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Published on: September 26, 2018
Impact of Social Determinants of Health on Cardiovascular Disease
George Bazoukis1,2, Joseph Loscalzo3, Jennifer L Hall4
1Department of Cardiology Larnaca General Hospital Larnaca Cyprus.
Insights
Social determinants of health (SDoHs) significantly impact cardiovascular disease, affecting outcomes like heart failure and coronary artery disease. Addressing SDoHs can improve cardiovascular health for individuals and populations.
Area of Science:
- Cardiovascular Medicine
- Public Health
- Health Disparities
Background:
- Social determinants of health (SDoHs) are increasingly recognized as critical factors influencing health.
- Existing research highlights the complex interplay between SDoHs and various cardiovascular conditions.
Purpose of the Study:
- To synthesize the current evidence on the impact of SDoHs on cardiovascular outcomes.
- To underscore the significance of SDoHs in cardiovascular disease incidence, management, and mortality.
Main Methods:
- This study is a review of existing literature.
- Analysis of research examining the association between SDoHs and cardiovascular diseases.
Main Results:
- SDoHs affect heart failure incidence, outcomes, and readmissions.
- SDoHs impact coronary artery disease, peripheral artery disease, myocardial infarction, arrhythmias (including atrial fibrillation), and congenital heart diseases.
- Disparities in access to advanced therapies and quality of care due to SDoHs are evident.
Conclusions:
- SDoHs profoundly influence cardiovascular morbidity and mortality.
- Targeted policy interventions addressing SDoHs are essential for improving cardiovascular health at both individual and population levels.
Abstract:
An increasing number of studies have shown the impact of social determinants of health (SDoHs) on different cardiovascular outcomes. SDoHs influence the regional incidence of heart failure, heart failure outcomes, and heart failure readmission rates; can prevent use of advanced heart failure therapies in minorities with an indication for their use; can influence the incidence of coronary artery disease and peripheral artery disease outcomes; and can also prevent providing equal quality of care to all patients with myocardial infarction. In the setting of arrhythmias, specific SDoHs can increase the incidence of atrial fibrillation and adversely affect major outcomes in these patients. In congenital heart diseases, SDoHs can affect major outcomes, as well. In conclusion, SDoHs significantly impact cardiovascular morbidity and death and specific outcomes of patients with cardiovascular disease. Policy measures that aim to improve those SDoHs that negatively affect health outcomes hold promise for improving cardiovascular outcomes at individual and population levels.
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