Focus Area: Social Determinants of Health

Breast Cancer Screening Change Package

The social determinants of health focus area includes tools and resources to inform and educate about “the non-medical factors that influence health outcomes. They are the conditions in which people are born, grow, work, live, and age, and the wider set of forces and systems shaping the conditions of daily life. These forces and systems include economic policies and systems, development agendas, social norms, social policies, racism, climate change, and political systems.”1

Focus area, change concept, change idea, tools and resources
  • Change concepts are “general notions that are useful for developing more specific strategies for changing a process.”2
  • Change ideas are evidence-based or practice-based “actionable, specific ideas or strategies.”2
  • Each change idea is linked to tools and resources that can be used or adapted to improve cancer screening.


  • Tools and resources with a symbol may contain some information that does not reflect the current US Preventive Services Task Force (USPSTF) recommendations for breast cancer screening.
  • Tools and resources with a symbol are patient resources.

See a list of acronyms used in this change package.

Change Concept: Develop screening programs and jurisdictional cancer control plans and initiatives.

Tools and Resources, by Change Idea

Use social determinants of health data and tools to identify populations of focus, priority structural factors, and the living conditions to address.
Select a social determinants of health conceptual framework to inform program planning and advance health equity.
Develop, plan, and evaluate a screening program.

Change Concept: Inform policies that can support cancer screening and treatment.

Tools and Resources, by Change Idea:

Inform individuals who may be eligible for Medicaid.
Educate about benefits and options for paid leave that may improve access to cancer screening and treatment.
Educate about broadband access to support telehealth.

Change Concept: Inform about the availability of health insurance coverage.

Tools and Resources, by Change Idea:

Educate individuals on health insurance coverage for recommended cancer screenings.
Educate individuals about the eligibility for safety net programs that may reduce out-of-pocket costs.

Change Concept: Support employee wellness.

Tools and Resources, by Change Idea:

Promote employee screening through education and screening events or initiatives in the workplace.


1Centers for Disease Control and Prevention. Social Determinants of Health at CDC. Accessed December 9, 2022.

2Centers for Disease Control and Prevention. Tobacco Cessation Change Package. Atlanta, GA: Centers for Disease Control and Prevention, U.S. Department of Health and Human Services; 2019.