Tools for Putting Social Determinants of Health into Action

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Looking at SDOH data can help practitioners better recognize the root causes that affect population health. Moving from data to action, however, can be challenging. The following CDC tools and resources can help practitioners take action to address SDOH:

    • This report provides an overview of a technical assistance tool that explains key drivers of engaging CHWs in diabetes self-management education and support (DSMES) programs. It also describes three states that have done significant work in supporting the CHW workforce, including training, certification, and reimbursement initiatives as well as an illustrative example of one state’s efforts towards addressing each of the key drivers of engaging CHWs in DSME. A report on a Community Health Worker Forum explores issues related to developing a statewide infrastructure to promote long-term sustainability and financing of CHWs and provides a job aid to guide for incorporating CHWs into statewide structure (in English and Spanish).
  • Environmental Odors (Impact on Quality of Life)
    • Odors may affect quality of life and sense of well-being and can also affect entire communities. This website provides answers to common questions on odors and health, approaches for addressing odors in your community, information on reporting odors, methods for conducting odor complaint investigations, and ways for community members and other groups to be involved in odor management decisions.
  • EXHALE Technical Package to Control Asthma pdf icon
    • This package represents a group of strategies which, based on the best available evidence, can improve asthma control and reduce health care costs. It is intended as a resource to inform decision making in communities, organizations, and states. Multiple strategies in EXHALE can improve conditions in the places where people live, work, learn, play, and spend time. For example, reducing asthma triggers (e.g., through home visits or environmental policies or best practices) can improve conditions in homes, schools, workplaces, and other settings. Linkages and care coordination include connecting people with asthma to local support services that can improve housing conditions.
  • The Guide to Community Preventive Services external icon
    • The Guide to Community Preventive Services (The Community Guide) is a collection of evidence-based findings of the Community Preventive Services Task Force (CPSTF). The CPSTF conducts systematic reviews of intervention approaches across a wide range of public health topics, including health equity. Their most recent health equity reviewsexternal icon address the effectiveness and cost-effectiveness of educational and housing interventions to reduce health inequities affecting racial and ethnic minorities and low-income populations.
  • Health Equity Resource Toolkit for State Practitioners Addressing Obesity Disparities
    • The Health Equity Resource toolkit helps state health departments and partners work with communities to reduce obesity in populations experiencing health disparities. It helps the user learn how changes in policy, health systems, and environment can reduce obesity disparities and achieve health equity. The toolkit’s six-step process shows how to plan, implement, and evaluate a program. It also describes the Social Ecological Model, a useful conceptual framework.
  • A Practitioner’s Guide to Advancing Health Equitypdf icon
    • The Practitioner’s Guide to Advancing Health Equity can help public health practitioners reduce disparities in chronic diseases. It provides a collection of health equity considerations for policy, systems, and environmental improvement strategies focused on tobacco-free living, healthy food and beverages, and active living.
  • The Prevention Status Reports (PSRs)
    • The PSRs are a performance measurement system for all 50 states and the District of Columbia, that highlightthe status of policies and practices designed to address important public health problems and concerns. They are:  Alcohol-Related Harms; Food Safety; Healthcare-Associated Infections; Heart Disease and Stroke; HIV; Motor Vehicle Injuries; Nutrition, Physical Activity, and Obesity; Prescription Drug Overdose; Teen Pregnancy; and Tobacco Use.The PSRs examine the extent to which states are using evidence-based policies and practices, including social/structural determinants of health, to address our nation’s most pressing health concerns. A key benefit of the PSRs is that they take widely dispersed—and often hard-to-understand—information about state policies and practices and organize it into a simple, easy-to-use format. The PSRs can be used to assess a state’s status and identify areas for improvement.
  • Promoting Health Equity: A Resource to Help Communities Address Social Determinants of Healthpdf icon
    • The Promoting Health Equity workbook provides tools to develop, implement, and evaluate interventions that target SDOH.
  • Public Health Reports: Applying Social Determinants of Health to Public Health Practice external icon
    • This special issue of Public Health Reports  illustrates how public health professionals can address SDOH through activities that promote health equity among populations disproportionately affected by infectious and chronic diseases.
  • Public Health Reports: Data Systems and Social Determinants of Healthexternal icon
    • This special issue of Public Health Reports  focuses on how data can increase our understanding of SDOH. These articles describe ways to link national- and state-level surveillance data with data on labor, housing, and policy. Also, experts share their views on gender equity as a social determinant, use of public health law research to address SDOH, and psychosocial factors affecting health.
  • Public Health Reports: Social Determinants of Healthexternal icon (focus on HIV, Viral Hepatitis, STIs, and TB)
    • This special issue of Public Health Reports  applies a SDOH framework to the interrelated epidemics of HIV, viral hepatitis, sexually transmitted infections, and tuberculosis in the United States and globally.
  • School Health Guidelines to Promote Healthy Eating and Physical Activity
    • The School Health Guidelines provide a foundation for developing, implementing, and evaluating school-based healthy eating and physical activity policies and practices. Each of the nine guidelines is accompanied by a set of strategies developed to help schools reach their goals.
  • Soil Screening, Health, Outreach and Partnership (soilSHOP)
    • The soilSHOPs toolkit helps people learn if their soil is contaminated with lead, and how to reduce exposures to contaminated soil and produce. This toolkit helps communities and other groups plan their own soilSHOP events.
  • The Surgeon General’s Call to Action to Promote Healthy Homes external icon
    • This Call to Action  describes how people can protect themselves from disease, disability, and injury that may result from health hazards in their homes. Included are practical steps toward a society-wide, comprehensive, and coordinated approach that can create safe, healthy, affordable, and accessible homes for everyone.
  • Technical Packages for Violence Prevention
    • These technical packages help states, and communities take advantage of the best available evidence to prevent violence. Approaches require multi-level, multi-sector engagement to prevent violence. Each package is intended as a resource to guide and inform prevention decision-making in communities and states. The strategies and approaches in the technical package represent different levels of the social ecology with efforts intended to impact individual behaviors as well as the relationship, family, school, community, and societal factors that influence risk and protective factors for violence. Infographics for the violence technical packages provide a visual representation of what is in the technical packages.

For questions or additional information, email sdoh@cdc.gov.

Page last reviewed: August 19, 2020