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Social Determinants of Health among Adults with Diagnosed HIV Infection in the United States and Puerto Rico, 2020
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March 2023
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Description:HIV continues to disproportionately affect many populations in the United States. Data in this report may be used to accelerate action to reach disproportionately affected populations and achieve national goals, including Healthy People 2030 [1], the National HIV/AIDS Strategy (NHAS) (2022–2025) [2], and the Ending the HIV Epidemic in the U.S. (EHE) initiative [3]. HIV surveillance data have highlighted differences in HIV burden by assigned sex at birth, race/ethnicity, and transmission category in the United States. Factors other than these (i.e., social determinants of health) contribute to disparities, and a better understanding of the social determinants that affect the health of populations can be beneficial.
The term social determinants of health (SDOH) refers to the nonmedical factors that influence health outcomes. They are the conditions in which people are born, grow, work, live, and age, and the wider set of forces and systems shaping the conditions of daily life [4]. These forces and systems include economic policies and systems, development agendas, social norms, social policies, and political systems that are responsible for most health inequities [5], including the disproportionate effect of HIV on certain populations. Achieving equitable health will require focusing on factors associated with disparities and directing resources to disproportionately affected populations and geographical regions. This approach will improve the health of all persons.
Stratifying public health data by key SDOH, such as income and health insurance coverage, is useful for monitoring health inequities. Addressing SDOH makes it possible to measure and identify health differences between populations or geographic areas and can provide insight for identifying populations or areas that may benefit from HIV testing, prevention, and treatment initiatives.
This report was prepared by the following staff and contractors of the Division of HIV Prevention, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, CDC: Zanetta Gant, Juliet Morales, André Dailey, Xiaohong Hu, Chan Jin, Kyung Lee, Shacara Johnson Lyons, Anna Satcher Johnson, Michael Friend (editing and desktop publishing), Azfar Siddiqi (science review), and the Chief of the HIV Surveillance Branch, Angela L. Hernandez.
Centers for Disease Control and Prevention. Social determinants of health among adults with diagnosed HIV infection in the United States and Puerto Rico, 2020. HIV Surveillance Supplemental Report 2023;28(No. 2). http://www.cdc.gov/hiv/library/reports/hiv-surveillance.html. Published March 2023. Accessed [date].
cdc-hiv-surveillance-supplemental-report-vol-28-2.pdf
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Pages in Document:150 numbered pages
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