The Perspective of Social Determinants of Health (SDOH) for Diabetes Mellitus

Clinical practice for diabetes mellitus requires bio-psycho-social aspects. For continuing adequate health care, the perspective of social determinants of health (SDOH) has been recognized as indispensable intervention target for evaluating health equity. SDOH include socio-economic situation, neighbourhood and physical circumstance, food environment, health care, social context with social support capital and relationship. For contextual factors, American Diabetes Association (ADA) established the writing committee and reviewed the detail of SDOH. They included Healthy People 2020, Social Determinants of Health of WHO, the County Health Rankings Model and others. Thus, enough understanding of environmental and social factors would be necessary for diabetes.