CDC-Funded HIV Testing Services Outcomes and Social Determinants of Health in Ending the HIV Epidemic in the U.S. Jurisdictions

Details

• Alternative Title:
  AIDS Behav
• Personal Author:
  Patel, Deesha ; Clark, Hollie A. ; Williams, Weston O. ; Taylor-Aidoo, Nicole ; Wright, Carolyn
• Description:
  We performed an ecological analysis to examine associations between CDC-funded HIV testing services outcomes and social determinants of health (SDOH) among Ending the HIV Epidemic in the U.S. jurisdictions. Using National HIV Prevention Program Monitoring & Evaluation (2020) and American Community Survey (2016-2020) data, we ran robust Poisson models (adjusted for race/ethnicity). In healthcare settings, a 10% absolute increase in percentage without health insurance was associated with a 40% lower prevalence of newly diagnosed positivity (aPR = 0.60, 95% CI: 0.43-0.83); a $5,000 increase in median household income (aPR = 1.04, 95% CI: 1.03-1.06) and a 10% absolute increase in percentage unemployed (aPR = 1.80, 95% CI: 1.31-2.46) were associated with 4% and 80%, respectively, higher prevalence of percentage linked to HIV medical care within 30 days of diagnosis (i.e., linkage). In non-healthcare settings, a 10% absolute increase in percentage with less than high school diploma (aPR = 0.53, 95% CI: 0.29-0.96) was associated with a 47% lower prevalence of newly diagnosed positivity, whereas a 10% absolute increase in percentage without health insurance (aPR = 1.92, 95% CI: 1.29-2.88) was associated with a 92% higher prevalence of newly diagnosed positivity; a 10% absolute increase in percentage with less than high school diploma was associated with a 35% lower prevalence of linkage (aPR = 0.65, 95% CI: 0.43-0.97). Addressing SDOH in HIV prevention programs will play an important role in ending the HIV epidemic.
• Subjects:
  Centers For Disease Control And Prevention, U.S. HIV Infections HIV Testing Humans Mass Screening Social Determinants Of Health United States
• Keywords:
  HIV Testing Linkage To Care Social Determinants Of Health
• Source:
  AIDS Behav. 28(4):1152-1165
• Pubmed ID:
  37479920
• Pubmed Central ID:
  PMC10799961
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  28
• Issue:
  4
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:7643b4d46c51e7b0ae7fce01debfdd8ec94f55e9e236a2347a1663004cce992f
• Download URL:
  https://stacks.cdc.gov/view/cdc/145955/cdc_145955_DS1.pdf
• File Type:
  [PDF - 936.22 KB ]