Evidence map›Paper›PMID 39394663›Full record

ArticlePublic health reports (Washington, D.C. : 1974)2024

A Shift in Approach to Addressing Public Health Inequities and the Effect of Societal Structural and Systemic Drivers on Social Determinants of Health.

Carla I Mercado, Kai McKeever Bullard, Michele L F Bolduc, Courtni Alexis Andrews, Zoe R F Freggens, Grace Liggett, Desmond Banks, Shanice Battle Johnson, Ana Penman-Aguilar, Rashid Njai

Abstract read
In one paragraph

Article in Public health reports (Washington, D.C. : 1974), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Carla I MercadoOffice of Minority Health, Office of Health Equity, Centers for Disease Control and Prevention, Atlanta, GA, USA.ORCID 0000-0002-0490-9532
Kai McKeever BullardDivision of Diabetes Translation, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Michele L F BolducOffice of Minority Health, Office of Health Equity, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Courtni Alexis AndrewsOffice of Minority Health, Office of Health Equity, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Zoe R F FreggensOffice of Minority Health, Office of Health Equity, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Grace LiggettOffice of Minority Health, Office of Health Equity, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Desmond BanksOffice of Minority Health, Office of Health Equity, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Shanice Battle JohnsonOffice of Minority Health, Office of Health Equity, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Ana Penman-AguilarOffice of Minority Health, Office of Health Equity, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Rashid NjaiOffice of Minority Health, Office of Health Equity, Centers for Disease Control and Prevention, Atlanta, GA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Social determinants of health (SDOH) are the conditions in which people are born, grow, live, work, and age that influence health outcomes, and structural and systemic drivers of health (SSD) are the social, cultural, political, and economic contexts that create and shape SDOH. With the integration of constructs from previous examples, we propose an SSD model that broadens the contextual effect of these driving forces or factors rooted in the Centers for Disease Control and Prevention's SDOH framework. Our SSD model (1) presents systems and structures as multidimensional, (2) considers 10 dimensions as discrete and intersectional, and (3) acknowledges health-related effects over time at different life stages and across generations. We also present an application of this SSD model to the housing domain and describe how SSD affect SDOH through multiple mechanisms that may lead to unequal resources, opportunities, and consequences contributing to a disproportionate burden of disease, illness, and death in the US population. Our enhanced SDOH framework offers an innovative and promising model for multidimensional, collaborative public health approaches toward achieving health equity and eliminating health disparities.

Indexed as

health equitysocial determinants of healthstructural and systemic drivers

Identifiers

PMID39394663
PMCPMC11556650

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.