University of Michigan Medical School, Ann Arbor, MI, USA.
Oregon Health and Science University, Portland, OR, USA.
Curr Atheroscler Rep. 2024 Sep;26(9):451-461. doi: 10.1007/s11883-024-01226-2. Epub 2024 Jul 9.
This review seeks to provide important information on each of the major domains of social determinants of health (SDOH) in the context of atherosclerotic cardiovascular disease.
SDOH can be classified into five domains: social and community context, health care access and quality, neighborhood and built environment, economic stability, and education access and quality. SDOH are major drivers for cardiovascular health outcomes that exceed the impact from traditional risk factors, and explain inequities in health outcomes observed across different groups of individuals. SDOH profoundly impacts healthcare's receipt, delivery, and outcomes. Many patients fall within various disenfranchised groups (e.g., identify with minority race, low socioeconomic status, low educational attainment, LGBTQ+), which impact overall health status and care. Learning to understand, recognize, and address SDOH as the driving force of disparities are critical for achieving health equity in the prevention and adequate treatment of ASCVD.
本综述旨在提供有关社会决定因素健康（SDOH）的每个主要领域的重要信息，这些领域与动脉粥样硬化性心血管疾病相关。
SDOH 可分为五个领域：社会和社区环境、医疗保健的可及性和质量、邻里和建筑环境、经济稳定性以及教育的可及性和质量。SDOH 是心血管健康结果的主要驱动因素，其影响超过了传统风险因素的影响，并解释了不同人群之间观察到的健康结果的不平等。SDOH 深刻影响医疗保健的获得、提供和结果。许多患者属于多个弱势群体（例如，少数民族、低社会经济地位、低教育程度、LGBTQ+），这影响整体健康状况和护理。学习理解、认识和解决 SDOH 作为不平等的驱动力，对于在 ASCVD 的预防和充分治疗中实现健康公平至关重要。
