Social determinants of health (SDOH) are non-medical factors like housing, education, and social support that influence health outcomes. A wellness program should consider SDOH that impact health behaviors and access.
Option A (How often patients have moved in the last year): Mobility may affect continuity but is less directly tied to wellness program design compared to social support structures.
Option B (Average age of individuals in the community): Age is a demographic factor, not a primary SDOH, though it may inform program focus.
Option C (Types of patients' health insurance): Insurance affects access to care but is a secondary SDOH compared to social or environmental factors.
Option D (Percent of families with multigenerational households): This is the correct answer. The NAHQ CPHQ study guide states, “Social determinants like family structure, including multigenerational households, impact health by influencing support systems and resource access” (Domain 5). Multigenerational households may affect caregiving and wellness participation.
CPHQ Objective Reference: Domain 5: Population Health and Care Transitions, Objective 5.4, “Incorporate SDOH into health programs,” emphasizes social factors like family structure. The NAHQ study guide notes, “SDOH such as household composition are critical for tailoring wellness programs” (Domain 5).
Rationale: Multigenerational households directly influence health behaviors, making them a key SDOH for wellness program design, as per CPHQ’s population health principles.
[Reference: NAHQ CPHQ Study Guide, Domain 5: Population Health and Care Transitions, Objective 5.4., , ]
