Úlcera de pé diabético e determinantes sociais da saúde: revisão de escopo

Cecília Rafaela Salles Ferreira; Michelle Hyczy de Siqueira Tosin; Francineide Pereira da Silva Pena; Ananda Larisse Bezerra da Silva; Karoliny Miranda Barata; Beatriz Guitton Renaud Baptista de Oliveira

Authors

Cecília Rafaela Salles Ferreira Universidade Federal Fluminense – Rio de Janeiro (RJ), Brasil. https://orcid.org/0000-0001-6366-3440
Michelle Hyczy de Siqueira Tosin Rush University Medical Center – Chicago, Illinois, Estados Unidos. https://orcid.org/0000-0001-7309-1407
Francineide Pereira da Silva Pena Universidade Federal do Amapá – Macapá (AP), Brasil.,https://ror.org/031va9m79 https://orcid.org/0000-0001-8465-4252
Ananda Larisse Bezerra da Silva Universidade Federal do Amapá – Macapá (AP), Brasil.,https://ror.org/031va9m79 https://orcid.org/0000-0003-0061-1103
Karoliny Miranda Barata https://ror.org/031va9m79 https://orcid.org/0000-0001-5544-9137
Beatriz Guitton Renaud Baptista de Oliveira Universidade Federal Fluminense – Rio de Janeiro (RJ), Brasil.,https://ror.org/02rjhbb08 https://orcid.org/0000-0001-7494-7457

Abstract

Objective: To map the social determinants of health related to diabetic foot ulcers. Method: Scoping review, as established by the Joanna Briggs Institute, registered on the Open Science Framework platform. Data were gathered from fourteen databases without time or language restrictions. Selection criteria included studies that
met the search strategy: adults of both genders, social determinants of health related to diabetic foot ulcers, as defined by the World Health Organization, in hospital, outpatient, and home care settings. The World Health Organization model of social determinants of health model was used. Results: A total of 1,371 studies were
identified, of which 80 were included in the final sample. The primary determinants identified were structural factors such as culture and social values (3); gender (12); and intermediary factors, including biological factors (18) and behavioral factors (13); social capital and social cohesion (3) were also highlighted, with most studies published in English in 2021. Conclusion: Among the structural determinants, culture, social values, and gender were predominant, while biological factors were the leading intermediary determinants. Social capital shows an
emerging area to identify the role of family, community, and health institutions in the care of diabetic foot ulcer.

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