Where people live, work, learn and play has a greater impact on their health than medical care alone. Social and economic factors like income, education levels, discrimination, and neighborhood conditions influence health outcomes and lead to persistent health issues in America. However, improving social determinants like housing, schools, jobs and communities can create opportunities for healthier lives.

1. Health Equity Coalition

2. What Drives Health?Where we live, work, learn and play can have an impact on how long and well we live than medical care. The relationship between how we live our lives and the economic, social and physical environments that surround us has resulted in some of America’s most persistent health problems. At the same time, improving conditions in our homes, schools, workplaces and communities can help create greater opportunities for healthy lives.RWJ Commission to Build a Healthier America

3. “In countries at all levels of income, health and illness follow a social gradient: the lower the socioeconomic position, the worse the health status.”WHO Commission on Social Determinants of Health

5. Average Life ExpectancyYears of Life65.1 – 74.274.3 – 75.575.6 – 76.576.6 – 77.577.6 – 80.9Source: 2000 Community Health Status Report (HRSA)

6. Heart Disease Death Rates

7. Diabetes in AmericaAge-adjusted percentage of adults aged ≥20 years with diagnosed diabetes, 2007MMWR 58:1259-1263, 2009

8. Obesity Trends* Among U.S. AdultsBRFSS,1990, 1999, 2008(*BMI 30, or about 30 lbs. overweight for 5’4” person)199919902008No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

9. MissionThe mission of the Office of Health Equity in the Community Health Division is to assure that the burden and impact of diseases on vulnerable populations are acknowledged and addressed through research, advocacy, surveillance, education, training, and program development. The OHE will work to promote, protect and improve the health well-being of minority and under-served populations through the wide-ranging programs and policy initiatives.

10. More Than Health Care- Social Determinants of HealthIncome and Social Status/PovertyEducationEarly Childhood ExperienceSocial Support Networks/Social EnvironmentEmployment/Working conditionsHousingNeighborhoods/Communities/Physical EnvironmentCultureGenderChronic Stress/Racism/DiscriminationPersonal Health Behaviors and Coping SkillsHealth Services/Access to Care

11. Social and Physical Determinants of HealthWWHO Commission on Social Determinants of Health

12. Healthy People 2020Vision – A society in which all people live long, healthy livesOverarching goals:Eliminate preventable disease, disability, injury and premature death.Achieve health equity, eliminate disparities, and improve the health of all groups.Create social and physical environments that promote good health for all.Promote healthy development and healthy behaviors across every stage of life.