Social Determinants of Health and Vascular Diseases: A Systematic Review and Call for Action

Several factors that underlie health inequality have been studied and defined as the social determinants of health (SDHs). The main SDHs are gender, socioeconomic status (SES), and ethnicity. In this study, disparity was analyzed in the context of vascular diseases (VDs) such as Peripheral Artery Di...

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Bibliographic Details
Published in:Social sciences (Basel) 2023-04, Vol.12 (4), p.214
Main Authors: Costa, Davide, Ielapi, Nicola, Bevacqua, Egidio, Ciranni, Salvatore, Cristodoro, Lucia, Torcia, Giuseppina, Serra, Raffaele
Format: Article
Language:English
Subjects:
Abdomen
Analysis
Aneurysms
Blood circulation disorders
Causality
Disease
Ethnicity
Gender
Health care access
Health care disparities
Health disparities
Income inequality
Inequality
Medical research
Medicine, Experimental
Mortality
peripheral artery disease
Population
Risk factors
Social aspects
social determinants of health
Social science research
Socioeconomic factors
Socioeconomic status
Sociology
Systematic review
vascular disease
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Summary:Several factors that underlie health inequality have been studied and defined as the social determinants of health (SDHs). The main SDHs are gender, socioeconomic status (SES), and ethnicity. In this study, disparity was analyzed in the context of vascular diseases (VDs) such as Peripheral Artery Disease (PAD), Chronic Venous Disease (CVD), Abdominal Arterial Aneurysm (AAA), and Carotid Stenosis (CS). This article aims to provide a comprehensive overview of the published evidence of the SDHs in VDs. For this purpose, Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were used. Published articles using the Scopus and ScienceDirect databases were searched. The criteria for the articles’ inclusion/exclusion were decided using a modified PICOTS framework. For the selected articles, the data sheets were organized in such a way to extract all data of potential relevance. Our findings showed that in VDs, gender, SES, and ethnicity are very important, with some specific problems for VDs analyzed. In conclusion, having detected the presence of SDHs that act negatively on VDs, a model based on action items for the SDHs associated with VDs was proposed.
ISSN:2076-0760
2076-0760
DOI:10.3390/socsci12040214