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Social determinants of health (SDOH) are structural factors that yield health inequities. Within the context of cancer, these inequities include screening rates and survival rates, as well as higher symptom burden during and after treatment. While pain is one of the most frequently reported symptoms, the relationship between SDOHs and cancer pain is not well understood. The purpose of this study is to describe and synthesize the published research that has evaluated the relationships between SDOH and cancer pain. A systematic search of PubMed, CINAHL, and Embase was conducted to identify studies in which cancer pain and SDOH were described. In all, 20 studies met the inclusion criteria. In total, 14 studies reported a primary aim related to SDOH and cancer pain. Demographic variables including education or income were used most frequently. Six specific measurements were utilized to measure SDOH, such as the acculturation scale, the composite measure of zip codes for poverty level and blight prevalence, or the segregation index. Among the five domains of SDOH based on Healthy People 2030, social and community was the most studied, followed by economic stability, and education access and quality. The neighborhood and built environment domain was the least studied. Despite increasing attention to SDOH, the majority of published studies use single-dimension variables derived from demographic data to evaluate the relationships between SDOH and cancer pain. Future research is needed to explore the intersectionality of SDOH domains and their impact on cancer pain. Additionally, intervention studies should be conducted to address existing disparities and to reduce the incidence and impact of cancer pain. [ABSTRACT FROM AUTHOR]

Several individual social determinants of health have been identified as significant factors contributing to achieving glycemic targets (glycated hemoglobin < 7). However, it remains unclear how these social variables individually or collectively contribute to glycemic targets among adults with type 2 diabetes (T2D) in the United States (U.S.) The purpose of the current integrative review (IR) was to describe and synthesize findings from studies on social determinants of glycemic target achievement in adults with T2D in the U.S. and integrate them into the United States Department of Health and Human Services Conceptual Framework. The databases searched included PubMed, CINAHL Plus with Full Text, Medline with Full Text [EBSCO], Google Scholar, bibliography, and hand searching. A total of 948 records were identified. After excluding duplicates and irrelevant studies based on inclusion and exclusion criteria through title, abstract, and full-text screening, 13 studies were finally included in this IR. The results revealed that race/ethnicity, economic access and stability, educational access and quality, healthcare access and quality, neighborhood and built environment, and social and community context contribute to glycemic target achievement among adult patients with T2D in the U.S. Integrating findings from key studies on social determinants of glycemic health may contribute to developing interventions aimed at reducing and eventually eradicating health disparities for individuals with and at risk for T2D in the U.S. [ABSTRACT FROM AUTHOR]

Over decades, many cities have been expanded and functionally diversified by population activities, socio-demographics and attributes of the built environment. Urban expansion and development have led to the emergence of spatial structures of cities. Uncovering cities' spatial structures is critical to understanding various urban phenomena such as segregation, equity of access, and sustainability. In this study, we propose using a neural embedding model—graph neural network (GNN)—that leverages the heterogeneous features of urban areas and their interactions captured by human mobility networks to obtain vector representations of these areas. Using large-scale high-resolution mobility data sets from millions of aggregated and anonymized mobile phone users in 16 metropolitan counties in the United States, we demonstrate that our embeddings encode complex relationships among features related to urban components (such as distribution of facilities) and population attributes and activities. The clustered representations of urban areas show the shared characteristics among urban areas in the same cluster. We show that embeddings generated by a model trained on a different county can capture 50% to 60% of the spatial structure in another county, allowing us to make cross-county comparisons and inferences. The findings reveal complex relationships among urban components in cities. Since the identified multifaceted spatial structures capture the combined effects of various mechanisms, such as segregation, disparate facility distribution, and human mobility, the findings could help identify the limitations of the current city structure to inform planning decisions and policies. Also, the model and findings set the stage for a variety of research in urban planning, engineering and social science through an integrated understanding of how the complex interactions between urban components and population activities and attributes shape the spatial structures in cities. [ABSTRACT FROM AUTHOR]

Promoting physical activity (PA) at the community level is a complex, multisector approach requiring researchers and practitioners to impact the individual, interpersonal, environment, and policy levels. One such strategy aiming to impact systems, policies, and environments is the Centers for Disease Control and Prevention's Activity Friendly Routes to Everyday Destinations (Routes to Destinations). This strategy specifically aims to connect pedestrian, bicycle, and public transportation systems with built environment and land use destinations. This article examines Black/African American transportation and land use experts' perspectives and concerns—across multiple mediums—around inequities that have discouraged PA among Black/African American persons specifically Routes to Destinations strategies. In March 2021, a multifaceted scoping review was conducted of peer-reviewed literature, gray literature, and social media authored by Black/African American transportation and land use experts focusing on policy, system, and environmental changes which promote or discourage equitable and inclusive access to physical activity. Themes from peer-reviewed and gray literature resources included: (1) Assessing Racism, Discrimination, and Segregation; (2) Addressing Equity and Inclusion Through Policy; (3) Community Engagement and Place-Based Interventions; (4) Infrastructure Changes; (5) Safety; and (6) Reporting Health Disparities. Twitter topic models suggested the main topics included elements of race/racism, equity, safety, infrastructure, and advancing social justice. Experts called for systemic and systematic change through new policies and implementation of existing policies as well as enhanced community inclusion in decision-making through ownership of policy and built environment change. Safety was discussed differently between peer-reviewed and gray literature and Twitter discussions indicating a publication bias. [ABSTRACT FROM AUTHOR]

This study contributes to the current research by adding a longitudinal analysis of factors related to vehicle ownership dynamics among older adults. Given an increasing number of older people in the low-density areas, the declined vehicle ownership over the life course might add additional travel difficulties to their lives. This study uses the Panel Survey of Income Dynamics (2001–2017), a large-scale panel survey of American households which began in 1968, to examine the role of life-cycle events, household socioeconomic attributes, and built environment factors on vehicle ownership reductions among older Americans. This study finds that becoming alone due to loss of partner or divorce and reduced income are related to decreased vehicle ownership and transitioning into zero-vehicle households. Age and being headed by Hispanics are also positively related to the probability of lowering vehicle ownership from one to zero. The results further demonstrate that female older adults living alone are more likely to live in zero-vehicle households than the male counterparts. This study suggests that policymakers should consider providing additional support, e.g., offering alternative transportation modes, for older adults when owning and using vehicles is temporarily or permanently impossible. [ABSTRACT FROM AUTHOR]