Total Total 46,76917.8 Note. Data include persons with a diagnosis of HIV infection regardless of stage of disease at diagnosis. All displayed data have been statistically adjusted to account for reporting delays, but not for incomplete reporting. Rates are per 100,000 population. Data exclude persons whose county of residence is unknown. 3

4. Diagnoses of HIV Infection among Adults and Adolescents, by Population of Area of Residence and Race/Ethnicity, 2013—United States Note. Data include persons with a diagnosis of HIV infection regardless of stage of disease at diagnosis. All displayed data have been statistically adjusted to account for reporting delays, but not for incomplete reporting. Data do not include persons whose county of residence is unknown. a Hispanics/Latinos can be of any race. 4

5. Diagnoses of HIV Infection among Adult and Adolescent Males, by Population of Area of Residence and Transmission Category, 2013—United States Note. Data include persons with a diagnosis of HIV infection regardless of stage of disease at diagnosis. All displayed data have been statistically adjusted to account for reporting delays and missing transmission category, but not for incomplete reporting. Data exclude persons whose county of residence is unknown. a Heterosexual contact with a person known to have, or to be at high risk for, HIV infection. b Includes hemophilia, blood transfusion, perinatal exposure, and risk factor not reported or not identified. 5

6. Diagnoses of HIV Infection among Adult and Adolescent Females, by Population of Area of Residence and Transmission Category, 2013—United States Note. Data include persons with a diagnosis of HIV infection regardless of stage of disease at diagnosis. All displayed data have been statistically adjusted to account for reporting delays and missing transmission category, but not for incomplete reporting. Data exclude persons whose county of residence is unknown. a Heterosexual contact with a person known to have, or to be at high risk for, HIV infection. b Includes blood transfusion, perinatal exposure, and risk factor not reported or not identified. 6

7. Diagnoses of HIV Infection among Adults and Adolescents, by Population of Area of Residence and Age at Diagnosis, 2013—United States Note. Data include persons with a diagnosis of HIV infection regardless of stage of disease at diagnosis. All displayed data have been statistically adjusted to account for reporting delays, but not for incomplete reporting. Data exclude persons whose county of residence is unknown. 7

8. Regions of the United States 8

9. Diagnoses of HIV Infection among Adults and Adolescents, by Region and Population of Area of Residence, 2013—United States Note. Data include persons with a diagnosis of HIV infection regardless of stage of disease at diagnosis. All displayed data have been statistically adjusted to account for reporting delays, but not for incomplete reporting. Data exclude persons whose county of residence is unknown. 9

10. Diagnoses of HIV Infection among Adults and Adolescents, by Population of Area of Residence and Region, 2013—United States MSA of ≥500,000 MSA of 50,000-499,999 Non- metropolitan Region of residenceNo.RateNo.RateNo.Rate Northeast N = 8,765 8,09721.56217.8472.7 Midwest N = 6,061 4,91915.69065.82362.6 South N = 23,988 18,42430.44,19716.01,36712.0 West N = 7,965 7,13415.77335.8882.8 Note. Data include persons with a diagnosis of HIV infection regardless of stage of disease at diagnosis. All displayed data have been statistically adjusted to account for reporting delays, but not for incomplete reporting. Rates are per 100,000 population. Data exclude persons whose county of residence is unknown. 10

11. Rates of Diagnoses of HIV Infection among Adults and Adolescents, by Population of Area of Residence and Race/Ethnicity, 2013—Northeast Region, United States Note. Data include persons with a diagnosis of HIV infection regardless of stage of disease at diagnosis. All displayed data have been statistically adjusted to account for reporting delays, but not for incomplete reporting. Rates are per 100,000 population. Data exclude persons whose county of residence is unknown. a Hispanics/Latinos can be of any race. 11

12. Rates of Diagnoses of HIV Infection among Adults and Adolescents, by Population of Area of Residence and Race/Ethnicity, 2013—Midwest Region, United States Note. Data include persons with a diagnosis of HIV infection regardless of stage of disease at diagnosis. All displayed data have been statistically adjusted to account for reporting delays, but not for incomplete reporting. Rates are per 100,000 population. Data exclude persons whose county of residence is unknown. a Hispanics/Latinos can be of any race. 12

13. Rates of Diagnoses of HIV Infection among Adults and Adolescents, by Population of Area of Residence and Race/Ethnicity, 2013—South Region, United States Note. Data include persons with a diagnosis of HIV infection regardless of stage of disease at diagnosis. All displayed data have been statistically adjusted to account for reporting delays, but not for incomplete reporting. Rates are per 100,000 population. Data exclude persons whose county of residence is unknown. a Hispanics/Latinos can be of any race. 13

14. Rates of Diagnoses of HIV Infection among Adults and Adolescents, by Population of Area of Residence and Race/Ethnicity, 2013—West Region, United States Note. Data include persons with a diagnosis of HIV infection regardless of stage of disease at diagnosis. All displayed data have been statistically adjusted to account for reporting delays, but not for incomplete reporting. Rates are per 100,000 population. Data exclude persons whose county of residence is unknown. a Hispanics/Latinos can be of any race. 14

15. Adults and Adolescents Living with Diagnosed HIV Infection by Population of Area of Residence and Race/Ethnicity Year-end 2012—United States MSA of ≥500,000 MSA of 50,000–499,999 Non- metropolitan Race/ethnicityNo.RateNo.RateNo.Rate American Indian/Alaska Native 1,711240.8753119.237172.7 Asian a 9,96985.484862.57645.1 Black/African American323,7241,369.848,342841.214,622702.1 Hispanic/Latino b 164,043514.715,135240.63,410190.8 Native Hawaiian/Other Pacific Islander701228.6152154.5324.2 White234,889228.846,14697.810,75952.6 Multiple races24,154915.63,882431.6911323.9 Total c 759,191437.6115,258185.330,153119.2 Note. Data include persons with a diagnosis of HIV infection regardless of stage of disease at diagnosis. All displayed data have been statistically adjusted to account for reporting delays, but not for incomplete reporting. Rates are per 100,000 population. Data exclude persons whose county of residence is unknown. a Includes Asian/Pacific Islander legacy cases. b Hispanics/Latinos can be of any race. c Includes persons of unknown race/ethnicity. 15

16. Adults and Adolescents Living with Diagnosed HIV Infection, by Population of Area of Residence and Region, Year-end 2012—United States Note. Data include persons with a diagnosis of HIV infection regardless of stage of disease at diagnosis. All displayed data have been statistically adjusted to account for reporting delays, but not for incomplete reporting. Rates are per 100,000 population. Data exclude persons whose county of residence is unknown. 16

17. Percentages of Stage 3 (AIDS) Classifications among Adults and Adolescents with HIV Infection, by Population of Area of Residence, 1985–2013—United States Note. All displayed data have been statistically adjusted to account for reporting delays, but not for incomplete reporting. Data exclude persons whose county of residence is unknown. 17

18. Stage 3 (AIDS) Classifications among Adults and Adolescents with HIV Infection, by Population of Area of Residence and Race/Ethnicity, 2013—United States Note. All displayed data have been statistically adjusted to account for reporting delays, but not for incomplete reporting. Data exclude persons whose county of residence is unknown. a Includes Asian/Pacific Islander legacy cases. b Hispanics/Latinos can be of any race. 18

19. Stage 3 (AIDS) Classifications among Adults and Adolescents with HIV Infection, by Region and Population of Area of Residence, 2013—United States Note. All displayed data have been statistically adjusted to account for reporting delays, but not for incomplete reporting. Data exclude persons whose county of residence is unknown. 19

20. Stage 3 (AIDS) Classifications among Adults and Adolescents with HIV Infection, by Population of Area of Residence and Region, 2013—United States Note. All displayed data have been statistically adjusted to account for reporting delays, but not for incomplete reporting. Rates are per 100,000 population. Data exclude persons whose county of residence is unknown. 20

21. Rates of Stage 3 (AIDS) Classifications among Adults and Adolescents with HIV Infection, by Population of Area of Residence and Race/Ethnicity 2013—Northeast Region, United States Note. All displayed data have been statistically adjusted to account for reporting delays, but not for incomplete reporting. Rates are per 100,000 population. Data exclude persons whose county of residence is unknown. a Includes Asian/Pacific Islander legacy cases. b Hispanics/Latinos can be of any race. 21

22. Rates of Stage 3 (AIDS) Classifications among Adults and Adolescents with HIV Infection, by Population of Area of Residence and Race/Ethnicity 2013—Midwest Region, United States Note. All displayed data have been statistically adjusted to account for reporting delays, but not for incomplete reporting. Rates are per 100,000 population. Data exclude persons whose county of residence is unknown. a Includes Asian/Pacific Islander legacy cases. b Hispanics/Latinos can be of any race. 22

23. Rates of Stage 3 (AIDS) Classifications among Adults and Adolescents with HIV Infection, by Population of Area of Residence and Race/Ethnicity 2013—South Region, United States Note. All displayed data have been statistically adjusted to account for reporting delays, but not for incomplete reporting. Rates are per 100,000 population. Data exclude persons whose county of residence is unknown. a Includes Asian/Pacific Islander legacy cases. b Hispanics/Latinos can be of any race. 23

24. Rates of Stage 3 (AIDS) Classifications among Adults and Adolescents with HIV Infection, by Population of Area of Residence and Race/Ethnicity 2013—West Region, United States Note. All displayed data have been statistically adjusted to account for reporting delays, but not for incomplete reporting. Rates are per 100,000 population. Data exclude persons whose county of residence is unknown. a Includes Asian/Pacific Islander legacy cases. b Hispanics/Latinos can be of any race. 24

25. Adults and Adolescents Living with Diagnosed HIV Infection Ever Classified as Stage 3 (AIDS), by Population of Area of Residence and Region Year-end 2012—United States MSA of  500,000 MSA of 50,000-499,999 Non- metropolitan Region of residence No.RateNo.RateNo.Rate Northeast N = 137,367 126,477337.29,572119.71,31776.6 Midwest N = 56,000 44,816143.18,42854.02,75730.5 South N = 209,271 163,567273.734,316132.111,389100.0 West N = 102,954 91,550203.910,03379.51,37243.6 Note. All displayed data have been statistically adjusted to account for reporting delays, but not for incomplete reporting. Rates are per 100,000 population. Data exclude persons whose county of residence is unknown. 25