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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. The South’s larger and more geographically dispersed persons living with HIV creates unique challenges for prevention, treatment, and care.
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