Environmental and physical influences on health pertain to what?

The correct choice highlights the significant role that environmental and physical influences play in shaping an individual's health outcomes. This encompasses a wide range of factors in the external surroundings, including air and water quality, housing conditions, access to parks and recreational areas, and overall community layout. These elements can greatly affect health by determining exposure to environmental hazards, availability of nutritious food, opportunities for physical activity, and access to healthcare resources.

Focusing on external surroundings allows for a more holistic understanding of public health, recognizing that health does not solely rest on personal or genetic factors. This perspective aligns with the social determinants of health, which emphasize how one's environment influences health behaviors and outcomes.

The other options fail to capture this broader scope focused on the environmental aspect. Genetic predispositions and lifestyle choices are important, but they are just parts of a larger picture involving how the environment can directly or indirectly influence health. By centering on external surroundings, we gain critical insight into ways to improve public health through environmental changes and policy interventions.