22
Terminology Guide
Social
Determinants
of Health
The World Health Organization (WHO) defines social determinants of health as “the conditions in
which people are born, grow, work, live, and age, and the wider set of forces and systems shaping
the conditions of daily life. These forces and systems include economic policies and systems,
development agendas, social norms, social policies and political systems.” Examples of social
determinants of health include, but are not limited to: socioeconomic conditions, social norms and
attitudes, access to educational, economic, and job opportunities, access to health care services,
quality of education and job training, racial segregation, exposure to crime, violence, and social
disorder, language/literacy, and culture.
The social determinants of health are the most significant drivers of differences in health outcomes
(i.e., health disparities) and health inequities in the District of Columbia. Neighborhoods and
communities with poor social determinants indicators typically have the worst health outcomes.
Source: DC Department of Health. “DC Healthy People 2020 Framework” (2016)
https://dchealth.dc.gov/sites/default/files/dc/sites/doh/publication/attachments/FINAL%20DC%20HP2020%20
Framework%20Report%205-23-16.pdf
Targeted
Universalism
An analysis that alters the usual approach of universal strategies (policies that make no distinctions
among citizens’ status, such as universal health care) to achieve universal goals (improved health),
and instead suggests we use targeted strategies to reach universal goals. Targeted universalism is
used as a design principle within equity work in order to produce broad benefits for everyone.
Source: DOEE Racial Equity Impact Assessment Process Guide, 1st edition. Prepared by Kapwa Consulting, LLC.
White
Supremacy
A historically based, institutionally perpetuated system of exploitation and oppression of continents,
nations and peoples of color by white peoples and nations of the European continent; for the
purpose of maintaining and defending a system of wealth, power and privilege.
The idea (ideology) that white people and the ideas, thoughts, beliefs, and actions of white people
are superior to People of Color and their ideas, thoughts, beliefs, and actions. While most people
associate white supremacy with extremist groups like the Ku Klux Klan and the neo-Nazis, white
supremacy is ever present in our institutional and cultural assumptions that assign value, morality,
goodness, and humanity to the white group while casting people and communities of color as
worthless (“worth less”), immoral, bad, and inhuman and “”undeserving.”
Source: ICMA. “Glossary of Terms: Race, Equity and Social Justice”
https://icma.org/glossary-terms-race-equity-and-social-justice
“Vulnerable”
Populations
See also: “Overburdened”
Populations
Populations more susceptible to the adverse effects of environmental harms. These include groups
that public health experts whidely regard as physiologically vulnerable--children, the elderly,
pregnant individuals, and individuals with asthma or compromised immune systems. They also
include members of working-class, racially marginalized, immigrant, linguistically isolated, and
Native American communities, whose abilities to withstand and recover from environmental harms
are compromised by racist biases and violence, exclusion from medical and other social services,
fear of interacting with law enforcement, and other social factors.
Source: From the Inside Out: The Fight for Environmental Justice within Government Agencies by Jill Lindsey Harrison
(The MIT Press, 2019)