The factor that is having a negative influence on her health is the environment. The correct answer is D, environment.
Hernias are caused by a combination of muscle weakness and strain. Depending on its cause, a hernia can develop quickly or over a long period of time. some causes of muscle weakness would be like failure of the abdominal wall to close properly in the womb, which is a congenital defectagechronic coughingdamage from injury or surgery
check on little Darryl of coarse