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Table 1 Social determinants of health and descriptions of each determinant

From: Development of the health literacy on social determinants of health questionnaire in Japanese adults

 

Determinants

1.

The social gradient

 

Poor social and economic circumstances affect health throughout life.

2.

Early life

 

The health impact of early development and education lasts a lifetime.

3.

Social exclusion

 

Being excluded from the society and treated as less than equal leads to worse health.

4.

Work

 

Control over work leads to better health.

5.

Unemployment

 

Job security increases health, well-being, and job satisfaction.

6.

Social support

 

Less social and emotional support from others increases the likelihood of poor health.

7.

Social capital

 

The existence of trust, norms, and networks in communities or in wider societies helps protect people and their health.

8.

Addiction

 

Use of alcohol, drugs, and tobacco is influenced by wider social settings.

9.

Food

 

Global market forces control healthy food supply.

10.

Transport

 

Healthy transport means less driving and more walking and cycling and is supported by better public transport.