Social Determinants of Health Fact or Fiction Game

Test your knowledge of the Social Determinants of Health (SDOH) with the questions below – place your mouse cursor over a card to reveal a Fact or Fiction statement and click on the ‘Answer’ button to learn more.

Fact or Fiction?

Social Determinants of Health

FACT OR FICTION

All information related to a person’s environment, situation, lifestyle and behaviors relates to their SDOH.

Answer

Fact or Fiction?

Social Determinants of Health

FACT OR FICTION

Socioeconomic data is only useful when matched with clinical data.

Answer

Fact or Fiction?

Social Determinants of Health

FACT OR FICTION
85% of what determines your health is genetic.

Answer

Fact or Fiction?

Social Determinants of Health

FACT OR FICTION

Not having access food can be just as detrimental to your health as having too much access to food.

Answer

Fact or Fiction?

Social Determinants of Health

FACT OR FICTION

Health behaviors are the most influential determinants of the SDOH.

Answer

Fact or Fiction?

Social Determinants of Health

FACT OR FICTION

There is a national standard for collecting and sharing social determinants of health data.

Answer

Fact or Fiction?

Social Determinants of Health

FACT OR FICTION

Social isolation is as risky to overall health as high blood pressure, obesity, lack of exercise or smoking.

Answer

Fact or Fiction?

Social Determinants of Health

FACT OR FICTION

SDOH can’t possibly have long-lasting impacts, across lifetimes and generations.

Answer

Fact or Fiction?

Social Determinants of Health

FACT OR FICTION

Increasing the number of home-delivered meals can save Medicaid and other health insurers a significant amount of money.

Answer

Fact or Fiction?

Social Determinants of Health

FACT OR FICTION

Having health insurance and access to care is the most important factor in good health.

Answer

Fact or Fiction?

Social Determinants of Health

FACT OR FICTION

The goals of health care and social services programs like Meals on Wheels are very different.

Answer

Fact or Fiction?

Social Determinants of Health

FACT OR FICTION

Transportation access challenges are the most influential determinant of a person’s health.

Answer

Fact or Fiction?

Social Determinants of Health

FACT OR FICTION

Senior nutrition programs can only address SDOH by addressing hunger and access to food.

Answer

Fact or Fiction?

Social Determinants of Health

FACT OR FICTION

Targeted, client-centered programs and interventions to address SDOH are all cost-prohibitive.

Answer

Answers & References


All information related to a person’s environment, situation, lifestyle and behaviors relates to their SDOH.

True. “Social determinants of health are conditions in the environments in which 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. Conditions (e.g., social, economic, and physical) in these various environments and settings (e.g., school, church, workplace, and neighborhood) have been referred to as “place.” In addition to the more material attributes of ‘place,’ the patterns of social engagement and sense of security and well-being are also affected by where people live.”

Healthy People 2020. Social Determinants of Health.↑ Return to Question


Socioeconomic data is only useful when matched with clinical data.

False. Socioeconomic data is useful on its own to help providers understand client needs and to identify the appropriate interventions to address their social determinants of health.

Lexis Nexis. Six Myths about Social Determinants of Health. ↑ Return to Question


85% of what determines your health is genetic.

False. Individual genetic characteristics account for 30% of the factors that determine our health. In fact, zip codes are more predictive of health than genetics.

Kaiser Family Foundation. Beyond Healthcare: The Role of Social Determinants in Promoting Health and Health Equity. ↑ Return to Question


Not having access food can be just as detrimental to your health as having too much access to food.

True. While food insecurity may seem like it is only about hunger, it is just as much about having access to healthy, affordable foods. Unsurprisingly, food insecurity can be associated with an increased risk for obesity as “eating less or skipping meals to stretch food budgets may result in overeating when food does become available”.

Food Research Action Center. Why Low-Income and Food Insecure People are Vulnerable to Poor Nutrition and Obesity. ↑ Return to Question


Health behaviors are the most influential determinants of the social determinants of health.

False. Although social and economic factors account for about 40% of health outcomes, health behaviors do not fall far behind, accounting for 30% of health outcomes. And, health behaviors are also often highly interconnected to one’s social and economic conditions.

Robert Wood Johnson Foundation. County Health Rankings & Roadmaps.↑ Return to Question


There is a national standard for collecting and sharing social determinants of health data.

False. There is no current national standard for collecting and sharing social determinants of health data. However, there is a lot of conversation and interest in such a standard.

Health Affairs Blog. An Evidence-Based Path Forward To Advance Social Determinants of Health Data. ↑ Return to Question


Social isolation is as risky to overall health as high blood pressure, obesity, lack of exercise or smoking.

True. Not only does social isolation present a similar risk to health as do these health conditions, but, it also increases the likelihood of experiencing these and other health conditions such as heart disease and stroke as well.

Campaign to End Loneliness. Threat to Health.↑ Return to Question


SDOH can’t possibly have long-lasting impacts, across lifetimes and generations.

True. Two areas of strong evidence for social determinants of healthare: (1) the impact of social (dis)advantage over the course of one’s life from early childhood experiences to adult health, and (2) the health of future generations. Upstream social determinants influence health at each life stage (childhood health, adult health, family health and wellbeing), with accumulating social (dis)advantage􀈱and health (dis)advantage over time – particularly as people age.

Rand Health. Understanding the Upstream Social Determinants of Health. ↑ Return to Question


Increasing the number of home-delivered meals can save Medicaid and other health insurers a significant amount of money.

True. “If every U.S. state in the lower 48 expanded the number of seniors receiving meals by just 1 percent, 1,722 more Medicaid recipients avoid living in a nursing home and most states would experience a net annual savings from implementing the expansion.”

Brown University. Meals For Seniors Could Save Some States Money.↑ Return to Question


Having health insurance and access to care is the most important factor in good health.

False. Although important, as a determinant of health, medical care is a necessary but insufficient factor in ensuring better health outcomes.

National Academy of Medicine. Social Determinants of Health 101 for Health Care: Plus Five ↑ Return to Question


The goals of health care and social services programs like Meals on Wheels are very different.

False. By partnering with community-based organizations (CBOs), providers can help individuals manage their chronic diseases and meet their often overlooked social needs.

Health Affairs Blog. How Community-Based Organizations Can Support Value-Driven Health Care. ↑ Return to Question


Transportation access challenges are the most influential determinant of a person’s health.

False. Housing, social services, geographical location, socioeconomic status, and education are some of the most common social determinants of health that have equal bearing on a person’s health and can also influence access to transportation.

Patient Engagement HIT. What Are The Top Common Social Determinants of Health.↑ Return to Question


Senior nutrition programs can only address social determinants of health by addressing hunger and access to food.

False. Senior nutrition programs can address isolation and barriers to physical safety in addition to addressing hunger and access to food. Research has shown that receiving home delivered meals reduces feelings of loneliness and decreases the likelihood of falling among clients who have fallen in the past.

Meals on Wheels America. More Than a Meal Pilot Research Study. ↑ Return to Question


Targeted, client-centered programs and interventions to address social determinants of health are all cost-prohibitive.

False. For example, nutrition programs, housing initiatives, and ride sharing partnerships are some of the ways providers are affordably reducing healthcare costs by addressing social determinants of health.

Revcycle Intelligence. How Addressing Social Determinants of Health Cuts Healthcare Costs. ↑ Return to Question