Table 1. Domains of social and behavioral determinants of health for consideration in VHA primary care clinics^*.

SBDH Domains	SBDH Sub-domains
Sociodemographic	Sexual Orientation
	Race/Ethnicity
	Country of Origin
	Education
	Employment
	Financial Resource Strain	Food Insecurity	Public Assistance Food Access
			Individual's Food Intake
		Housing Insecurity**
Psychological	Health Literacy
	Stress
	Negative Mood & Affect	Depression
		Anxiety
	Psychological Assets	Self-efficacy, Conscientiousness, Patient engagement/Activation, Optimism
Behavioral	Dietary Patterns	Healthy Food Habits
	Physical Activity
	Tobacco Use and Exposure
	Alcohol Use
Social Relationship	Social Connection and Social Isolation
	Violence Exposure
Neighborhood Compositional Characteristics	Natural Environment	Air Quality
		Water Quality
		Childhood Lead Poisoning Levels
	Physical/Built Environment	Housing	Housing Characteristics
			Housing Insecurity**
			Homelessness
		Walkability and Access	Geographic Characteristics of Living Space
			Mode of transportation
			Walkability Index
			Street Connectivity
			Access to Healthy Food Options
			Access to Healthcare Facility
	Socio-economic	Social Deprivation
		Social Characteristics of Neighborhood	Income
			Education
			Employment
			Neighborhood Socioeconomic Index
		Economic Distress
		Healthcare Access
	Race/Ethnicity	Neighborhood-level Racial Residential Segregation

Note: * The conceptual framework is presented in Figure 1. This table expands on categories of social and behavioral determinants of health (red circle in the figure) using recommendations from National Academy of Medicine.

** There are overlaps among different domains of SBDH. For instance, housing insecurity would be included in two domains.

SBDH: Social and Behavioral Determinants of Health; VHA: Veterans Health Administration.