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Purpose of Review <p>Awareness of how social determinants of health (SDoH) shape cardiovascular outcomes is increasing, yet evidence on effective interventions remains limited. This review examines the associations between Healthy People 2030 SDoH domains and cardiovascular health (CVH), defined by the American Heart Association’s Life’s Essential 8 (LE8), and highlights interventions with potential to reduce disparities.</p> Recent Findings <p>Adverse SDoH—including economic instability, limited education and healthcare access, neighborhood disadvantage, and low social support—are consistently linked to lower LE8 scores and higher CVH burden, especially in under-resourced communities. Promising interventions include produce prescriptions, culturally tailored education, community health worker integration, built environment enhancements, and peer support models. However, most studies target single determinants, involve short follow-up, or focus on limited populations, leaving gaps in scalability and equity impact.</p> Summary <p>Addressing SDoH is essential for improving LE8 behaviors and factors. Progress requires multilevel, equity-centered strategies that align clinical care, policy, and research, while expanding rigorous trials to guide sustainable, community-driven solutions.</p>

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Social Determinants of Cardiovascular Health: Yes, They Matter—But What Can We Do to Address Them?

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年2月23日

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  • Faith E. Metlock,
  • Mathias Lalika,
  • Joshua J. Joseph,
  • Yvonne Commodore-Mensah,
  • LaPrincess C. Brewer

摘要

Purpose of Review

Awareness of how social determinants of health (SDoH) shape cardiovascular outcomes is increasing, yet evidence on effective interventions remains limited. This review examines the associations between Healthy People 2030 SDoH domains and cardiovascular health (CVH), defined by the American Heart Association’s Life’s Essential 8 (LE8), and highlights interventions with potential to reduce disparities.

Recent Findings

Adverse SDoH—including economic instability, limited education and healthcare access, neighborhood disadvantage, and low social support—are consistently linked to lower LE8 scores and higher CVH burden, especially in under-resourced communities. Promising interventions include produce prescriptions, culturally tailored education, community health worker integration, built environment enhancements, and peer support models. However, most studies target single determinants, involve short follow-up, or focus on limited populations, leaving gaps in scalability and equity impact.

Summary

Addressing SDoH is essential for improving LE8 behaviors and factors. Progress requires multilevel, equity-centered strategies that align clinical care, policy, and research, while expanding rigorous trials to guide sustainable, community-driven solutions.