Table 1.

Categories of social determinants of health used in Healthy People 2020 and categories used in a review of articles authored by NCHHSTP in the peer-reviewed literature^a

Healthy People 2020 SDH Category	Examples of SDH Category in Healthy People 2020	SDH Categories Used in a Review of Articles in the Peer-Reviewed Literature by Authors With an NCHHSTP Affiliation
Economic stability	Poverty, employment status, access to employment, and housing stability (eg, homelessness or foreclosure)	Income and employment Housing and homelessness
Education	High school graduation rates, school policies that support health promotion, school environments that are safe and conducive to learning, and enrollment in higher education	Education and schooling
Social or community context	Social or community context, family structure, social cohesion, perceptions of discrimination, civic participation, and incarceration/institution	Stigma or discrimination Social or community context
Health and health care	Access to health services, including clinical and preventive care, access to primary care (eg, community-based health promotion and wellness programs), and health technology	Health and health care
Neighborhood and built environment	Quality of housing, crime and violence, environmental conditions, and access to healthy foods	Neighborhood or built environment

Abbreviations: NCHHSTP, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention; SDH, social determinant of health.

^a Data source: US Department of Health and Human Services, Office of Disease Prevention and Health Promotion.¹⁵