Abstract Combatting disparities is a crucial goal of ongoing efforts to end the HIV epidemic. In multivariable analysis of a U.S. Midwest cohort, racial/ethnic disparities in HIV viral suppression are no longer robust after accounting for other sociodemographic factors. Neighborhood deprivation and low income are independently, inversely associated with viral suppression. human immunodeficiency virus (HIV), health disparities, structural racism, social determinants of health (SDOH), viral suppression This content is only available as a PDF. © The Author(s) 2020. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved. For permissions, e-mail: journals.permissions@oup.com. This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model)