Abstract
Social determinants of health (SDoH) may impact outcomes in sickle cell
disease (SCD). We conducted a comprehensive literature review of five
electronic databases to elucidate the relationship between SDoH and SCD
and identify gaps in the literature. Our search yielded 59 articles
which we organized into five SDoH areas: Neighborhood and Built
Environment, Health and Healthcare, Social and Community Context,
Education, and Economic Stability. We found that social determinants,
such as access to healthcare, were inconsistently evaluated. Improved
recognition and understanding of SDoH should enhance the development of
programs that directly address its detrimental effects on patients with
SCD.