The Obesity Rate in a Local Neighborhood Is Partially the Product

The obesity rate in a local neighborhood is partially the product of a limited access to full service grocery stores and a lack of dedicated safe venues for exercise. This is an example of issues related to the "upstream" determinants of public health that contribute to the ecology of a community's health "downstream." The PHN understands that upstream determinants include social relations, neighborhoods and communities, institutions, and ____.

A) Social and economic policies
B) Availability of medicine to treat disease
C) Tertiary nursing interventions
D) Increasing the number of primary care providers