Khanani Aqeel, Haight Daniel
Department of Internal Medicine, Lakeland Regional Health, Lakeland, FL, USA.
Department of Internal Medicine, Division of Infectious Diseases and International Medicine, University of South Florida, Morsani College of Medicine, Tampa, FL, USA.
Am Heart J Plus. 2024 May 29;43:100410. doi: 10.1016/j.ahjo.2024.100410. eCollection 2024 Jul.
Social Determinants of Health (SDOH) like education, economic stability, social context, neighborhood environment, and healthcare access are increasingly recognized as major drivers of persistent health disparities, particularly among minority populations. Over the past year, studies have demonstrated and quantified the impact that certain SDOH have on uncontrolled blood pressure in Black and Hispanic adults compared to white adults. This underscores the need to view chronic diseases through a SDOH lens and implement multilevel interventions targeting these underlying social factors to achieve health equity. The ShopTalk initiative, based in Lakeland, Florida, represents a promising community-based approach to addressing SDOH and health disparities. It conducts health outreach in barbershops and hair salons - trusted community hubs where meaningful dialogues occur. Key components include providing health education materials, offering screenings, and facilitating physician connections, all at no cost. By leveraging these culturally-relevant spaces, ShopTalk simultaneously targets multiple SDOH domains like health literacy, economic barriers, neighborhood familiarity, and healthcare engagement. This builds upon the pioneering work of leaders like Dr. Elijah Saunders and Dr. Ronald Victor, who previously engaged social hubs to successfully raise hypertension awareness among underserved populations. As highlighted by Healthy People 2030's emphasis on SDOH, widespread implementation of such culturally-tailored community outreach shows potential for finally reducing longstanding disparities. Specific outcome measures are planned to optimize ShopTalk, with the goal of extracting generalizable insights to guide similar initiatives nationwide.
诸如教育、经济稳定、社会环境、邻里环境和医疗保健可及性等健康的社会决定因素（SDOH）日益被视为持续存在的健康差距的主要驱动因素，尤其是在少数族裔人群中。在过去一年里，研究已经证明并量化了某些SDOH对黑人及西班牙裔成年人与白人成年人中血压控制不佳情况的影响。这凸显了需要从SDOH的角度看待慢性病，并实施针对这些潜在社会因素的多层次干预措施，以实现健康公平。位于佛罗里达州莱克兰的“ShopTalk倡议”代表了一种有前景的基于社区的方法，用于解决SDOH和健康差距问题。它在理发店和美发沙龙开展健康宣传活动，这些地方是受信任的社区中心，会进行有意义的对话。关键组成部分包括免费提供健康教育材料、提供筛查服务以及促进医患联系。通过利用这些与文化相关的场所，“ShopTalk倡议”同时针对多个SDOH领域，如健康素养、经济障碍、邻里熟悉度和医疗保健参与度。这是在以利亚·桑德斯博士和罗纳德·维克多博士等先驱者的开创性工作基础上进行的，他们此前利用社会中心成功提高了服务不足人群对高血压的认识。正如《健康人民2030》对SDOH的强调所突出的那样，广泛实施这种针对文化的社区宣传活动显示出最终减少长期差距的潜力。计划制定具体的成果衡量标准，以优化“ShopTalk倡议”，目标是提取可推广的见解，以指导全国范围内的类似倡议。
