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Community and Social Context: An Important Social Determinant of Cardiovascular Disease

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 demon...

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Autores principales: Singh, Rahul, Javed, Zulqarnain, Yahya, Tamer, Valero-Elizondo, Javier, Acquah, Isaac, Hyder, Adnan A., Maqsood, Muhammad Haisum, Amin, Zahir, Al-Kindi, Sadeer, Cainzos-Achirica, Miguel, Nasir, Khurram
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Houston Methodist DeBakey Heart & Vascular Center 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8588761/
https://www.ncbi.nlm.nih.gov/pubmed/34824678
http://dx.doi.org/10.14797/mdcvj.846
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author Singh, Rahul
Javed, Zulqarnain
Yahya, Tamer
Valero-Elizondo, Javier
Acquah, Isaac
Hyder, Adnan A.
Maqsood, Muhammad Haisum
Amin, Zahir
Al-Kindi, Sadeer
Cainzos-Achirica, Miguel
Nasir, Khurram
author_facet Singh, Rahul
Javed, Zulqarnain
Yahya, Tamer
Valero-Elizondo, Javier
Acquah, Isaac
Hyder, Adnan A.
Maqsood, Muhammad Haisum
Amin, Zahir
Al-Kindi, Sadeer
Cainzos-Achirica, Miguel
Nasir, Khurram
author_sort Singh, Rahul
collection PubMed
description 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.
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spelling pubmed-85887612021-11-24 Community and Social Context: An Important Social Determinant of Cardiovascular Disease Singh, Rahul Javed, Zulqarnain Yahya, Tamer Valero-Elizondo, Javier Acquah, Isaac Hyder, Adnan A. Maqsood, Muhammad Haisum Amin, Zahir Al-Kindi, Sadeer Cainzos-Achirica, Miguel Nasir, Khurram Methodist Debakey Cardiovasc J Review Article 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. Houston Methodist DeBakey Heart & Vascular Center 2021-09-24 /pmc/articles/PMC8588761/ /pubmed/34824678 http://dx.doi.org/10.14797/mdcvj.846 Text en Copyright: © 2021 The Author(s) https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/.
spellingShingle Review Article
Singh, Rahul
Javed, Zulqarnain
Yahya, Tamer
Valero-Elizondo, Javier
Acquah, Isaac
Hyder, Adnan A.
Maqsood, Muhammad Haisum
Amin, Zahir
Al-Kindi, Sadeer
Cainzos-Achirica, Miguel
Nasir, Khurram
Community and Social Context: An Important Social Determinant of Cardiovascular Disease
title Community and Social Context: An Important Social Determinant of Cardiovascular Disease
title_full Community and Social Context: An Important Social Determinant of Cardiovascular Disease
title_fullStr Community and Social Context: An Important Social Determinant of Cardiovascular Disease
title_full_unstemmed Community and Social Context: An Important Social Determinant of Cardiovascular Disease
title_short Community and Social Context: An Important Social Determinant of Cardiovascular Disease
title_sort community and social context: an important social determinant of cardiovascular disease
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8588761/
https://www.ncbi.nlm.nih.gov/pubmed/34824678
http://dx.doi.org/10.14797/mdcvj.846
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