Association of County-degree Social Vulnerability with Chronic Respiratory Disease Mortality in the United States

Lee, Yu-Che; Chang, Ko-Yun; Mirsaeidi, Mehdi

doi:10.1513/annalsats.202202-136oc

Cited by 15 publications

(13 citation statements)

References 50 publications

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“…The Social Vulnerability Index (SVI) is a nonmedical application assessing a person's or community's probable resilience to manage disruptive life events. SVI examines disparity indicators such as socioeconomic status, race, and language; community resources such as access to transportation and medical centres; housing arrangements as well as household composition, environment and community fabric [8 ▪▪ ]. High SVI overall and its sub-domain scores correlate two-fold with increased mortality incidence in pulmonary sarcoidosis [8 ▪▪ ].…”

Section: Frailty and Frailty Measuresmentioning

confidence: 99%

“…SVI examines disparity indicators such as socioeconomic status, race, and language; community resources such as access to transportation and medical centres; housing arrangements as well as household composition, environment and community fabric [8 ▪▪ ]. High SVI overall and its sub-domain scores correlate two-fold with increased mortality incidence in pulmonary sarcoidosis [8 ▪▪ ]. Conflicting results from frailty investigations between similar patient cohorts with ANCA-associated vasculitis [24–26] highlight the impact of variations across frailty measures and influences such as social vulnerability.…”

Section: Frailty and Frailty Measuresmentioning

confidence: 99%

“…factors mostly beyond the patient/clinician control (Table 1) [4 ▪▪ ,6 ▪▪ ,8 ▪▪ ], which are determinants based on circumstance; however, awareness of these factors can instigate small but supportive strategies that mitigate unfavourable impact. Healthcare system leaders are pivotal actors in this area, for example establishing transport vouchers, on-premise discount pharmacies, informal caregiver support mechanisms [34], instituting service pathways for safeguarding patients at-risk of violence, and advocating for municipal measures, for example neighbourhood safety, toxic emission regulation, street-lighting, clinic-friendly public transportation lines or partnering with literacy/English-language programs…”

Section: Framework For Holistic Well-beingmentioning

confidence: 99%

“…Fear and anxiety about the uncertain disease trajectory and its complications cause stress and contribute to the burden of sarcoidosis [1,2,3,6 ▪▪ ]. Healthcare access and adequacy correlate with disparities in race and ethnicity and with lower socioeconomic status, which impact sarcoidosis-related death and disability [4 ▪▪ ,6 ▪▪ ,8 ▪▪ ]. These factors are crucial influences on outcomes for reversible/modifiable risk for frailty [8 ▪▪ ,9 ▪▪ ].…”

Section: Introductionmentioning

confidence: 99%

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Sarcoidosis and frailty: recognizing factors that foster holistic resilience

Saketkoo,

Russell,

Patterson

et al. 2023

Current Opinion in Pulmonary Medicine

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Purpose of review Sarcoidosis is a multiorgan system disease exerting significant impact on biophysical, social, psychological and emotional well-being. Mortality and disability correlate to accessible, timely, expert care for sarcoidosis and its related complications. Across health conditions, positive healthcare interactions and interventions can rehabilitate unfavourable factors tied to concepts of ‘frailty’. Here, we set out to introduce concepts related to frailty and their impact in the context of sarcoidosis. Recent findings Studies examining frailty across other multiorgan and single organ-based diseases that mirror organ involvement in sarcoidosis demonstrate findings that bear relevance in sarcoidosis. Namely, factors predisposing a person to frailty are a multifactorial phenomenon which are also reflected in the lived experience of sarcoidosis; and that early diagnosis, intervention and prevention may alter a course towards more favourable health outcomes. Summary Factors predisposing to frailty in other health conditions may also signal a risk in sarcoidosis. In turn, proactive health preservation – regardless of age – may lead to improved biopsychosocial reserve and health-related quality of life. Fortifying holistic resilience in sarcoidosis is anticipated to reduce risk of the occurrence and prolongation of health-related complications, and facilitate swifter recovery from biophysical complications as well as from psychosocial and emotional stressors.

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Section: Frailty and Frailty Measuresmentioning

confidence: 99%

Section: Frailty and Frailty Measuresmentioning

confidence: 99%

Section: Framework For Holistic Well-beingmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Sarcoidosis and frailty: recognizing factors that foster holistic resilience

Saketkoo,

Russell,

Patterson

et al. 2023

Current Opinion in Pulmonary Medicine

View full text Add to dashboard Cite

show abstract

“…With the advent of COVID-19, these tools have garnered attention by demonstrating the utility of immense, large-datasets to depict how varied aspects of vulnerability differentially contribute to healthcare disparity. Studies have showcased how vulnerability impacts communities on the census tract and county levels across numerous cardiovascular, pulmonary, gastrointestinal, and infectious diseases [23][24][25][26][27][28][29][30][31][32][33]. There have been fewer oncologic studies, though some still effectively describe cancer-care disparities.…”

Section: Social Vulnerability Indicesmentioning

confidence: 99%

Large-data contextualizations of social determinant associations in pediatric head and neck cancers

Fei-Zhang,

Chelius,

Sheyn

et al. 2023

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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Purpose of review Prior investigations in social determinants of health (SDoH) and their impact on pediatric head and neck cancers are limited by the narrow scope of cancer types and SDoH being studied while lacking inquiry on the interrelational contribution of varied SDoH in real-world contexts. The purpose of this review is to discuss the current research tackling these shortcomings of SDoH-based studies in head and neck cancer and to discuss means of applying these findings in prospective initiatives and implementations. Recent findings Through leveraging contemporary, large-data analyses measuring diverse social vulnerabilities, several studies have identified comprehensive delineations of which social disparities contribute the largest quantifiable impact on the care of head and neck cancer patients. Progressing from prior SDoH-based research of the decade, these studies contextualize the effect of social vulnerabilities and have laid the foundations to begin addressing these issues in the complex, modern-day environment of interrelated social factors. Summary Social determinants of health markedly affect pediatric head and neck cancer care and prognosis in complex and surprising ways. Modern-day tools and analyses derived from large-data techniques have unveiled the quantifiable underpinnings of how SDoH impact these pathologies.

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Self-Reported Social Determinants of Health and Area-Level Social Vulnerability

Brignone,

LeJeune,

Mihalko

et al. 2024

JAMA Netw Open

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ImportanceMany health care systems are investing resources in identifying social determinants of health (SDoH) needs and facilitating interventions among the populations they serve. Because self-reported SDoH information is lacking, area-level measures are often used to estimate needs and direct resources.ObjectiveTo describe the large-scale deployment of SDoH assessments by a health system and determine the extent to which self-reported SDoH needs identified therein are associated with census tract–level social vulnerability measured using the Social Vulnerability Index (SVI).Design, Setting, and ParticipantsThis cross-sectional study assessed SDoH needs between January 1, 2020, and April 30, 2023, in both payer and clinical care settings. Modalities included telephonic outreach, face-to-face clinical interactions, self-entry into a tablet or kiosk, and web-based survey tools. Participants included individuals who responded to the assessment and had sufficient information for census tract identification. Respondents included both Highmark Health Plan members and nonmembers. Health plan members responded to the assessment through health plan programs or platforms, and both members and nonmembers responded to assessments during inpatient or outpatient encounters with the affiliated health system.Main Outcomes and MeasuresOverall and domain-specific SDoH needs self-reported through assessments, and severity and complexity of needs identified. Residential social vulnerability measures included overall SVI and the 4 conceptual themes comprising overall SVI.ResultsIn total, 841 874 assessments were recorded for 401 697 individuals (55.1% women; median [IQR] age, 55 [41-70] years). Social determinants of health needs were identified in 120 769 assessments (14.3%). Across all SDoH domains, increasing SVI was associated with a higher positivity rate (eg, 11.2% of those residing in the lowest-risk SVI quintile reported a need compared with 22.7% among those residing in the highest-risk quintile). Associations varied by SDoH domain and SVI theme. After adjusting for demographic and screening characteristics, odds of positive screening among those residing in the highest-risk SVI quintile were 1.74 (95% CI, 1.62-1.86) to 3.73 (95% CI, 3.48-4.00) times the odds among those residing in lowest risk quintile.Conclusions and RelevanceIn this cross-sectional study, the overall level of SDoH needs generally corresponded to area-level vulnerability. Some SDoH domains appeared far more sensitive to community characteristics than others. Notably, even among individuals from the highest-risk areas, the positive screening rate was roughly 1 in 4. These findings underscore the importance of individual-level SDoH data for service provision planning and health services research.

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Association of County-degree Social Vulnerability with Chronic Respiratory Disease Mortality in the United States

Cited by 15 publications

References 50 publications

Sarcoidosis and frailty: recognizing factors that foster holistic resilience

Sarcoidosis and frailty: recognizing factors that foster holistic resilience

Large-data contextualizations of social determinant associations in pediatric head and neck cancers

Self-Reported Social Determinants of Health and Area-Level Social Vulnerability

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