More Texans are living with HIV infection than ever before. in fact, there has been a 6% increase annually, since 2002. This trend is not a result of increased HIV/AIDS incidence, but rather improving life expectancy of those living with HIV. Due to significant advances in HIV/AIDS testing, prevention, and treatment, individuals with HIV are living longer than ever before. However, throughout the state, the life expectancy of a person infected with HIV/AIDS varies spatially. This study investigates and attempts to explain the spatial distribution of HIV/AIDS survival rates by examining neighborhood socioeconomic characteristics. the results suggest that, contrary to expectation, the lowest survival rates occur, not in extreme poverty areas, but rather in moderate SES areas. Too rich to qualify for free treatments, but not rich enough to afford purchasing such treatments, the middle income living with HIV infection are caught between the cracks. the results provide important input for targeting public health interventions to improve HIV/AIDS survival.