A – 86 Social Determinants of Health and Vascular Cognitive Impairment: Lessons Learned and Future Directions

Abstract Objective The objective of this poster is to review recent literature on the social determinants of health (SDOH) that impact vascular cognitive impairment (VCI) without dementia in people of color (POC) and outline plans for future directions. Method A scoping review was completed following the Preferred Reporting Items for Systematic reviews and Meta-Analyses expansion for Scoping Reviews (PRISMA-ScR) checklist. To be included in the review, articles had to be peer-reviewed articles in English conducted in the U.S. Articles were excluded for not meeting inclusion criteria, not including POC in the sample, and for using a dementia population exclusively. The articles examined SDOH in POC, cognitive impairment, and vascular factors. Results Various searches identified potential articles (n=136). Covidence software was used for article review, screening, and data extraction. After excluding articles, a total of 18 studies were included in the study, with 15 cross-sectional studies and 3 review articles. POC were more likely to experience vascular risk factors and other chronic disease than their non-Hispanic White (NHW) counterparts. The primary SDOH for people of color that impacted vascular risk factors included income, educational attainment, insurance coverage, healthcare access, employment, and food security. This suggests that intervention is possible through community-engaged efforts and low-cost, comprehensive, standardized care. Conclusion SDOH appear to raise the risk of VCI in people of color. However, most studies were limited in the number and type of SDOH assessed. Future Directions include qualitative and community-engaged research to increase understanding of SDOH and develop, implement, and evaluate intervention efforts.