Changes in public awareness of the social determinants of health over 15 years in Wisconsin, United States

Objective: To investigate 15-year changes in public awareness of the social determinants of health (SDoH) between 2007 and 2023. Methods: A 2007 survey of 1172 Wisconsin, U.S. adults is compared to a 2023 survey of 1631 Wisconsin adults. In both surveys, respondents were asked to rate 16 factors reg...

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Main Authors: Stephanie A. Robert, Amy Yinan Liu
Format: Article
Language:English
Published: Elsevier 2025-02-01
Series:Preventive Medicine Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S221133552500004X
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author Stephanie A. Robert
Amy Yinan Liu
author_facet Stephanie A. Robert
Amy Yinan Liu
author_sort Stephanie A. Robert
collection DOAJ
description Objective: To investigate 15-year changes in public awareness of the social determinants of health (SDoH) between 2007 and 2023. Methods: A 2007 survey of 1172 Wisconsin, U.S. adults is compared to a 2023 survey of 1631 Wisconsin adults. In both surveys, respondents were asked to rate 16 factors regarding how strongly each impacts health. Regression analyses examine how demographic factors differentiate responses in both survey years. Results: In both 2007 and 2023, the four most highly rated factors affecting health were: personal health practices, stress, health insurance, and access to affordable health care. Between 2007 and 2023, there was little or no increase, and even some decrease, in endorsement of many social determinants of health like income, education, housing, and social support. Older adults, women, and those with lower income were generally more likely to endorse the SDoH in both years. Party identification was the demographic factor that most strongly differentiated responses, with Democrats rating more highly many of the social determinants of health than either Republicans or Independents in both years. This differentiation by party identification was even stronger in 2023 than 2007. Conclusions: Despite consistent research documenting the social determinants of health, growing health care and policy attention to the social determinants of health, and population exposure to a variety of social determinants during the COVID-19 pandemic, there is little or no increase in public recognition of the social determinants of health, and notable increasing partisan divides.
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spelling doaj-art-c08f691e6d554344859d36ce72d9e4182025-02-08T05:00:13ZengElsevierPreventive Medicine Reports2211-33552025-02-0150102965Changes in public awareness of the social determinants of health over 15 years in Wisconsin, United StatesStephanie A. Robert0Amy Yinan Liu1Corresponding author.; Sandra Rosenbaum School of Social Work, University of Wisconsin-Madison, 1350 University Avenue, Madison, WI 53706, USASandra Rosenbaum School of Social Work, University of Wisconsin-Madison, 1350 University Avenue, Madison, WI 53706, USAObjective: To investigate 15-year changes in public awareness of the social determinants of health (SDoH) between 2007 and 2023. Methods: A 2007 survey of 1172 Wisconsin, U.S. adults is compared to a 2023 survey of 1631 Wisconsin adults. In both surveys, respondents were asked to rate 16 factors regarding how strongly each impacts health. Regression analyses examine how demographic factors differentiate responses in both survey years. Results: In both 2007 and 2023, the four most highly rated factors affecting health were: personal health practices, stress, health insurance, and access to affordable health care. Between 2007 and 2023, there was little or no increase, and even some decrease, in endorsement of many social determinants of health like income, education, housing, and social support. Older adults, women, and those with lower income were generally more likely to endorse the SDoH in both years. Party identification was the demographic factor that most strongly differentiated responses, with Democrats rating more highly many of the social determinants of health than either Republicans or Independents in both years. This differentiation by party identification was even stronger in 2023 than 2007. Conclusions: Despite consistent research documenting the social determinants of health, growing health care and policy attention to the social determinants of health, and population exposure to a variety of social determinants during the COVID-19 pandemic, there is little or no increase in public recognition of the social determinants of health, and notable increasing partisan divides.http://www.sciencedirect.com/science/article/pii/S221133552500004XPublic opinionSocial determinants of healthHealth disparitiesHealth careSocioeconomic statusPolitical opinion
spellingShingle Stephanie A. Robert
Amy Yinan Liu
Changes in public awareness of the social determinants of health over 15 years in Wisconsin, United States
Preventive Medicine Reports
Public opinion
Social determinants of health
Health disparities
Health care
Socioeconomic status
Political opinion
title Changes in public awareness of the social determinants of health over 15 years in Wisconsin, United States
title_full Changes in public awareness of the social determinants of health over 15 years in Wisconsin, United States
title_fullStr Changes in public awareness of the social determinants of health over 15 years in Wisconsin, United States
title_full_unstemmed Changes in public awareness of the social determinants of health over 15 years in Wisconsin, United States
title_short Changes in public awareness of the social determinants of health over 15 years in Wisconsin, United States
title_sort changes in public awareness of the social determinants of health over 15 years in wisconsin united states
topic Public opinion
Social determinants of health
Health disparities
Health care
Socioeconomic status
Political opinion
url http://www.sciencedirect.com/science/article/pii/S221133552500004X
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