Chapter 6: Social Determinants of Health

Garcia, Rebecca (2022). Chapter 6: Social Determinants of Health. In: Gary, Faye A. and Lotas, Marylin J. eds. A Population Health Approach to Health Disparities for Nurses: Care of Vulnerable Populations. Springer, pp. 105–130.



This chapter presents the social determinants of health (SDOH) framework, sometimes referred to as the wider determinants of health. It helps readers to understand the factors that contribute to individual health outcomes. More than two decades ago, the World Health Organization (WHO) commissioned work on the SDOH, with their publication of “The Solid Facts” (Marmot & Wilkinson, 2003; Wilkinson & Marmot, 1998). Since then, there has been a growing body of health research supporting the SDOH framework, which helps explain health outcomes, and health inequalities in particular (Marmot et al., 2010; Marmot & Wilkinson, 2003; Marmot et al., 2020). This chapter draws on research into inequalities in perinatal mortality as evidenced in England.

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