健康的社会决定因素(SDH)指非临床上的可以影响患者健康的因素,如社会地位、经济状况及邻里资源等。WHO将其定义为人们出生、成长、工作、生活、衰老的环境,以及广义上的塑造这些日常生活条件的力量和系统。SDH与疾病发病率、死亡率及其他健康指标相关,且其对人群健康的影响大于医疗服务。但在医疗 Social determinants of health (SDH) refer to nonclinical factors that influence the health of a patient, such as social status, economic status and neighborhood resources. WHO defines it as the environment in which people are born, growing up, working, living and aging, as well as the forces and systems that shape these everyday living conditions in a broad sense. SDH is associated with disease morbidity, mortality and other health indicators and its impact on the health of the population is greater than that of medical services. But in medicine