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The structural and social determinants of Alzheimer's disease related dementias
Introduction The projected growth of Alzheimer's disease (AD) and AD‐related dementia (ADRD) cases by midcentury has expanded the research field and impelled new lines of inquiry into structural and social determinants of health (S/SDOH) as fundamental drivers of disparities in AD/ADRD. Methods...
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| Published in: | Alzheimer's & dementia 2023-07, Vol.19 (7), p.3171-3185 |
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| creator | Adkins‐Jackson, Paris B. George, Kristen M. Besser, Lilah M. Hyun, Jinshil Lamar, Melissa Hill‐Jarrett, Tanisha G. Bubu, Omonigho M. Flatt, Jason D. Heyn, Patricia C. Cicero, Ethan C. Zarina Kraal, A. Pushpalata Zanwar, Preeti Peterson, Rachel Kim, Boeun Turner, Robert W. Viswanathan, Jaya Kulick, Erin R. Zuelsdorff, Megan Stites, Shana D. Arce Rentería, Miguel Tsoy, Elena Seblova, Dominika Ng, Ted K.S. Manly, Jennifer J. Babulal, Ganesh |
| description | Introduction
The projected growth of Alzheimer's disease (AD) and AD‐related dementia (ADRD) cases by midcentury has expanded the research field and impelled new lines of inquiry into structural and social determinants of health (S/SDOH) as fundamental drivers of disparities in AD/ADRD.
Methods
In this review, we employ Bronfenbrenner's ecological systems theory as a framework to posit how S/SDOH impact AD/ADRD risk and outcomes.
Results
Bronfenbrenner defined the “macrosystem” as the realm of power (structural) systems that drive S/SDOH and that are the root cause of health disparities. These root causes have been discussed little to date in relation to AD/ADRD, and thus, macrosystem influences, such as racism, classism, sexism, and homophobia, are the emphasis in this paper.
Discussion
Under Bronfenbrenner's macrosystem framework, we highlight key quantitative and qualitative studies linking S/SDOH with AD/ADRD, identify scientific gaps in the literature, and propose guidance for future research.
Highlights
Ecological systems theory links structural/social determinants to AD/ADRD.
Structural/social determinants accrue and interact over the life course to impact AD/ADRD.
Macrosystem is made up of societal norms, beliefs, values, and practices (e.g., laws).
Most macro‐level determinants have been understudied in the AD/ADRD literature. |
| doi_str_mv | 10.1002/alz.13027 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10599200</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2803331875</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4167-226b2aa7c185297c6e46865382e67ee860eed7c2cee18b014f152547f0d2b0103</originalsourceid><addsrcrecordid>eNp1kT1PwzAQhi0EolAY-AMoGzCkPTtxnE6oqviSKnUpC4vlOhdqlI9iJ6D21-OSUsHAdHfyo-dOfgm5oDCgAGyois2ARsDEATmhnLOQMzE63PcJ9Mipc28AMaSUH5NeJEDEDKITMpsvMXCNbXXTWlUEqsoCV2vj2wwbtKWpVNW4oM6DcbFZoinRXrkgMw6Vw8BioRrMPFti1RjlzshRrgqH57vaJ8_3d_PJYzidPTxNxtNQxzQRIWPJgiklNE05GwmdYJykCY9SholATBNAzIRmGpGmC6BxTjnjscghY36EqE9uO--qXZSYab_dny9X1pTKrmWtjPz7UpmlfK0_JAU-GjHYGq53Blu_t-gaWRqnsShUhXXrJEshiiKaCu7Rmw7VtnbOYr7fQ0FuE5A-AfmdgGcvfx-2J3--3APDDvg0Ba7_N8nx9KVTfgEhu5Cc</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2803331875</pqid></control><display><type>article</type><title>The structural and social determinants of Alzheimer's disease related dementias</title><source>Wiley-Blackwell Journals</source><creator>Adkins‐Jackson, Paris B. ; George, Kristen M. ; Besser, Lilah M. ; Hyun, Jinshil ; Lamar, Melissa ; Hill‐Jarrett, Tanisha G. ; Bubu, Omonigho M. ; Flatt, Jason D. ; Heyn, Patricia C. ; Cicero, Ethan C. ; Zarina Kraal, A. ; Pushpalata Zanwar, Preeti ; Peterson, Rachel ; Kim, Boeun ; Turner, Robert W. ; Viswanathan, Jaya ; Kulick, Erin R. ; Zuelsdorff, Megan ; Stites, Shana D. ; Arce Rentería, Miguel ; Tsoy, Elena ; Seblova, Dominika ; Ng, Ted K.S. ; Manly, Jennifer J. ; Babulal, Ganesh</creator><creatorcontrib>Adkins‐Jackson, Paris B. ; George, Kristen M. ; Besser, Lilah M. ; Hyun, Jinshil ; Lamar, Melissa ; Hill‐Jarrett, Tanisha G. ; Bubu, Omonigho M. ; Flatt, Jason D. ; Heyn, Patricia C. ; Cicero, Ethan C. ; Zarina Kraal, A. ; Pushpalata Zanwar, Preeti ; Peterson, Rachel ; Kim, Boeun ; Turner, Robert W. ; Viswanathan, Jaya ; Kulick, Erin R. ; Zuelsdorff, Megan ; Stites, Shana D. ; Arce Rentería, Miguel ; Tsoy, Elena ; Seblova, Dominika ; Ng, Ted K.S. ; Manly, Jennifer J. ; Babulal, Ganesh</creatorcontrib><description>Introduction
The projected growth of Alzheimer's disease (AD) and AD‐related dementia (ADRD) cases by midcentury has expanded the research field and impelled new lines of inquiry into structural and social determinants of health (S/SDOH) as fundamental drivers of disparities in AD/ADRD.
Methods
In this review, we employ Bronfenbrenner's ecological systems theory as a framework to posit how S/SDOH impact AD/ADRD risk and outcomes.
Results
Bronfenbrenner defined the “macrosystem” as the realm of power (structural) systems that drive S/SDOH and that are the root cause of health disparities. These root causes have been discussed little to date in relation to AD/ADRD, and thus, macrosystem influences, such as racism, classism, sexism, and homophobia, are the emphasis in this paper.
Discussion
Under Bronfenbrenner's macrosystem framework, we highlight key quantitative and qualitative studies linking S/SDOH with AD/ADRD, identify scientific gaps in the literature, and propose guidance for future research.
Highlights
Ecological systems theory links structural/social determinants to AD/ADRD.
Structural/social determinants accrue and interact over the life course to impact AD/ADRD.
Macrosystem is made up of societal norms, beliefs, values, and practices (e.g., laws).
Most macro‐level determinants have been understudied in the AD/ADRD literature.</description><identifier>ISSN: 1552-5260</identifier><identifier>ISSN: 1552-5279</identifier><identifier>EISSN: 1552-5279</identifier><identifier>DOI: 10.1002/alz.13027</identifier><identifier>PMID: 37074203</identifier><language>eng</language><publisher>United States</publisher><subject>ADRD ; Alzheimer Disease ; Alzheimer's disease ; classism ; Dementia ; Ecological Systems Theory ; genderism ; Humans ; macrosystem ; racism ; sexism ; Social Determinants of Health ; structural determinants</subject><ispartof>Alzheimer's & dementia, 2023-07, Vol.19 (7), p.3171-3185</ispartof><rights>2023 The Authors. Alzheimer's & Dementia published by Wiley Periodicals LLC on behalf of Alzheimer's Association.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4167-226b2aa7c185297c6e46865382e67ee860eed7c2cee18b014f152547f0d2b0103</citedby><cites>FETCH-LOGICAL-c4167-226b2aa7c185297c6e46865382e67ee860eed7c2cee18b014f152547f0d2b0103</cites><orcidid>0000-0003-3618-449X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Falz.13027$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Falz.13027$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>230,315,786,790,891,27957,27958,50923,51032</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37074203$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Adkins‐Jackson, Paris B.</creatorcontrib><creatorcontrib>George, Kristen M.</creatorcontrib><creatorcontrib>Besser, Lilah M.</creatorcontrib><creatorcontrib>Hyun, Jinshil</creatorcontrib><creatorcontrib>Lamar, Melissa</creatorcontrib><creatorcontrib>Hill‐Jarrett, Tanisha G.</creatorcontrib><creatorcontrib>Bubu, Omonigho M.</creatorcontrib><creatorcontrib>Flatt, Jason D.</creatorcontrib><creatorcontrib>Heyn, Patricia C.</creatorcontrib><creatorcontrib>Cicero, Ethan C.</creatorcontrib><creatorcontrib>Zarina Kraal, A.</creatorcontrib><creatorcontrib>Pushpalata Zanwar, Preeti</creatorcontrib><creatorcontrib>Peterson, Rachel</creatorcontrib><creatorcontrib>Kim, Boeun</creatorcontrib><creatorcontrib>Turner, Robert W.</creatorcontrib><creatorcontrib>Viswanathan, Jaya</creatorcontrib><creatorcontrib>Kulick, Erin R.</creatorcontrib><creatorcontrib>Zuelsdorff, Megan</creatorcontrib><creatorcontrib>Stites, Shana D.</creatorcontrib><creatorcontrib>Arce Rentería, Miguel</creatorcontrib><creatorcontrib>Tsoy, Elena</creatorcontrib><creatorcontrib>Seblova, Dominika</creatorcontrib><creatorcontrib>Ng, Ted K.S.</creatorcontrib><creatorcontrib>Manly, Jennifer J.</creatorcontrib><creatorcontrib>Babulal, Ganesh</creatorcontrib><title>The structural and social determinants of Alzheimer's disease related dementias</title><title>Alzheimer's & dementia</title><addtitle>Alzheimers Dement</addtitle><description>Introduction
The projected growth of Alzheimer's disease (AD) and AD‐related dementia (ADRD) cases by midcentury has expanded the research field and impelled new lines of inquiry into structural and social determinants of health (S/SDOH) as fundamental drivers of disparities in AD/ADRD.
Methods
In this review, we employ Bronfenbrenner's ecological systems theory as a framework to posit how S/SDOH impact AD/ADRD risk and outcomes.
Results
Bronfenbrenner defined the “macrosystem” as the realm of power (structural) systems that drive S/SDOH and that are the root cause of health disparities. These root causes have been discussed little to date in relation to AD/ADRD, and thus, macrosystem influences, such as racism, classism, sexism, and homophobia, are the emphasis in this paper.
Discussion
Under Bronfenbrenner's macrosystem framework, we highlight key quantitative and qualitative studies linking S/SDOH with AD/ADRD, identify scientific gaps in the literature, and propose guidance for future research.
Highlights
Ecological systems theory links structural/social determinants to AD/ADRD.
Structural/social determinants accrue and interact over the life course to impact AD/ADRD.
Macrosystem is made up of societal norms, beliefs, values, and practices (e.g., laws).
Most macro‐level determinants have been understudied in the AD/ADRD literature.</description><subject>ADRD</subject><subject>Alzheimer Disease</subject><subject>Alzheimer's disease</subject><subject>classism</subject><subject>Dementia</subject><subject>Ecological Systems Theory</subject><subject>genderism</subject><subject>Humans</subject><subject>macrosystem</subject><subject>racism</subject><subject>sexism</subject><subject>Social Determinants of Health</subject><subject>structural determinants</subject><issn>1552-5260</issn><issn>1552-5279</issn><issn>1552-5279</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><recordid>eNp1kT1PwzAQhi0EolAY-AMoGzCkPTtxnE6oqviSKnUpC4vlOhdqlI9iJ6D21-OSUsHAdHfyo-dOfgm5oDCgAGyois2ARsDEATmhnLOQMzE63PcJ9Mipc28AMaSUH5NeJEDEDKITMpsvMXCNbXXTWlUEqsoCV2vj2wwbtKWpVNW4oM6DcbFZoinRXrkgMw6Vw8BioRrMPFti1RjlzshRrgqH57vaJ8_3d_PJYzidPTxNxtNQxzQRIWPJgiklNE05GwmdYJykCY9SholATBNAzIRmGpGmC6BxTjnjscghY36EqE9uO--qXZSYab_dny9X1pTKrmWtjPz7UpmlfK0_JAU-GjHYGq53Blu_t-gaWRqnsShUhXXrJEshiiKaCu7Rmw7VtnbOYr7fQ0FuE5A-AfmdgGcvfx-2J3--3APDDvg0Ba7_N8nx9KVTfgEhu5Cc</recordid><startdate>202307</startdate><enddate>202307</enddate><creator>Adkins‐Jackson, Paris B.</creator><creator>George, Kristen M.</creator><creator>Besser, Lilah M.</creator><creator>Hyun, Jinshil</creator><creator>Lamar, Melissa</creator><creator>Hill‐Jarrett, Tanisha G.</creator><creator>Bubu, Omonigho M.</creator><creator>Flatt, Jason D.</creator><creator>Heyn, Patricia C.</creator><creator>Cicero, Ethan C.</creator><creator>Zarina Kraal, A.</creator><creator>Pushpalata Zanwar, Preeti</creator><creator>Peterson, Rachel</creator><creator>Kim, Boeun</creator><creator>Turner, Robert W.</creator><creator>Viswanathan, Jaya</creator><creator>Kulick, Erin R.</creator><creator>Zuelsdorff, Megan</creator><creator>Stites, Shana D.</creator><creator>Arce Rentería, Miguel</creator><creator>Tsoy, Elena</creator><creator>Seblova, Dominika</creator><creator>Ng, Ted K.S.</creator><creator>Manly, Jennifer J.</creator><creator>Babulal, Ganesh</creator><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-3618-449X</orcidid></search><sort><creationdate>202307</creationdate><title>The structural and social determinants of Alzheimer's disease related dementias</title><author>Adkins‐Jackson, Paris B. ; George, Kristen M. ; Besser, Lilah M. ; Hyun, Jinshil ; Lamar, Melissa ; Hill‐Jarrett, Tanisha G. ; Bubu, Omonigho M. ; Flatt, Jason D. ; Heyn, Patricia C. ; Cicero, Ethan C. ; Zarina Kraal, A. ; Pushpalata Zanwar, Preeti ; Peterson, Rachel ; Kim, Boeun ; Turner, Robert W. ; Viswanathan, Jaya ; Kulick, Erin R. ; Zuelsdorff, Megan ; Stites, Shana D. ; Arce Rentería, Miguel ; Tsoy, Elena ; Seblova, Dominika ; Ng, Ted K.S. ; Manly, Jennifer J. ; Babulal, Ganesh</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4167-226b2aa7c185297c6e46865382e67ee860eed7c2cee18b014f152547f0d2b0103</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>ADRD</topic><topic>Alzheimer Disease</topic><topic>Alzheimer's disease</topic><topic>classism</topic><topic>Dementia</topic><topic>Ecological Systems Theory</topic><topic>genderism</topic><topic>Humans</topic><topic>macrosystem</topic><topic>racism</topic><topic>sexism</topic><topic>Social Determinants of Health</topic><topic>structural determinants</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Adkins‐Jackson, Paris B.</creatorcontrib><creatorcontrib>George, Kristen M.</creatorcontrib><creatorcontrib>Besser, Lilah M.</creatorcontrib><creatorcontrib>Hyun, Jinshil</creatorcontrib><creatorcontrib>Lamar, Melissa</creatorcontrib><creatorcontrib>Hill‐Jarrett, Tanisha G.</creatorcontrib><creatorcontrib>Bubu, Omonigho M.</creatorcontrib><creatorcontrib>Flatt, Jason D.</creatorcontrib><creatorcontrib>Heyn, Patricia C.</creatorcontrib><creatorcontrib>Cicero, Ethan C.</creatorcontrib><creatorcontrib>Zarina Kraal, A.</creatorcontrib><creatorcontrib>Pushpalata Zanwar, Preeti</creatorcontrib><creatorcontrib>Peterson, Rachel</creatorcontrib><creatorcontrib>Kim, Boeun</creatorcontrib><creatorcontrib>Turner, Robert W.</creatorcontrib><creatorcontrib>Viswanathan, Jaya</creatorcontrib><creatorcontrib>Kulick, Erin R.</creatorcontrib><creatorcontrib>Zuelsdorff, Megan</creatorcontrib><creatorcontrib>Stites, Shana D.</creatorcontrib><creatorcontrib>Arce Rentería, Miguel</creatorcontrib><creatorcontrib>Tsoy, Elena</creatorcontrib><creatorcontrib>Seblova, Dominika</creatorcontrib><creatorcontrib>Ng, Ted K.S.</creatorcontrib><creatorcontrib>Manly, Jennifer J.</creatorcontrib><creatorcontrib>Babulal, Ganesh</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Wiley Online Library Free Content</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Alzheimer's & dementia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Adkins‐Jackson, Paris B.</au><au>George, Kristen M.</au><au>Besser, Lilah M.</au><au>Hyun, Jinshil</au><au>Lamar, Melissa</au><au>Hill‐Jarrett, Tanisha G.</au><au>Bubu, Omonigho M.</au><au>Flatt, Jason D.</au><au>Heyn, Patricia C.</au><au>Cicero, Ethan C.</au><au>Zarina Kraal, A.</au><au>Pushpalata Zanwar, Preeti</au><au>Peterson, Rachel</au><au>Kim, Boeun</au><au>Turner, Robert W.</au><au>Viswanathan, Jaya</au><au>Kulick, Erin R.</au><au>Zuelsdorff, Megan</au><au>Stites, Shana D.</au><au>Arce Rentería, Miguel</au><au>Tsoy, Elena</au><au>Seblova, Dominika</au><au>Ng, Ted K.S.</au><au>Manly, Jennifer J.</au><au>Babulal, Ganesh</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The structural and social determinants of Alzheimer's disease related dementias</atitle><jtitle>Alzheimer's & dementia</jtitle><addtitle>Alzheimers Dement</addtitle><date>2023-07</date><risdate>2023</risdate><volume>19</volume><issue>7</issue><spage>3171</spage><epage>3185</epage><pages>3171-3185</pages><issn>1552-5260</issn><issn>1552-5279</issn><eissn>1552-5279</eissn><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>ObjectType-Review-3</notes><notes>content type line 23</notes><abstract>Introduction
The projected growth of Alzheimer's disease (AD) and AD‐related dementia (ADRD) cases by midcentury has expanded the research field and impelled new lines of inquiry into structural and social determinants of health (S/SDOH) as fundamental drivers of disparities in AD/ADRD.
Methods
In this review, we employ Bronfenbrenner's ecological systems theory as a framework to posit how S/SDOH impact AD/ADRD risk and outcomes.
Results
Bronfenbrenner defined the “macrosystem” as the realm of power (structural) systems that drive S/SDOH and that are the root cause of health disparities. These root causes have been discussed little to date in relation to AD/ADRD, and thus, macrosystem influences, such as racism, classism, sexism, and homophobia, are the emphasis in this paper.
Discussion
Under Bronfenbrenner's macrosystem framework, we highlight key quantitative and qualitative studies linking S/SDOH with AD/ADRD, identify scientific gaps in the literature, and propose guidance for future research.
Highlights
Ecological systems theory links structural/social determinants to AD/ADRD.
Structural/social determinants accrue and interact over the life course to impact AD/ADRD.
Macrosystem is made up of societal norms, beliefs, values, and practices (e.g., laws).
Most macro‐level determinants have been understudied in the AD/ADRD literature.</abstract><cop>United States</cop><pmid>37074203</pmid><doi>10.1002/alz.13027</doi><tpages>15</tpages><orcidid>https://orcid.org/0000-0003-3618-449X</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Alzheimer's & dementia, 2023-07, Vol.19 (7), p.3171-3185 |
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| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10599200 |
| source | Wiley-Blackwell Journals |
| subjects | ADRD Alzheimer Disease Alzheimer's disease classism Dementia Ecological Systems Theory genderism Humans macrosystem racism sexism Social Determinants of Health structural determinants |
| title | The structural and social determinants of Alzheimer's disease related dementias |
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