Spatial Mismatch Between Hiv Infection and Access to Hiv Service Facilities in Texas

Since 2004, the number of people living with HIV (PLWH) has steadily increased by about 5% and currently, the number in Texas is about 86,000. Though the National HIV/AIDS Strategic Plan seeks to ensure “unfettered access to quality healthcare”, barriers to access still exist especially among minority populations. This study examines the relationship between HIV infection rates and the geographic location of HIV service centers with a focus on 4 counties: namely, Dallas, Denton, Harris and Tarrant. The goal is to show whether there is a spatial mismatch between HIV rates and service providers. Are service facilities located in zip codes where they are most needed? Using the vulnerability framework and the Inverse Care Law (ICL), we address the research question using demographic variables (race/ethnicity, sex, poverty, education attainment) and HIV data. Our results show that extreme vulnerable zip codes have high HIV rates and closest proximity to HIV service providers