TY - JOUR
T1 - Community and Social Context
T2 - An Important Social Determinant of Cardiovascular Disease
AU - Singh, Rahul
AU - Javed, Zulqarnain
AU - Yahya, Tamer
AU - Valero-Elizondo, Javier
AU - Acquah, Isaac
AU - Hyder, Adnan A.
AU - Maqsood, Muhammad Haisum
AU - Amin, Zahir
AU - Al-Kindi, Sadeer
AU - Cainzos-Achirica, Miguel
AU - Nasir, Khurram
N1 - Copyright: © 2021 The Author(s).
PY - 2021
Y1 - 2021
N2 - Disease prevention frameworks and clinical practice guidelines in the United States (US) have traditionally ignored upstream social determinants of health (SDOH), which are critical for reducing disparities in cardiovascular disease (CVD)-the leading cause of death in the US. Existing evidence demonstrates a protective effect of social support, social cohesion, and community engagement on overall health and wellbeing. Increasing community and social support is a major objective of the Healthy People 2030 initiative, with special provisions for vulnerable populations. However, to date, existing evidence of the association between community and social context (CSC)-an integral SDOH domain-and CVD has not been reviewed extensively. In particular, the individual and cumulative impact of CSC on CVD risk and the pathways linking CSC to cardiovascular outcomes are not well understood. In this review, we critically appraise current knowledge of the association between CSC and CVD, describe potential pathways linking CSC to CVD, and identify opportunities for evidence-based policy and practice interventions to improve CVD outcomes.
AB - Disease prevention frameworks and clinical practice guidelines in the United States (US) have traditionally ignored upstream social determinants of health (SDOH), which are critical for reducing disparities in cardiovascular disease (CVD)-the leading cause of death in the US. Existing evidence demonstrates a protective effect of social support, social cohesion, and community engagement on overall health and wellbeing. Increasing community and social support is a major objective of the Healthy People 2030 initiative, with special provisions for vulnerable populations. However, to date, existing evidence of the association between community and social context (CSC)-an integral SDOH domain-and CVD has not been reviewed extensively. In particular, the individual and cumulative impact of CSC on CVD risk and the pathways linking CSC to cardiovascular outcomes are not well understood. In this review, we critically appraise current knowledge of the association between CSC and CVD, describe potential pathways linking CSC to CVD, and identify opportunities for evidence-based policy and practice interventions to improve CVD outcomes.
KW - Cardiovascular Diseases/diagnosis
KW - Delivery of Health Care
KW - Humans
KW - Social Determinants of Health
KW - United States/epidemiology
KW - Vulnerable Populations
KW - cardiovascular disease
KW - social determinants of health
KW - community
KW - social context
UR - http://www.scopus.com/inward/record.url?scp=85122487669&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85122487669&partnerID=8YFLogxK
U2 - 10.14797/mdcvj.846
DO - 10.14797/mdcvj.846
M3 - Review article
C2 - 34824678
SN - 1947-6094
VL - 17
SP - 15
EP - 27
JO - Methodist DeBakey cardiovascular journal
JF - Methodist DeBakey cardiovascular journal
IS - 4
ER -