Shahid Rahman, Karol Watson, Gina Lundberg, Adrian M Bacong, Andrew Tran, Uzoma Ibebuogu, Latha Palaniappan, Celina Yong, Nishtha Sareen, Akshay Pendyal, Eric J Brandt, Ritu Thamman, Sabrina Islam, Krishnaswami Vijayaraghavan, Patricia K Nguyen, Paul Douglass, Keith Ferdinand, Julia C Cambron, Kardie Tobb
Journal: Journal of the American College of Cardiology 2023;81(14):1368-1385
PMID: 37019584
Social determinants of health (SDOH) are the social conditions in which people are born, live, and work. SDOH offers a more inclusive view of how environment, geographic location, neighborhoods, access to health care, nutrition, socioeconomics, and so on are critical in cardiovascular morbidity and mortality. SDOH will continue to increase in relevance and integration of patient management, thus, applying the information herein to clinical and health systems will become increasingly commonplace. This state-of-the-art review covers the 5 domains of SDOH, including economic stability, education, health care access and quality, social and community context, and neighborhood and built environment. Recognizing and addressing SDOH is an important step toward achieving equity in cardiovascular care. We discuss each SDOH within the context of cardiovascular disease, how they can be assessed by clinicians and within health care systems, and key strategies for clinicians and health care systems to address these SDOH. Summaries of these tools and key strategies are provided.
Copyright © 2023 American College of Cardiology Foundation. All rights reserved.
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