SDOH (local, not global) The conditions in which we live, learn, work, and play are called social determinants of health (SDOH). It can be difficult to make healthy food choices and get enough physical activity if these conditions do not support health.Places such as childcare centers, schools, or communities affect eating patterns and activity through the foods and drinks they offer and the physical activity opportunities they provide. Other community factors that influence obesity include the affordability of healthy food options, peer and social supports, marketing and promotion, and policies that determine community design.