A 34-year-old male client has been laid off from his job and has many unpaid bills. The client has been having thoughts of suicide but denies needing medical help and has reached out to his pastor for emotional support. The client does not have a primary healthcare provider because he has never been very sick. As a child, his caregivers did not have money to pay for healthcare provider visits, so this has never been a priority. The client is married and has a close network of friends through his church. ​Which external variables influence this client's current health practices?

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