Social and environmental determinants of health

Abstract Social and environmental factors play a key role in determining the health of an individual. This chapter describes such social and environmental determinants of health (SEDH). The historical context of this field is discussed, within both the healthcare and political landscapes, highlighting seminal meetings, statements, policy documents and the literature base. The topical examples of refugee health and the obesogenic environment are explored as examples of contemporary SEDH. The role of the general or family practitioner in tackling SEDH is considered, in particular their involvement in holistic individual care, advocacy, commissioning and collaborating with other organisations. Two case studies shall be outlined, noting the different levels at which interventions can be pitched in primary care.