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. 2021 Oct 22;70(42):1459–1465. doi: 10.15585/mmwr.mm7042a1

TABLE 1. HIV prevalence among persons who inject drugs, by selected characteristics — National HIV Behavioral Surveillance, 23 Metropolitan Statistical Areas, United States, 2018.

Characteristic Total*
HIV-infected*
No. Column % (95% CI) No. Row % (95% CI)
Total
11,348
100
731
7 (6–9)
Gender
Male
7,826
67 (65–69)
500
7 (6–8)
Female
3,425
32 (30–34)
204
8 (5–11)
Transgender
97
1.0 (0.7–1.3)
27
§
Race/Ethnicity
Black, non-Hispanic
3,745
32 (30–34)
335
12 (9–14)
Hispanic
2,358
24 (22–26)
188
7 (5–8)
White, non-Hispanic
4,458
42 (40–43)
171
5 (4–6)
Other**
189
2 (1–2)
12

Age group, yrs
18–29
1,618
15 (14–17)
63
4 (3–6)
30–39
2,999
23 (21–25)
138
5 (4–6)
40–49
2,631
24 (22–25)
201
12 (8–15)
≥50
4,100
38 (36–40)
329
8 (6–10)
Injection duration
≤5 years
2,073
20 (18–21)
77
5 (3–7)
>5 years
9,207
80 (79–82)
647
8 (7–10)
Education
Less than high school diploma
3,240
29 (27–30)
240
8 (6–10)
High school diploma
4,689
42 (40–44)
310
9 (6–11)
More than high school diploma
3,416
30 (28–31)
181
6 (5–8)
Currently insured
No
2,940
18 (16–19)
151
5 (4–7)
Yes
8,362
82 (81–84)
580
8 (6–10)
Federal poverty level††
Above federal poverty level
2,771
25 (23–27)
134
7 (5–9)
At or below federal poverty level
8,505
75 (73–77)
596
8 (6–9)
Drug injected most frequently
Heroin only
6,031
55 (53–56)
282
6 (4–7)
Other/Multiple§§
5,273
45 (44–47)
444
10 (8–12)
Male-to-male sex, last 12 months (among males only)¶¶
Yes
753
10 (8–12)
151
25 (19–30)
No
7,067
90 (88–92)
349
5 (4–6)
U.S. Census region***
Northeast
2,257
36 (22–49)
180
10 (7–14)
South
4,650
29 (16–42)
365
9 (7–11)
Midwest
1,062
8 (0–21)
17
1 (0–2)
West 2,888 26 (12–39) 112 4 (3–5)

Abbreviations: CI = confidence interval; MSA = metropolitan statistical area.

* Aggregate estimates are weighted averages of MSA-level percentages. MSA-level percentages were adjusted for differences in recruitment and the size of participant peer networks of persons who inject drugs, then proportionally weighted by the size of the population of persons who inject drugs in each MSA. MSA-level estimates with insufficient data for analysis were excluded from the aggregated estimates. Aggregated estimates are included in the tables only if at least 15 out of 23 MSA-level estimates were included in the analysis. The average number of MSA-level estimates included in the aggregated estimates for each variable is 21.3.

Unweighted numbers. Not all categories sum to 11,348 because of missing data.

§ Insufficient data to calculate estimates.

Hispanic persons might be of any race or combination of races.

** Includes American Indian or Alaska Native, Asian, Native Hawaiian or Other Pacific Islander, and persons of multiple races.

†† Poverty level is based on household income and household size.

§§ Other drugs injected alone or two or more drugs injected with the same frequency.

¶¶ Ascertainment of male-to-male anal sexual contact was restricted to males and includes both insertive and receptive anal sexual contact.

*** Northeast: Boston, Massachusetts; Nassau-Suffolk, New York; New York City, New York; Newark, New Jersey; and Philadelphia, Pennsylvania. South: Atlanta, Georgia; Baltimore, Maryland; Dallas, Texas; Houston, Texas; Memphis, Tennessee; Miami, Florida; New Orleans, Louisiana; Virginia Beach, Virginia; and Washington, District of Columbia. Midwest: Chicago, Illinois and Detroit, Michigan. West: Denver, Colorado; Los Angeles, California; Portland, Oregon; San Diego, California; San Francisco, California; and Seattle, Washington. San Juan, Puerto Rico was not included in any of the Census regions.