Key Initiatives

QHR Cares improves health outcomes through strategic partnerships in local communities.

Healthy People 2030 Social Determinants Of Health Graphic

Social Determinants of Health

Social determinants of health (SDOH) are the conditions in the environments where people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning and quality-of-life outcomes and risks. These social determinants of health can be more important than healthcare or lifestyle choices in influencing health. For this reason, QHR Cares Foundation partners with organizations working to address these issues in their communities.

Economic Stability

People with steady employment are less likely to live in poverty and more likely to be healthy, but many people have trouble finding and keeping a job.

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Education Access & Quality

People with higher levels of education are more likely to be healthier and live longer.

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Healthcare Access & Quality

People without insurance are less likely to have a primary care provider, and they may not be able to afford the healthcare services and medications they need.

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Neighborhood & Built Environment

The neighborhoods people live in have a major impact on their health and well-being.

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Social & Community Context

People’s relationships and interactions with family, friends, co-workers, and community members can have a major impact on their health and well-being.

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Economic Stability

In the United States, 1 in 10 people live in poverty (see reference below), and many people can’t afford things like healthy foods, healthcare, and housing.

REFERENCE: Semega, J., Kollar, M., Creamer, J., Mohanty, A. (2019). Income and Poverty in the United States.

Steady Employment

People with steady employment are less likely to live in poverty and more likely to be healthy, but many people have trouble finding and keeping a job.

Disabled or Injured Individuals

People with disabilities, injuries, or conditions like arthritis may be especially limited in their ability to work. In addition, many people with steady work still don’t earn enough to afford the things they need to stay healthy.

Employment Programs

Employment programs, career counseling, and high-quality child care opportunities can help more people find and keep jobs.

Education

People with higher levels of education are more likely to be healthier and live longer.

Struggling in School

Children from low-income families, children with disabilities, and children who routinely experience forms of social discrimination—like bullying—are more likely to struggle with math and reading.

Graduation & Health Risks

They’re also less likely to graduate from high school or go to college. This means they’re less likely to get safe, high-paying jobs and more likely to have health problems like heart disease, diabetes, and depression.

Living in Poverty

In addition, some children live in places with poorly performing schools, and many families can’t afford to send their children to college. The stress of living in poverty can also affect children’s brain development, making it harder for them to do well in school.

Healthcare Access & Quality

Many people in the United States don’t get the healthcare services they need. About 1 in 10 people in the United States don’t have health insurance (reference below).

REFERENCE: Berchick, E.R., Hood, E., & Barnett, J.C. (2018). Health Insurance Coverage in the United States: 2017

Uninsured People

People without insurance are less likely to have a primary care provider, and they may not be able to afford the healthcare services and medications they need.

Strategies to Increase Coverage

Strategies to increase insurance coverage rates are critical for making sure more people get important healthcare services, like preventive care and treatment for chronic illnesses.

Preventative Care Hindrances

Sometimes people don’t get recommended healthcare services, like cancer screenings, because they don’t have a primary care provider. Other times, it’s because they live too far away from healthcare providers who offer them.

Neighborhood & Built Environment

The neighborhoods people live in have a major impact on their health and well-being (see reference below).

REFRENCE: Centers for Disease Control and Prevention. (2018).  Social Determinants of Health: Know What Affects Health

Environmental Impact

Many people in the United States live in neighborhoods with high rates of violence, unsafe air or water, and other health and safety risks. Racial/ethnic minorities and people with low incomes are more likely to live in places with these risks. In addition, some people are exposed to things at work that can harm their health, like secondhand smoke or loud noises.

Interventions Reduce Risks

Interventions can help reduce these health and safety risks and promote health. For example, providing opportunities for people to walk and bike in their communities — like by adding sidewalks and bike lanes — can increase safety and help improve health and quality of life.

Social & Community Context

People’s relationships and interactions with family, friends, co-workers, and community members can have a major impact on their health and well-being.

The Challenges

Many people face challenges and dangers they can’t control — like unsafe neighborhoods, discrimination, or trouble affording the things they need. This can have a negative impact on health and safety throughout life.

Positive Relationships

Positive relationships at home, at work, and in the community can help reduce these negative impacts. But some people — like children whose parents are in jail and adolescents who are bullied — often don’t get support from loved ones or others. Interventions to help people get the social and community support they need are critical for improving health and well-being.