Homelessness remains a problem in San Francisco because of the lack of affordable housing, incomes below subsistence levels, and behavioral, mental and physical problems (SFDPH).

Racial disparities are another social determinant of health (SFDPH, 2003). While White households in the subject State of the report earned more than $75,000, African-American and Latino households earned less than a quarter of that level. According to the California Budget Project, a family with 2 children needs to earn more than $50,000 to live in modest comfort in San Francisco. Transportation is another social determinant to health. Traffic and commuting safety, pollution by air or noise, social isolation or interaction, a substitute for exercise, and time pressure are among the ways transportation affects health. Tabulations show that most people in San Francisco traveled by car, truck or van alone (SFDPH).

According to the California Health Interview Survey conducted in 2001, about 28.8% strove to...
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