Which of the following is NOT one of the five domains of social determinants of health (SDOH)?

• A. Healthcare access
• B. Education access
• C. Genetic predisposition
• D. Economic stability

Answer: (C)

Think about what counts as a social determinant of health versus a biological factor. Social determinants are the conditions people experience in society that influence health—things like the money they have and how secure it is (economic stability), the access and quality of education they can obtain, the ease with which they can get healthcare, the safety and resources of their neighborhoods, and the support and networks available in their communities.

Genetic predisposition is a biological factor, not a social condition shaped by policy, institutions, or daily life circumstances. It can influence disease risk, but it’s not classified as one of the social determinants. That’s why it’s the option that does not belong among the five domains. The other choices—economic stability, education access, and healthcare access and quality—fit clearly as domains of the SDOH.