Social determinants of health and its impact on cardiovascular disease in underserved populations: A critical review

Curr Probl Cardiol. 2024 Mar;49(3):102373. doi: 10.1016/j.cpcardiol.2024.102373. Epub 2024 Jan 5.

Abstract

In the United States, a patient succumbs to cardiovascular disease (CVD) every 33 seconds and costs the healthcare system close to $240 billion dollars annually. Social determinants of health (SDOH) are key factors responsible in structuring the well-being of individuals and communities. It significantly influences health outcomes and is reliant on several factors such as economic stability, education, healthcare access, community composition, and governmental policies. This review explores the impact of SDOH on the escalating global burden of CVD and identifies potential modifiable risk factors that contribute to acute coronary syndrome (ACS) among underserved communities. In addition, it also addresses the necessity for interventions to narrow healthcare related disparities ensuring improvement in CVD outcomes in this subgroup of population.

Keywords: Cardiovascular; Health disparities; Public Health; Review; SDOH; Social determinants.

Publication types

  • Review

MeSH terms

  • Acute Coronary Syndrome*
  • Cardiovascular Diseases* / epidemiology
  • Cardiovascular Diseases* / etiology
  • Cardiovascular Diseases* / prevention & control
  • Healthcare Disparities
  • Humans
  • Risk Factors
  • Social Determinants of Health
  • United States / epidemiology