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Individual behavior 40% Social & environmental 20% risk of premature deaths Genetics (30%) Health care 10% Unite State 17.1% on healthcare; twice UK...

Individual behavior 40% Social & environmental 20% risk of premature deaths Genetics (30%) Health care 10% Unite State 17.1% on healthcare; twice UK (8.8%) expensive medical technology According to higher healthcare and spend on Affordable Care Act medication prices of 2010 (ACA) Not more frequent doctor visits or hospital visits Americans have lowest life expectancy at birth > prevalence of chronic disease 20,500 genes 1% differ fro every human --> single gene mutation --> >10000 disorders Human genome individual's genome Genomics may genome of the disease agens targeted to (virus, genetic form of cancer) What eat, drink, smoke sexual, reproductive activity Individual behavior (5) fast you drive (motor vehicle) how long u sit on the couch --> play an significant role in determining  your longevity Decline in smoking, motor vehicle 1960-2010 life expectancy increased by 6.9 fatalities + heavy drinking many poeple, the choice to change from Social determinant on Increase in obesity, poisonings unhealthy to beneficial be behabior seem out health (SDH) (drug overdose), firearm deaths of their hand directly affect gang membership, air Social and health pollution, toxic exposure environmental factors other indirectedly = limiting or shaping access to resources of lifestyle options Economic Stability Neighborhood and Physical Environment --> Health outcomes: mortality, Five key morbidity, life Healthy People 2020: Education domains expectancy,healthcare Community and social expenditure,... context healthcare system Biological --> contribute Social to health outcomes Cultural behave in ways that are discordant sex + gender Gender nonconforming with their biological references Protective factor + race and a range of behavior associated with Transgender problems differences ethnicity making this change in: gender reassignment also takes hormones to support this age surgery change  sexually and romantically attracted environment Sexual orientation to persons of the same or opposite sex societal factor heterosexual opposite sex Kinsey describe bisexual members of either sex homosexual same sex women lives longers than men but experienced more illness or disability days XY genotype: necessary but not sufficient condition for hemophilia, prostate On average cancer and testiculae cancer XX: greater risk of breast and ovarian cancer health behaviors Sexual orientation health status indicator against selected access to health care Economic stability neighborhood and physical ennvironment education Social determinant food community and social context healthcare system