During the 1980s and 1990s there has been a growing swing away from seeing lifestyle risks as the root cause of poor health. While lifestyles factors still remain important, health is being viewed also in terms of the social, economic and environmental contexts in which people live. This broad approach to health is called the socio-ecological view of health. It was endorsed at the first International Conference of Health Promotion held in 1986, Ottawa. People from 38 countries attended the meeting and reached an agreement about the creation of health. It is clear from their agreement that the creation of health is about much more than encouraging healthy individual behaviors and lifestyles and providing appropriate medical care. It must include addressing issues as poverty, pollution, urbanization, natural resource depletion, social alienation and poor working conditions. The social, economical and environmental contexts which contribute to the creation of health do not operate separately or independently of each other. Rather, they are interacting and interdependent, and it is the complex interrelationships between them which determine the conditions that promote them.
47. In which year did the World Health Organization define health in terms of mental, physical and social wellbeing?
48. ______ benefited most from the healthy lifestyles approach to health.
49. The approach to health during the 1970s included the introduction of health ______ programs.
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