Evaluating Social Determinants of Health Domains and Their Predictive Validity Within Black/African American and White Older Adults From the Active Trial.

Academic Article


  • OBJECTIVE: To assess domains of social determinants of health (SDoH) and their associations with cognition and quality of life. METHOD: This investigation uses baseline data from individuals participating in the ACTIVE trial (n = 2505) to reproduce the SDoH domains described in Healthy People 2030 (economic stability, health care, education, neighborhood and built environment, and social and community context). Results: Results support using data from the ACTIVE trial to assess all five SDoH domains, and the ability of the composites to predict baseline performance on measures of cognition and self-reported quality of life within a sample of older adults. Additionally, higher SDoH domain scores were associated with better functioning on composite measures of cognition and higher scores for mental and physical health-related quality of life with Access to Healthcare associated with all outcomes. Discussion: These findings can inform investigators interested in assessing multiple domains of SDoH and highlight the importance of access to health care within older Black/African American and White older adults.
  • Published In


  • cognition, health disparities, older adults, quality of life, social determinants of health
  • Digital Object Identifier (doi)

    Author List

  • Clay OJ; Ball KK; Wheeler KM; Crowe M; Marsiske M; Dean LT; Thorpe RJ; Jones R; Owens JH; Rebok GW
  • Start Page

  • 8982643221111205