The Impact of the Social Determinants of Health on Disparities in Inflammatory Bowel Disease

Anyane‐Yeboa, Adjoa; Quezada, Sandra; Rubin, David T.; Balzora, Sophie

doi:10.1016/j.cgh.2022.03.011

Cited by 24 publications

(22 citation statements)

References 37 publications

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“…In the general population, disparities in sleep outcomes based on low socioeconomic status (SES) and educational level persist even after adjusting for age (Stamatakis et al, 2007). Additionally, there is evidence that SDOH impacts IBD health outcomes, such as increased hospitalization for low SES patients, greater readmission among Hispanics after surgery and increased emergency room visits (twofold) in Black/African American patients when compared with Whites (Anyane‐Yeboa et al, 2022; Barnes et al, 2021; Damas et al, 2022; Dos Santos Marques et al, 2021). However, only nine studies in this review examined a SDOH, and two studies examined sleep within the context of race/ethnicity.…”

Section: Discussionmentioning

confidence: 99%

“…As defined by Healthy People 2030, SDOH are organized into five domains: (1) economic stability, (2) education access and quality, (3) health care access and quality, (4) neighbourhood and built environment and (5) social and community context (Gómez et al, 2021). SDOH influence a variety of IBD health outcomes, including delayed diagnoses, increased disease severity, corticosteroid use, emergency department utilization, disability and mortality (Anyane-Yeboa et al, 2022). Research in other populations has found that sleep health can be impacted by SDOH, including neighbourhood safety and the physical environment (i.e.…”

Section: Introductionmentioning

confidence: 99%

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Systematic review: Individual‐level factors and social determinants of health impacting sleep health in individuals with inflammatory bowel disease

Yoo

Tsai

Heitkemper

et al. 2023

Journal of Advanced Nursing

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Aim To examine the individual‐level factors and social determinants of health (SDOH) linked to sleep health among individuals with inflammatory bowel disease (IBD). Design Systematic review without meta‐analysis. Data Sources Four databases (PubMed, Web of Science, CINAHL and PsycINFO) were searched in February 2022. Review Methods Databases were searched with keywords related to IBD and sleep. The review was conducted per the PRISMA protocol. The checklist for analytical cross‐sectional studies published by the Joanna Briggs Institute was used for quality appraisal. Factors were organized by individual, social and societal levels according to the social–ecological model of sleep health. Results In the review, 45 studies were identified and synthesized. All studies examined individual‐level factors with sleep, with age being the most common factor studied. Only nine studies considered a social determinant of health which included marital status, number of children, education level, annual income, employment status, work tenure, type of employment, area of residence, minority status/ethnicity and COVID‐19. However, the source of information for the social determinant of health was not clearly defined for more than half of these studies. Conclusion Although IBD sleep research has explored individual‐level factors (i.e. age) that impact sleep health, there is a lack of information on the SDOH that can contribute to sleep health. Impact This review provides insight into the different factors that have been examined in IBD sleep research. By determining the SDOH that impact sleep, nursing research can inform sustainable and tailored interventions that focus on changing behaviour and improving sleep of individuals of varying backgrounds and life experiences. There is a continued need for nurses in practice and research to explore the SDOH that influence health outcomes and the daily lives of those with IBD.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Systematic review: Individual‐level factors and social determinants of health impacting sleep health in individuals with inflammatory bowel disease

Yoo

Tsai

Heitkemper

et al. 2023

Journal of Advanced Nursing

View full text Add to dashboard Cite

show abstract

“…As the paper highlights, simply having a universal health care system in Canada does not translate into increased health care uptake without addressing broader social, economic, neighbourhood, built environment and systemic issues underpinning health realities. As Etowa [ 2 , 32 ] argues, “despite the emphasis on health equity of the Health Canada Act, research points to a disproportionate burden of difficulties accessing health care services among vulnerable populations in Canada.” Thus, more attention to the various societal conditions and racial practices that contribute to immigrant health disparities and predispose these populations to CIDs are needed to track and address race-based inequalities across health outcomes [ 98 , 99 , 100 ]. One way to improve immigrant health outcomes for example, is to tailor health care by assessing the patient’s social determinants of health while supporting medical care for racialized individuals and groups who self-define their priorities [ 101 , 102 ].…”

Section: Discussionmentioning

confidence: 99%

Health Care Use and Barriers to Care for Chronic Inflammatory Diseases (CID) among First and Second Generation South Asian Immigrant Children and Parents in Ontario Canada

Rishworth

Cao

Niraula

et al. 2022

IJERPH

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Although immigrants are disproportionately impacted by growing chronic inflammatory disease (CIDs) rates, yet suffer barriers to access health care, little attention has been given to their primary healthcare or specialist healthcare access as it relates to complex, chronic diseases in Canada, a country with universal health care. This study aims to investigate CID health care use and barriers to care among first- and second-generation immigrant South Asian children and parents in the Greater Toronto Area, Ontario. Drawing on analysis of 24 in depth interviews with children and parents (14 children, 10 parents), the results reveal that although CIDs disproportionately affects South Asian immigrants, they encounter health system, geographic, interpersonal, and knowledge barriers to access requisite care. These barriers exist despite participants having a GP, and are compounded further by limited familial systems, culturally insensitive care, and structural inequities that in some instances make parents choose between health access or other basic needs. Although all participants recognized the importance of specialized care, only 11 participants regularly accessed specialized care, creating new schisms in CID management. The findings suggest that a multisectoral approach that address individual and structural level socio-structural drivers of health inequities are needed to create more equitable healthcare access.

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“…Physician-scientists who are UIM are more likely to conduct research in health disparities, 13,14 however, <3% of NIH-funded physician-scientists are Hispanic or African American. 15 To improve diversification of the scientific workforce, the NIH developed a funding opportunity and the request for applications encourages educational programs to recruit talented junior faculty from diverse backgrounds, specifically racial and ethnic minority groups underrepresented in biomedical, behavioral, clinical, and social sciences research.…”

mentioning

confidence: 99%

Promoting the Pipeline of Diverse Individuals Within Gastroenterology: Reflections From AGA FORWARD Program Scholars

Jones¹,

Bailey²,

Damas³

et al. 2022

Clinical Gastroenterology and Hepatology

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The Impact of the Social Determinants of Health on Disparities in Inflammatory Bowel Disease

Cited by 24 publications

References 37 publications

Systematic review: Individual‐level factors and social determinants of health impacting sleep health in individuals with inflammatory bowel disease

Systematic review: Individual‐level factors and social determinants of health impacting sleep health in individuals with inflammatory bowel disease

Health Care Use and Barriers to Care for Chronic Inflammatory Diseases (CID) among First and Second Generation South Asian Immigrant Children and Parents in Ontario Canada

Promoting the Pipeline of Diverse Individuals Within Gastroenterology: Reflections From AGA FORWARD Program Scholars

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