Methodological and Measurement Advances in Social Determinants of HIV: View from NIH

Social determinants are increasingly understood as key contributors to patterns of heightened risk for HIV acquisition and suboptimal care and treatment outcomes. Yet, the ability to rigorously model, map and measure these nuanced social dynamics has been a challenge, resulting in limited examples o...

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Bibliographic Details
Published in:AIDS and behavior 2021-11, Vol.25 (Suppl 2), p.127-132
Main Authors: Greenwood, Gregory, Gaist, Paul, Namkung, Ann, Rausch, Dianne
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
AIDS
Allergies
Community involvement
Community participation
Cross cutting
Ecological studies
Health behavior
Health Psychology
Health risks
HIV
HIV Infections - epidemiology
HIV Infections - prevention & control
Human immunodeficiency virus
Humans
Inequality
Infectious Diseases
Mathematical models
Medicine
Medicine & Public Health
Mental health
Original Paper
Public Health
Resource allocation
Risk society
Social Determinants of Health
Social dynamics
Social Stigma
Social systems
Social theories
Sociodemographics
Treatment outcomes
United States
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Summary:Social determinants are increasingly understood as key contributors to patterns of heightened risk for HIV acquisition and suboptimal care and treatment outcomes. Yet, the ability to rigorously model, map and measure these nuanced social dynamics has been a challenge, resulting in limited examples of effective interventions and resource allocation. In 2016, the United States National Institute of Mental Health (NIMH) and the National Institute of Allergy and Infectious Diseases (NIAID) issued a Request for Applications calling for methodological innovations around the social determinants of HIV. In May of 2019, NIMH, in collaboration with American University’s Center on Health, Risk and Society and the DC Center for AIDS Research, sponsored a symposium to bring together the funded teams to share accomplishments, distill lessons learned and reflect on the state of the science with other key stakeholders. Presentations focused on causal inference, multi-level analysis and mathematical modeling (Models); geospatial analytics and ecological momentary assessments (Maps); and measurement of social and structural determinants including inequalities and stigmas (Measures). Cross-cutting and higher-level themes were discussed and largely focused on the importance of critical and careful integration of social theory, community engagement and mixed methodologies into research on the social determinants of HIV.
ISSN:1090-7165
1573-3254
DOI:10.1007/s10461-021-03234-8