Sociodemographic Characteristics Distinguished From Social Determinants of Health


To the Editor We appreciate the commentary from Kemper et al,1 who raise 2 points that we would like to clarify. The commenters stress the importance of differentiating between social risk factors and sociodemographic characteristics and note that researchers should be careful not to equate social determinants of health (SDOH) with membership in a minoritized racial or ethnic group. For those reasons, our study2 distinguished between the sociodemographic characteristics, including race and ethnicity, and the SDOH that we included in our analyses. Although we mistakenly referred to race and ethnicity as an SDOH along with other factors in one sentence, in the subsequent methods, results, and discussion sections, we differentiated between SDOH and sociodemographic characteristics, such as race and ethnicity. We agree with—and would like to underscore here—Kemper and colleagues’ statement that “racism, rather than race, is one of the main SDOH that drives disparities in wealth and power and leads to inequities in health outcomes.”1


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