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absence of disease activities age group Alameda County attitude body clinical concept of health define health definition of health developed disability elderly informants elderly persons emphasis environment explained factors feel focused framework Gerontological grounded theory health and aging health and illness health as perceived Health Belief Model health in terms health orientation health perception health promotion health services health status healthy functioning Herzlich income groups indicated individual integration investigator Laffrey limited living measures Medicare mental health mental properties Nursing Outlook nursing research Nursing Science nutrition one's participant observation participants patterns perception of health perspective physical and mental physical health physician preventive primarily promotion models questions reflected regard relationship reported responses role seemed single room occupancy social study data study findings study population study sample style sub-categories of health types of health University of California well-being woman women World Health Organization younger