The United States trails its peer developed countries in life expectancy and other health outcomes, despite spending more on healthcare. Some of this difference is due to genetics and behavior, but social factors are contributors, too, according to Dr. Sarah Gehlert, Dean of the University of South Carolina’s College of Social Work and Capital Rotary’s Dec. 5 guest speaker. Dr. Gehlert (at left in photo with Rotarian Katherine Anderson) said research shows genetics and behavior help determine about 70% of a person’s health risks and outcomes. The “social factors of health” – things like lifestyle and social stressors – can have an effect up to 15%. Dr. Gehlert said social factors helping men live longer include being married, participating in religious activities and being affiliated with clubs or similar organizations. For women, longevity social factors include being married, frequent social contact and taking part in religious activities. Dr. Gehlert in November received the Insley-Evans Public Health Social Worker of the Year award for her leadership, advocacy and commitment in focusing on social environmental influences on health. The award was presented in San Diego by the American Public Health Association.