Social Determinants of Health: A Quick Reference Guide for State Offices of Rural Health and State and Territorial Health Officials

There are many factors which influence the health of people living and working in rural America: access to care, genetics, relationships with friends and family, environment, and a wide variety of social determinants of health. While the focus of many rural health programs is on the delivery of healthcare services, research has shown that 20 percent of an individual’s health is attributed to healthcare, 30 percent to health behaviors, and the remaining 50 percent related to socioeconomic or environmental factors.

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