One employee is confused by the term “determinants” and asks for clarification. You give a general definition, differentiating between downstream and upstream determinants, and provide the examples below. You ask them to identify which of the determinants below is the upstream determinant of not wearing sunscreen—the health behavior—for skin cancer prevention. They correctly select Having a family history of skin cancer Thinking there is no way you could get skin cancer Hating how sunscreen makes your skin feel Sunscreen not being available in local stores

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