The use of epidemiological skills in community-based settings are critical competencies for the public health nurse. Ecosocial epidemiology evaluation models assist community health nurses with a methodical assessment of a health problem, determine protective factors, and evaluate the factors that produce a vulnerable host to a disease (Nies & McEwen, 2015). This discussion will focus on obesity in Philadelphia, which has one of the highest percentages in our nation, it is most prevalent in the non-Hispanic black population. This is a significant concern since obesity is responsible for many other diseases. Obesity increases the risk of the development of various pathologic conditions including: insulin-resistant diabetes mellitus, cardiovascular disease, …show more content…
Poisons: Obesogens they include Bisphenol A (BPA), Phthalates (e.g., DEHP), Polybrominated diphenyl ethers (PBDEs), Perfluoroalkyls (e.g., PFOS & PFOA).
Physical agents
Lack of energy balance, the amount of energy in does not equal the output.
Infectious agents
Adenovirus Ad-36 is the first human virus reported to cause obesity in animals; Ad-36 is also associated with human obesity (Dhurandhar, 2012).
Host Factors
Genetic
A gene mutation in genic coding for leptin receptor is known to cause obesity.
Age and sex
Obesity crosses all age groups, it affects both sexes with the higher incidence in females.
Ethnic groups
Non-Hispanic blacks have the highest incidence in Philadelphia and the U.S., followed by Hispanics, non-Hispanic whites, with the lowest incidence in Asian population.
Physiological state
People with depression, anxiety, and eating disorders turn to food to help cope.
Immunological experience
The malnutrition state of obesity cause an altered immune system, decreases white cell count, and impairs immune response
Obesity was significantly more prevalent amongst female African Americans in this community. With the highest rate affecting women between the ages of 45 to 64. Obesity was also higher amongst Black females who’s educational attainment was lower
Nationally the obesity rates have increased 7.2% in females and 29.1% in males over the last twenty years. (Healthy People 2020, 2010) In San Diego, the Health and Human Services Department (SDHHSA) has identified that obesity is an area of focus with a goal of reducing the problem by 20% by 2010 and currently that 34.4% of the county’s population is classified as overweight and 22.1% is obese with a BMI greater than 30. Other findings reveal that there the problem is disproportionally larger in the Hispanic, African American and low income communities. (Appendix 1. Figure 5 & 6) Although San Diego boasts of a climate that encourages outdoor pursuits and an abundance of recreational spaces and parks, 13.9 % of the population report no physical activity and that 25.5 % of children do less than an hour of physical activity daily, which corresponds with a threefold increase in childhood obesity in the last 30 years. Statistical data points to greater consumption of fast food in areas where obesity is highest and that Retail Food Environment Index (RFEI) which is the ratio of grocery stores and availability of fresh produce to fast food and convenience food outlets are higher in areas where obesity levels are greater than the county norm. B3. Heath Concern:
Over one-half of all Americans are overweight or obese. If you are overweight or obese, carrying this extra weight puts you at risk for developing many diseases. Women generally have more subcutaneous fat than men, but appear to suffer a greater cardiovascular risk from a given degree of fat than women.
Obesity in America is real and profoundly alarming when you look at the major impact it has on our communities. Major health concerns like diabetes, heart disease and high blood pressure cases are at an all time high. Specifically, the disparity between low-income urban inner cities in regards to obesity as compared to more upper class wealthier communities makes you take pause. This relates to my professional goals of going back into my community as an activist and organizer of issues related to my environment, like health and education.
Obesity presents numerous health risks, both physical and mental. Obesity has been linked to or is a risk factor for many non-communicable diseases such as cardiovascular disease (including stroke and heart) type two diabetes, many cancers (including breast, colorectal….), musculoskeletal conditions such as osteoarthritis, depression and mental health disorders. Obesity along with all of the alarming health implications have the ability to
Obesity is a common disease that makes a person massively overweight. This disease can potentially be lethal if not treated correctly. In addition, this could also lead to other common diseases such as heart disease and diabetes and cancer..
Obesity is an increasing epidemic affecting the United States in an alarming and negative way. In the past centuries it was rare for Americans to be obese. Today they’re numerous factors contributing to the epidemic but they can be reversed with awareness of the severity of the issue, it’s affect on health, and a willingness to make changes in their daily life.
Obesity is linked to a wide range of diseases, most notably diabetes (type two), heart disease and stroke. Diabetes is a disease in which the body’s sugar level is too high. As researched stated “overtime, high blood sugar levels damage nerves and blood vessels leading to complications such as heart disease and stroke, the leading causes of death among people with disease”. Stunkard, A. J (1980), p. 46.
Obesity can affect any person, disregard their age. From the article U.S. kids outweigh the Canadian kids, we can realize the obesity among the kids in the U.S. is increasing day by day. When we see a lot of kids, and teenagers together, we could not identify their or guess who is younger or who is elder. Overweigh can cause diseases among children, and after few years America will get the title for having the most disease affected people’s nation. Throughout the society and in life the evidence to support my viewpoint is pervasive.
I gained knowledge about my community while working on community health nursing task. Tulare County is an agricultural community, in which the majority of the population is Hispanic and White. Within Tulare County there are many smaller communities, each with their own different health risks. After surveying and statistical reach, I concluded that there are many health risk factors affecting my community; one of the biggest health risks affecting this populating is obesity.
Obesity is a leading preventable cause of death worldwide and its prevalence is increasing at an alarming rate (Barness et al, 2007). For thousands of years obesity was rarely seen, it was not until the 20th century that it became common, some much so that in 1997, the World Health Organization (WHO) formally recognized obesity as a global epidemic (Caballero, 2007).
Obesity is connected with an increased risk of a number of diseases, such as cardiovascular disease, diabetes, arthritis, stroke and several types of cancer, and with decreased longevity and lower quality of life. For example, the increased production of oestrogens in the fat of older women who are obese is associated with an increase in breast cancer risk.
Adiposity is a known cause of both cardiovascular disease (CVD) and adiposopathy which leads to endocrine and immune dysfunction. Adiposopathy can lead to CVD in an indirect and direct manner. Through pericardiac and perivascular effects on blood vessels and myocardium, Adiposopathy directly results in CVD, and through the increase of CVD risk factors caused by this disease such as dyslipidemia, diabetes mellitus and high blood pressure, Adiposopathy can indirectly result in CVD. Research show that adiposity does not in every case, cause CVD and often it actually decreases the risk of CVD. Yet, CVD is the most common cause of death in over weight individuals. Together, these pieces of information create a puzzling relationship between Adiposopathy
The percentage of overweight and obese Americans has reached epidemic proportions. In 1959, 13% of Americans were either overweight or obese; and by 2010, that rate had increased to 69.9% (Fortuna, 2012). A community health nurse’s primary concern is improving the health the community. Combining the information gathered during a windshield survey with demographic and epidemiological data for the targeted community and surrounding areas enables the community health nurse to identify a priority health problem in the community (Nies & McEwen, 2011). The purpose of this paper is to use apply the nursing process to the community health setting in order to isolate a major health
Obesity refers to the condition of having an extra amount of body fat. Obesity is caused by eating too much and moving too little. When an individual’s amount of body fat becomes too high, they are at a greater risk of being affected with life changing diseases such as heart failure, hypertension, type II diabetes, cancer, gallbladder disease, osteoarthritis, and others. This shows that people should become more physically active and attempt to make healthier choices because their life depends on the decisions, they make.