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SECTION 3 THE RURAL HEALTH LANDSCAPE CHAPTER 8 DETERMINING HEALTH Janie Dade Smith Copyright @ 2016. Elsevier. All rights reserved. When we wish upon a star it is often for good health, a long life and happiness. That is, of course, unless we wish for money, which improves all three considerably, as we are about to discover. There is a direct relationship between health and happiness. As in the Joni Mitch- ell song of 1970, often 'we don't know what we've got 'til it's gone' Most people still believe 'it won't happen to me' and that what they eat, drink and smoke will not affect their health, as illness only happens to other people. While this belief may be a comfort to soldiers at war, criminals and racing car drivers, it is also held by those whose behaviour increases their likelihood of sickness, accidents and early death (Lalonde, 1974). People holding these beliefs are found more often in