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For centuries, epidemiologists have affirmed the association between social conditions, environmental factors, and health. Not until recent years has serious attention been given to the importance of social determinants in shaping health. In this article we provide a framework for understanding how social determinants influence health. The findings demonstrate connections between social conditions, environmental factors, and policy with relevance to health disparities, health equity, and social justice. Finally, we examine the challenges associated with understanding the social determinants of health and offer a model for nurse practitioners to translate knowledge into effective action for change. |
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