Evidence Review-Social Determinants of Health for Veterans

Journal of General Internal Medicine
Wei Duan-PorterTimothy J Wilt

Abstract

Veterans Health Administration (VHA) is committed to providing high-quality care and addressing health disparities for vulnerable Veterans. To meet these goals, VA policymakers need guidance on how to address social determinants in operations planning and day-to-day clinical care for Veterans. MEDLINE (OVID), CINAHL, PsycINFO, and Sociological Abstracts were searched from inception to January 2017. Additional articles were suggested by peer reviewers and/or found through search of work associated with US and VA cohorts. Eligible articles compared Veterans vs non-Veterans, and/or Veterans engaged with those not engaged in VA healthcare. Our evidence maps summarized study characteristics, social determinant(s) addressed, and whether health behaviors, health services utilization, and/or health outcomes were examined. Qualitative syntheses and quality assessment were performed for articles on rurality, trauma exposure, and sexual orientation. We screened 7242 citations and found 131 eligible articles-99 compared Veterans vs non-Veterans, and 40 included engaged vs non-engaged Veterans. Most articles were cross-sectional and addressed socioeconomic factors (e.g., education and income). Fewer articles addressed rurality (N = 20), tra...Continue Reading

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Citations

May 23, 2020·Clinical Journal of Oncology Nursing·Mary Laudon Thomas
Nov 8, 2020·Journal of Epidemiology and Community Health·Elizabeth IngramJessica Sheringham
Jan 27, 2021·Journal of General Internal Medicine·Allison A LewinskiHayden B Bosworth

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