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Thurston County, Washington

The content on the Thurston County website is currently provided in English. We are providing the “Translation” for approximately 10 languages. The goal of the translation is to provide visitors with limited English proficiency to access information on the website in other languages. The translations do not translate all types of documents, and it may not give you an exact translation all the time. The translations are made through an automated process, which may not result in accurate or precise translations, particularly of technical and legal terminology.

Board of County Commissioners


Health equity is the principle of ensuring that every individual has a fair and just opportunity to achieve their highest level of health. The report below explores the important distinction between health equity and health equality, highlighting why addressing health inequities is vital to creating healthier communities. It delves into how social drivers of health—such as income, education, housing, health behaviors, community support, and access to healthcare—vary widely across racial, ethnic, and geographic lines, leading to stark disparities in health outcomes.

Journey to Health Equity: Health Disparities within Thurston County 2026 Report

What Impacts Health Outcomes?  

The University of Wisconsin Population Health Institute Model of Health shows how the conditions in which people live, learn, work, and play directly influence overall health and well-being. These community conditions are shaped by societal rules, both written and unwritten, that determine which communities have access to the resources needed to thrive. As a result, factors such as safe housing, equitable education, stable employment, and access to community resources—commonly referred to as the social drivers of health (SDOH)—play a critical role in shaping health outcomes and quality of life. Together, these systems of power and policy are recognized as the structural determinants of health.

The 2025 University of Wisconsin Population Health Institute Model of Health shows us how power and societal rules create conditions that impact everyone’s health and the ways we can take action to change them. The model expands on the 2014 County Health Rankings Model of Health.
University of Wisconsin Population Health Institute Model of Health © 2025