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Social determinants of health and selected HIV care outcomes among adults with diagnosed HIV infection in 32 states and the District of Columbia, 2015
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    Social determinants of health (SDH) are overlapping social structures and economic systems (e.g., social environment, physical environment, health services, and structural and societal factors) that are responsible for most health inequities [1]. SDH are linked to a lack of opportunity and to a lack of resources to protect, improve, and maintain health [1]. Addressing the SDH that adversely affect health outcomes may (1) advance efforts in reducing disparities in HIV diagnosis rates between populations, and (2) help to quantify health differences between populations or geographic areas, which can provide insight for identifying populations or areas that may benefit from HIV testing, prevention, and treatment initiatives. The Centers for Disease Control and Prevention (CDC) collects data to monitor progress toward achieving the national goals for HIV testing, care, and treatment outcomes and HIV-related disparities in the United States set forth in the CDC Division of HIV/AIDS Prevention’s Strategic Plan [2] and other federal directives [3, 4]. Examining social determinants that affect the health of populations may be useful in identifying and monitoring health inequities, such as disparities in HIV testing, engagement in care, and treatment. This surveillance supplemental report presents the results of focused analyses of National HIV Surveillance System (NHSS) [5] data to measure progress toward achieving national goals, complements the 2015 HIV Surveillance Report [6], and adds to the Social determinants of health among adults with diagnosed HIV infection in 13 states, the District of Columbia, and Puerto Rico, 2015 [7] and the Monitoring selected national HIV prevention and care objectives by using HIV surveillance data—United States and 6 dependent areas, 2015 [8] surveillance supplemental reports. Suggested citation: Centers for Disease Control and Prevention. Social determinants of health and selected HIV care outcomes among adults with diagnosed HIV infection in 37 states and the District of Columbia, 2015. HIV Surveillance Supplemental Report 2017;22(No. 4). reports/hiv-surveillance.html. Published October 2017. Accessed [date]. cdc-hiv-surveillance-supplemental-report-vol-22-4.pdf
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