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230 Philosophical Foundations of Health Education

FIGURE 21.1 An Ecologic Model of Health and Disease. Example of

favorable and unfavorable dynamic, interacting hereditary, environmental,

and personal ecologic factors and conditions that are determinants of the

levels of health and disease on a continuum

HUMAN ECOLOGIC INTERACTION

EPIDEMIOLOGY

HEREDITARY FACTORS

MENTAL HEALTH

OPTIMAL

HEALTH

PHYSICAL FITNESS

ENVIRONMENTAL FACTORS

SPIRITUAL FAITH

EPIDEMIOLOGY

PERSONAL

FACTORS

UNFAVORABLE ECOLOGIC FACTORS FAVORABLE

GOOD HEREDITY AND ENVIRONMENT

HEALTHFUL, SAFE LIVING

ADEQUATE MEDICAL CARE

OPTIMAL NUTRITION AND EXERCISE

SATISFYING WORK AND RECREATION

REFRESHING REST AND SLEEP

LIFE SPACE, FREEDOM, PRIVACY

CHALLENGES, RISKS, COMMITMENTS

POOR HEREDITY

POOR ENVIRONMENT

LACK OF COMMITMENTS AND VALUES

PSYCHOGENEIC-EMOTIONAL FACTORS

UNHEALTHFUL BEHAVIOR

LOW-LIVING STANDARD

INADEQUATE MEDICAL CARE

ENDOGENOUS FACTORS

NEOPLASMS

HEALTH

WELLNESS

MINOR

ILLNESS

MAJOR

ILLNESS

CRITICAL

ILLNESS

DEATH

PERSONAL-SOCIAL FULFILLMENT

LOVE, HOPE, FAITH, SHARING

SELF-REGULATION AND HOMEOSTASIS

OPTIMAL GROWTH AND DEVELOPMENT

HETEROSEXUAL ADJUSTMENT

RESISTANCE TO DISEASE AND AGING

EMOTIONAL MATURITY

FUN, HUMOR, ENJOYMENT

DEFICIENCIES AND EXCESSES

DEPRIVATIONS

NOXIOUS AGENTS AND ALLERGENS

STRESSORS AND STRESS

RADIATION HAZARDS

PATHOGENEIC ORGANISMS

ACCIDENTS AND TRAUMATIC INJURIES

PATHOLOGIC CONDITIONS

AGING AND SENESCENCE

FAVORABLE

ECOLOGIC FACTORS

UNFAVORABLE

Source: H. S. Hoyman. (1971). Human ecology and health education II. Journal of School Health, 41(10),

p. 540. (Adapted in part from Our Modern Concept of Health, by H. S. Hoyman. Courtesy of the American

School Health Association.)

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