Bob lives in a rural community and has to drive over 30 miles to get to the nearest primary care physician

Bob lives in a rural community and has to drive over 30 miles to get to the nearest primary care physician to treat his Type II diabetes. He also has unreliable transportation and cannot afford to fix his truck because he recently had to pay for a new air conditioning for his house. He therefore, misses his regular visits with his primary care physician. Which social determinant of health is likely to have the biggest impact on Bob’s Type II diabetes progression? Group of answer choices Interpersonal relationships Financial strain and access to healthcare services Transportation constraints Low healthcare literacy