The list of social determinants varies among authors. The list provided here is one being utilized throughout Washington state in the public health sector. As work takes place on the social determinants, consideration for the way “isms” have produced many unfavorable experiences is crucial. Discrimination and biases toward different groups can have a profound impact on their quality of life. For example, single women with children sometimes have difficulty renting a house or apartment.To improve health outcomes, our work must address the “isms” while working on the social determinants of health. For example, children living in low income neighborhoods need the same access to clean and safe parks as children living in affluent areas.

Fig. 2 Selected Social Determinants for Public Health Work. Social Determinant list adapted from Washington State Department of Health, Division of Prevention and Community Health, Office of Healthy Communities, October 2012.
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