Social Drivers of Health in Diabetes

1. The social determinants of health (SDOH) are the conditions in the environment where people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality-of-life outcomes and risks.

a) True
b) False

2. Social risk factors are the conditions in the community and environment that create potential for people to experience adverse health impacts, such as food insecurity and housing instability.

a) True
b) False

3. American Indian/Alaska Natives experience a disproportionate impact on health outcomes due to many social determinants of health that have been influenced in the past, such as removal from tribal lands, boarding schools, and other assimilation efforts.

a) True
b) False

4. The following are considered different types of social determinants of health:

a) Education access and quality
b) Healthcare access and quality
c) Neighborhood and built environment
d) Economic stability
e) All of the above

5. Early childhood experiences, social inequality and social exclusion, security of access to food and water, stress, and the availability of and access to employment are among the social characteristics that have been shown to affect health outcomes for individuals and communities worldwide.

a) True
b) False

6. The Indian Health Service Indigenous Social Drivers of Health Framework include(s):

a) Early life experiences and environment
b) Connection to place
c) Social and community cohesion
d) All of the above

7. Toxic stress causes the glucocorticoid (GC) negative feedback loop to become dysfunctional, which in turn causes GC receptor resistance. Ultimately, the stress hormones and the immune system have a mediator response, causing compromised immunity and organ and tissue damage.

a) True
b) False

8. SDOH data is obtained from a variety of sources, including:

a) Health-related social needs assessment
b) Community health needs assessment
c) Contextual knowledge
d) All of the above

9. The goals of the Health and Human Services SDOH Action Plan include: improving access to health care services and fostering greater attention to referring patients with SDOH needs to community Partners; aligning cross-government approaches, support public-private partnerships, and leverage community engagement to address SDOH and enhance population health; and enhancing data infrastructure and utilization of acquired data.

a) True
b) False