Which of the following is NOT identified as a determinant of health in the material?

• A. Education
• B. Physical environments
• C. Biology/genetic dispositions
• D. Access to recreational facilities

Answer: (D)

Health determinants are the broad factors that shape how healthy people can be. In the material, education is highlighted because it influences health knowledge, attitudes, and choices; the physical environment is included because living conditions—housing quality, safety, pollution—directly affect exposure and well‑being; biology/genetic dispositions are acknowledged because inherent biological factors set baseline risk. Access to recreational facilities, while it can promote activity and well‑being, isn’t listed as a determinant in that material’s framework. It’s more of an environmental resource that can enable healthy behaviors, but the material doesn’t identify it as a standalone determinant category, so it isn’t identified as a determinant there.