The Role of Social Determinants of Health in Atherosclerotic Cardiovascular Disease.

IF 5.7 2区 医学 Q1 PERIPHERAL VASCULAR DISEASE Current Atherosclerosis Reports Pub Date : 2024-09-01 Epub Date: 2024-07-09 DOI:10.1007/s11883-024-01226-2
Logan Brown, Claire Cambron, Wendy S Post, Eric J Brandt
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Abstract

Purpose of review: This review seeks to provide important information on each of the major domains of social determinants of health (SDOH) in the context of atherosclerotic cardiovascular disease.

Recent findings: SDOH can be classified into five domains: social and community context, health care access and quality, neighborhood and built environment, economic stability, and education access and quality. SDOH are major drivers for cardiovascular health outcomes that exceed the impact from traditional risk factors, and explain inequities in health outcomes observed across different groups of individuals. SDOH profoundly impacts healthcare's receipt, delivery, and outcomes. Many patients fall within various disenfranchised groups (e.g., identify with minority race, low socioeconomic status, low educational attainment, LGBTQ+), which impact overall health status and care. Learning to understand, recognize, and address SDOH as the driving force of disparities are critical for achieving health equity in the prevention and adequate treatment of ASCVD.

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健康的社会决定因素在动脉粥样硬化性心血管疾病中的作用。
综述的目的:本综述旨在提供有关动脉粥样硬化性心血管疾病的健康社会决定因素(SDOH)各主要领域的重要信息:社会决定健康因素可分为五个领域:社会和社区环境、医疗保健的获取和质量、邻里和建筑环境、经济稳定性以及教育的获取和质量。SDOH 是心血管健康结果的主要驱动因素,其影响超过了传统风险因素的影响,也是不同人群健康结果不平等的原因。SDOH 对医疗保健的接受、提供和结果产生了深远的影响。许多患者属于各种被剥夺公民权的群体(如少数民族、社会经济地位低下、教育程度低、LGBTQ+),这影响了整体健康状态和护理。学会理解、认识和解决作为差异驱动力的 SDOH 问题,对于在预防和适当治疗 ASCVD 方面实现健康公平至关重要。
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来源期刊
CiteScore
9.00
自引率
3.40%
发文量
87
审稿时长
6-12 weeks
期刊介绍: The aim of this journal is to systematically provide expert views on current basic science and clinical advances in the field of atherosclerosis and highlight the most important developments likely to transform the field of cardiovascular prevention, diagnosis, and treatment. We accomplish this aim by appointing major authorities to serve as Section Editors who select leading experts from around the world to provide definitive reviews on key topics and papers published in the past year. We also provide supplementary reviews and commentaries from well-known figures in the field. An Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research.
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