Here are some facts about Jasper’s life organized into a Social Determinants of Health Model.Reflect on how each of these factors may impact Jasper’s health:

  • Individual
  • Family
  • Economic Stability
  • Education
  • Environment
  • Health Care System


  • 15 years old
  • Transman
  • Bisexual
  • Black
  • Seasonal allergies
  • Family history of heart disease
  • Spiritual but not religious
  • 10th grade – Honors student
  • Plays on soccer and track teams


  • Single-Parent Family
  • Father not actively involved in Jasper’s life
  • Only child
  • Supportive extended family

Economic Stability

  • Renting a Duplex
  • Mother works two jobs to be able to pay bills
  • No child support from Jasper’s father
  • Mom has a savings account
  • Ample access to nutritious food


  • Attends high school with limited resources
  • Active in his school’s Gender and Sexuality Alliance student support group
  • Peer support at school
  • Bullying at school
  • Access to a gender inclusive bathroom only in the Nurse’s office.

Neighborhood and Physical Environment

  • Safe neighborhood
  • Limited access to public transportation
  • Local anti- LGBTQIA+ legislation being proposed
  • Limited structural support (e.g., not public gender inclusive bathrooms)
  • Fear of harassment in new or unfamiliar spaces

Health Care System

  • Has Medicaid
  • Not all providers and staff affirming at medical home  
  • Limited evening appointments