At a glance
Gay, bisexual, and other men who reported male-to-male sexual contact are disproportionately affected by HIV. Social and structural issues—such as HIV stigma, homophobia, discrimination, poverty, and limited access to high-quality health care—influence health outcomes and continue to drive inequities. Addressing these barriers and encouraging safe and supportive communities can help improve health outcomes for gay and bisexual men.
Fast facts
HIV incidence
HIV incidence refers to the estimated number of new HIV infections in a given year.
HIV diagnoses
HIV diagnoses refers to the number of people who received an HIV diagnosis during a given year.
From 2018 to 2022, HIV diagnoses remained stable among gay and bisexual men overall. But trends varied for different groups of gay and bisexual men.
Knowledge of status
Knowledge of status refers to the estimated percentage of people with HIV who have received an HIV diagnosis.
There are many HIV prevention strategies available, including condoms; pre-exposure prophylaxis (PrEP); post-exposure prophylaxis (PEP); as well as interventions focused on risk reduction; adherence to HIV medicine; linkage to, retention in, and re-engagement in care; structural approaches; and engagement in PrEP care. Additionally, for people with HIV, treatment provides substantial benefits for personal health and reduces HIV transmission to others. This is sometimes called HIV treatment as prevention.
Viral Suppression and barriers to care
Viral suppression refers to the percentage of people with diagnosed HIV who have less than 200 copies of HIV per milliliter of blood.
Many people with HIV experience challenges with achieving and maintaining viral suppression over time. Some of these challenges include missing HIV medical appointments, needing but not receiving other important health care services, or missing doses of HIV treatment.
What CDC is doing
CDC works every day to maximize the effectiveness of current HIV prevention interventions and strategies. CDC provides research and guidance on effective interventions to reach people in diverse communities, capacity building assistance for those working in HIV prevention and care services, and many other core components of public health, including data collection and reporting, community and partner engagement, and social marketing campaigns to reach people most affected by HIV.
Funding state, territorial, and local health departments is CDC's largest investment in HIV prevention for gay and bisexual men. Some key indicators are as follows:
- CDC. Estimated HIV incidence and prevalence in the United States, 2018–2022.HIV Surveillance Supplemental Report 2024;29(1).
- CDC. Diagnoses, deaths, and prevalence of HIV in the United States and 6 territories and freely associated states, 2022.HIV Surveillance Report 2024;35.
- CDC. Behavioral and clinical characteristics of persons with diagnosed HIV infection—Medical Monitoring Project, United States 2022 cycle (June 2022–May 2023). HIV Surveillance Special Report 2024;36.
- CDC. Monitoring selected national HIV prevention and care objectives by using HIV surveillance data—United States and 6 territories and freely associated states, 2022.HIV Surveillance Supplemental Report 2024;29(2).
- CDC. HIV infection risk, prevention, and testing behaviors among men who have sex with men—National HIV Behavioral Surveillance, 19 U.S. cities, 2023. HIV Surveillance Supplemental Report 2024;37.
- CDC. National HIV Prevention Program Monitoring and Evaluation data from EvaluationWeb® (January 1, 2022 – December 31, 2022, as of September 15, 2023