Social Determinants of Disease: HIV and COVID-19 Experiences

Authors

Raiza M. Beltran, David Geffen School of Medicine at UCLA
Ian W. Holloway, University of California, Los Angeles
Chenglin Hong, University of California, Los Angeles
Ayako Miyashita, University of California, Los Angeles
Luisita Cordero, University of California, Los Angeles
Elizabeth Wu, University of California, Los Angeles
Katherine Burris, University of Nevada, Las VegasFollow
Paula M. Frew, University of Nevada, Las Vegas

Document Type

Article

Publication Date

1-1-2022

Publication Title

Current HIV/AIDS Reports

First page number:

1

Last page number:

12

Abstract

Purpose of Review: The differential impact of the COVID-19 and HIV pandemics on marginalized communities has renewed calls for more robust and deeper investigation into structural and social causes of health inequities contributing to these infections, including underlying factors related to systematic racism. Using the Social Determinants of Health (SDOH) framework, we analyzed parallel and divergent factors associated with COVID-19 and HIV/AIDS and the prevalence of disparate disease in diverse communities. We utilized PRISMA guidelines to identify relevant literature (N = 210 articles) that resulted in a review of 125 articles included in our synthesis. Recent Findings: With racial health inequities as a core contributor to disease vulnerability, we also identified other factors such as economic stability, social and community support, the neighborhood and built environment, healthcare access and quality, and education access and quality as important socioecological considerations toward achieving health equity. Our review identifies structural and systematic factors that drive HIV and COVID-19 transmission. Summary: Our review highlights the importance of not solely focusing on biomedical interventions as solutions to ending HIV and COVID-19, but rather call for building a more just public health and social service safety net that meets the needs of people at the intersection of multiple vulnerabilities.

Keywords

COVID-19; Health disparities; Health equity; HIV/AIDS; Racial/ethnic minorities; Social determinants of health; Structural racism

Disciplines

Immunity | Immunology of Infectious Disease

File Format

pdf

File Size

1403 KB

Rights

IN COPYRIGHT. For more information about this rights statement, please visit http://rightsstatements.org/vocab/InC/1.0/

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Repository Citation

Beltran, R. M., Holloway, I. W., Hong, C., Miyashita, A., Cordero, L., Wu, E., Burris, K., Frew, P. M. (2022). Social Determinants of Disease: HIV and COVID-19 Experiences. Current HIV/AIDS Reports 1-12.
Available at: http://dx.doi.org/10.1007/s11904-021-00595-6