The president of Nicaragua's AIDS-HIV Association, Arely Cano, announced a new campaign on Monday against the epidemic to encourage people to protect themselves and undergo tests.
The campaign will warn people that AIDS is a reality in Nicaragua and the world and kills those it infects if it is not prevented.
Cano said the results of a study showed that Nicaraguans with AIDS are demanding employment, as well as more commitment from the government and educators.
"Young women are the most affected," Cano said, blaming what she called a culture of violence and machismo in Nicaragua.
"Men tell women that if they have AIDS it is the woman who gave it to him, or that it is proof she has been with another man. This violates women's rights," Cano said.
The report argues that male infidelity, and especially male bisexuality, is the most likely route of transmission to women.
According to the group, there are 2,754 Nicaraguans with full blown AIDS and 18,000 to 20,000 who carry HIV, the virus that causes AIDS.