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Intersectionality and Social Drivers of Health in Cardiovascular Care
Madelyn Hurwitz1, Jason Bonomo2, Jared Spitz2
1School of Medicine, University of Virginia, Charlottesville, Virginia, US.
Methodist Debakey Cardiovascular Journal
|November 11, 2024
Summary
Social drivers of health significantly impact cardiovascular disparities. Understanding how these factors intersect is key to developing targeted interventions for better heart health outcomes.
Area of Science:
- Public Health
- Cardiovascular Medicine
- Health Disparities Research
Background:
- Social drivers of health (SDOH) are major contributors to ongoing cardiovascular health disparities in the US and worldwide.
- SDOH encompass psychosocial, environmental, socioeconomic, cultural, and governmental factors influencing health behaviors and outcomes.
- Numerous social drivers are linked to cardiovascular disease (CVD) risk and health trends.
Purpose of the Study:
- To highlight the critical role of social drivers of health in cardiovascular health disparities.
- To emphasize the importance of intersectionality in understanding and addressing SDOH.
- To advocate for tailored interventions in cardiovascular care based on intersectional SDOH analysis.
Main Methods:
- Literature review and synthesis of existing research on SDOH and cardiovascular health.
- Conceptual analysis applying the principle of intersectionality to SDOH.
- Framework development for addressing SDOH in cardiovascular care.
Main Results:
- SDOH significantly exacerbate cardiovascular health disparities.
- The intersection of multiple social drivers creates unique challenges for specific communities.
- A "one-size-fits-all" approach is insufficient for addressing these complex disparities.
Conclusions:
- Intersectionality provides a crucial lens for understanding the complex interplay of SDOH.
- Tailored, community-specific interventions informed by intersectional analysis are essential for reducing cardiovascular health disparities.
- Addressing SDOH through an intersectional framework is vital for achieving health equity in cardiovascular care.
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