
In the world of public health, it’s no secret that social determinants of health have a huge impact on people’s health and well-being. And in the world of health communication (that’s our world!), we sometimes find ourselves explaining social determinants of health to our audiences.
Along the same lines, we’ve been paying close attention to an ongoing conversation about whether “social determinants of health” is even the right term to use. Specifically, the term “social drivers of health” has recently been gaining traction as a potentially more accurate alternative.
If you’re thinking that the change from “determinants” to “drivers” is a subtle one… well, you’d be right. But as health communicators, we know that even subtle changes can affect how people interpret what they read and hear — and what actions they take as a result. With this in mind, folks who are in favor of using “drivers” instead of “determinants” say those 2 very similar words communicate very different things. Here’s the gist of their argument:
“Social determinants of health” can indicate that people’s health has already been determined. Indeed, some research has shown that people didn’t like the word “determinants” because it implied they had no control over their own health and well-being. (Interestingly, people also tended to react negatively to the word “social,” but that’s a convo for another day.) What’s more, the implication that health outcomes are predetermined can inadvertently take the onus off of policymakers and people in power to make meaningful improvements to the policies and systems that create health inequities.
“Social drivers of health,” on the other hand, better expresses the idea that change is possible. In other words, social drivers of health most definitely influence health outcomes — but policymakers, communities, and individuals all have the ability to make positive changes to improve health and well-being.
It’s a reasonable argument, and some organizations (the Centers for Medicare and Medicaid Services, for example) have made the switch. Others (like the Centers for Disease Control and Prevention) seem to be sticking with “social determinants of health” for now. We’re also seeing lots of orgs using the 2 terms interchangeably.
As for us, we’re all for language evolving to be more clear, action-oriented, and (most importantly) aligned with people’s needs. We’ll be watching this conversation closely for sure!
The bottom line: Some public health professionals and organizations say “social determinants of health” can wrongly imply that people’s health has already been determined — and that “social drivers of health” is a better option. What do you think, dear readers? Send us your thoughts on “social determinants” vs. “social drivers” and let’s chat about it!
Copy/paste to share on social (and tag us!): Curious why some public health folks are using “social drivers of health” instead of “social determinants of health”? CommunicateHealth explains the reasoning behind the switch — and wants to hear from you: https://communicatehealth.com/wehearthealthliteracy/lets-talk-terminology-social-determinants-of-health-vs-social-drivers-of-health/ #SDOH #HealthComm







