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Personal, social, economic and environmental factors which affect health of the individual person are called health determinants. In this case study, mainly three social determinants like social factors, individual behavior and biology affects health of different individual in this case study. Carla couldn’t get proper education because her family was not educated. Hence, she couldn’t get job in the higher position. As, a result she was doing temporary jobs to meet the daily needs of her family. Build environment of the working place for her husband gave him head injury. Build environment is one of the physical components of social factor. Due to this factor, her husband got serious head injury and depression. Public transport is also one of the physical factors responsible for health related issues. Due to high cost of the public transport, Carla couldn’t visit her daughter and take care of her. This might lead to further detoriation of health of her daughter. Moreover, as she is pregnant, it can affect health of infant also (Marmot and Wilkinson, 2005; Toba et al., 2011). As, Carla and her husband were not educated, they couldn’t provide proper education to their children. Hence, their socio-economic status of living was low. People living in the low socio-economic level are low in functioning and quality of life. These people are not aware of the importance of hygiene and good health. As these people need to work, despite poor health to earn daily living for the family. It can lead to the further detoriation of the health.
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