Social Determinants of Health


Social Determinants of Health are the economic and social conditions that influence individual and group differences in health status. These determinants include factors like socioeconomic status, education, neighborhood and physical environment, employment, and social support networks, as well as access to health care. Addressing social determinants of health has an important role in reducing both health disparities and health inequities.

Explore social determinants of health with the interactive County Profiles application. Map and visualize factors such as income, education, and employment status alongside each county's Medicaid enrollment statistics. Each county features an interactive infographic highlighting social vulnerability, rurality, and demographic profile. The interactive story “Exploring South Carolina’s Social Determinants of Health” provides strategic recommendations for achieving cost-effective optimal outcomes for the population by exploring the role health disparity, health equity, and social determinants of health play in health outcomes.


Profile of the Low-Income Uninsured in South Carolina

Data from the U.S. Census Bureau’s American Community Survey (ACS) reported that an estimated 549,000 (13%) South Carolinians aged 0-64 years were uninsured in 2020. Among those in poverty, below 138% of the Federal Poverty Level, an estimated 205,000 did not have health insurance coverage (21.7%). These are the low-income uninsured in South Carolina.

As a measure of income, the federal poverty level (FPL) is often used to determine eligibility for certain programs and benefits, including reduced-cost health coverage such as Medicaid and CHIP. Under the 2010 Patient Protection and Affordable Care Act (ACA), Medicaid eligibility was revised and expanded to cover low- and moderate-income residents, up to 138% of the Federal Poverty Level. States were allowed to either implement the expansion or opt out. In non-expansion states, uninsured individuals who would have otherwise been eligible for coverage under the new rules of the ACA remained ineligible and have been referred to as the “Medicaid coverage gap” or “gap population”.

Click below for an infographic (pdf) that reports the latest survey information about South Carolina’s gap population in 2020.

Click for a pdf of the SC Uninsured infographic