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The social ecological-model can be referred to as a theory-based framework that helps in understanding, addressing and exploring the social factors act as determinants of health at many levels. This model suggests not to focus only on individual behavior rather, it encourages understanding the factors that influences health outcomes.
Narrated discussion component:
Factors that are responsible for influencing the metal and physical health status and wellbeing are interconnected and produce the results upon health all over (Keeler et al., 2019). For instance, an employed individual not just getting paid for leading a standard life style, they are also able to have a purpose for their lives. The social-ecological framework is applied to measure impacts of different factors upon health and wellbeing in the context of personal life.
It has been identified that personal or individual characteristics are responsible for influencing both the physical and mental health. For instance, as identified in the current context, I have developed trauma due to incidents of elder maltreatment at the childhood. Wold & Mittelmark, (2018) found a significant relationship between childhood trauma and development of anxiety related issues those impacts upon over all mental wellbeing. However, development of positive self image and effective self control may work as protecting factors for preventing harm upon the self esteem which is a major cause of being affected by depression or other related mental health issues. It is also identified that from the analysis of social factors that there was a peer influence upon me in involving in substance abuse. This may create serious negative impact upon physical health. For instance, continuation of the abuse might help cardiovascular disease grow.
Community characteristics have also been observed to have high impact upon the individual wellbeing. As a result of residing in remote areas, I have faced issues such as lack of access to the healthcare services. Issues such as hearing problem and running ear problems could not be effectively addressed due to which severe hearing impairment could take place (Victoria State Government, 2020). The socio-economic uncertainty reduced the likelihood of getting educational opportunity along with lowering the quality of life. As a result of this, chronic health conditions could be experienced by me. The lack of educational opportunity surely created uncertainty to my employment. However, there were some positive factors protecting such as increased employment opportunity due to persistence in achieving educational qualification which is indicative of better quality of life (Healthy People, 2020). For instance, proper housing and water supply can be ensured which will reduce the chances of negative impacts on physical and mental health. Enhanced standard of living will ensure better access to the effective healthcare service which will help mitigating health related issues at an earlier stage.
Another major factor that plays an important role in influencing the mental and physical wellbeing of an individual is relationship factors. As mentioned by Centers for Disease Control and Prevention (2020), as a social being human experience dynamic relationship with the people in surrounding environment. There are also some factors identified in the context of current study that includes inadequate treatment from the elders and childhood abuse. This could have serious impact upon the capacity to develop relationship with others. Apart from that violence in the neighborhood may also create difficulties in building trustworthy relationship with people. However, my innate characteristics of sociability have helped me to overcome these negative impacts of the mentioned risk factors. As I have effective social support, it will be helpful in managing the emotional turmoil faced in future.
Apart from relationship characteristics, societal characteristics are also required to be highlighted here as they also play a significant role in developing perceptual basis of the person. I had a lack of control over my home life due to which easily influenced towards substance abuse. However, I have been encouraged by some of the peers or friends to develop protective measure against health outcomes of substance abuse (McCormack et al., 2017). I have also involved in conducting research about how the issue can be handled in future. The substance abuse could result in serious health outcomes such as cardiovascular disease. In addition to this, I have started visiting local NGOs that are working with people suffering from substance dependence. I have continued interacting with them to gain insight about how the influence can be avoided and a healthy life style can be established.
Centers for Disease Control and Prevention, (2020). The Social-Ecological Model: A Framework for Prevention. Retrieved on 31 August 2020, from https://www.cdc.gov/violenceprevention/publichealthissue/social-ecologicalmodel.html
Healthy People, (2020). Determinants of Health. Retrieved on 31 August 2020, from https://www.healthypeople.gov/2020/about/foundation-health-measures/Determinants-of-Health
Keeler, B. L., Hamel, P., McPhearson, T., Hamann, M. H., Donahue, M. L., Prado, K. A. M., ... & Guerry, A. D. (2019). Social-ecological and technological factors moderate the value of urban nature. Nature Sustainability, 2(1), 29-38. Retrieved on 31 August 2020, from https://www.researchgate.net/profile/Timon_McPhearson/publication/330422804_Keeler_et_al_2019_Nature_Sustainability_Supplementary_Infopdf/data/5c3f490c92851c22a3799006/Keeler-et-al-2019-Nature-Sustainability-Supplementary-Info.pdf
McCormack, L., Thomas, V., Lewis, M. A., & Rudd, R. (2017). Improving low health literacy and patient engagement: a social ecological approach. Patient education and counseling, 100(1), 8-13. Retrieved on 31 August 2020, from https://www.researchgate.net/profile/Veronica_Thomas9/publication/304811963_Improving_Low_Health_Literacy_and_Patient_Engagement_A_Social_Ecological_Approach/links/5bed9e004585150b2bb9fc72/Improving-Low-Health-Literacy-and-Patient-Engagement-A-Social-Ecological-Approach.pdf
Victoria State Government, (2020). Wellbeing. Retrieved on 31 August 2020, from https://www.betterhealth.vic.gov.au/health/healthyliving/wellbeing
Wold, B., & Mittelmark, M. B. (2018). Health-promotion research over three decades: The social-ecological model and challenges in implementation of interventions. Scandinavian journal of public health, 46(20_suppl), 20-26. Retrieved on 31 August 2020, from https://journals.sagepub.com/doi/full/10.1177/1403494817743893
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