Article Document Academic Article Information Content Entity Continuant Continuant Journal Article Entity Entity Generically Dependent Continuant 2025-05-08T02:48:44 RDF description of Socioeconomic milieu and culture: Forcing factors and the Most fundamental determinant of health - http://repository.healthpartners.com/individual/document-rn46016 Forcing factors Culture Socioeconomic milieu and culture: Forcing factors and the Most fundamental determinant of health Determinants of health Progress in Cardiovascular Diseases Population Health Complex systems 10.1016/j.pcad.2025.03.007 41492 public <p>We introduce the concept of forcing factors, analogous to risk factors for population-wide health outcomes, that are attributes of the physical, social, legal, economic, or cultural environment that are common to all people in an identified population and that promote or inhibit particular outcomes of health, wellness, and well-being. Examples include laws governing food or tobacco marketing, the built environment, and climate change. Culture also functions as a forcing factor of health outcomes. In contrast to past explanations of adverse health outcomes that have relied on cultural attributes of a specific sub-population, we draw on work of John McKinlay to make the point that it is the shared culture of a country or a region that influences health outcomes. Culture itself operates in a particular cultural context.<p> Social Determinants of Health 2025-03-31T21:26:45.114-05:00 23946 Population health document-rn46016 Adverse Effects