Nurose Karim, MD
Skolarus LE, Sharrief A, Gardener H, Jenkins C, Boden-Albala B. Considerations in Addressing Social Determinants of Health to Reduce Racial/Ethnic Disparities in Stroke Outcomes in the United States. Stroke. 2020;51:3433–3439.*
This article aims to address the role of social determinants of health (SDOH) on stroke disparities in order to understand the impact of SDOH on stroke outcome.
SDOH are non-clinical and non-biological social factors that impact health and include fundamental causes of disease such as racism and discrimination; unequal distribution of power, income, wealth, and education; and societal values. This is supported by the statistic provided in the article, for instance; in New York City, Black and Latinx Americans have about two times higher mortality from the Coronavirus Disease 2019 (COVID-19) pandemic than non-Hispanic White Americans. Similarly, in Michigan, Black people had 35% morbidity and 40% mortality rate from COVID-19 despite being 14% of the Michigan population.