Social Determinants of Health in Asthma Through the Life Course

Michelle Trivedi; Andrea A Pappalardo; Mfonobong Udoko; Arvin Garg; Wanda Phipatanakul; Stanley J Szefler; Sharmilee M Nyenhuis

doi:10.1016/j.jaip.2021.12.032

Social Determinants of Health in Asthma Through the Life Course

J Allergy Clin Immunol Pract. 2022 Apr;10(4):953-961. doi: 10.1016/j.jaip.2021.12.032. Epub 2022 Jan 13.

Authors

Michelle Trivedi¹, Andrea A Pappalardo², Mfonobong Udoko³, Arvin Garg⁴, Wanda Phipatanakul⁵, Stanley J Szefler⁶, Sharmilee M Nyenhuis⁷

Affiliations

¹ Division of Pediatric Pulmonology, University of Massachusetts Chan Medical School, Worcester, Mass; Department of Pediatrics, University of Massachusetts Chan Medical School, Worcester, Mass; Department of Population and Quantitative Health Sciences, University of Massachusetts Chan Medical School, Worcester, Mass.
² Department of Pediatrics, University of Illinois at Chicago, Chicago, Ill; Department of Medicine, University of Illinois at Chicago, Chicago, Ill.
³ Department of Pediatrics, Anschutz Medical Campus, Children's Hospital Colorado Breathing Institute, University of Colorado, Denver, Colo.
⁴ Department of Pediatrics, University of Massachusetts Chan Medical School, Worcester, Mass.
⁵ Division of Asthma, Allergy, and Immunology, Boston Children's Hospital, Harvard Medical School, Boston, Mass.
⁶ Department of Pediatrics, Anschutz Medical Campus, Children's Hospital Colorado Breathing Institute, University of Colorado, Denver, Colo; Anschutz Medical Campus, Adult and Child Consortium for Outcomes Research and Delivery Science (ACCORDS), University of Colorado, Denver, Colo.
⁷ Department of Medicine, University of Illinois at Chicago, Chicago, Ill. Electronic address: snyenhui@uic.edu.

PMID: 35033702
DOI: 10.1016/j.jaip.2021.12.032

Abstract

There is strong evidence supporting the influence of social determinants of health (SDOH) on the development and progression of asthma. SDOH are defined as conditions in which people are born, grow up, live, work, and age, which influence their opportunity to be healthy, risk of illness, and life expectancy. The goal of this article was to describe 2 case-based approaches (pediatric and adult) to assessing and addressing SDOH in asthma across the life course and in community settings. As asthma providers and specialists, the role of SDOH is complex in our clinical care; however, it is critical to address social needs identified through clinical care for our patients with asthma. Clinical-community partnerships, through grant and cost-sharing mechanisms with resource agencies, are necessary to ameliorate social needs for patients and their communities and have the potential to improve asthma outcomes. Although this is a unique and exciting time in health care to promote individual and population health, knowledge gaps remain, including best practices to integrate holistic SDOH care into the care of patients with asthma.

Keywords: Adult; Asthma; Pediatric; Social determinants of health.

Publication types

Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

MeSH terms

Asthma* / epidemiology
Asthma* / therapy
Child
Delivery of Health Care
Humans
Life Change Events
Social Determinants of Health*