Social Determinants of Breastfeeding in the United States

Introduction: Stroke hospitalization and mortality are influenced by various social determinants. This ecological study aimed to determine the associations between social determinants and stroke hospitalization and outcome at county-level in the United States. Methods: County-level data were recorded from the Centers for Disease Control and Prevention as of January 7, 2020. We considered four outcomes: all-age (1) Ischemic and (2) Hemorrhagic stroke Death rates per 100,000 individuals (ID and HD respectively), and (3) Ischemic and (4) Hemorrhagic stroke Hospitalization rate per 1,000 Medicare beneficiaries (IH and HH respectively). Results: Data of 3,225 counties showed IH (12.5 ± 3.4) and ID (22.2 ± 5.1) were more frequent than HH (2.0 ± 0.4) and HD (9.8 ± 2.1). Income inequality as expressed by Gini Index was found to be 44.6% ± 3.6% and unemployment rate was 4.3% ± 1.5%. Only 29.8% of the counties had at least one hospital with neurological services. The uninsured rate was 11.0% ± 4.7% and people living within half a mile of a park was only 18.7% ± 17.6%. Age-adjusted obesity rate was 32.0% ± 4.5%. In regression models, age-adjusted obesity (OR for IH: 1.11; HH: 1.04) and number of hospitals with neurological services (IH: 1.40; HH: 1.50) showed an association with IH and HH. Age-adjusted obesity (ID: 1.16; HD: 1.11), unemployment (ID: 1.21; HD: 1.18) and income inequality (ID: 1.09; HD: 1.11) showed an association with ID and HD. Park access showed inverse associations with all four outcomes. Additionally, population per primary-care physician was associated with HH while number of pharmacy and uninsured rate were associated with ID. All associations and OR had p ≤0.04. Conclusion: Unemployment and income inequality are significantly associated with increased stroke mortality rates.

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Effects of Social Determinants of Health in Progression to Type 2 Diabetes

10.21007/chp.hiim.0073 ◽

2021 ◽

Author(s):

◽

Folabi Ariganjoye ◽

Keyword(s):

Quality Of Life ◽

United States ◽

Type 2 Diabetes ◽

Social Determinants ◽

The United States ◽

Effective Management ◽

The World ◽

Longitudinal Association

The prevalence of prediabetes and diabetes in the United States and around the world has increased faster than expected in the last 30 years. The economic burden this costs a nation can be astronomic both in terms of expense and loss in productivity. One-third of U.S. adults, 86 million people, have prediabetes. Effective management is needed that can reach these 86 million, and others at high risk, to reduce their progression to diagnosed Type 2 diabetes. After the literature review, there was not enough literature to support how these led to the progression to diabetes. The abundant literature is centered on how to prevent complications and improve the quality of life of those living with type 2 diabetes. This paper will focus on the longitudinal association between these social determinants and how they may predispose to the progression to Type 2 diabetes.

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Interventions for incarcerated adults with opioid use disorder in the United States: A systematic review with a focus on social determinants of health v1 (protocols.io.69zhh76)

protocols.io ◽

10.17504/protocols.io.69zhh76 ◽

2019 ◽

Author(s):

Olivia Sugarman ◽

Marcus A ◽

Ashley Wennerstrom ◽

Todd Bruno ◽

Benjamin F

Keyword(s):

United States ◽

Systematic Review ◽

Social Determinants Of Health ◽

Social Determinants ◽

The United States ◽

Opioid Use Disorder ◽

Determinants Of Health ◽

Opioid Use

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Understanding and addressing social determinants to advance cancer health equity in the United States: A blueprint for practice, research, and policy

CA A Cancer Journal for Clinicians ◽

10.3322/caac.21586 ◽

2019 ◽

Vol 70 (1) ◽

pp. 31-46 ◽

Cited By ~ 11

Author(s):

Kassandra I. Alcaraz ◽

Tracy L. Wiedt ◽

Elvan C. Daniels ◽

K. Robin Yabroff ◽

Carmen E. Guerra ◽

...

Keyword(s):

United States ◽

Health Equity ◽

Social Determinants ◽

The United States ◽

Practice Research ◽

Research And Policy

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Scoping Review: Social Determinants of Young Children’s Participation in the United States

OTJR Occupation Participation and Health ◽

10.1177/1539449218784727 ◽

2018 ◽

Vol 38 (4) ◽

pp. 225-234

Author(s):

Lindsay Rosenfeld ◽

Jessica M. Kramer ◽

Melissa Levin ◽

Kimberly Barrett ◽

Dolores Acevedo-Garcia

Keyword(s):

United States ◽

Young Children ◽

Social Determinants ◽

Scoping Review ◽

The United States ◽

International Classification Of Functioning ◽

Meaningful Participation ◽

The Social ◽

Emergent Literature ◽

Racial Ethnic

Optimal child development is supported by services, policies, a social determinants of health (SDOH) frame, and meaningful participation (as defined by the International Classification of Functioning, Disability, and Health–Children and Youth [ICF-CY]). This scoping review describes the social determinants that may affect the participation of young children aged 0 to 3 years with developmental disabilities (DD) in the United States. Scoping review of studies including U.S. children with DD aged 0 to 3 years, from 2000 to 2016, were used. 5/979 studies met inclusion criteria. Two researchers independently coded studies to align them with both ICF-CY and SDOH. Studies found determinants of participation stemming from the child (e.g., individual) and multiple contexts: immediate, community, and policy. The emergent literature continues to primarily focus on child determinants but suggests participation of young children with DD is affected by social determinants stemming from the community and policy contexts. The literature underrepresents children from racial/ethnic minority backgrounds.

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