Heart failure and social determinants of health in Thailand: An integrative review

Thitipong Tankumpuan, Reiko Asano, Binu Koirala, Cheryl Dennison-Himmelfarb, Siriorn Sindhu, Patricia M. Davidson

Research output: Contribution to journalArticlepeer-review

5 Scopus citations


Background: Heart failure is a highly burdensome syndrome and is rapidly increasing in prevalence in low and middle-income countries and outcomes are influenced at the level of the patient, provider and health system. Understanding heart failure beyond a biomedical perspective and the relationship between health outcomes and social determinants of health is critical for informing policy development and improving health outcomes. Aim: To identify the social determinants of health for improving health outcomes for individuals with heart failure in Thailand. Method: This integrative review included studies published between January 1, 2008, and March 31, 2016 in both the Thai and English language identified through searching Scopus, PubMed, and CINAHL. Results: Six experimental, eight descriptive and two qualitative studies were identified met the inclusion and exclusion criteria. The majority of study participants were elderly, female, had low-education and income levels, were participating in a universal coverage scheme and living in a rural setting. All interventions were delivered at the level of the individual, focusing on education to improve knowledge, self-care, and functional status. Findings showed an improvement in health outcomes which were moderated by social determinants of health such as gender and income. Conclusion: As the burden of heart failure increases in Thailand and other emerging economies, developing culturally appropriate, affordable and acceptable models of intervention considering social determinants of health is necessary.

Original languageEnglish (US)
Article numbere01658
Issue number5
StatePublished - May 2019


  • Cardiology
  • Epidemiology
  • Public health
  • Sociology

ASJC Scopus subject areas

  • General


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