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Wellness is growing market in the United States. McKinsey and Company estimates the spend on wellness products and services to exceed $450 billion in the United States and to grow at more than five percent annually.1 Despite this impressive growth, wellness products and services are falling short of meeting many consumers’ wellness needs.2 Those who feel least satisfied with what wellness has to offer yearn for a more holistic approach to wellness, with a need for more products and services that address sleep and mindfulness concerns.3 Arguably at the heart of these more holistic approaches, particularly those that can improve sleep and mental wellbeing, is factoring into wellbeing an individual’s relationships, culture, physical environment, and socioeconomic conditions. After all, if a person is living in an abusive relationship, a dangerous neighborhood, facing discrimination, or breathing toxic air, then no amount of individual behavior change will achieve full wellbeing for that person. In healthcare parlance, these factors are labeled “Social Determinants of Health” or SDOH. This article aims to promote incorporating Advance Care Planning (ACP) into health promotion work. ACP can serve as a tool and framework to engage in broader discussions about an individual’s social and structural drivers of health. By looking beyond individual behavior and starting the ACP discussion, health promotion professionals can tackle SDOH thereby making health promotion efforts more effective.

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American Journal of Health Promotion