Definitions of health


© Yasser Anathallee

WHO definition of health (1948): "a complete state of physical, mental and social well being." This is nowadays considered utopian and unrealistic. Revised definition was considered.

WHO (1984): Health is seen as a resource for everyday life, not an object of living. It is a positive concept emphasising social and personal resources as well as physical capabilities. The extent to which an individual or (group of individuals) is able, on one hand to realise aspirations and satisfy needs, and on the other hand to change or cope with the environment.

Dimensions of health, adapted by Aggleton & Homans (1987) and Ewles & Simnett (1992) provide a realistic approach and include the following aspects:

Physical - mechanistic function of body

Mental - ability to think and make judgements

Emotional - recognise emotions such as fear, joy, grief and anger

Spiritual - ability to put into practice moral, religious or beliefs to achieve peace of mind

Sexual - acceptance and ability to achieve a satisfactory expression of one's sexuality

Societal - the basic infrastructure necessary for health, e.g. shelter, peace, food, income, a certain degree of integration or division within society

Environmental - physical environment includes housing, transport, sanitation, availability of clean water , pollution control

Social - the ability to make and maintain relationships with others

Descriptions of Health used by Cox et al. in "The Health and Lifestyle Survey" (1987). In this study, broad categories were used to define the health of the people interviewed. What is even more interesting is that the concepts were not selected beforehand and then imposed upon the data collected, but were derived from examination of the statements which the respondents offered. These were:

1) Health as not ill

2) Health as a reserve

3) Health as physical fitness

4) Health as energy or vitality

5) Health as social relationships

6) Health as function

7) Health as psycho-social well-being

Reference: Sarafino E.P. (1998) Health Psychology Biophysical Interactions 3rd Ed. John Wiley & Sons Inc. 4:97

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