Which of the following is NOT a social determinant influencing levels of chronic illness?

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Chronic illness is significantly influenced by various social determinants, which include factors such as socioeconomic status, access to healthcare services, and education level. These determinants impact the overall health outcomes of individuals and populations by shaping their living conditions, healthcare access, and health-related decisions.

Delirium, however, is an acute, often reversible medical condition characterized by confusion and cognitive changes, generally stemming from underlying physical causes such as infections, metabolic imbalances, or medication effects. It is not a determinant of health in the same way that socioeconomic status, access to healthcare, and education level are. Instead, delirium is a clinical manifestation that may arise in patients with chronic illnesses or those who are in healthcare settings. Therefore, it does not function as a social determinant that systematically influences levels of chronic illness in the way that the other options do. This distinction underscores the importance of understanding the differences between chronic health conditions and the social factors that affect health outcomes.

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