Effective Prevention in New Jersey

Social determinants of health (SDOH) are conditions in the places where people live, learn, work, and play that affect a wide range of health and quality-of-life-risks and outcomes. SDOH have a major impact on people’s health, well-being, and quality of life. Examples of SDOH include:

five overarching goals is specifically related to SDOH: “Create social, physical, and economic environments that promote attaining the full potential for health and well-being for all.” In line with this goal, Healthy People 2030 features many objectives related to SDOH. These objectives highlight the importance of “upstream” factors (previously mentioned in Section 2) - usually unrelated to health care delivery - in improving health and reducing health disparities. SDOH should be considered during the SPF process. Though some are not areas that your prevention strategies and programs will directly address, understanding the impact of SDOH on the risks of SUD will be important in identifying evidence-based prevention programs and interventions for your target populations.

Safe Housing, Neighborhoods & Transportation

Education, Job Opportunities & Income

Literacy Skills & Language

EXAMPLES OF SOCIAL DETERMINANTS OF HEALTH

Some tools for putting SDOH into action are listed here (and in the Resources section of this toolkit):

Best Practices User Guide: Health Equity https://www.cdc.gov/tobacco/stateandcommunity/best-practices-health-equity/index.htm Data Set Directory of Social Determinants of Health at the Local Level https://www.cdc.gov/dhdsp/docs/data_set_directory.pdf Essentials for Childhood https://www.cdc.gov/violenceprevention/pdf/essentials-for-childhood-framework508.pdf The Community Guide https://www.thecommunityguide.org/ Advancing Health Equity https://www.cdc.gov/nccdphp/dch/pdf/HealthEquityGuide.pdf Promoting Health Equity https://www.cdc.gov/nccdphp/dch/programs/healthycommunitiesprogram/tools/pdf/ sdoh-workbook.pdf Public Health Reports https://journals.sagepub.com/toc/phrg/128/6_suppl3

Access to Nutritious Foods & Physical Activity Opportunities

Violence, Racism & Discrimination

Polluted Water & Air

SDOH can contribute to wide health disparities and inequities. For example, structural racism has been linked to an increased risk of substance use and overdose. Poverty, adverse childhood experiences, intergenerational trauma, and intergenerational substance use are all social determinants of health influenced by structural racism. The health inequities experienced by communities of color, as a result of the social determinants of health and structural racism, result in overdose death disparities for communities of color. One of Healthy People 2030’s

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