Which of the Following Best Describes How the Socioeconomic-Cultural Determinant

Which of the following best describes how the socioeconomic-cultural determinant relates to the other BIG GEMS determinants?

A) The socioeconomic-cultural determinant acts primarily on its own to directly produce disease.
B) The socioeconomic-cultural determinant often influences the actions of other determinants.
C) The socioeconomic-cultural determinant has little impact on the development of disease because it mainly affects the outcome of disease (death and disability) .
D) All of these are accurate statements.