Table 1.

Adapted NIMHD Minority Health and Health Disparities Research Framework (https://www.nimhd.nih.gov/about/overview/research-framework.html)

		Levels of Influence
		Individual	Interpersonal	Community	Societal
Domains of Influence (Over the Lifecourse)	Biological	Biological Vulnerability and Mechanisms	Caregiver-Child Interaction Family Microbiome	Community Illness Exposure Herd Immunity	Sanitation Immunization Pathogen exposure
	Behavioral	Health Behaviors Coping Strategies Attitudes about Screening	Family Functioning School/Work Functioning	Community Functioning	Immigration Policies and Laws
	Physical/Built Environment	Personal Environment	Household Environment School/Work Environment	Community Environment Community Resources & Organizations	Societal Structure
	Sociocultural Environment	Sociodemographics Limited English Cultural Identity Response to Discrimination	Social Networks Family/Peer Norms Interpersonal Discrimination	Community Norms Immigrant Enclaves Local Structural Discrimination	Societal Norms Societal Structural Discrimination
	Health Care System	Insurance Coverage Health Literacy Treatment Preferences	Patient-Clinician Relationship Medical Decision-Making	Availability of Services Safety Net Services	Quality of Care Health Care Policies
Health Outcomes		Individual Health	Family/ Organizational Health	Community Health	Population Health