Introduction
Social determinants of health influence the prevention, treatment, and progression
of chronic diseases, including heart, lung, blood, and sleep diseases and conditions.
Healthy People 2020 classifies Social Determinants of Health into 5 subcategories: (1) Neighborhood and
Built Environment, (2) Education, (3) Economic Stability, (4) Social and Community
Context, and (5) Health and Health Care. This study's goal is to characterize the
National Heart, Lung, and Blood Institute's Fiscal Year 2008–2020 funding in overall
Social Determinants of Health research and in the Healthy People 2020 subcategories.
Methods
The Social Determinants of Health Research, Condition, and Disease Categorization
code was used to identify funded grants in this area. Natural language processing
methods further categorized grants into the 5 Healthy People 2020 Social Determinants of Health subcategories.
Results
There were 915 (∼4.3%) social determinants of health‒funded grants from 2008 to 2020
representing $1,034 billion in direct costs. Most grants were relevant to cardiovascular
diseases (n=653), with a smaller number relevant to lung diseases (n=186), blood diseases (n=47), and translational and implementation science (n=29). Grants fit multiple Social Determinants of Health subcategories with the majority
identified as Health and Health Care (62%) and Economic Stability (61%). The number
of National Heart, Lung, and Blood Institute social determinants of health grants
awarded increased by 127% from Fiscal Year 2008 to Fiscal Year 2020.
Conclusions
This study identifies Social Determinants of Health grants funded by the National
Heart, Lung, and Blood Institute during 2008‒2020. Enhancing the understanding of
these determinants and developing effective interventions will ultimately help to
advance the mission of the National Heart, Lung, and Blood Institute.
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Article Info
Publication History
Published online: April 01, 2022
Identification
Copyright
Published by Elsevier Inc. on behalf of American Journal of Preventive Medicine.
