Efforts to improve health outcomes for individuals and groups must move away from placing the majority of the responsibility for health on the individual to creating contexts or environments that allow people and communities to thrive.  We refer to the factors outside of the individual that have an influence on an individual’s health as the social determinants of health.  We can influence the social determinants of health through efforts to change policies, systems, and environments (PSEs) that are standing in the way of individuals experiencing optimal health.

Cooperative Extension’s Framework for Health and Wellbeing