An Overview of HIV In Texas

Texas has the eighth highest rate of new HIV diagnoses in the US and its dependent territories, with a new diagnosis rate of 15.7/100,000 people in 2018. That represents a small but steady decrease from 2009, when the rate was 17.7/100,000 people.

The overall rate also obscured considerable geographic, racial/ethnic, age and gender disparities. Rates of new HIV diagnoses are highest among males (26.0/100,000), Blacks (46.0/100,000), and those between 25 and 29 years of age (45.2/100,000), and the greatest increase in the proportion of new HIV diagnoses was among Hispanic MSM, from 23.6% to 30.3% of new diagnoses.


The maps and charts below represent a brief overview of these rates, trends, and disparities. Data is taken from the Texas HIV Surveillance Report, 2018 (HIV/STD Epidemiology and Surveillance Branch, Texas Department of State Health Services).

New Diagnoses of HIV Infection in 2018 in the US

  • In the United States and 6 dependent areas, the rate of diagnoses of new HIV infection among adults and adolescents was 13.6 per 100,000 population in 2018.
  • The rate of diagnoses of new HIV infection for adults and adolescents ranged from zero per 100,000 in American Samoa and the Republic of Palau to 34.6 per 100,000 in the District of Columbia.
  • The rate of HIV diagnosis in TX is 15.6 per 100,000 population.

Priority Counties in Texas

  • Five counties in Texas have been identified as priority counties by the CDC. These are: Bexar County, Dallas County, Harris County, Tarrant County, and Travis County.

Interactive Maps of New Diagnoses & Persons Living With HIV Rates in Texas

  • Between 2009 and 2018, the total number of PLWH increased by 46% in Texas.
  • Over half (61%) of people living with HIV (PLWH) acquired it through male-male sexual contact.
  • By 2018, over half of PLWH were 45 years of age or older.
  • A majority of people living with HIV live in urban areas of Texas. The counties with the largest numbers of PLWH were Harris and Dallas, followed by Bexar, Travis, and Tarrant counties.

New Diagnosis Rates

Persons Living With HIV Rates

New Diagnoses - Trends in Texas

New Diagnoses in Texas 2009-2018

New HIV Diagnosis Rates by Race/Ethnicity and Year of Diagnosis, 2009-2018

New Diagnoses Rates in Texas, 2018

New HIV Diagnosis Rates by Age at Diagnosis, 2018

HIV Prevalence Rate by Race/Ethnicity, 2018

HIV Prevalence Rate by Age, 2018

Texas HIV Population Treatment Cascade, 2018