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Table 2 SDOH domains and constructs

From: Social determinants of health and cancer screening implementation and outcomes in the USA: a systematic review protocol

Economic stability

Education access and quality

Healthcare access and quality

Neighborhood and built environment

Social and community context

• Debt

• Employment

• Expenses

• Food insecurity

• Housing instability

• Income

• Income support (e.g., Supplemental Nutrition Assistance Program (SNAP))

• Medical bills

• Poverty and concentrated poverty

• Community educational attainment

• Early childhood education

• High school graduation

• Higher education

• Language and literacy skills

• Vocational training

• Access to primary care

• Affordability

• Cost

• Financial toxicity of healthcare treatments

• Geographical access, proximity, and catchment area

• Health insurance coverage

• Health literacy

• Health policy

• Provider availability

• Provider linguistic and cultural competency

• Quality of care

• Telehealth, telemedicine, and mobile health

• Access to healthy foods to support healthy eating, food swamps, and food deserts

• Broadband, Internet, and Wi-Fi access

• Census tract

• Environmental conditions (e.g., air or water quality)

• Housing quality and pest infestation

• Parks and playgrounds

• Safety

• Transportation

• Walkability

• Adverse childhood experiences

• Bias

• Civic engagement and participation

• Community engagement

• Discriminationa

• Exposure to violence and trauma

• Incarceration and criminal justice system

• Racial and ethnic residential segregation

• Racisma

• Sense of community

• Social capital and networks

• Social cohesion and integration

• Social isolation

• Social support and support systems

• Social vulnerability

• Trust

  1. SDOH constructs were identified and arranged based on established frameworks and definitions from Healthy People [17], the Kaiser Family Foundation [22], the National Institutes of Health PhenX Toolkit [23], relevant literature [19], and expert input. aIn the Kaiser Family Foundation’s “Social and Economic Factors Drive Health Outcomes” model [22], discrimination and racism are positioned as underlying constructs that impact all SDOH domains