Yvonne M Terry-McElrath, Lindsey Turner, Anna Sandoval, Lloyd D Johnston, Frank J Chaloupka
Commercialism in US elementary and secondary school nutrition environments: trends from 2007 to 2012
JAMA pediatrics
social determinants health sdoh increasingly recognized important drivers inequities neurologic disease outcomes however understanding biopsychosocial mechanisms sdoh affect neurologic disease remains infancy robust epidemiologic research associations education schooling placebased social determinants cognition dementia cerebrovascular disease later life research needed deeply understand complex interplay sdoh neurologic disease sdoh screening tools validated populations neurologic disease addition comparison across studies populations hampered lack standardized common data elements experiences populations historically underrepresented research centered future research studies changes made recruitment expectations measurement choices research inequities critical support incentivize institutional infrastructure foster meaningful engagement populations affected research finally remains seen whether individuallevel health behavioral interventions placelevel systemic policy interventions reduce population burden effective reducing inequities neurologic disease outcomes although numerous clinical trials focused addressing downstream sdoh health literacy health behaviors eg medication adherence physical activity diet addressed upstream structural determinants may profound impact addressing inequities neurologic disease ultimately research needed determine specific sdoh targeted addressed improve neurologic outcomes