Social determinants of health are the “causes behind the causes.” (The Conversation, 2012). Social determinants of health are conditions in the environments in which people are born, live, learn, work, paly, worship, and age which heavily influence our health we can achieve. Health starts in our homes, schools, workplaces, neighborhoods, and communities. We know that taking care of ourselves by eating well and staying active, not smoking, getting the recommended immunizations and screening tests, and seeing a doctor when we are sick all influence our health. Our health is also determined in part by access to social and economic opportunities; the resources and supports available in our homes, neighborhoods and communities; the quality of our schooling; the safety of our workplaces; the cleanliness of our water, food and air and the nature of our social interactions and relationships. Poor social and economic circumstances affect health throughout life. People further down the social ladder usually run at least twice the risks of serious illness and premature death as those near the top. Stressful circumstances, making people feel worried, anxious and unable to cope, are damaging to health and may lead to premature death. Social and psychological circumstances can cause long-term stress.