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Epidemiological Model

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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

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