title: The relationship between social determinants of health, and rehabilitation of neurological conditions: a systematic literature review.
abstract: This systematic literature review aims to explore the relationship between social determinants of health (SDH), and the rehabilitation of neurological conditions. In particular, the review will consider relationships between social determinants and peoples' attendance and sustained adherence to rehabilitation programs, and motivation regarding neurological rehabilitation.
  
  
  
  A systematic search of peer-reviewed literature from electronic databases; MEDLINE, Scopus, CINAHL and Informit health, was conducted. Papers published between 2004 and 2014 were considered.
  
  
  
  Eleven quantitative studies met the inclusion criteria. There was a lack of research addressing SDH and neurological rehabilitation simultaneously. Cardiac and cancer rehabilitation studies reported employment and income, social support, transport, housing and food security as the most frequent SDH factors influencing attendance, sustained adherence and motivation. Given this association, a similar relationship between neurological rehabilitation and SDH is plausible.
  
  
  
  Rehabilitation of neurological conditions can be a long and difficult process. To pursue optimal outcomes, an individual's social circumstances should be considered. Understanding how SDH interact with neurological rehabilitation may enhance service delivery, thus maximizing the possible rehabilitation outcomes for individuals. Future research that considers SDH and rehabilitation of neurological conditions jointly may benefit service providers and those requiring neurological rehabilitation. Implications for Rehabilitation Social determinants of health are important to consider in the rehabilitation of neurological conditions. Understanding the interplay between the social determinants of health and neurological rehabilitation may enhance the possible outcomes for those requiring rehabilitation. Increased awareness and capacity of health care professionals involved in neurological rehabilitation may hasten momentum towards decreased health disparities instigated by undesirable social determinants of health.
authors.affiliation: a College of Public Health, Medical and Veterinary Sciences, James Cook University , Townsville , Australia.
authors.forename: Amanda
authors.initials: A
authors.lastname: Frier
authors.affiliation: b College of Healthcare Sciences, James Cook University , Townsville , Australia.
authors.forename: Fiona
authors.initials: F
authors.lastname: Barnett
authors.affiliation: a College of Public Health, Medical and Veterinary Sciences, James Cook University , Townsville , Australia.
authors.forename: Sue
authors.initials: S
authors.lastname: Devine
mesh_terms: D005523:Food Supply; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D009422:Nervous System Diseases / Q000534:rehabilitation*; D064890:Social Determinants of Health; D012944:Social Support; D012959:Socioeconomic Factors; D014186:Transportation
keywords: Nervous system diseases and review; neurological conditions; social conditions; social determinants of health; socio-economic factors