{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T06:16:06Z","timestamp":1790835366779,"version":"4.1.0"},"reference-count":29,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,11,15]],"date-time":"2024-11-15T00:00:00Z","timestamp":1731628800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Ardmore Institute of Health"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Lifestyle Medicine"],"abstract":"<jats:p>Lifestyle Medicine emphasizes evidence-based lifestyle changes to address chronic conditions Yet, concerns have emerged regarding its ability to address broader social determinants of health (SDoH). This study examines how family physicians\u2019 perceptions of SDoH relate to their use of lifestyle medicine competencies. This cross-sectional survey was administered to 5770 family physicians. Participants rated the importance of LM core competencies and the impact of community conditions on patient health. Data analysis involved descriptive statistics, factor analysis, regression models, and t-tests. This study encompassed 447 responses. The findings revealed that while respondents recognized the effect of certain SDoH, such as access to unhealthy food (89%), alcohol (86%), and tobacco (83%), they showed less awareness of factors like racism and discrimination (53%), and access to parks (56%) or education (60%). Gender and the level of social deprivation in their area were significant factors influencing respondents\u2019 perception of SDoH impact. Additionally, those who valued and used lifestyle medicine core competencies were more likely to acknowledge the influence of SDoH on patient health. Our findings suggest that comprehensive education on SDoH, especially with a focus on community aspects, is crucial across all levels of medical training to address this gap and ensure equitable care.<\/jats:p>","DOI":"10.1177\/15598276241277460","type":"journal-article","created":{"date-parts":[[2024,11,15]],"date-time":"2024-11-15T19:59:38Z","timestamp":1731700778000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Impact of Physicians\u2019 Perception of Social Determinants of Health (SDoH) on the Practice of Lifestyle Medicine. Findings From a Family Physicians Survey"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8527-4446","authenticated-orcid":false,"given":"Rajani","family":"Bharati","sequence":"first","affiliation":[{"name":"Population and Community Health, American Academy of Family Physicians, Leawood, KS, USA (RB)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin A.","family":"Kovach","sequence":"additional","affiliation":[{"name":"Kansas Health Institute, Topeka, KS, USA (KAK)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Polina","family":"Sayess","sequence":"additional","affiliation":[{"name":"Prescribing Lifestyle PLLC, Bedford, NH, USA (PS)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Polk","sequence":"additional","affiliation":[{"name":"Roanoke-Salem Family Medicine, Virginia Tech Carilion Family Medicine Residency Program, Roanoke, VA, USA (EP)"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,11,15]]},"reference":[{"key":"bibr1-15598276241277460","unstructured":"American College of Lifestyle Medicine. Lifestyle medicine. https:\/\/www.lifestylemedicine.org\/ACLM\/About\/What_is_Lifestyle_Medicine\/ACLM\/About\/What_is_Lifestyle_Medicine_\/Lifestyle_Medicine.aspx?hkey=26f3eb6b-8294-4a63-83de-35d429c3bb88. Accessed August 24, 2021."},{"key":"bibr2-15598276241277460","doi-asserted-by":"publisher","DOI":"10.1001\/JAMA.291.10.1238"},{"key":"bibr3-15598276241277460","volume-title":"Division of Behavioral and Social Sciences and Education; Board on Health Care Services; National Research Council; Institute of Medicine. Data from Major Studies of Premature Mortality","author":"Committee on Population","year":"2015"},{"key":"bibr4-15598276241277460","doi-asserted-by":"publisher","DOI":"10.1111\/ijcp.12509"},{"key":"bibr5-15598276241277460","doi-asserted-by":"publisher","DOI":"10.3399\/bjgp21X715721"},{"key":"bibr6-15598276241277460","doi-asserted-by":"publisher","DOI":"10.1016\/j.pop.2023.04.012"},{"key":"bibr7-15598276241277460","unstructured":"U.S. Department of Health and Human Services. Social Determinants of Health - Healthy People 2030. https:\/\/health.gov\/healthypeople\/priority-areas\/social-determinants-health. Accessed June 4, 2024."},{"key":"bibr8-15598276241277460","doi-asserted-by":"publisher","DOI":"10.1177\/1559827619838469"},{"key":"bibr9-15598276241277460","doi-asserted-by":"publisher","DOI":"10.1016\/J.SOCSCIMED.2005.08.044"},{"key":"bibr10-15598276241277460","doi-asserted-by":"publisher","DOI":"10.1177\/15598276211072506"},{"key":"bibr11-15598276241277460","doi-asserted-by":"publisher","DOI":"10.1186\/s12939-019-1007-1"},{"key":"bibr12-15598276241277460","unstructured":"American Academy of Family Physicians. Advancing health equity by addressing the social determinants of health in family medicine (position paper). https:\/\/www.aafp.org\/about\/policies\/all\/social-determinants-health-family-medicine-position-paper.html. 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Closing the gap in a generation: health equity through action on the social determinants of health; 2008."},{"key":"bibr17-15598276241277460","doi-asserted-by":"publisher","DOI":"10.1371\/JOURNAL.PONE.0189900"},{"key":"bibr18-15598276241277460","doi-asserted-by":"publisher","DOI":"10.1371\/JOURNAL.PONE.0138511"},{"key":"bibr19-15598276241277460","doi-asserted-by":"publisher","DOI":"10.1001\/jama.288.6.756"},{"key":"bibr20-15598276241277460","doi-asserted-by":"publisher","DOI":"10.1177\/1355819613486465"},{"issue":"2","key":"bibr21-15598276241277460","first-page":"69","volume":"58","author":"Bertakis KD","year":"2003","journal-title":"J Am Med Women\u2019s Assoc"},{"key":"bibr22-15598276241277460","doi-asserted-by":"publisher","DOI":"10.1177\/00333549141291S206"},{"key":"bibr23-15598276241277460","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199801153380307"},{"key":"bibr24-15598276241277460","unstructured":"Bay Area Regional Health Inequities Initiative. BARHII FRAMEWORK. 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