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One other argument that may be made to incorporate social context into the medical mannequin is the truth that there may be an interplay between situations of life with health. Engel (1977) argues that the social system where people are positioned; the dwelling, working and cultural conditions, are health variables by themselves. They influence the time of the manifestation, the severity and the length of the diseases by interacting with the biochemical elements of the human physique. With growing awareness in the direction of life course epidemiology, more health professionals are realizing the impression of early, previous and present life experience in altering susceptibility” to varied diseases (Engel, 1977; Lindau et. al. 2003).
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