THERE ARE FOUR MAJOR DIMENSIONS OF HEALTH

1)Physical,
2)Mental,
3)Social,
4)Spiritual dimension.
Other sub- dimensions of health are;
Emotional,vocational,philosophical,cultural,socioeconomic,
Environmental,educational,nutritional and also curative and
Preventive dimensions.

PHYSICAL DIMENSION

It is the physiological norms in harmony with each other and
providing an optimal sense of well being to the individual concern.
This depends on the ‘NORMAL' values of an individual depending on
age,sex, race and other relevant factors.
Assessment of the physical dimension of health can be done both at
the individual and community level by using various clinical,
laboratory,epidemiological and other tools.

MENTAL DIMENSION

It is not only free from mental illness,but also includes a state of
balance between individual and the surrounding world.It is also a
harmonious relation between the individual and his community
in which he\she lives.
Mental dimension also includes the relation between the individual
and his\ her physical,social,economic and spiritual environment.
Freedom from internal conflict,optimal adjustment with family and
community,self control and actualization and ability to cope with
day to day problems of life and living.

SOCIAL DIMENSIONS

Human being can not live alone.He is along with his family, society,
and his surroundings.
His health also concerned with the health of the community and
society.Social well-being influences well-being of the individual.
Individual health also related with the positive material environment,
which is related to financial,economic and residential matters,as
well as with the degree of positive human environment.

SPRITUAL DIMENSIONS

Worldly life and the life there after and their inter –relation
ship. Thus a spiritual dimensions has played an important role in
fashioning human life both as an individual and as a member of
his or her family and society.
The spiritual dimensions includes human integrity, adherence to
ethics and principles,an effort to understand the meaning and
purpose of human existence.

DETERMINANTS OF HEALTH
It is mainly dependent mainly on two sets of factors;

**One set is governed by his\her genetic constitutions.
**Other set is determined by his\her environment.
SOME OF THE MAJOR DETERMINANTS ARE GIVEN BELOW
GENETIC FACTOR
Genetic make up always influences the health of an individual.
It is known that a number of diseases are of genetic origin.
Genetic diseases are chromosomal abnormalities,errors of metabolism,
mental retardation,some varieties of diabetes,hypertension,even cancer.
Certain diseases are common in people of specific racial origin,
e.g.thallasaemia.
ENVIRONMENTAL FACTOR
The environmental factors includes physical,biological and
psychological components.
Occupation, housing,water supply,basic sanitation,psychological stress,
family life,family structure,socio economic support system including
education,health and social well-fare services.

Above all factors are influencing the individual and community health
In different way and different degree.
** LIFE STYLE **
Life style actually reflects a series of social values,attitudes,activities
influenced by social, cultural,behavioral and religious environment.
C.H.D. hypertension,diabetes,lung cancer,drug abuse and alcoholism
are often associated with factors related to life style.
In developing countries like Bangladesh traditional life style shaped by
poverty, ignorance and superstition,leading to lack of nutrition,
inadequate housing and sanitation,poor water supply, lack of personal
hygiene etc.are the major cause of disease and death.
SOCIAL, ECONOMIC AND POLITICAL FACTORS
These are the well-known factors influencing health and development
of a country and nation.
Economic status determines its purchasing power,standard of living,
quality of life and family size as well as the adequacy of health services.
All of which directly influence the patter of disease and health status.
Increase in G.N.P.always influences C.H.D.,diabetes, cancer,obesity.

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