The health and well-being of individuals is not only determined by their circumstances and their environment but also by their physical, mental, emotional, intellect and general contentment. These factors may include the neighbourhood where they live, the condition of their neighbourhood/environment which can also be linked with economic and education levels. Genetics and relationships with peers.
Income and social status – higher levels of both are linked with better health.
Spiritual – enriching life on a deeper level through religion, music, art.
Emotional – close bonds with family members and friends, happy memories and mementoes i.e. photographs.
Cultural – allowing the individual ta sense of what is normal to them by respecting their values and preferences
Religious – attending church or religious building belonging to their faith. Visits from their religious leader. Ability to celebrate religious festivals and/or celebrations, Easter/Christmas, Ramadan, Eid uk-Adha, Diwali, Yom Kippur for example. Having the ability to pray in a quiet place.
Social – the ability and opportunity to communicate with others and socialise with others and share in group experiences
Political – the ability to be involved in what is happening/could/should happen in their local area, and having their opinions respected
Physical – the ability to access and the use of health care services and facilities can help towards improved fitness which can supplement weight loss and therefore promote self-esteem.

Maslow’s Hierarchy of Needs 1943
A motivational theory in psychology comprising of a 5-tier pyramid of human needs. As one tier becomes ‘satisfactorily full’ the next tier then becomes available to fulfil. When all levels are filled satisfactorily – physical, mental, emotional, intellect – this is called ‘Self – Actualisation.

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