Health and mental health inequities are differences among groups created by underlying social, economic, geographic, political, and environmental factors that are systemic, avoidable—and therefore unjust and unfair. These underlying factors are called social determinants of health (SDOH). This report includes data updates from the 2023 report on key SDOH and mental health measures across the state and among marginalized groups through July 31, 2024. These data, which include 2014–2022 estimates from the California Health Interview Survey (CHIS), can be used to inform areas of action needed to improve the health and mental health disparities among Californians.

Findings: The patterns shown across multiple indicators underscore the structural barriers many of California’s groups that have been marginalized, particularly those who are racially marginalized, face to achieving optimal health. They also show that more work is needed to identify underlying drivers of these inequities to strengthen California’s commitment to achieving health equity through data-informed action.