most recent data currently available. Although we cannot comment on current community-level social vulnerability, our findings still represent a benchmark for future studies. Given the profoundly negative impact of the COVID-19 pandemic, these findings also likely represent a conservative estimate of current social vulnerability; post-updated analyses would likely reveal a stronger relationship.Ending the HIV epidemic in the United States is feasible, but the lack of specialized attention to these disproportionate social and structural risks and limited coordination of efforts with other programs to date may, in part, explain limited progress to date on key EHE indicators. Our findings suggest that future efforts to end the HIV epidemic should incorporate, and emphasize, social determinants of health of poorer health outcomes in priority jurisdictions to successfully reduce the burden of HIV in these vulnerable communities.