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Social Determinants of Health and Primary Hypertension in Children and Adolescents: Proposed Solutions Using a

Sean Connolly1, Abbas Zaidi1, Carissa M Baker-Smith1

  • 1Sidney Kimmel Medical College of Thomas Jefferson University, Philadelphia, PA; Nemours Children's Health, Wilmington, DE; Nemours Cardiac Center for Research and Innovation, Nemours Children's Health, Wilmington, DE; Nemours Preventive Cardiology Program, Nemours Cardiac Center, Wilmington, DE.

Advances in Kidney Disease and Health
|July 3, 2026
PubMed

Insights

Pediatric hypertension affects 4% of children, primarily originating from primary causes. Addressing this global health issue requires understanding how social determinants of health influence children

Area of Science:

  • Pediatric health
  • Public health
  • Social epidemiology

Background:

  • Pediatric hypertension affects 4% of children globally.
  • The majority of cases are primary hypertension.
  • Individual risk factors alone do not explain pediatric hypertension.

Purpose of the Study:

  • To highlight the role of social determinants of health in pediatric hypertension.
  • To emphasize the need for socioecological approaches to address this condition.

Main Methods:

  • Literature review on pediatric hypertension and social determinants of health.
  • Analysis of socioecological models in public health.

Main Results:

  • Social determinants of health are significant risk factors for pediatric hypertension.
  • Socioecological models provide a framework for understanding multifaceted influences on child health.
  • Interventions must consider multiple levels of influence, from individual to societal.

Conclusions:

  • Effective management of pediatric hypertension necessitates addressing social determinants of health.
  • A comprehensive approach integrating socioecological perspectives is crucial for prevention and treatment.
  • Global strategies must incorporate social determinants to reduce the burden of pediatric hypertension.

Keywords:
Cardiovascular diseaseDeprivationPediatric hypertensionSocial determinants of healthSocioecological models of health

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