Healthy People 2020 organizes the determinants of health around five key domains: economic stability, education, health and healthcare, neighborhood and built environment, and social and community context. Think about these domains as they apply to your own life. For each domain, reflect upon how your health has been impacted by your access to each one. For example, what is your social and community context like, and how has this context impacted your health? Remember to citations.


The determinants of health play a crucial role in shaping an individual’s overall well-being. Healthy People 2020, a national initiative in the United States, identifies five key domains that influence health outcomes: economic stability, education, health and healthcare, neighborhood and built environment, and social and community context. This essay will examine how these domains have affected my own health, providing a reflective analysis supported by relevant evidence and citations.

Economic Stability

Economic stability refers to the availability of resources and financial security, which can have a significant impact on health outcomes. Having a stable income and access to essential resources enables individuals to meet their basic needs and pursue a healthy lifestyle. In my case, growing up in a middle-class household provided me with a sense of financial security and access to essential resources. This economic stability enabled me to afford nutritious food, engage in regular physical activity, and avail healthcare services when needed. Studies have consistently shown a positive correlation between economic stability and health outcomes (Adler et al., 2016). For instance, individuals with higher incomes are more likely to have better access to healthcare, resulting in improved health outcomes.


Education plays a pivotal role in promoting health literacy, empowering individuals to make informed decisions about their well-being. Access to quality education equips individuals with knowledge and skills necessary to understand health information, engage in preventive behaviors, and navigate the complex healthcare system. In my own experience, pursuing higher education has expanded my understanding of health-related topics and empowered me to make informed choices regarding my health. For example, studying public health has provided me with a comprehensive understanding of various health issues and the importance of preventive measures. Research has consistently demonstrated the positive impact of education on health outcomes, including reduced mortality rates and healthier lifestyle choices (Mirowsky & Ross, 2003).

Health and Healthcare

The domain of health and healthcare encompasses access to healthcare services, preventive care, and overall health status. Access to affordable and quality healthcare services is critical in maintaining and improving health. Throughout my life, I have been fortunate to have access to comprehensive healthcare services, including regular check-ups, vaccinations, and prompt medical attention when needed. This access to healthcare has played a significant role in promoting my overall well-being. Studies have highlighted the importance of healthcare access in preventing and managing diseases, reducing mortality rates, and improving overall health outcomes (Starfield et al., 2005).

Neighborhood and Built Environment

The neighborhood and built environment domain involves the physical surroundings in which individuals live, including factors such as air quality, access to parks and green spaces, availability of healthy food options, and safety. Growing up in a safe and well-maintained neighborhood with access to parks and recreational facilities has positively influenced my health. These amenities have enabled me to engage in physical activities and enjoy the benefits of a clean and healthy environment. Research has consistently demonstrated the impact of the built environment on health outcomes, including the association between access to green spaces and improved mental health (Mitchell & Popham, 2008).

Social and Community Context

The social and community context domain encompasses social networks, social support, and community engagement. The relationships we form and the support we receive from others have a profound impact on our well-being. In my own life, having a strong social support network consisting of friends and family members has been instrumental in maintaining my mental and emotional health. Studies have consistently shown that individuals with stronger social connections and support systems have better mental and physical health outcomes (Holt-Lunstad et al., 2010). Additionally, community engagement and participation in social activities have been associated with improved well-being and decreased risk of chronic diseases (Barr et al., 2015).


The five domains of health identified by Healthy People 2020 – economic stability, education, health and healthcare, neighborhood and built environment, and social and community context – have all impacted my health in various ways. Economic stability and access to resources have enabled me to lead a healthy lifestyle, pursue education, and afford healthcare services. Education has empowered me with health literacy and the ability to make informed decisions. Access to comprehensive healthcare services has played a pivotal role in maintaining and improving my health. A safe and well-maintained built environment has provided opportunities for physical activities and access to a healthy environment. Lastly, a strong social support network and community engagement have positively influenced my mental and emotional well-being. Understanding the influence of these domains on individual health is crucial for promoting health equity and developing targeted interventions to improve health outcomes for all individuals.