HIV and Women: Viral Suppression and Barriers to Care

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 and local jurisdictions. While 2020 data on HIV diagnoses and prevention and care outcomes are available, we are not updating this web content with data from these reports.

Viral suppression is one of the six Ending the HIV Epidemic in the U.S. indicators. Viral suppression refers to the percentage of people with diagnosed HIV who have less than 200 copies of HIV per milliliter of blood.

EHE goal: increase the percentage of people with HIV who have are virally suppressed to 95 percent by 2025.
Taking HIV medicine as prescribed can make the viral load undetectable. People who get and keep an undetectable viral load can stay healthy for many years and will not transmit HIV to their sex partners.
Women with Diagnosed HIV in 44 States and the District of Columbia, 2019*
For women with diagnosed HIV in 2019, chart compares viral suppression rates.

This chart shows compared to all people with diagnosed HIV, women have lower viral suppression rates.

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* Based on sex assigned at birth.
Had 2 viral load or CD4 tests at least 3 months apart in a year.
‡ Based on most recent viral load test.

Source: CDC. Monitoring selected national HIV prevention and care objectives by using HIV surveillance data United States and 6 dependent areas, 2019. HIV Surveillance Supplemental Report. 2021;26(2).

Although many people taking HIV medicine are virally suppressed, some people with HIV are currently not virally suppressed or do not maintain viral suppression over time. Some challenges with achieving and maintaining viral suppression include missing multiple doses of HIV treatment, missing medical appointments, or needing other important health care services.

Missed HIV Medical Care Appointments Among Cisgender Women* with Diagnosed HIV in the US, 2020†
Staying in HIV care is important to achieving and maintaining viral suppression.
This chart shows the percentage of cisgender women with HIV who missed at least 1 medical appointment in the last 12 months.

Data for transgender women are not included because the numbers are too small to report.

* The term cisgender women refers to people assigned female at birth who identify as female.
† Among people aged 18 and older.

Visit the terminology section for terms and definitions.

Source: CDC. Medical Monitoring Project.

HIV Treatment Among Cisgender Women* with Diagnosed HIV in the US, 2020†
Taking HIV medicine consistently and as prescribed is the best way to achieve and maintain viral suppression.
This chart shows the percentage of cisgender women with HIV who reported taking all their doses of HIV medicine over the past 30 days.

Data for transgender women are not included because the numbers are too small to report.

* The term cisgender women refers to people assigned female at birth who identify as female.
† Among people aged 18 and older.

Visit the terminology section for terms and definitions.

Source: CDC. Medical Monitoring Project.

Needed HIV Ancillary Services Among Cisgender Women* with Diagnosed HIV in the US, 2020†‡
Having access to needed services could reduce barriers to achieving and maintaining viral suppression.
This chart shows the top 3 services that cisgender women with HIV needed but did not receive in the past 12 months.
This image shows the percentage of all people with HIV who needed, but did not receive, at least one ancillary service in the past 12 months.

Abbreviations: SNAP = Supplemental Nutrition Assistance Program; WIC = Special Supplemental Nutrition Program for Women, Infants, and Children.

Data for transgender women are not included because the numbers are too small to report.

* The term cisgender women refers to people assigned female at birth who identify as female.
† Among people aged 18 and older.
‡ HIV ancillary services, such as case management and mental health services, are services that support retention in HIV care.

Visit the terminology section for terms and definitions.

Source: CDC. Medical Monitoring Project.

Symptoms of Depression and Anxiety Among Cisgender Women* with Diagnosed HIV in the US, 2020†
People who experience symptoms of depression or anxiety may face challenges maintaining viral suppression.
This chart shows the percentage of cisgender women with HIV who experienced symptoms of depression or anxiety in the past 12 months.

Data for transgender women are not included because the numbers are too small to report.

* The term cisgender women refers to people assigned female at birth who identify as female.
† Among people aged 18 and older.

Visit the terminology section for terms and definitions.

Source: CDC. Medical Monitoring Project.

Social and economic issues—such as stigma and homelessness—have also prevented some women from getting the HIV care and treatment they need.

Homelessness Among Cisgender Women* with Diagnosed HIV in the US, 2020†
People who experience homelessness may find it difficult to get HIV care and treatment.
This chart shows the percentage of cisgender women with HIV who reported homelessness in the past 12 months.

Data for transgender women are not included because the numbers are too small to report.

* The term cisgender women refers to people assigned female at birth who identify as female.
† Among people aged 18 and older.

Visit the terminology section for terms and definitions.

Source: CDC. Medical Monitoring Project.

Median HIV Stigma Score Among Cisgender Women* with Diagnosed HIV in the US, 2020†
This chart shows that cisgender women with HIV experienced HIV stigma.

Data for transgender women are not included because the numbers are too small to report.

Median HIV stigma scores are presented based on a ten-item scale ranging from 0 (no stigma) to 100 (high stigma) that measures personalized stigma during the past 12 months, current disclosure concerns, current negative self-image, and current perceived public attitudes about people with HIV.

* The term cisgender women refers to people assigned female at birth who identify as female.
† Among people aged 18 and older.

Visit the terminology section for terms and definitions.

Source: CDC. Medical Monitoring Project.

Cisgender: A person whose sex assigned at birth is the same as their gender identity or expression.

Gender expression: A person’s outward presentation of their gender (for example, how they dress).

Gender identity: A person’s internal understanding of their own gender.

Transgender: A person whose gender identity or expression is different from their sex assigned at birth.