Social Determinants of Health: An Overview for the Primary Care Provider

Morelli, Vincent

doi:10.1016/j.pop.2023.04.004

Cited by 5 publications

(2 citation statements)

References 106 publications

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“…There is evidence this can affect learning as well as being causative in mental health issues. 7 Social determinants of health are implicated in the physical health inequalities seen in disadvantaged populations. 8 Within these populations, there is higher maternal mortality, child mortality, and disease rates.…”

Section: Impact Of Suboptimal Social Determinants Of Healthmentioning

confidence: 99%

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Social Determinants of Health

Delehant,

Hatton,

Sudhalkar

et al. 2024

Clin Nurse Spec

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Section: Impact Of Suboptimal Social Determinants Of Healthmentioning

confidence: 99%

“…The excess stress influences the developing brain. There is evidence this can affect learning as well as being causative in mental health issues 7 . Social determinants of health are implicated in the physical health inequalities seen in disadvantaged populations 8 .…”

Section: Impact Of Suboptimal Social Determinants Of Healthmentioning

confidence: 99%

Social Determinants of Health

Delehant,

Hatton,

Sudhalkar

et al. 2024

Clin Nurse Spec

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Disparities in seeking care for olfactory and gustatory dysfunction: A population analysis

Gorelik,

Dhanda,

Khan

et al. 2024

Int Forum Allergy Rhinol

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IntroductionDespite effects on quality of life from olfactory and gustatory dysfunction (OD and GD), screening practices are limited, and patients’ self‐reporting of symptoms remains the only way to understand the burden of chemosensory dysfunction (CSD). Using a large population‐based database, we sought to understand factors leading to reduced likelihood of discussing CSD with a provider.MethodsThe 2013‒2014 National Health and Nutrition Examination Survey (NHANES) chemosensory protocol was queried for factors influencing discussion of OD/GD with a healthcare provider. Sociodemographic, comorbidity, and objective OD/GD testing results were assessed with a multivariate analysis.ResultsOut of 146.1 million US adults, there were an estimated 41.4 million individuals with self‐reported OD/GD in the prior 12 months (28.3%). A total of 86.8% of participants did not discuss their problem with a healthcare provider. Men were about half as likely to speak with a healthcare provider (odds ratio [OR] 0.42; 0.26–0.66; p < 0.001) and those with a college education were about nine times more likely to discuss the problem compared to those with less than a ninth‐grade educational achievement (OR 8.83; 1.86–41.98; p = 0.02). Those with objective confirmation of CSD were still unlikely to speak with a provider (OR 0.77; 0.44–1.33; p = 0.36).ConclusionMen and those with less education are less likely to discuss OD/GD with a healthcare provider. These populations tend to be at increased risk for CSD, and there are severe downstream health and quality of life implications related to CSD. Dedicated screening and increased public awareness are critical to ensure more equitable care.

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