Sometimes you need an interpreter when you talk to the specialist or nurse. The interpreter is often his son. She doesn't know what health services could improve to help her manage her health better. She would like them to explain things to her better. She also talked about how her old family doctor, who moved abroad, explained everything to her and scheduled her regular body checks. GP now doesn't really care and is lazy. Socioeconomic status, education, early life, and nutrition are implicated in the manifestation of Margaret's health problems. As a young person, he had a lower social economic status, so there was a lack of education about these health issues. He didn't know what foods not to overeat. Food security when he was younger was also an issue, he sometimes starved. I also don't know how important it is to exercise. Because he has lived in a different country for most of his life, political influences are also a social determinant that may have affected his health status. Social factors such as personal, family, community and national levels strongly influence adolescent health. (Viner, R, M. and so on… 2012) If health was not taken care of during young age, there would be many health complications when older. Chronic diseases such as coronary heart disease could be avoided by following a healthy diet and exercising, if Margaret had been educated about them when she was younger she could have avoided them