Social Determinants of Health in Neurology

Neurol Clin. 2022 Feb;40(1):231-247. doi: 10.1016/j.ncl.2021.08.012.


Neurologic health disparities are created and perpetuated by structural and social determinants of health. These factors include, but are not limited to, interpersonal bias, institutional factors that lead to disparate access to care, and neighborhood-level factors, such as socioeconomic status, segregation, and access to healthy food. Effects of these determinants of health can be seen throughout neurology, including in stroke, epilepsy, headache, amyotrophic lateral sclerosis, multiple sclerosis, and dementia. Interventions to improve neurologic health equity require multilayered approaches to address these interdependent factors that create and perpetuate disparate neurologic health access and outcomes.

Keywords: Health disparity; Health equity; Neurodisparity; Social determinants of health; Structural determinants of health.

Publication types

  • Review

MeSH terms

  • Health Status Disparities
  • Humans
  • Neurology*
  • Social Determinants of Health*