Leveraging Social and Structural Determinants of Health at the Centers for Disease Control and Prevention: A Systems-Level Opportunity to Improve Public Health

Lipshutz, Judith A.; Hall, Jeffrey E.; Penman-Aguilar, Ana; Skillen, Elizabeth; Naoom, Sandra F.; Irune, Ikovwa

doi:10.1097/phh.0000000000001363

Cited by 15 publications

(16 citation statements)

References 30 publications

(67 reference statements)

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“…Socioeconomic disparities cause multiple disease outcomes, through unequal access to resources promoting health or providing health care, frustrating disease-specific interventions that fail to address underlying inequities or social determinants of health [ 6 , 7 , 8 ]. Current public health thinking puts rectifying social disparities at the heart of improving public health, as did one of the early leaders in social epidemiology: Rudolf Virchow [ 9 , 10 , 11 ]. More recently, the Australian Institute of Health and Welfare (AIHW) has reported a clear association between disadvantaged social environments and chronic conditions such as obesity, chronic obstructive pulmonary disease, diabetes, and cancer [ 12 ].…”

Section: Intersectionality and The Social Determinants Of Healthmentioning

confidence: 99%

An Intersectional Approach to Hepatitis B

Lemoh

Xiao

Tran

et al. 2023

IJERPH

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Hepatitis B is a chronic condition, primarily associated with hepatitis B viral infection in early life. The failure of prevention and appropriate management can lead to subsequent liver cirrhosis and cancer. Hepatitis B most commonly affects people born in Asia and Sub-Saharan Africa and their global diasporas. The physical, psychological, and social impacts of hepatitis B are strongly influenced by sex and gender. Inequities in access to timely, sensitive diagnosis and effective management arise from interactions between structural inequalities related to race, ethnicity, Indigenous/settler status, class, and geography. The biomedical response to hepatitis B has led to advances in prevention, diagnosis, and treatment, but many affected communities have explanatory health belief models that differ from that of biomedicine. We argue that an intersectional approach, led by affected people and communities, can integrate biomedicine with the lived experience and social context that give purpose to and shape all personal, communal, clinical, and public health responses to hepatitis B. This approach has the potential to enable a consciously equitable, effective response to the biopsychosocial complexities of hepatitis B, improve the health and wellbeing of people living with hepatitis B, and reduce hepatitis B-associated mortality.

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Section: Intersectionality and The Social Determinants Of Healthmentioning

confidence: 99%

An Intersectional Approach to Hepatitis B

Lemoh

Xiao

Tran

et al. 2023

IJERPH

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“…Partnerships and collaboration refer to linkages built between public health and community organizations and institutions, public and private, that represent multiple sectors. 8,21 Demonstrating the ways to build nontraditional partnerships, CDC has strengthened its collaboration with multiple federal agencies both within and external to HHS. 24 ranging from new policies related to tobacco-free spaces to the design and planning of bike paths.…”

Section: The Cdc Frameworkmentioning

confidence: 99%

“…agency's work and not confined to a single program, national center, or public health topic. 2,8 Emerging Roles of CDC and the Public Health Field CDC's approach to addressing SDOH was born out of a recognition that nonmedical conditions have far-ranging impact on health and an awareness of the important role that public health can play in addressing them. 9 Yet, neither CDC nor the public health sector has consistently been focused on the SDOH.…”

mentioning

confidence: 99%

Social Determinants of Health—An Approach Taken at CDC

Hacker

Auerbach

Ikeda

et al. 2022

Journal of Public Health Management and Practice

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I n the last decade, there has been an increasing awareness of the importance of addressing the social determinants of health (SDOH), the nonmedical conditions that influence health outcomes, 1 as a systemic strategy for improving health, particularly among groups that are disproportionally affected by SDOH. 2 While health care is important, it is estimated that these conditions, ranging from structural racism to socioeconomic factors, drive as much as 50% of health outcomes. 3 During the COVID-19 pandemic, the urgency to address these broader societal conditions that are the root causes of poor health outcomes has been magnified by the widening racial and ethnic disparities in COVID-19 mortality and comorbidities. 4,5 At the Centers for Disease Control and Prevention (CDC), this work is fully linked to the agency-wide commitment to health equity, named CORE (strategies and framework are available on the Web site). 6 CORE efforts, including CDC's SDOH approach, promote health equity where all people can attain their full health potential and not be negatively affected by socially determined factors including those related to structural racism and other forms of discrimination. 7 Addressing SDOH is a priority for CDC. As such, the agency has undertaken multiple steps to ensure that efforts to address SDOH fall within CDC's broader health equity strategy and are built into the

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“…Many working groups have been formed to focus on making SDoH data ready for research or decision making. [ 116 , 126 ] Some national and international‐wide longitudinal cohort consortia provide patient‐level genomics data and clinical data. This kind of data is promising for SDoH health research when SDoH data can be integrated with the cohort data.…”

Section: Practical Considerations For Gxsdoh Researchmentioning

confidence: 99%

Social Determinants of Health Factors for Gene–Environment COVID‐19 Research: Challenges and Opportunities

et al. 2022

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The characteristics of a person's health status are often guided by how they live, grow, learn, their genetics, as well as their access to health care. Yet, all too often, studies examining the relationship between social determinants of health (behavioral, sociocultural, and physical environmental factors), the role of demographics, and health outcomes poorly represent these relationships, leading to misinterpretations, limited study reproducibility, and datasets with limited representativeness and secondary research use capacity. This is a profound hurdle in what questions can or cannot be rigorously studied about COVID‐19. In practice, gene–environment interactions studies have paved the way for including these factors into research. Similarly, our understanding of social determinants of health continues to expand with diverse data collection modalities as health systems, patients, and community health engagement aim to fill the knowledge gaps toward promoting health and wellness. Here, a conceptual framework is proposed, adapted from the population health framework, socioecological model, and causal modeling in gene–environment interaction studies to integrate the core constructs from each domain with practical considerations needed for multidisciplinary science.

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Leveraging Social and Structural Determinants of Health at the Centers for Disease Control and Prevention: A Systems-Level Opportunity to Improve Public Health

Cited by 15 publications

References 30 publications

An Intersectional Approach to Hepatitis B

An Intersectional Approach to Hepatitis B

Social Determinants of Health—An Approach Taken at CDC

Social Determinants of Health Factors for Gene–Environment COVID‐19 Research: Challenges and Opportunities

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