Assessing and Addressing Social Determinants of Cardiovascular Health

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...

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Published in:Journal of the American College of Cardiology 2023-04, Vol.81 (14), p.1368-1385
Main Authors: Brandt, Eric J., Tobb, Kardie, Cambron, Julia C., Ferdinand, Keith, Douglass, Paul, Nguyen, Patricia K., Vijayaraghavan, Krishnaswami, Islam, Sabrina, Thamman, Ritu, Rahman, Shahid, Pendyal, Akshay, Sareen, Nishtha, Yong, Celina, Palaniappan, Latha, Ibebuogu, Uzoma, Tran, Andrew, Bacong, Adrian M., Lundberg, Gina, Watson, Karol
Format: Article
Language:English
Subjects:
built environment
community
economic stability
education
health care access
social environment
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Summary: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. [Display omitted] •The social conditions in which people are born, live, and work have a broad impact on cardiovascular health, care, and outcomes.•Addressing these social determinants of health is an important step toward achieving equity in cardiovascular care.•Strategies are available for both clinicians and health systems to address each of the 5 domains underlying social determinants of health.
ISSN:0735-1097
1558-3597
DOI:10.1016/j.jacc.2023.01.042