This document discusses the social determinants of coronary heart disease. It states that health is influenced by both social and physical environmental factors as well as individual factors like genetics. Lower socioeconomic status is associated with higher risk of coronary heart disease due to issues like poorer nutrition, less exercise, smoking, and lack of access to healthcare. Poverty can negatively impact multiple stages of disease from exposure to risk factors to ability to manage the disease. The document presents a logic model showing how social determinants like low socioeconomic status and related issues like obesity, smoking, and lack of social support can contribute to the development and outcomes of coronary heart disease.