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Cited by 349Heart Failure Treatment and ManagementHealth disparities and outcomesPublic Health and Social Inequalities

Addressing social determinants of health in the care of patients with heart failure: a scientific statement from the American Heart Association

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White-Williams, Connie, Rossi, Laura P., Bittner, Vera A., Driscoll, Andrea, Durant, Raegan W., Granger, Bradi B., Graven, Lucinda J., Kitko, Lisa +3 more·2020·Circulation
DOI 10.1161/cir.0000000000000767
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Abstract

Heart failure is a clinical syndrome that affects >6.5 million Americans, with an estimated 550 000 new cases diagnosed each year. The complexity of heart failure management is compounded by the number of patients who experience adverse downstream effects of the social determinants of health (SDOH). These patients are less able to access care and more likely to experience poor heart failure outcomes over time. Many patients face additional challenges associated with the cost of complex, chronic illness management and must make difficult decisions about their own health, particularly when the costs of medications and healthcare appointments are at odds with basic food and housing needs. This scientific statement summarizes the SDOH and the current state of knowledge important to understanding their impact on patients with heart failure. Specifically, this document includes a definition of SDOH, provider competencies, and SDOH assessment tools and addresses the following questions: (1) What models or frameworks guide healthcare providers to address SDOH? (2) What are the SDOH affecting the delivery of care and the interventions addressing them that affect the care and outcomes of patients with heart failure? (3) What are the opportunities for healthcare providers to address the SDOH affecting the care of patients with heart failure? We also include a case study (Data Supplement) that highlights an interprofessional team effort to address and mitigate the effects of SDOH in an underserved patient with heart failure.

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  • Lower individual and neighborhood-level SES are associated with increased incidence and prevalence of CVD, including coronary heart disease, heart failure and stroke.

    “Lower individual and neighborhood-level SES are associated with an increased incidence and prevalence of CVD, including coronary heart disease, heart failure and stroke [1,[3], [4], [5], [6]].”

    From Income disparity and utilization of cardiovascular preventive care services among U.S. adults (2021) · cites this paper as [1]

    The Clinical Statements and Guidelines section (page unavailable) says lower socioeconomic position is associated with worse outcomes in patients with heart failure and identifies low SES as a contributor to higher heart-failure risk in one comparison. It does not establish the claimed association between both individual- and neighborhood-level SES and the incidence and prevalence of CVD across coronary heart disease, heart failure, and stroke. (LLM, conf=0.84)

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Authors
White-Williams, C., Rossi, L. P., Bittner, V. A., Driscoll, A., Durant, R. W., Granger, B. B., Graven, L. J., Kitko, L., Newlin, K., Shirey, M., & On behalf of the American Heart Association Council on Cardiovascular and Stroke Nursing; Council on Clinical Cardiology; and Council on Epidemiology and Prevention
ORCID
Venue
Circulation
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2020-06-02
Volume
141
Issue
22
Pages
e841-e863
ISSN
  • 0009-7322 (ISSN-L)
  • 1524-4539
DOI
10.1161/cir.0000000000000767
OpenAlex
W3023683044
Cited by
349
References
177
Citations by year
2026: 59 · 2025: 78 · 2024: 68 · 2023: 54 · 2022: 48 · 2021: 34 · 2020: 7 · 2019: 1
FWCI
22.54
Type
journal article
Language
en
Open access
Locations
  • Circulation (publishedVersion)
  • PubMed (publishedVersion)
  • Monash University Research Portal (Monash University) (submittedVersion, other-oa)
  • Figshare (submittedVersion, cc-by)
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Failure Treatment and Management
  • Social Sciences › Health › Health disparities and outcomes
  • Social Sciences › Health › Public Health and Social Inequalities
Keywords
heart failure, social determinants of health, health care access, health equity, provider competence, interprofessional care teams, underserved patients, health care costs, heart failure outcomes
MeSH terms
Food Insecurity, Delivery of Health Care, Pharmaceutical Preparations, Educational Status, Environmental Exposure, Ethnicity, Gender Identity, Health Services Accessibility, Heart Failure, Humans, Minority Groups, Models, Theoretical, Poverty, Social Class, Social Support, Unemployment, Insurance Coverage, Vulnerable Populations, Racial Groups, Health Status Disparities, Health Literacy, Social Determinants of Health

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

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