b'GREATER MONADNOCK COMMUNITY HEALTH IMPROVEMENT PLAN 2015-2018 III.DETERMINANTS OF HEALTH Thefactorsthatshapeanddeterminehealtharemultifacetedand Healthbeginswherewelive,learn,workandplay. ofteninvolveanarrayofeconomic,environmentalandsocial Opportunitiesforhealthstartathome,inourconditions.The circumstances in which people are born, grow up, live, neighborhoods and work places.And all people - regardlesswork and age, as well as the systems put in place to deal with illness haveanimpactonindividualhealthandwell-being.These ofbackground,educationormoney-shouldhavethecircumstances,whichareshapedandinfluencedbyeconomics, chance to make choices that lead to a long and healthy life. policies, programs and other aspects of our social structure, can vary significantly among communities and individuals depending on factors -Robert Wood Johnson Foundationsuchasincome,exposuretocrimeandviolence,socialsupport structures, education, access to health care,transportation options, etc. Source: Dahlgren G, Whitehead M (1991) Policies and Strategies to Promote Social Equity in Health, Institute of Futures Studies: Stockholm 9'