Individual Factors

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    By Caleb Fellowes Year 11 PDHPE 2012

    Individual factors:

    Definition: Individual factors are such as knowledge, skills, attitudes and genetics. They are

    those factors unique to each person that can determine their level of health. - Source 1

    Being able to acquire knowledge about health and learn about how to utilize health-relatedskills is a powerful determinant of a persons well being. This allows a person to distinguish

    health problems (in both others and themselves), make important choices involving

    behaviours and access health services when needed.

    Peoples health-related skills, attitudes towards health and their knowledge of health can

    influence their health/lifestyle behaviours. When people are informed about possible health

    risks towards themselves they can be much more effectively motivated to choose healthier

    lifestyle behaviours. For example, Tamika has easy access to the internet (via public libraries

    and such) and thus could be influenced to change her unhealthy lifestyle which includes little

    exercise and poor eating habits.

    Since in todays day and age it has been increasingly easier to access information

    electronically, (either through the internet, TV or other media available electronically), it has

    resulted in the general public now having even greater access to information about health and

    the effects of our lifestyle choices, especially with increased knowledge in the effects that our

    lifestyle choices have on our body, than ever before.

    However, despite even greater access to important information over the internet, many people

    still choose unhealthy lifestyle choices that can lower the state of their health and that of

    those around them. For example, Tamika has easy access to the internet yet she continues to

    eat meals with poor nutritional in the wrong proportions.

    Tamika left school in Year 10 and the reason for her doing this is unstated, however from the

    information provided it can be assumed that it was a personal choice. It could have been for a

    variety of reasons. Some of these possible reasons may be that she felt uncomfortable around

    other students because of her weight or her level of intelligence in regards to her grades and

    how well she was doing at school. Some of reasons may be that she was unmotivated to do

    well in her studies and school work which could have led to (or been a result of) her

    depression. Tamika also feels that no-one understands her. This indicates that she has poor

    social health and may have struggled to relate and feel comfortable around other students.

    This may have been another factor which influenced her to leave school before finishing year

    12. One final factor that could have influenced Tamika to leave school early is that she had to

    move houses many times in the past few years, this could have made it very hard to keep

    close friends in contact and perhaps made it hard for Tamika to stay focused on her studies if

    she was required to change school during those years.

    Tamika also chooses not to live with her mother, which, although not specifically mentioned,

    can be assumed is because Tamikas mother wants herto live a healthier lifestyle. Tamikas

    mother expects her to take responsibility for herself and her health. This may includeTamikas mother prompting her to eat healthier meals,exercise more, find a job, etc. All of

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    By Caleb Fellowes Year 11 PDHPE 2012

    this may have made Tamika experience self-consciousness because she is an adult now and

    should be able to take care of herself and not need a parent to look after her, however, she is

    also not taking responsibility for her own health/life and this has resulted in her being

    overweight, unemployed and unhealthy. Tamika has also been warned by her doctor that she

    has a risk of devolving diabetes if she does not change her lifestyle, which may have createdanxiety in Tamika, and thus lowering her mental health and feeling more pressure from her

    mother to prevent this disease and change her lifestyle.

    Tamika also suffers from depression. The reason for Tamikas depression is not specifically

    mentioned, however, it can be assumed that it is because she has poor health in several of her

    dimensions. These may include factors such as her being overweight (leading to less

    motivation, less energy and lower mental and social health as she may perceive herself as

    being ugly and unlovable), her poor diet, comfort eating, her unemployment (low sense of

    self worth), the fact that she has a higher rate of developing diabetes, low income, few

    support groups, etc. The result of her depression on her health is that she has poorer mental,social, and physical health and is constantly tired (fatigued) and has little motivation.

    Depression also causes Tamika to be less motivated to go back to school and get an

    education, find employment or start living a healthier lifestyle such as going on a diet or

    exercising more.

    Tamikas genetics dont really play much of a role in her life apart from the fact that she is a

    girl that is 21 years old. Any family history of i llnesses/diseases is not mentioned. Tamikas

    genetics are a non-modifiable health determinant because she has no control over them.

    Factors/Health Determinants from Individual Factors that are:

    Modifiable: Non-Modifiable:

    Weight (Physical Health) Age

    Left school in Year 10 (Mental Health) Gender

    Depression (Mental Health) Genetics

    Unmotivated (Mental Health) Family History

    Diet/Eating Habits (Physical Health) -

    Tamika has control over determinants such as her weight/physical health, her leaving school

    in Year 10, her depression, her little motivation, her eating habits. She has plenty of controlover here weight and eating habits as she can easily change her diet and lifestyle to that of a

    more active and healthier person. She also has control over her little motivation and

    depression but to a lesser extent and would be wise to seek help from a counsellor (or her

    mother) to assist her in gaining more control. Lastly, Tamika also has control over leaving

    Year 10 as she can simply go back to school/TAFE, however she has less control over this as

    going back to school may be expensive for her especially as she is currently unemployed. To

    overcome this she could perhaps get her mother to lend her some money to pay for school so

    that Tamika can get an education and have more improved skills to get a job. Another

    alternative would be for Tamika to get a part time job and use that money to pay for her ownschooling.

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    By Caleb Fellowes Year 11 PDHPE 2012

    Some people or groups that could provide support to Tamika are here mother, local GP, a

    counsellor , a personal trainer, online support groups such as au.Reachout.com which is an

    online depression support group, Centerlink, meditation expert etc.

    Tamikas mother is her easiest and most likely the most comfortableperson that she can go to

    for support. Tamikas mother already understands the majority of what Tamika is going

    through and cares deeply about her. Tamikas mother also expects Tamika to take

    responsibility for her life and so is already expecting that Tamika do something about her

    health and her economic status. However, since Tamika may need some starting advice as to

    how to turn her life around her mother could go withher to see their local GP and find out

    how Tamika should go about renewing her health. Tamikas mother can also provide

    financial support, somewhere to stay as well as someone to talk to.

    Another person that could provide support to Tamika could be a counsellor. Counsellors can

    be expensive but if Tamikas mother pays for a few sessions the results will be well worth it.

    Tamika need to get rid of here depression ASAP if she wants to turn her life around and start

    living a healthy lifestyle because as long as Tamika is feeling negative emotions she is going

    to constantly feel unmotivated and fatigued. This would also result in Tamika struggling to

    lose weight.

    A third option for a person to provide support for Tamika could be a personal trainer. A

    personal trainer could help Tamika to start getting into healthier dietary habits and start her

    on an exercise plan. The advantage of a person trainer oppose to dieting alone is that Tamika

    will getting ongoing support and encouragement and will be getting advice from a

    professional. Another advantage will be that getting Tamikas weight under control andeating a better diet is that it will contribute to her attitude and perspective positively. This will

    then help Tamika further in overcoming depression.

    There are also other support groups such as online depression helpers and healthy living

    groups that could/will contribute positively to Tamikas health. Some examples are

    au.Reachout.com and WeightWatchers. Both of these support groups could offer Tamika

    more positive encouragement and advice in losing weight, keeping a positive outlook on life

    and also help her in her fight of overcoming depression.

    Government agencies and support groups such as Centerlink could also help Tamika out infinding employment and receiving money to live off until she finds a well paying job (or

    returns to school/TAFE).

    Lastly, there are less vital yet still highly effective people Tamika can see which can help her

    get her life back in balance. Some examples of these people are online coaches, over the

    phone lifestyle/healthy eating coaches, mediation experts (online and offline). All of these

    people can offer services (some free of charge) to help Tamika optimize her health back to its

    higher and healthiest potential.

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    By Caleb Fellowes Year 11 PDHPE 2012

    Socio-cultural factors:

    Definition: Socio-cultural factors are family, peers, media, religion, culture, etc. They relate

    to society in which people live and the cultural practices and expectations that exist within

    these communities.Source 2

    The only family that Tamika has (which is mentioned) is her mother. Her mother is important

    because she is her parent, and parents are responsible for ensuring physical needs such as

    safe housing, food, clothing and medical requirements are met while also providing

    emotional support such as love and care source 3.

    Tamikas mother also plays an extremely important role in Tamikas life as the figure who is

    promoting good health and positively influencing (however effectively) to behave in ways

    that promote and protect Tamikas health.For example, if Tamika stays with her mother for a

    period of time and her mother makes three meals a day that contain a wide variety of

    nutritious foods in the appropriate amounts (a large breakfast and a small dinner before bed)

    then not only will Tamikas mother be ensuring Tamika eats properly but she will also be

    promoting in Tamika the importance of a healthy diet and all of its benefits.

    It is unstated whether or not Tamika has many peers; however it can be assumed that Tamika

    does at least have a few peers due to her moving schools several times and that she is 21

    years old. Due to Tamikas age it is possible that she may have her license and maybe even a

    car to drive around, because of this it would be possible for Tamika to visit her peers if she

    felt she wanted to. Regardless of this it can be assumes Tamika has few social groups which

    she can visit or talk to thus resulting in a desired need to feel accepted into society and a

    lowered social and mental health. Tamikas physical health is also lowered due to her having

    few social support groups as young people are often influenced by their peers. Therefore if

    Tamika has few social support groups she is less likely to be influenced positively, for

    example, if an individuals peers encourage health-enhancing behaviours (such as exercising

    regularly) then the individual gains increased physical health.

    The media plays an important role in shaping how we see ourselves, those around us and the

    world we live in. It is what influences our development, knowledge, socialization, values and

    opinions. It can also affect our mental and social health as the media affects the way we

    perceive ourselves in society. For example, an overweight and unemployed young adult mayfind it hard to fit into society as them feel they are not successful. It is unstated whether or not

    Tamika is influenced by the media, however it can be assumed that she is being somewhat

    negatively influenced by the media as she is suffering from depression (most likely due to her

    being overweight and then seeing skinny models on magazines and TV, etc ).

    Religion has many health-enhancing benefits, which all contribute to a sense of meaning and

    purpose in life, as well as a social support network and a clear moral code as to how we live

    our lives. Religion is very important as it strongly affects our spiritual health and the morals

    to which we live our lives. In Tamikas case it is unknown whether or not she is religious or

    follows a particular religion; however, based on the information at hand it can be assumedthat even if Tamika did follow a religion at the time that she is not a strong/devoted believer.

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    By Caleb Fellowes Year 11 PDHPE 2012

    Some reasons for this are that she is overweight and therefore not following any strict dietary

    guidelines and she is also suffering from depression and thus feels a low sense of self worth.

    Culture refers to the acceptable behaviour in a particular society or community. It is unstated

    as to what type of culture Tamika lives in and it is hard to determine whether or not she is

    affected strongly by it. Cultural factors can have both negative and positive influences on

    health. For example, in Australia, ethnicity may be in some instances be strongly related to

    low socio-economic status. Social exclusion and isolation affect the health status of some

    ethnic groups Source 4. Therefore it is possible, yet unlikely, that Tamika may find it hard

    to integrate into society because of her ethnicity (which is also unstated).

    Modifiable Non-Modifiable

    Peers (Social Health) Family

    Influence of Media (Social/Mental Health) Media

    Religion (Spiritual Health) Culture

    Tamika has control over her peers and how she relates to them, this may be difficult for her

    as she has moved houses several times and so has had few long terms relationships with

    people. Yet as Tamika starts to increase the levels of her physical (weight) and mental health

    (depression) she will be able to gain greater social health and be able to relate to people

    better, thus meaning she can make more friends, go out more, find a partner, etc. Tamika has

    little control over what is portrayed in the media, yet what she does have control over in

    regards to the media is how much she lets herself be influenced by it. For example, if Tamika

    reads all those magazines with skinny and tanned models in them then she may being

    influenced into thinking that is what she is supposed to look like and that there is something

    wrong with her. Whereas if Tamika sees those models and understands that not everybody

    looks like that in reality and that its ok to not be insanely skinny she will feel much better

    about herself and she will have an increased self-esteem.

    For Tamika to improve her social skills she can firstly try to get her physical and mental

    health in check and once thats done she should go out more, perhaps try go back to school

    (as both a way of getting an increase in her education/skills and improving her social skills),

    try reading some self-help books on socially and maybe even go on some speed dating

    courses, etc. As discussed previously Tamika cannot modify the media but shecan

    modifythe influence it has over her in terms of her health and body image. Lastly, if Tamika is

    seeking to fulfil all aspects of her health, including her spiritual health it would be a good

    idea to explore some religions/morals to understand the way that she wants to live her life.

    Tamikas mother could provide support in helping her to improve her social skills and help

    her to be happy with herself and her body and try to find some sort of spiritual enlightenment.

    This could be done by Tamikas mother taking her to church or such.

    Other people or groups that could help Tamika become more spiritually fulfilled are people

    who specialise in spiritual and new age healing or spiritual counselling. These people could

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    By Caleb Fellowes Year 11 PDHPE 2012

    help Tamika find fulfilment and inner peace which will increase and strength her spiritual,

    mental and emotional health.

    Socio-economic:

    Definition: Socio-economic factors relate to a persons levels of income, education and employment.

    Tamikas employment status (unemployed) is strongly related to her health status. Unemployed

    people have a higher mortality rate and more disability and illness than those who are employed. Lack

    of work can contribute to poor health in at least two ways: first, it reduces peoples ability to buy

    health-related goods and services; second, it can have strong psychological and social impacts, such

    as alienation, poor self-esteem and stigma associated with unemployment.

    Among people who are employed, there is a relationship between occupation and health. Generally,

    People working in manual and low-skilled jobs have poorer health, more disability and higher

    mortality than people in managerial/professional occupations. A large part of this inequality has been

    attributed to different levels of risk from exposure to physical hazards and to the psychological effectsof lower levels of control in ones job. Source 5

    Tamika is currently unemployed. (employment, education, income)

    Unemployment, left school in year 10, low income (centerlink, dole, government funding)

    Can go back to school or TAFE to study and get a better education to help her get a better income.

    Environmental Factors (geographical location, access to health services and technology)

    Large city, plenty of easy access to internet and GP.

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