Social determinants of health (SDH) are the complex, integrated, and overlapping social structures, policies, and economic systems that are responsible for health inequities. They include social and physical environments, health services structure, and societal factors.
Examples of SDH include, but are not limited to: race, gender, sexuality, ability, citizenship/immigration status, education, income and wealth, housing, transportation, health systems and services, social safety network, food insecurity, unemployment/employment and working conditions, public safety, and social exclusion/inclusion.
Social determinants influence the lives of clients even before an HIV diagnosis is made, and intersect with each stage of the HIV Care Continuum. SDH create disparities in access to HIV testing, treatment, and prevention services, and are related to the disproportionately high rates of HIV among specific populations and geographic locations.
The following resources can help to increase health care providers’ awareness of the impact that social determinants of health have on HIV treatment and prevention outcomes.
NOTE: This table contains web links external to PCDC.
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