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SDOH-1Resources to help guide the delivery of care and training provided as part of our goal to enhance the health of the public.

Northwest Area Health Education Center (AHEC) and the Office of Continuing Medical Education (OCME) have developed goals to enhance the health of the public by intentionally addressing Social Determinants of Health (SDOH) in these service lines.

  • Library Services / Information Technology
  • Continuing Professional Development
  • Graduate Medical Education
  • Health Careers and Workforce Diversity
  • Practice Support Services
  • Student and Preceptor Support
  • Community Partnerships/Collaborations


Helpful Resources

    1. Addressing Social Determinants of Health Through Medical-Legal Partnerships. Regenstein M, Trott J, Williamson A & Theiss J. (2018). Health Affairs. 37, 378-385. doi:10.1377/hlthaff.2017.1264, 10.1377/hlthaff.2017.1264.
    2. Addressing the Social Determinants of Health During the COVID-19 Pandemic. Sandhu, Sahil BS; Lemmon, Monica E.MD; Eisenson, Howard MD; Crowder, Carolyn MSW; Bettger, Janet prvu ScD. (2021). Family & Community Health.44(2), 78-80. Doi:10.1097/FCH.0000000000000290.
    3. Aunt Bertha Connecting People and Programs(n.d.). Retrieved November 21, 2023.
    4. Beyond Health Care: The Role of Social Determinants in Promoting Health and Health Equity, Samantha Artiga Follow @SArtiga2 on Twitter and Elizabeth Hinton Published: May 10, 2018. (2019, July 9). 
    5. Buying Health for North Carolinians: Addressing Nonmedical Drivers Of Health At Scale. Wortman Z, Tilson EC, Cohen MK. (2020). Health Aff (Millwood). 39(4):649-654. doi: 10.1377/hlthaff.2019.01583. PMID: 32250668. 
    6. Crisis Control. (n.d.) Retrieved November 21, 2023.
    7. Discrimination in the United States: Experiences of lesbian, gay, bisexual, transgender, and queer Americans. Casey LS, Reisner SL, Findling MG, Blendon RJ, Benson JM, Sayde JM, Miller C. Health Services Research. 2019 Dec;54 Suppl 2(Suppl 2):1454-1466. doi: 10.1111/1475-6773.13229. 
    8. Food Insecurity Screening in Primary Care: Patterns During the COVID-19 Pandemic by Encounter Modality.  Nguyen CJ, Gold R, Mohammed A, Krancari M, Hoopes M, Morrissey S, Buchwald D, Muller CJ. Am J Prev Med. 2023 Mar 23:S0749-3797(23)00151-4. doi: 10.1016/j.amepre.2023.03.014. Retrieved May 18, 2023.
    9. Healthy Lifestyle Behaviors: Nursing Considerations for Social Determinants of Health. Hirschey R, Tan K, Petermann VM, Leak Bryant A. Clinical Journal of Oncology Nursing. (2021) Oct 1;25(5):42-48. doi: 10.1188/21.CJON.S1.42-48. PMID: 34533530; PMCID: PMC8711028. Retrieved Aug 24, 2023.
    10. Medical-Legal Partnership in Western North Carolina: Addressing Social Determinants of Health Through Team-Based Care. Salter AS, Anderson GT, Gettinger J & Stigleman S. (2018). North Carolina Medical Journal, 79, 259-260. doi:10.18043/ncm.79.4.259, 10.18043/ncm.79.4.259.
    11. Monitoring health determinants with an equity focus: a key role in addressing social determinants, universal health coverage, and advancing the 2030 sustainable development agenda. Valentine NB, Koller TS & Hosseinpoor AR. (2016).Glob Health Action, Monitoring 34247. doi:10.3402/gha.v9.34247, 10.3402/gha.v9.34247
    12. NCCARE360 Building Connections for a Healthier North Carolina. (n.d.). The NC Resource Platform. Retrieved November 21, 2023.
    13. Role of hospitals in addressing social determinants of health: A groundwater approach. Dave G, Wolfe MK, Corbie-Smith G. (2021). Preventive Medicine Reports. 2021 Jan 8;21:101315. doi:10.1016/j.pmedr.2021.101315.eCollection 2021 Mar. PMID: 33505842
    14. Screening for Social Determinants of Health in Free and Charitable Clinics in North Carolina. J Health Care Poor Underserved. Palakshappa D, Scheerer M, Semelka CT, Foley KL. 2020;31(1):382-397. doi: 10.1353/hpu.2020.0029. PMID: 32037338
    15. Social Determinants of Health: Addressing Barriers Through Screening, Referrals, and Care Coordination. North Carolina Medical Journal, Moore K. 2019. Sep-Oct;80(5):306-311. doi: 10.18043/ncm.80.5.306. PMID: 31471516.
    16. Social Determinants of Health in Rural Communities Toolkit - RHIhub Toolkit.(n.d.). Retrieved November 21, 2023.
    17. Social determinants of health priorities of state Medicaid programs. Chisolm DJ, Brook DL, Applegate MS, Kelleher KJBMC Health Serv Res. 2019 Mar 14;19(1):167. doi: 10.1186/s12913-019-3977-5. PMID: 30871510; PMCID: PMC6419347.
    18. Social Determinants of Health. (n.d.). Healthy People. Retrieved May 19, 2023
    19. Social Determinants of Health. NCHHSTP. CDC. (2021, Sept 30). Retrieved November 21, 2023.
    20. Social Determinants of Health: Family Physicians' Leadership Role. American family physician, 99(8), 476–477. Sherin, K., Adebanjo, T., & Jani, A. (2019).
    21. Social Determinants of Health-Relevant History, A Call to Action, An Organization's Transformational Story, and What Can Employers Do? Osmick, JM & Wilson, M. (2020). Am J Health Promot. 34(2):219-224. doi: 10.1177/0890117119896122d. PMID: 31931600.
    22. Suburban Families' Experience with Food Insecurity Screening in Primary Care Practices. PediatricsPalakshappa, D., Doupnik, S., Vasan, A., Khan, S., Seifu, L., Feudtner, C., & Fiks, A. G. (2017). 140(1), e20170320. Retrieved May 19, 2023.
    23. Telehealth and food insecurity screenings: challenges and lessons learned. Bernhardt C, King C. Mhealth. 2022 Jan 20;8:10. doi: 10.21037/mhealth-21-31. PMID: 35178441; PMCID: PMC8800207.  
    24. The Future of Medical Coding for Social Determinants of Health: North Carolina Institute of Medicine. Lyda-McDonald, B. (n.d.). Retrieved November 21, 2023.
    25. The Medical-Legal Partnership Approach to Teaching Social Determinants of Health and Structural Competency in Residency Programs. Paul EG, Curran M & Tobin Tyler E. (2017). Academic Medicine, 92, 292-298. doi:10.1097/ACM.0000000000001494, 10.1097.
    26. The Relationship Between Social Determinants of Health and Racial Disparities in COVID-19 Mortality. Journal of Racial Ethnic Health Disparities. Dalsania AK, Fastiggi MJ, & Kahlam A. (2021) Jan 5:1–8. doi: 10.1007/s40615-020-00952-y. Epub ahead of print. PMID: 33403652.
    27. The Role of US Health Plans in Identifying and Addressing Social Determinants of Health: Rationale and Recommendations. Population health management, Heisler, M., Navathe, A., DeSalvo, K., & Volpp, K. (2019). 22(5), 371–373.
    28. Think Cultural Health. (n.d.) Retrieved November 21, 2023.
    29. Where Is "Family" in the Social Determinants of Health? Implications for Family Nursing Practice, Research, Education, and Policy. Deatrick JA. (2017).Journal of Family Nursing, 23, 423-433. doi:10.1177/1074840717735287, 10.1177/1074840717735287.
    30. World Health Organization. (2021). Social determinants of health. World Health Organization. Retrieved November 21, 2023
    31. Three Lessons About Diabetes and the Social Determinants of Health Diabetes Care. Berkowitz SA, Orr CJ.  2023 Sep 1;46(9):1587-1589. doi: 10.2337/dci23-0045. PMID: 37354315; PMCID: PMC10465981. Added November 21, 2023





Zipcode Resources

This resource list is intended to inform of SDOH, its impact on patients/clients, help guide the delivery of care and training provided.

Social determinants of health are conditions in the environments in which people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality-of-life outcomes and risks.

Healthy People 2020 approach to social determinants of health include the five key areas (determinants):

  • Economic Stability
  • Education
  • Social and Community Context
  • Access to Health Care
  • Neighborhood and Built Environment


Healthy People North Carolina 2030 -



Cultural competence is defined as the ability to understand, appreciate and interact with people from cultures or belief systems different from one's own.
Health disparity is a particular type of health difference that is closely linked with social, economic, and/or environmental disadvantage.
Health equity is the absence of avoidable or remediable differences, allowing for the attainment of optimal health for all people . Health equity is achieved when everyone has the opportunity to attain their full health potential and no one is disadvantaged because of socially determined circumstances.
Health inequities are unfair health differences closely linked to social, environmental, or economic disadvantages that adversely affect specific groups of people.


This resource list is not intended to be an exhaustive list of all resources as it relates to SDOH. 
For more information about Northwest AHEC and the OCME, please visit or call 336-713-7700


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