Association of Social Determinants of Health in Patients With Hypertension in the Outpatient Setting

Arunthamakun, Natthew; Appiah-Kubi, Edmund; Amoateng, Richard; Johnston, Alexandra F.; Gadani, Mrudula

doi:10.1016/s0735-1097(23)02196-4

Cited by 1 publication

(2 citation statements)

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“…In general, SDoH indicative of increased social risk or social needs were associated with poorer clinical outcomes. Arunthamakun et al found that Black populations with higher prevalence of hypertension had concurrent increased rates of household-level economic and social disparities ( 47 ). Additionally, patients with hypertension without insurance, based on findings by Okoh et al, were more likely to be admitted inpatient or to the intensive care unit likely as a result of limited healthcare access and associated financial strain ( 54 ).…”

Section: Resultsmentioning

confidence: 99%

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Screening for social determinants of health among populations at risk for MASLD: a scoping review

Kim,

Ballantyne,

Conroy

et al. 2024

Front. Public Health

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BackgroundSocial determinants of health (SDoH) have been associated with disparate outcomes among those with metabolic dysfunction-associated steatotic liver disease (MASLD) and its risk factors. To address SDoH among this population, real-time SDoH screening in clinical settings is required, yet optimal screening methods are unclear. We performed a scoping review to describe the current literature on SDoH screening conducted in the clinical setting among individuals with MASLD and MASLD risk factors.MethodsThrough a systematic literature search of MEDLINE, Embase, and CINAHL Complete databases through 7/2023, we identified studies with clinic-based SDoH screening among individuals with or at risk for MASLD that reported pertinent clinical outcomes including change in MASLD risk factors like diabetes and hypertension.ResultsTen studies (8 manuscripts, 2 abstracts) met inclusion criteria involving 148,151 patients: 89,408 with diabetes and 25,539 with hypertension. Screening was primarily completed in primary care clinics, and a variety of screening tools were used. The most commonly collected SDoH were financial stability, healthcare access, food insecurity and transportation. Associations between clinical outcomes and SDoH varied; overall, higher SDoH burden was associated with poorer outcomes including elevated blood pressure and hemoglobin A1c.ConclusionDespite numerous epidemiologic studies showing associations between clinical outcomes and SDoH, and guidelines recommending SDoH screening, few studies describe in-clinic SDoH screening among individuals with MASLD risk factors and none among patients with MASLD. Future research should prioritize real-time, comprehensive assessments of SDoH, particularly among patients at risk for and with MASLD, to mitigate disease progression and reduce MASLD health disparities.

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Section: Resultsmentioning

confidence: 99%

“…Of the 6,729 unique studies identified using our search criteria, after reviewing 460 abstracts and 25 full texts, 10 studies met our inclusion criteria -8 manuscripts and 2 conference abstracts (47)(48)(49)(50)(51)(52)(53)(54)(55)(56). Figure 2 shows the flow diagram summarizing our study identification and selection.…”

Section: Search Resultsmentioning

confidence: 99%