Four Dimensions of Health:
World Health
Organization defines health as....'a state of complete, physical, mental and
social well being and not merely the absence of disease or infirmity'. This
definition tells that, there are many paths to wellness that such as spiritual,
environmental, emotional and physical health. Ensuring that all aspects of
one’s health are functioning well will help him develop a better sense of
overall wellness. The term wellness can refer to a variety of conditions within
the body. While many people associate their wellness to their physical health
it can also be used to describe your environmental, mental, intellectual,
occupational, emotional or spiritual well‐being.
These different dimensions of health interact together to help determine one’s
full quality of life. Following are four major dimensions of health.
·
Physical
wellness can refer to any of the aspects that are needed to keep the body in
top condition. It is the ability of human body to function properly.
·
It is about the
Structure and function of the body: The body's capacity to carry out everyday
activities and be free from illness. It includes fitness, weight, body shape
and ability to recover from illness.
·
Consuming a
healthy diet and getting an adequate amount of exercise to build cardiovascular
health, endurance or flexibility are essential to this goal.
·
One is
responsible for his or her health care which means treating minor conditions
and consulting a professional to manage more serious conditions.
·
On the path to
good physical health, one should Monitor warning signs so one understand when
one’s body is not getting the nutrition it needs or establishing an unhealthy
state.
·
One’s physical
health helps to improve determination, self‐control
and self‐esteem. Sufficient amount of sleep, avoidance of
harmful substances like tobacco products, and annual physical exams are some of
the tips for maintain a good physical health.
·
An ideal health
numbers for conditions such as weight, cholesterol, blood pressure or blood
sugar etc.
·
This dimension
of health focuses on the importance of moderate daily physical activity, proper
nutrition, maintaining a healthy weight, getting recommended preventive
screenings (based on age, gender and health history) and managing conditions to
prevent them from getting worse.
·
Increasing
physical activity is one of the most effective ways to improve and maintain
your health. Research shows that physical activity lowers the risk for many
chronic conditions (e.g., diabetes, heart disease, obesity, bone and joint
problems, and cancer), improves mood and boosts energy. Engaging in physical
activities such as walking, bicycling or swimming with another person can
provide a framework for a friendship, as well as afford accountability for
physical wellness.
·
Building and
maintaining satisfying relationships comes naturally to us as we are social
animals. Being socially accepted is also connected to our emotional well‐being.
·
The ability to
make and maintain healthy relationships with other people.e.g. being able to
relate to parents, friends, teachers in a way that your community finds
acceptable.
·
It also includes
accepting social standards / norms of behavior, for instance, waiting in
queues, behaving appropriately at the cinema.
·
This dimension
of health focuses on the process of creating and maintaining healthy
relationships that provide support, such as from friends and family.
·
A joint Yale
University/University of Utah research study states, “The strongest evidence
that social support is related to health or disease comes from studies of large
populations demonstrating that social support or social networks are protective
against all‐cause mortality. It also appears that social support
is negatively associated with cardiovascular death and that it protects against
recurrent events and death among persons diagnosed with disease.”
·
Making time for
positive experiences with friends and family can build emotional reserves and
strengthen social connections for times of need.
·
Social wellness
is an ability to interact with people, respect yourself and others, develop
meaningful relationships and develop quality communication skills. This allows
you to establish a support system of family and friends.
·
Those with high
social wellness believe that it is important to
·
Live in harmony
with the environment and others.
·
Consider the
common welfare of the community over their own.
·
Develop
interdependent healthy relationships while developing healthy behavior.
·
Create a balance
between their community and the environment.
·
The social
dimension of health is made up of the cultural and social aspects of the
relationship between patients and health professionals. This relationship is a
social negotiation affected by beliefs, practices, interests, and power
dynamics. Communication within this relationship can have a powerful impact
upon health outcomes. The influence of this relationship upon health is not
limited to Western, allopathic, biomedical systems but is equally as important
in other medical systems throughout the world.
·
The stark fact
is that most disease on the planet is attributable to the social conditions in
which people live and work . The socially disadvantaged have less access to
health services, and get sicker and die earlier than the privileged. Despite
impressive technological advances in medicine, global health inequalities are
worsening.
·
Commonly
accepted social determinants of health[edit]
·
There is no
single definition of the social determinants of health, but there are
commonalities, and many governmental and non‐governmental
organizations recognize that there are social factors which impact the health
of individuals.
·
In 2003, the World
Health Organization (WHO) Europe suggested that the social determinants of
health included:
·
Social gradients
(life expectancy is shorter and disease is more common further down the social
ladder)
·
Stress
(including stress in the workplace)
·
Early childhood
development
·
Social exclusion
·
Unemployment
·
Social support
networks
·
Addiction
·
Availability of
healthy food
·
Availability of
healthy transportation
The WHO later developed
a Commission on Social Determinants of Health, which in 2008 published a report
entitled "Closing the Gap in a Generation". This report identified
two broad areas of social determinants of health that needed to be addressed.
The first area was dailyliving conditions,
which included healthy physical environments, fair employment and decentwork,
social protection across the lifespan, and access to health care. The second
major area
was distribution of power, money, and
resources, including equity in health programs, public financing of action on
the social determinants, economic inequalities, resource depletion, healthy
working conditions, gender equity, political empowerment, and a balance of
power and prosperity of nations.
The 2011 World Conference on Social Determinants of Health brought together delegations from 125 member states and resulted in the Rio Political Declaration on Social Determinants of Health. This declaration involved an affirmation that health inequities are unacceptable, and noted that these inequities arise from the societal conditions in which people are born, grow, live, work, and age, including early childhood development, education, economic status, employment and decent work, housing environment, and effective prevention and treatment of health problems.
The United States
Centers for Disease Control defines social determinants of health as "life‐ enhancing resources, such as food supply, housing,
economic and social relationships, transportation, education, and health care,
whose distribution across populations effectively determines length and quality
of life". These include access to care and resources such as food,
insurance coverage, income, housing, and transportation. Social determinants of
health influence health‐promoting behaviors,
and health equity among the population is not possible without equitable
distribution of social determinants among groups.
Woolf states, "The
degree to which social conditions affect health is illustrated by the
association between education and mortality rates". Reports in 2005
revealed the mortality rate was 206.3 per 100,000 for adults aged 25 to 64
years with little education beyond high school, but was twice as great (477.6
per 100,000) for those with only a high school education and 3 times as great
(650.4 per 100,000) for those less educated. Based on the data collected, the
social conditions such as education, income, and race were very much dependent
on one another, but these social conditions also apply independent health
influences.
Marmot and Bell found
that in wealthy countries, income and mortality are correlated as a marker of
relative position within society, and this relative position is related to
social conditions that are important for health including good early childhood
development, access to good quality education, rewarding work with some degree
of autonomy, decent housing, and a clean and safe living environment. The
social condition of autonomy, control, and empowerment turns are important
influences on health and disease, and individuals who lack social participation
and control over their lives are at a greater risk for heart disease and mental
illness.
Emotional wellness
focuses on ensuring that you are attentive to your feelings, thoughts and
behavior. This includes both positive and negative reactions, though overall
you should seek an
optimistic approach to
life, enjoying life in spite of occasional disappointment and adjust to change
and express your emotions appropriately.
This dimension of
health focuses on an awareness and acceptance of feelings and stressors.
Emotional well‐being includes the ability to manage your feelings
and related behaviors, the ability to cope effectively with stress, and the
adaptability to change. There are practical ways to enhance mood, build
resilience and improve your response to life’s challenges. Just as it requires
effort to build or maintain physical health, the same is necessary for
emotional health.
Emotions contribute to
almost all aspects of our life, at times, even setting course of actions.
Symptoms of emotional problems, such as hopelessness, depression, anxiety, and
even suicidal tendencies are not always easily detectable but can lead to dire
consequences.
Awareness and
acceptance of our strength and shortcomings is essential for our emotional well‐ being.
Spiritual wellness
involves discovering a set of beliefs and values that brings purpose to your
life.
While different groups
and individuals have a variety of beliefs regarding spiritualism but the
general search for meaning for our existence is considered essential to
creating harmony with yourself and others regardless of the path to
spirituality you choose to follow.
It is considered
healthier to find your own path to the meaning of life that allows you to be
tolerant of the beliefs of others and life a life that is consistent with your
beliefs.
However, these
dimensions interact and overlap. They also complement each other to form the
whole person. Similarly change in one dimension affect the other dimensions.
For example, a person who begins an exercise program to lose weight (physical)
may also improve his or her self‐esteem
(emotional). A college student studying philosophy to fulfill university
requirements (intellectual) may discover meaning in life, a purpose for living
(spiritual). When someone is ill (physically), he probably doesn’t feel like
spending time with his friends (social).
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