County-Level New HIV Diagnoses, Social Determinants of Health, and Residential Segregation by U.S. Region 2013 to 2023
A Longitudinal Analysis
Bibliographic Data
| ID | 21651410 |
|---|---|
| Authors | Camryn Garrett (0000-0003-2569-0418, University of South Carolina), Zhenlong Li (0000-0002-8938-5466), Huiyi Xia (University of South Carolina), Xiaoming Li (0000-0002-5555-9034, University of South Carolina), Shan Qiao (0000-0001-8698-9013, University of South Carolina, corresponding author) |
| Year | 2026 |
| Publication date | 2026-05-21 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | AIDS and Behavior (JOURNAL) |
| Journal identifiers | ISSN: 1090-7165 • E-ISSN: 1573-3254 |
| Publisher | Springer Science and Business Media LLC (PUBLISHER) |
| DOI | 10.1007/s10461-026-05166-7 |
| PMID | 42165949 |
| OpenAlex | W7162023228 |
| Language | EN |
| References cited | 30 |
Health disparities persist along the HIV care continuum. As new HIV diagnoses are a key indicator of the HIV epidemic, we aimed to assess associations of the social determinants of health (SDOH; non-medical factors that are related to health outcomes) and residential segregation, as a proxy for systemic racism, with new HIV diagnosis rates across the major regions of the United States. Publicly available county-level data (i.e., 2013–2023) from an interactive visualization and mapping tool of the HIV epidemic (AIDSVu) and the American Community Survey (ACS) were merged using Federal Information Processing System (FIPS) codes and categorized into four U.S. regions. A Generalized Estimation Equation (GEE) model was run, within each region, to explore the associations between the SDOH, residential segregation, and new HIV diagnoses, over time. Overall, 3,051 counties (97.04%, n = 3,051/3,144) across the four major regions of the U.S. were included in the analysis (i.e., South = 1,398, North = 207, West = 408, Midwest = 1,038). By region, counties with a higher proportion of males aged 18–34 (South: IRR = 1.02, p p p p p p p p p p
American Community Survey · Health equity · Health psychology · Human immunodeficiency virus (HIV) · Poverty · Proxy (statistics) · Public health · Social determinants of health · Socioeconomic status · Adolescent Sexual and Reproductive Health · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions
Epidemiology of HIV in the USA
The Burden of Covid-19 in People Living with HIV
Racial Disparities in Covid-19 Case Positivity and Social Context
The effect of objective income and perceived economic resources on self-rated health
Association of Racial Residential Segregation and Other Social Determinants of Health with HIV Late Presentation
Disparity in HIV Service Interruption in the Outbreak of Covid-19 in South Carolina
Racial/ethnic segregation and health disparities
Lasting Legacy
Relationship of Racial Residential Segregation to Newly Diagnosed Cases of HIV among Black Heterosexuals in US Metropolitan Areas, 2008–2015
Structural Racism and Racial Trauma Among African Americans at Elevated Risk for HIV Infection
Separate Remains Unequal
Systemic And Structural Racism
Structural Racism and HIV Pre-exposure Prophylaxis Use in the Nationwide US
| Highly cited | No |
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