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Social Determinants of Health

Social determinants of health, according to HealthyPeople.gov, are the conditions in the environments where people are bobirtrn, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality-of-life outcomes and risks.. Healthy People identifies five key determinant areas:
  • Economic Stability
  • Education Access and Quality
  • Health Care Access and Quality
  • Neighborhood and Built Environment
  • Social and Community Context

Social determinant indicators include, for example:
  • Safe housing, transportation, and neighborhoods
  • Racism, discrimination, and violence
  • Education, job opportunities, and income
  • Access to nutritious foods and physical activity opportunities
  • Polluted air and water
  • Language and literacy skills
Analysis of public health data by demographic characteristics is essential to the reduction and elimination of health disparities. The Minority Health and Health Disparities Research and Education Act of 2000 describes health disparities as differences in "the overall rate of disease incidence, prevalence, morbidity, mortality, or survival rates in the population as compared to the health status of the general population." The definition can be applied to any demographic group, not just racial/ethnic minorities. Analysis by demographic characteristics also shows at what age certain diseases and conditions typically appear.

Health equity is the principle to pursue the highest possible standard of health for all while focusing on those with the greatest obstacles. Social determinants have a large impact on disparities and health equity. In order to improve health outcomes for those with disparities, social determinants often need to be targeted for intervention and prevention efforts. Analysis of what social determinants affect which populations in what areas helps inform programs where to focus efforts. County Health Rankings estimates that social, economic, and physical environment factors account for 50% of health factors.

Interventions with the largest impacts on health outcomes are population-based and focus on social determinants. CDC currently has an effort to target community approaches that focus on "social determinants of health" and "changing the context to make the healthy choice the easy choice." For information on the Health Impact in 5 Years project (HI-5) and the Health Impact Pyramid, visit https://www.cdc.gov/policy/hst/hi5/index.html.
Certain demographic and social determinant groups have consistently better outcomes than others on a variety of public health issues.

The information provided above is from the Department of Health's Center for Health Data IBIS-PH web site (http://ibis.health.state.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Fri, 21 January 2022 13:13:53 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.gov ".

Content updated: Fri, 10 Dec 2021 13:46:09 MST