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Social, political and legal determinants of kidney health: Perspectives from lower- and middle-income countries with a focus on India

The social determinants of health (SDoH) are the non-medical factors that influence kidney health outcomes directly or indirectly in a substantial manner and include conditions in which people are born, grow, work, live, and age. Many such challenges in lower- and middle- income countries have an un...

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Autores principales: Anandh, Urmila, Meena, Priti, Karam, Sabine, Luyckx, Valerie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10513032/
https://www.ncbi.nlm.nih.gov/pubmed/37745281
http://dx.doi.org/10.3389/fneph.2022.1024667
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author Anandh, Urmila
Meena, Priti
Karam, Sabine
Luyckx, Valerie
author_facet Anandh, Urmila
Meena, Priti
Karam, Sabine
Luyckx, Valerie
author_sort Anandh, Urmila
collection PubMed
description The social determinants of health (SDoH) are the non-medical factors that influence kidney health outcomes directly or indirectly in a substantial manner and include conditions in which people are born, grow, work, live, and age. Many such challenges in lower- and middle- income countries have an unfavourable impact on kidney health. These conditions potentially influence economic policies and systems, development agendas, social norms, social policies, and political systems. In addition, many political and legal factors also determine and modify the ultimate outcome in patients with kidney disease. Legal factors that ensure universal health care, promote gender and racial equality, prevent malpractices and regulate strict laws in the field of kidney transplantation are the paramount determinants for the provision of necessary kidney care. Converging lines of evidence have supported the impact of social variables such as socioeconomic resources, social inclusion, housing conditions, educational attainment, and financial status on kidney health, particularly affect vulnerable and disadvantaged groups and result in challenges in kidney care delivery. Furthermore, the climate is an important SDoH that plays a crucial role in the occurrence, prevalence, and progression of kidney diseases as highlighted by the presence of higher prevalence of chronic kidney disease in hot tropical countries. The rising incidence of water and vector-borne diseases causing acute kidney injury is another consequence of disruptive environmental and climate change which is detrimental to kidney health. Political risk factors such as conflict also have a devastating influence on kidney health. The relationship between SDoH and kidney health outcomes requires more clarity. Gaps in the current knowledge need to be identified to inform the development of appropriate interventions to address upstream socio-economic risk factors for kidney disease.
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spelling pubmed-105130322023-09-22 Social, political and legal determinants of kidney health: Perspectives from lower- and middle-income countries with a focus on India Anandh, Urmila Meena, Priti Karam, Sabine Luyckx, Valerie Front Nephrol Nephrology The social determinants of health (SDoH) are the non-medical factors that influence kidney health outcomes directly or indirectly in a substantial manner and include conditions in which people are born, grow, work, live, and age. Many such challenges in lower- and middle- income countries have an unfavourable impact on kidney health. These conditions potentially influence economic policies and systems, development agendas, social norms, social policies, and political systems. In addition, many political and legal factors also determine and modify the ultimate outcome in patients with kidney disease. Legal factors that ensure universal health care, promote gender and racial equality, prevent malpractices and regulate strict laws in the field of kidney transplantation are the paramount determinants for the provision of necessary kidney care. Converging lines of evidence have supported the impact of social variables such as socioeconomic resources, social inclusion, housing conditions, educational attainment, and financial status on kidney health, particularly affect vulnerable and disadvantaged groups and result in challenges in kidney care delivery. Furthermore, the climate is an important SDoH that plays a crucial role in the occurrence, prevalence, and progression of kidney diseases as highlighted by the presence of higher prevalence of chronic kidney disease in hot tropical countries. The rising incidence of water and vector-borne diseases causing acute kidney injury is another consequence of disruptive environmental and climate change which is detrimental to kidney health. Political risk factors such as conflict also have a devastating influence on kidney health. The relationship between SDoH and kidney health outcomes requires more clarity. Gaps in the current knowledge need to be identified to inform the development of appropriate interventions to address upstream socio-economic risk factors for kidney disease. Frontiers Media S.A. 2022-10-24 /pmc/articles/PMC10513032/ /pubmed/37745281 http://dx.doi.org/10.3389/fneph.2022.1024667 Text en Copyright © 2022 Anandh, Meena, Karam and Luyckx https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Nephrology
Anandh, Urmila
Meena, Priti
Karam, Sabine
Luyckx, Valerie
Social, political and legal determinants of kidney health: Perspectives from lower- and middle-income countries with a focus on India
title Social, political and legal determinants of kidney health: Perspectives from lower- and middle-income countries with a focus on India
title_full Social, political and legal determinants of kidney health: Perspectives from lower- and middle-income countries with a focus on India
title_fullStr Social, political and legal determinants of kidney health: Perspectives from lower- and middle-income countries with a focus on India
title_full_unstemmed Social, political and legal determinants of kidney health: Perspectives from lower- and middle-income countries with a focus on India
title_short Social, political and legal determinants of kidney health: Perspectives from lower- and middle-income countries with a focus on India
title_sort social, political and legal determinants of kidney health: perspectives from lower- and middle-income countries with a focus on india
topic Nephrology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10513032/
https://www.ncbi.nlm.nih.gov/pubmed/37745281
http://dx.doi.org/10.3389/fneph.2022.1024667
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