scholarly journals Social Determinants of Health and Health Disparities: COVID-19 Exposures and Mortality Among African American People in the United States

2020 ◽  
Vol 136 (1) ◽  
pp. 18-22
Author(s):  
Sarah B. Maness ◽  
Laura Merrell ◽  
Erika L. Thompson ◽  
Stacey B. Griner ◽  
Nolan Kline ◽  
...  
Keyword(s):  
United States ◽  
African American ◽  
Health Disparities ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
The United States ◽  
Determinants Of Health ◽  
American People ◽  
African American People

scholarly journals Social Determinants of Health among Older Korean Immigrants in the United States: A Systematic Review

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 961-961
Author(s):  
Sojeong Lee ◽  
Victoria Rizzo
Keyword(s):  
United States ◽  
Systematic Review ◽  
Health Disparities ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
The United States ◽  
Korean Immigrants ◽  
Determinants Of Health ◽  
Inclusion Criteria ◽  
Older Korean Immigrants

Abstract The visible impact of the SDoHs on health and behavioral health as well as health disparities among minority populations is heightened due to COVID-19. One group about which little is known in relation to SDoHs is the older Korean immigrant population in the U.S. To examine the impact of SDoHs on the health, mental health, and health care utilization, a systematic review of studies focused on SDoHs for this population was conducted. Using multiple indexing terms, databases were searched for articles published in English between January 1, 2011 and December 2020. Articles were included in the search if they examined social determinants of health of older Korean immigrants defined as foreign-born Koreans aged 60 or older who live in the United States regardless of citizenship or legal immigration status. A total of 1090 articles were identified in the search. A review of abstracts for inclusion criteria resulted in 118 articles for review. Seventy-one articles were excluded during the review process. A total of 47 articles met inclusion criteria and were evaluated. The review revealed that SDoHs, including education level, financial resources, access to health insurance, level of acculturation and level of social support, influenced cognitive status, depressive symptoms, health status and quality of life. These findings validate the need for interventions to address the social care needs of older Korean immigrants and can be used to identify the role of social workers in addressing the SDoHs that result in health disparities for older Korean immigrants.

scholarly journals COVID-19: Health disparities and social determinants of health

2020 ◽  
Vol 63 (6) ◽  
pp. 771-776
Author(s):  
Élan C Burton ◽  
Delancy HS Bennett ◽  
Linda M Burton
Keyword(s):  
United States ◽  
Health Disparities ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Economic Status ◽  
Historical Context ◽  
The United States ◽  
Determinants Of Health ◽  
Current State ◽  
History Of

Social determinants of health (SDH) describe how a person’s education, economic status, and overall environment affect their health outcomes. In the United States, a long history of resource inequities has existed, particularly for those from ethnic minority backgrounds. The following is a literature review of SDH from a historical context, current state, and through the lens of the COVID-19 pandemic.

Social determinants of health affecting treatment of pediatric brain tumors

2019 ◽  
Vol 24 (2) ◽  
pp. 159-165
Author(s):  
Jillian M. Berkman ◽  
Jonathan Dallas ◽  
Jaims Lim ◽  
Ritwik Bhatia ◽  
Amber Gaulden ◽  
...  
Keyword(s):  
African American ◽  
Health Disparities ◽  
Brain Tumors ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Determinants Of Health ◽  
Cns Tumor ◽  
Initial Symptoms ◽  
Caucasian Patients

OBJECTIVELittle is understood about the role that health disparities play in the treatment and management of brain tumors in children. The purpose of this study was to determine if health disparities impact the timing of initial and follow-up care of patients, as well as overall survival.METHODSThe authors conducted a retrospective study of pediatric patients (< 18 years of age) previously diagnosed with, and initially treated for, a primary CNS tumor between 2005 and 2012 at Monroe Carell Jr. Children’s Hospital at Vanderbilt. Primary outcomes included time from symptom presentation to initial neurosurgery consultation and percentage of missed follow-up visits for ancillary or core services (defined as no-show visits). Core services were defined as healthcare interactions directly involved with CNS tumor management, whereas ancillary services were appointments that might be related to overall care of the patient but not directly focused on treatment of the tumor. Statistical analysis included Pearson’s chi-square test, nonparametric univariable tests, and multivariable linear regression. Statistical significance was set a priori at p < 0.05.RESULTSThe analysis included 198 patients. The median time from symptom onset to initial presentation was 30.0 days. A mean of 7.45% of all core visits were missed. When comparing African American and Caucasian patients, there was no significant difference in age at diagnosis, timing of initial symptoms, or tumor grade. African American patients missed significantly more core visits than Caucasian patients (p = 0.007); this became even more significant when controlling for other factors in the multivariable analysis (p < 0.001). African American patients were more likely to have public insurance, while Caucasian patients were more likely to have private insurance (p = 0.025). When evaluating survival, no health disparities were identified.CONCLUSIONSNo significant health disparities were identified when evaluating the timing of presentation and survival. A racial disparity was noted when evaluating missed follow-up visits. Future work should focus on identifying reasons for differences and whether social determinants of health affect other aspects of treatment.

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