Search Strategy for The Impact of Social Determinants of Health on Self-Care Behaviors in Women with Heart Failure: A Scoping Review

Abstract

Heart failure (HF) is a chronic condition affecting millions worldwide, with women often experiencing unique clinical trajectories and social challenges that influence outcomes. Effective self-care behaviors (such as medication adherence, symptom monitoring, dietary management, and timely healthcare engagement) are critical for managing HF and reducing hospitalizations. However, these behaviors are shaped by social determinants of health (SDOH), including socioeconomic status, education, social support, health literacy, housing stability, neighborhood environment, and access to healthcare.

While several systematic and scoping reviews have examined self-care in HF broadly, few have specifically focused on women or explored the influence of SDOH on self-care behaviors. Existing reviews often overlook gender-specific outcomes or do not comprehensively synthesize qualitative and quantitative evidence on social factors.

This scoping review aims to map and summarize the literature on how SDOH affect self-care behaviors in adult women with HF, integrating evidence from multiple study designs. By identifying key determinants, gaps in knowledge, and areas for targeted interventions, this review will provide a foundation for gender-sensitive strategies to improve HF self-care and inform future research and clinical practice.