In 2014, gay and bisexual men made up an estimated 2% of the U.S. population, but accounted for 70% of new HIV infections. Approximately 492,000 sexually active gay and bisexual men are at high risk for HIV.
In the United States, HIV diagnoses are not evenly distributed across states and regions. Southern states accounted for half of new HIV diagnoses in 2015, while making up 38% of the national population. In all regions of the United States, the majority of people who receive an HIV diagnosis live in urban areas. But in the South, 23% of new HIV diagnoses are in suburban and rural areas, and in the Midwest 20% are suburban or rural—higher proportions than in the North and West.