HIV among Youth
Too many young people in the
United States (US) are at risk for HIV infection. This risk is especially notable
for young gay, bisexual, and other men who have sex with men (MSM) , especially
young African American or Latino MSM, and all youth of minority races and ethnicities.
Continual HIV prevention outreach and education efforts, including programs on abstinence,
delaying the initiation of sex, and negotiating safer sex, are required as new generations
replace the generations that benefited from earlier prevention strategies.
New HIV Infections (Ages 13–29 Years)
- In 2009, young persons accounted for 39% of all new HIV infections in the US. For
comparison's sake, persons aged 15–29 comprised 21% of the US population in 2010.
- Young MSM, especially those of minority races and ethnicities, are at increased
risk for HIV infection. In 2009, young MSM accounted for 27% of new HIV infections
in the US and 69% of new HIV infections among persons aged 13–29. Among young black
MSM, new HIV infections increased 48% from 2006 through 2009.
HIV and AIDS Diagnoses (Ages 13–24 Years)
- An estimated 8,294 young persons were diagnosed with HIV infection in 2009 in the
40 states with long-term HIV reporting, representing about 20% of the persons diagnosed
during that year.
- Seventy-five percent (6,237) of these diagnoses occurred in young people aged 20–24
years. Indeed, those aged 20–24 had the highest number and rate of HIV diagnoses
of any age group (36.9 new HIV diagnoses/100,000 people).
- In 2009, young blacks accounted for 65% (5,404) of diagnoses of HIV infection reported
among persons aged 13–24 years.
- In 2008, an estimated 22% of persons aged 13–24 living with diagnosed HIV infection
were infected through hemophilia, blood transfusion, birth, or unknown transmission
mode, with the majority being infected perinatally.
Diagnoses of HIV Infection in the United States, 2009, by Age
Sexual Risk Factors
Early age at sexual initiation; unprotected sex; older sex partners. According
to CDC's 2009 National Youth Risk Behavior Survey (YRBS), many adolescents begin
having sexual intercourse at early ages: 46.0% of high school students have had
sexual intercourse, and 5.9% reported first sexual intercourse before the age of
13. Of the 34.2% of students reporting sexual intercourse during the 3 months before
the survey, 38.9% did not use a condom. Young people with older sex partners may
be at increased risk for HIV. HIV education needs to take place before young people
engage in sexual behaviors that put them at risk. Parent communication and monitoring
may play an important role in reaching youth early with prevention messages.
Male-to-male sex. CDC data have shown that young gay, bisexual, and other
MSM, especially young African American and young Latino MSM, have high rates of
new HIV infections. Another CDC study showed that young MSM and minority MSM were
more likely to be unaware of their HIV infection, a situation that puts their health
and the health of their partners at risk. Young MSM may be at risk because they
have not always been reached by effective HIV interventions or prevention education—especially
because some sex education programs exclude information about sexual orientation.
A CDC study of MSM in 15 cities found that 80% had not been reached in the past
year by HIV interventions known to be most effective. Young MSM may also have increased
risk factors for HIV (such as risky sexual behaviors) due to isolation and lack
Sexual abuse. Young adults, both male and female, who have experienced sexual
abuse are more likely to engage in sexual or drug-related risk behaviors that could
put them at risk for HIV infection.
Sexually transmitted infections (STIs). The presence of an STI greatly increases
a person's likelihood of acquiring or transmitting HIV. Some of the highest STI
rates in the country are among young people, especially young people of minority
races and ethnicities.
Young people in the US use alcohol, tobacco, and other drugs at high rates. CDC's
2009 National YRBS found that 24.2% of high school students had had five or more
drinks of alcohol in a row on at least 1 day during the 30 days before the survey,
and 20.8% had used marijuana at least one time during the 30 days before the survey.
Both casual and chronic substance users are more likely to engage in high-risk behaviors,
such as unprotected sex, when they are under the influence of drugs or alcohol.
Runaways, homeless young people, and young persons who have become dependent on
drugs are at high risk for HIV infection if they exchange sex for drugs, money,
Lack of Awareness
Research has shown that a large proportion of young people are not concerned about
becoming infected with HIV. This lack of awareness can translate into not taking
measures that could protect their health.
Abstaining from sex and drug use is the most effective way to avoid HIV infection,
but adolescents need accurate, age-appropriate information about HIV and AIDS, how
to reduce or eliminate risk factors, how to talk with a potential partner about
risk factors and how to negotiate safer sex, where to get tested for HIV, and how
to use a condom correctly. Parents also need to reinforce health messages, including
how to protect oneself from HIV infection.
What CDC Is Doing
CDC employs a multifaceted approach to addressing the high number of HIV infections
occurring in young people in the US.
Programs: CDC provides effective interventions that can be carried out locally
for the highest impact. Examples include Project AIM to reduce HIV risk behaviors
among at-risk youth; Mpowerment for young gay and bisexual men of diverse
backgrounds to reduce sexual risk-taking, encourage regular HIV testing, and build
positive social connections; Choosing Life: Empowerment! Action! Results!
for those older than 16 living with HIV infection or AIDS or at high risk for HIV;
and Focus on Youth for African American young people aged 12–15.
Research: CDC is engaged in research to better understand certain populations
and to create or adapt interventions to reduce their risk for HIV infection. For
- The Division of Adolescent and School Health collects and reports data on youth
health risk behaviors and school-based health policies and practices, and develops
guidelines for schools to promote health among young people, among other activities.
- The Youth Risk Behavioral Surveillance System is a CDC surveillance system that
monitors six types of health-risk behaviors that contribute to the leading causes
of death and disability among youth and adults, including alcohol and other drug
use, and sexual risk behaviors.
- The Division of HIV/AIDS Prevention evaluates HIV prevention interventions, such
as those for adolescent African American girls in juvenile detention facilities,
young African American MSM, and Hispanic parents; adapts current interventions for
transgender young adults; and explores new forms of media, such as motion comics,
that can deliver stories and content with HIV prevention messages over mobile phones,
gaming systems, websites, and social media.
Overall, a multifaceted approach to HIV prevention, which includes individual, peer,
familial, school, church, and community programs, is necessary to reduce the incidence
of HIV infection and AIDS in young people.
Information published courtesy of CDC.GOV
This article was last modified in: 06/18/2012