Early life environment and social determinants of cardiac health in children with congenital heart disease

Congenital heart disease is a significant cause of infant mortality. Epidemiology and social context play a crucial role in conditioning disease burden and modulating outcomes, while diagnosis and treatment remain resource intensive. This review will address the role of social demographics, environm...

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Bibliographic Details
Published inPaediatrics & child health Vol. 23; no. 2; pp. 92 - 95
Main Authors Wong, Peter, Denburg, Avram, Dave, Malini, Levin, Leo, Morinis, Julia Orkin, Suleman, Shazeen, Wong, Jonathan, Ford-Jones, Elizabeth, Moore, Aideen M
Format Journal Article
LanguageEnglish
Published England Oxford University Press 01.04.2018
Subjects
Cardiovascular disease
Congenital diseases
Heart
Pediatrics
Review
Social environment
Child
Heart diseases
Life course
Socioeconomic factors
Risk factors
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Summary:Congenital heart disease is a significant cause of infant mortality. Epidemiology and social context play a crucial role in conditioning disease burden and modulating outcomes, while diagnosis and treatment remain resource intensive. This review will address the role of social demographics, environmental exposure, epigenetics and nutrition in the aetiology of congenital heart disease. We then discuss the determinant effect of social factors on the provision and outcomes of care for congenital heart disease and implications for practice. It is our hope that enhanced knowledge of the intersection of social determinants of health and congenital heart disease will facilitate effective preventative strategies at the individual and population levels to optimize heart health outcomes across the life course.
ISSN:1205-7088
1918-1485
DOI:10.1093/pch/pxx146