Which item is not one of the five major domains of social determinants of health?

• A. Economic stability
• B. Education
• C. Genetic predisposition
• D. Neighborhood and built environment

Answer: (C)

Social determinants of health are the conditions in which people are born, grow, live, work, and age, and the major domains reflect those social and environmental factors: economic stability, education, health care access and quality, neighborhood and built environment, and social and community context. Genetic predisposition is a biological factor—an inherited risk for certain diseases—not a social or environmental condition shaped by society. Because the five domains focus on social, economic, and environmental influences, genetic predisposition does not fit as one of them. It’s the interaction of genetics with these social factors that can influence health outcomes, but genetics itself isn’t one of the social determinant domains.