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Individuals of higher income levels often have private insurance that allows them to see a physician on a regular basis. These individuals are able to prevent many diseases before they exacerbate. They often eat low fat diets or plant based diets. They are educated on their nutritional health and often make better choices when choosing the different types foods to eat. Due to their income, they can afford to eat healthy food and make healthy food choices. Even though these individuals may be predisposed to certain diseases, their diets prevent them from becoming prevalent in their lives. Due to the individual’s socioeconomic status they make enough money that they don’t stress about the necessities in life. These individuals live in areas such as Roswell, Johns Creek. Alpharetta, Buckhead, Kennesaw, and Stockbridge. Individuals of a poor economic status have limited access to healthcare. These individuals often have Medicaid, Medicare, or no health insurance at all. They often eat diets that are high in fat. Individuals of poor economic status aren’t often educated about eating healthy. They often eat unhealthy because it is too expensive to eat healthy. These individuals often receive government subsidiaries such as WIC and SNAP benefits for themselves and their children. There aren’t many healthy food stores if any at all in these neighborhoods. Stores such as Whole Foods, Sprout, and Trader Joe’s aren’t located in poverty stricken communities because the individuals can’t afford the prices. It is a disadvantage that the grocery chains in the neighborhood don’t offer the resident a healthier option. Individuals of poor economic status often fight chronic illnesses such as high blood pressure, diabetes, cardiovascular disease, and often cancer. They often live sedentary lifestyles that contribute to these diseases. They eat diets that are high in red meats one that contributes to

In the documentary film “Fed Up”, sugar and the sweeteners in our food or beverages is featured to be the prime ingredient that is making the most of our adolescents obese. It tells of a few families struggling with obesity, and how these families have been trying to do everything they can to help their children lose weight. It shows what kind of food that they are eating at home and the weight problem that most of the family is struggling with. The food that is being served at schools and also the thousands of products that contain sugar, everywhere groceries are bought; sugar is the main cause for obesity. It tells that low wage earners have no choice, but to buy unhealthy food, because healthier food cost more. “The bottom line: cheap, unhealthy foods mixed with a sedentary lifestyle has made obesity the new normal in America. There is no single, simple answer to explain the obesity patterns in America, says Walter Willett, who chairs the department of nutrition at the Harvard School of Public Health” article in the U. S. News. Although it does cost more, a school of public health wrote in an article, “While healthier diets did cost more, the difference was smaller than many people might have expected. Over the course of a year, $1.50/day more for eating a healthy diet would increase food costs for one person by about $550 per year. On the other hand, this price difference is very small in comparison to the economic costs of diet-related chronic diseases, which would be

Diabetes (DM) is one the many initiatives that Healthy People 2020 have been focusing on to reduce this disease morbidity and mortality rates throughout the communities. In the United States alone, the number of individuals diagnosed with diabetes has increased from 1.5 million in 1958 to 25.8 million in 2011. The Center for Disease and prevention (CDC) also estimates in the year 2011, 79 million people age 20 and over were noted to have pre-diabetes, in which the blood sugar was higher than normal levels, however, have not reached the level for a diagnosis of DM. Eleven percent of those individuals with pre-diabetic readings of raised blood glucose will progress in full blown diabetes a matter of three years. Healthy People 2020 have used evidence –based practices to aid in the prevention and treatment of diabetes. Evidence have shown by simply modifying one’s lifestyle such regular exercising and healthy eating have been recognized to effectively prevent or delay the onset of type 2 diabetes in high-risk persons. Case in point, the Diabetes Prevention Program research trial revealed that the utilization of lifestyle interferences had its utmost impact in elderly adults and was also effective in all racial groups.

A proponderance of statistics derived from scholarly sources corroborates the notion that minorities who have a low socioeconomic position or have an significantly low income suffers many atrocious health disparities this includes obesity, diabetes and cardiovascular diseases thus projecting a direct correlation between the two variables. In addition, minorities, specifically African-Americans that live in low income neighborhoods have less access to fresh, healthy and organic foods. In particular, supermarkets are sparse in their area and sometimes is not within walking distance or within the vicinity of their homes. On the flipside, these neighborhoods have the highest levels of fast-food restaurants and convenient stores. These barriers

Individuals who live in low-income areas have to rely heavily on fast food and cheap food from convenience stores because it is the only food close and affordable to them. People in poor neighborhoods are, “Confronted with a high concentration of poor diet choices” and, “End up eating a less healthy diet” because, “Few markets” offer, “Fresh fruit and vegetables” (Cortright 1). Even if

However, this can be hard to promote if a community such as Germantown experiences such health disparities that puts them at risk for chronic illnesses such as diabetes, hypertension, and obesity, all of which could be preventable. Therefore, as nurses we can intervene and plan ways to improve the health of Germantown in the most realistic way possible. The nursing intervention to help try and eliminate the health disparity of knowledge deficit related to nutritious foods primarily focuses on education, as it is a primary means of impacting change. Our intervention would be implemented through an educational program at multiple community locations such as school or churches. The program would consist of weekly meetings discussing the characteristics of a healthy diet, how to read food labels correctly, picking the right food choices based on the options available in the community, and informing the participants about the impacts nutrition has on health such as obesity, heart disease, and diabetes. Each session would encompass pre-briefing followed by demonstration of healthy food recipes and then a debriefing to reiterate the importance of that session. Through education, we hope to impact more people of Germantown to use the public transportation to shop at the local farmer's market or supermarkets and have a positive change in their health. Therefore, there shall be a decreased incidence in obesity, hypertension, and diabetes and increase in the community’s knowledge about obtaining nutritional

(2004) in which surveillance of two communities, East Harlem (low economic status, predominantly minority) and Upper East Harlem (high economic status, mostly whites), was performed. The research purpose was to determine the availability and cost of healthy food for people with diabetes within these communities. Five food items that are recommended for people with diabetes were chosen and placed in different stores within the two communities. The stores that they were placed in was bodegas and large supermarkets, which was licensed as certified markets by the state of NY. The nutrition value of the food, the cost, cultural acceptability and how ease and quickness of identifying the item on the store's shelves were taken into account. The surveyor's job was to document if at least one or more item out of the five was present in the stores. The results were tally individually, then collectively. The comparisons between the individuals and the group findings were made to alleviate discrepancies. Before noting any discrepancies, a reliability test was performed. The X2 test was used to verify the different of the prevalence of desirable and undesirable based on neighborhood and store sizes. A store was rated desirable it has one out of five of the item and undesirable if it did not have

Most of the individuals living with Type 2 Diabetes in these low income areas know they have to eat healthier foods in order to control the illness and reduce the risk of getting worse, but they are often confounded by the distance they had to travel in order to buy the healthier foods from the health market, unaffordable prices of buying a healthier nutritious food, and the means of travel to get to the market. Chaufan, Davis, & Constantino (2011), noted that disproportionate risk is caused by living conditions, because living conditions are not natural facts but rather the product of policy decision distributing societal benefits and burdens. The prevalence of Type 2 Diabetes health and lifestyle education programs can be useful in

A public health issue that my South El Monte neighborhood faces is diabetes can potentially affect everyone including high school students. One factor contributing to diabetes is that my high school only requires two years of P.E. Once the P.E requirement is fulfilled students will not want to exercise regular. Another factor is club organization and student’s store sell unhealthy snacks to students such as gummy worms, pizza, and soda. Students purchase the snacks because they’re hungry and there is no other ways to obtain healthy food for a low price. The reason, students lack transportation to go buy healthy food afterschool.

What kind of policies might help alleviate these conditions? After watching “Bad Sugar”, it is increasingly clear that conditions that lead to poor health and diseases, such as diabetes, must be acknowledged and corrected. Examining the cause of the prevalent disease is the first step in decreasing the occurrence across generations. Policies implemented must focus on education, if outcomes are expected to change. Knowledge is power, and in order to promote compliance, all must be educated about health promotions and disease

WellCare Health Plans, Inc. partnered with Microclinics International (MCI) to promote outreach efforts across Kentucky. MCI provides classes that use social relationships to prevent and manage epidemics like diabetes for communities in need. The classes demonstrate how to make effective, long lasting healthy behavior changes that relate to eating habits and physical activity. Participants can then take the education back to their communities and be a catalyst for healthy change. WellCare and MCI are collecting data to evaluate the impact of social service, to show how the program improves the health outcomes for those

My teaching on primary prevention of type II diabetes adheres to HP2020 objectives D-1 to D-16 on diabetes, specifically objective D-1 that deals with reducing the annual number of new cases of diagnosed diabetes in the population. (Target is a 10% improvement from the baseline of 8.0 new cases of diabetes per 1,000 population aged 18 to 84 years occurred in the past 12 months to the target of 7.2 new cases per 1,000 population aged 18 to 84 years). Education on the preventive measures needed to be taken by an at-risk population tackles this issue of reducing the annual number of cases.

Many low income communities, dense of minorities and people of color, struggle to find fresh healthy produce readily available to them. These communities lack access to farmers’ markets, full service grocery stores, and other vendors of fresh healthy produce. Instead they are impacted with an abundance of cheap, high-fat, high-processed fast food restaurants. Without access to fresh healthy foods, a full nutritious diet is hard to achieve. The discrepancies within the food system are leading to harmful impacts on individuals’ health. These discrepancies have led to significantly higher rates of diabetes and complications amongst racial and ethnic minorities. Along with an increase surge of diabetics within marginalized groups, these groups are also faced with more diabetic related complications. For example, “African Americans have 2-4 times the rate of renal disease, blindness, amputations, and amputation-related mortality of non-Hispanic whites. Similarly, Latinos have higher rates of renal disease and retinopathy” (NCBI). The systematic oppression of marginalized groups within the food system has detrimental effects on the health of ethnic and racial minorities.

This paper will share some steps towards a proposal for a diabetes prevention program (DPP) Model. For many years, the medical community has struggled with questions about the implementation of a diabetes prevention program to offset the growing need to curb the increasing diabetes epidemic of children and adolescent in the Queens community. With ample evidence, the Kick-Start program will be helpful in preventing or delaying the onset of full-blown diabetes and helping those at risk; it will save money. Kick-Start aims to decrease the number of diabetes in children and adolescents. It is essential to remember that obesity and type 2 diabetes have become critical health issues for the community, therefore, the goals and objectives

Type 2 Diabetes Mellitus (T2DM) is one of the fastest growing chronic diseases affecting children ages 6 to 11 worldwide (Montgomery, Johnson & Ewell, 2015). This recent development is occurring at an alarming rate, with numbers expected to quadruple by the year 2050 (Montgomery, et al., 2015). Without timely intervention from the healthcare system, this condition could have a devastating effect on the health outcomes of children across North America. Many studies have identified some common factors that put youth at major risk for developing T2DM, with childhood obesity, physical inactivity, low socioeconomic status, and lack of knowledge and access to healthy food choices among the leading causes (Dean & Sellers, 2015; Montgomery et al., 2015). There are many opportunities for Community Health Nurses (CHNs) to play a role in health promotion within this population. This paper will address the social factors contributing to adolescent T2DM, the current role of CHNs in addressing this condition, and ways to ensure these children have adequate access to health care.