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Social Determinants of Health

Introduction to Social Determinants (or Drivers) of Health

Social determinants of health are non-medical factors that influence health outcomes (World Health Organization).

Social determinants of health (or SDOH) account for a significant portion of individual health outcomes and contribute significantly to health disparities. While the term "social determinants of health," is still widely used, many have shifted more recently to "social drivers of health," acknowledging that outcomes are not predetermined or fixed (see Q&A with Dr. Robert Winn).

SDOH can include economic factors, physical environments such as neighborhoods, built environment, and climate, education and access to education, food security, community, safety, and social contexts, and factors related to health care systems and access to health care. The diagrams below show examples of SDOH and model how they can impact health outcomes.

chart of social determinants of health from kff.org

Drake, P., & Rudowitz, R. (2022, April 21). Tracking social determinants of health during the COVID-19 pandemic. KFF. https://www.kff.org/coronavirus-covid-19/issue-brief/tracking-social-determinants-of-health-during-the-covid-19-pandemic/

circular depiction of social determinants of health, showing racism and discrimination as inputs to SDOH

Ndugga, N., Hill, L., Pillai, D., & Artiga, S. (2024, July 29). Race, inequality, and health: What factors drive racial and ethnic health disparities? KFF. https://www.kff.org/health-policy-101-race-inequality-and-health/?entry=table-of-contents-what-factors-drive-racial-and-ethnic-health-disparities

 

Centers for Disease Control and Prevention (CDC). (2023, January 12). Social determinants of health [Video]. YouTube. https://www.youtube.com/watch?v=u_IoBt7Nicw&t=26s

General resources on SDOH

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