African American Population Epidemiology

Communities are sometimes largely unaware that social factors rather than medical ones, such as income, and employment status, shape our health. Our health is also determined by the health and social services we receive, and our ability to attain high education levels, food and safe housing, among other factors.

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As of 2014, North Carolina ranks as the 8th worst state for infant mortality in the United States with a slight improvement from holding the number one position in 1988. (Health Start Foundation, 2014) As infant mortality rate is broken down by demographics and ethnicity a clearer picture opens the doors of perception and explores preventative measures for this at risk population. African Americans represent 22% of North

In today’s society, there are many different factors that can contribute to one’s overall health and well-being. Since there are so many different factors that can affect one’s health, there are inequalities that exist among people and this is knows as health disparity. "Health disparities are differences in the incidence, prevalence, mortality, and burden of diseases and other adverse health conditions that exist among specific population groups in the United States” (Nhlbi.nih.gov, 2015). Health disparities can be associated with factors such as: socioeconomic status, education, gender, race, ethnicity, age, mental health, and religion. There are certain health problems that can affect different groups more than others, such as diabetes, obesity, heart disease, and HIV/AIDS (Surgeongeneral.gov, 2015). One example of a specific population in the United States that is affected by health disparities is the African American Population. While African Americans are affected by various health disparities, one that affects this population more prominently is heart disease.

“Compared with European Americans, African American infants experience disproportionately high rates of low birth weight (LBW) and preterm delivery and are more than twice as likely to die during their 1st year of life”(Giscombé, C. L., & Lobel, M., 2005). The infant mortality rate for African Americans is 13.7 deaths per 1000 live births, more than twice the rate (5.7) for White Americans in the U.S. (Kung, Hoyert, Xu, & Murphy, 2008). A lot of the racial disparity in infant mortality can be explained by low birthweight and preterm delivery, which are also disproportionately and often experienced by African Americans (Martin et al., 2007).

The socioeconomic status of African-Americans also plays an important part in the health disparity present in this minority group. According to the 2010 U.S. Census Bureau, the largest state population of African-Americans is seen in New York at 3.3 million. In 2000, it was estimated that 88% of the United States African-American population lived in Metropolitan areas. A 2007 article in California Law Review entitled Fast Food: Oppression through Poor Nutrition, very plainly points out that the location of most

Stanhope, M., & Lancaster, J. (2012). Public health nursing: Population-centered health care in the community (8th ed.). Maryland Heights, MO: Mosby Elsev

The American Medical Journal explains that the heart disease is one of the deadliest medical conditions. Medical experts reckon that heart disease is a lifestyle disease, which emanates from excessive consumption of the wrong dietary combination. Foods such as fats and carbohydrates often expose individuals to the threat of heart disease. Consuming fast foods from McDonalds also expose people to the threat of heart disease. The most plausible means of mitigating the risk of contacting heart disease is by observing dietary combination. Individuals must keep a balanced diet always in order to avoid dietary concerns later on in life. The most common symptoms include chest discomfort, nausea, trouble sleeping, breathing problems, and unusual tiredness.

The African American community, in contrast to the rest of Norco and Louisiana, is historically afflicted with higher rates of cancer and asthma related deaths (Margie 01:19:29:20 ), and more prone to birth defects (Wilma Subra 01:18:09:03 ). Closely related and contrastingly to this, the white community of Norco tends to have longer lifespans, and are apparently less affected by cancer and asthma (Sal 01:21:11:29 ). The film directly compares these two perspectives, layering them side by side chronologically. The film uses this comparison as evidence that the African American community’s close proximity to the Shell refinery is an environmental determinant to health. Furthermore, that geographic location and environment are factors directly affecting health.

This neighborhood is very culturally diverse and has a wide range of ages. There are both young and older families living in their neighborhood. Some aspects of the community that could affect resident's health are air pollution, aging populations, and noise disturbances. According to Health People 2020 leading health indicator for this population is environmental hazards. Some populations are disproportionately exposed to environmental hazards. As a result, health disparities exist. Exposures to environmental

Population health as a framework for examining health is not a new concept. Historically, epidemiologist have used this to formulate etiologies of disease by measuring variations within a population and the impact of environmental factors (Radzyminski, 2007). Governments have also applied this concept to the implementation of interventions geared at improving the health of nations (Radzyminski, 2007). Although the concept is not new, the term population health has only been recently defined and differentiated from the definitions of community health, public health, and population-focused care. This paper will discuss the current definition of population health, its impact on nursing practice, its relation to evidence-based practice, and the importance of interprofessional collaboration in the delivery of population health care.

The roal of public health nursing is to promote and protect the health of the population. This proactive approach does not limit their scope of practice to health concerns of individuals but also to developing and implementing programs and policies that help enhance the health of populations. The role of public health nurses is to focus on population centered care with the outcome of promoting health, preventing disability and disease, and improving the quality of life. An effective public health nurse is able to evaluate assessment data to define population diagnoses and set priorities accordingly. They can also serve as advocates for individuals and families in the population to develop policies, access resources, and protect their

Stanhope and Lancaster (2008) define vulnerable populations as “those defined at a greater risk for poor health status and health care access”(p.712). The role of a public health nurse in contrast to a vulnerable population is to establish interventions to help break the cycle of vulnerability thus aiding to eliminate health disparities within the population. The term “risk” helps public health nurses establish a person probability of something happening to them. This epidemiological term is used with the triangle of host, agent and environment in contrast to ones health within a population. The author will discuss vulnerability as discovered within a community based on surveying the community and establishing risk and interventions on the

In an effort to promote the health needs within a community, a successful community health nurse (CHN) must focus on the entire population. In order to accomplish this task, the CHN utilizes a scientific approach to determine the priority population focused health needs for the community. According to Nies & McEwen (2011), a population focus involving an assessment of the community is a primary tool utilized in order to develop planning, interventions, and evaluations for the community at large. The purpose of this paper is to determine a priority

Nies, M. A., & McEwen, M. (2015). Community/Public health nursing: Promoting the health of populations (6th ed.). St. Louis, MO: Saunders/Elsevier.