Well there are many words that can answer that. Is there a word box or hints towards the specific words? If not just say heavily.
The answer is D.
Nodal: denoting a point in a network or diagram at which lines or pathways intersect or branch.
Answer:
Social and environmental determinants of health are the full set of social and physical conditions in which people live and work, including socioeconomic, demographic, environmental and cultural factors, along with the health system. Socioeconomic and demographic determinant.
hope this helps!