Assistant Professor, University of Tennessee Health Science Center, College of Nursing, Memphis, TN.
Member of ANNA's Leadership and Research Committees.
Nephrol Nurs J. 2021 Mar-Apr;48(2):131-145.
Social determinants of health (SDOH) are non-medical factors, such as socioeconomic status, education, neighborhood/physical environment, social network, employment, and access to health care, which can shape individuals' health and affect a wide range of health risks and outcomes. These social determinants of health and their associated health disparities and inequities are powerful predictors of mortality and morbidity. Chronic kidney disease disproportionally affects populations with relatively poor social determinants of health. Knowledge of social determinants, applying what one knows, and addressing the social, economic, and physical barriers to health can help improve individual and population health, reduce health disparities, and advance health equity.
健康的社会决定因素（SDOH）是非医疗因素，如社会经济地位、教育、邻里/物理环境、社会网络、就业和获得医疗保健，这些因素可以塑造个人的健康，并影响广泛的健康风险和结果。这些健康的社会决定因素及其相关的健康差异和不平等是死亡率和发病率的有力预测因素。慢性肾脏病不成比例地影响社会健康决定因素相对较差的人群。了解社会决定因素、应用所学知识以及解决健康的社会、经济和物质障碍，可以帮助改善个人和人群的健康，减少健康差异，促进健康公平。
