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*Individual- mental and physical health, knowledge
-The experience of intimacy is a very individual experience that can be influenced by health status; hormonal changes, attitudes and mental health

*Microsystem- peers, caregivers
-Those with immediate contact to the elders may serve as educators, supporters, or influencers

*Mesosystem- interactions between elements of microsystem
-Ensure that communication is open and clear between all parts of the microsystem

*Exosystem- mass media, laws and policies
-The environment that may not have a direct connection with the individual (such as media or policies), but still impact intimate expression at the end of life

*Macrosystem- attitudes, ideologies
-The larger attitudes and ideologies that cultures/societies have of intimacy that shape opinions and thoughts of elders

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