Social Determinants of Health and Diabetes: A Scientific Review

Social Determinants of Health and Diabetes: A Scientific Review

2021;44.258–279 | Felicia Hill-Briggs,1,2 Nancy E. Adler,3 Seth A. Berkowitz,4 Marshall H. Chin,5 Tiffany L. Gary-Webb,6 Ana Navas-Acien,7 Pamela L. Thornton,8 and Debra Haire-Joshu9
The article "Social Determinants of Health and Diabetes: A Scientific Review" explores the disproportionate impact of diabetes on racial and ethnic minority and low-income adult populations in the U.S. It highlights the importance of addressing social determinants of health (SDOH) to achieve health equity. The review focuses on five key SDOH: socioeconomic status (SES), neighborhood and physical environment, food environment, health care, and social context. The article discusses the associations between these SDOH and diabetes risk, prevalence, and outcomes, as well as the impact of interventions targeting these determinants. Key findings include: 1. **Socioeconomic Status (SES)**: Lower SES is associated with higher diabetes prevalence, complications, and mortality. Interventions targeting SES have shown potential benefits, such as the Moving to Opportunity program, which reduced diabetes prevalence and improved health outcomes. 2. **Neighborhood and Physical Environment**: Housing instability and poor neighborhood environments are linked to worse diabetes outcomes. Interventions like providing stable housing and improving the built environment have shown promise in reducing diabetes risk and improving health outcomes. 3. **Food Environment**: Access to healthy foods and food insecurity are significant factors. Studies show that higher availability of healthy foods and reduced food insecurity are associated with better diabetes management and outcomes. 4. **Health Care**: Access, affordability, and quality of care are crucial. Interventions that improve access to care and increase the quality of care have been shown to positively impact diabetes outcomes. 5. **Social Context**: Social cohesion, social capital, and social support are important. These factors can influence health behaviors and outcomes, particularly in marginalized communities. The article concludes with recommendations for linkages between healthcare and community sectors, research directions, and practical interventions to address SDOH and improve diabetes outcomes.The article "Social Determinants of Health and Diabetes: A Scientific Review" explores the disproportionate impact of diabetes on racial and ethnic minority and low-income adult populations in the U.S. It highlights the importance of addressing social determinants of health (SDOH) to achieve health equity. The review focuses on five key SDOH: socioeconomic status (SES), neighborhood and physical environment, food environment, health care, and social context. The article discusses the associations between these SDOH and diabetes risk, prevalence, and outcomes, as well as the impact of interventions targeting these determinants. Key findings include: 1. **Socioeconomic Status (SES)**: Lower SES is associated with higher diabetes prevalence, complications, and mortality. Interventions targeting SES have shown potential benefits, such as the Moving to Opportunity program, which reduced diabetes prevalence and improved health outcomes. 2. **Neighborhood and Physical Environment**: Housing instability and poor neighborhood environments are linked to worse diabetes outcomes. Interventions like providing stable housing and improving the built environment have shown promise in reducing diabetes risk and improving health outcomes. 3. **Food Environment**: Access to healthy foods and food insecurity are significant factors. Studies show that higher availability of healthy foods and reduced food insecurity are associated with better diabetes management and outcomes. 4. **Health Care**: Access, affordability, and quality of care are crucial. Interventions that improve access to care and increase the quality of care have been shown to positively impact diabetes outcomes. 5. **Social Context**: Social cohesion, social capital, and social support are important. These factors can influence health behaviors and outcomes, particularly in marginalized communities. The article concludes with recommendations for linkages between healthcare and community sectors, research directions, and practical interventions to address SDOH and improve diabetes outcomes.
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[slides and audio] Social Determinants of Health and Diabetes%3A A Scientific Review