ROOTT’s theoretical framework of the Web of Causation between structural and social determinants of health and wellness - 2016

"By only focusing on clinical and behavioral risk factors in individuals, we utilize a narrow purview that these risk factors experienced are due to actions of the individual rather than systemic and structural racism causing women to experience poor birth outcomes. In fact, it is the perception of Black families related to constructs such as poverty, education, housing instability, and race as a health risk factor that continues to validate the so called social determinants of health, rather than address the structural and institutional policies that have created them and therefore, the consequences of their impact."

​Jessica M. Roach, LPN, BA, MPH