What are the interventions that should be tailored to patients socioeconomic and educational status?
Interventions should be tailored to patients socioeconomic and educational status, as well as cultural, work, and home environments. Examples of upstream social determinants of health that affect treatment adherence and ASCVD health outcomes include comorbid mental illness, lack of health literacy, exposure to adversity (eg, home/community violence, trauma exposures, safety concerns), financial strain, inadequate housing conditions, lack of food security (ie, access to affordable and nutritious food), structural and individual discrimination, and inadequate social support. The Centers for Medicare & Medicaid Services has developed a screening tool to assess 5 domains of non health-related measures that affect health outcomes: housing instability, food insecurity, transportation difficulties, utility assistance needs, and interpersonal safety.