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Income and social status as determinants of health
Income and social status as determinants of health
Income and social status as determinants of health
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Health Strengths
• The teen birth rate is half the city’s average.
• Adults smoke, eat fruits and vegetables and are physically active at rates comparable to the city as a whole.
• Drug and alcohol-related hospitalizations are lower than the rates in NYC.
• The rate of adult asthma and diabetes hospitalizations are lower than the citywide rate.
• The death rate due to flu and pneumonia is less than half the citywide rate.
• The rate of premature death (before age 65) is lower than citywide rates.
Health Risks
• Compared to the neighboring communities Queens Village (QV) has an increased risk of childhood obesity due to the large consumption of sugary drinks.
• Risk for increased stroke hospitalizations compared to the neighboring communities.
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• The rate of adult psychiatric hospitalizations is much higher than the average Queens rate.
• Asthma hospitalizations among children ages 5-14 are much higher than the rates in other Queens communities.
• The top causes of death are heart disease and cancer.
• Despite a decrease in infant mortality across the city, the rate in QV is still more than seven times higher than rates in the Upper East Side.
Key Informant Interviews
• Interview #1: On February 8th I interviewed a 72-year-old neighbor who has lived in this community his entire life. He told me that many things have changed over the years such as farmland disappearing, a large influx of immigrants coming from India and increasing crimes against the elderly. He said that he “no longer feels as safe as he once did in the community and back when he was young people respected their elders and never hurt them.” On a bright note he stated, “I still have several safe places in my community to meet with my friends such the YMCA and my local
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The IMR “reflects the economic and social conditions of the community, as well as the effectiveness of health systems. It also indicates health disparities between different populations, both within and between countries. Furthermore, IMR is strongly correlated to economic development, general living conditions, social wellbeing, and the quality of the environment, that affect the health of entire populations.” (Infant Mortality, 2012)
Community Meeting reflection At my community meeting similar concerns were discussed such as ¬¬¬the addition of the 116th precinct and the possibility of Creedmoor turning into a homeless shelter. I found this meeting to be very informative and a great learning experience. I learned a lot about my neighborhood 's concerns and several issues that are affecting it. Furthermore, I feel if nurses become more proactive within their communities many of these issues can be easily fixed and the population as a whole will benefit.
Implications (5)
• Educate the community about the health benefits of exercise to combat obesity and
Methods: Initially, we will implement a pilot program at Burke Elementary School in Washington Park. A partnership will be established between the Respiratory Health Association (RHA) and Burke Elementary to make asthma
A SWOT analysis was examined towards Sutter Health and its Affiliates to better understand the organizations strengths, weaknesses, opportunities, and threats. The SWOT analysis provides a breakdown of ways the organization can manage its negative aspects of weaknesses and threats to strategies a plan to overcome those concerns. In addition, the identifying of the strengths and opportunity in a SWOT analysis provides the bases of what the hospital has accomplished and how it should continue to manage those positive outcomes.
This is an argument discussing the most important health promotion issue in Newham, borough of London, about the obesity. This borough (New ham) has massive issue about healthy food promotion, where there is too many fast food shop and restaurants all around schools. Many children in the area of Newham are obese according to the new report on 29 November 2015 published Newham Recorder news. The report identified that nearly half of year sex children in Newham city are overweight.
During one of my undergraduate courses, “Community and Population Health”, I completed a paper on my community and access to healthcare. During the research and community outreach performed to meet the goals of the paper, my eyes were opened to the plight of small communities in regards to access to quality healthcare. This plight has become my passion, and has formed the basis for my vision of the Family Nurse Practitioner role.
Wilkinson, R. M. (2003). Social determinants of health - the solid facts. [S.l.]: World Health Organization.
Prior to taking it, I was unaware that the greatest difference in life expectancy observed between counties in the U.S. was 15 years. I was amazed that simply being born in a different zip code could affect life expectancy so greatly. This profoundly supports the conclusion environment affects health. Health expert Michael Marmot realized that a subway ride from an impoverished African American neighborhood to an affluent white suburb in Washington D.C. saw an average increased life expectancy of a year and a half for every mile traveled, totaling up to twenty years. We cannot control the neighborhood we are born into, and to see that such an uncontrollable factor can affect longevity so greatly in an industrialized nation, like the U.S., is astonishing (“Health equity quiz”, 2008). I was particularly amazed that in west Los Angeles, white neighborhoods have nearly 19 times as much green space as Black and Latino neighborhoods. The white neighborhoods have nearly 31.8 acres of park space for every 1,000 people, while the minority neighborhoods only have 1.7 acres of park space (“Health equity quiz”, 2008). Traveling in Las Vegas, parks can be found in nearly every area. Although there are probably more parks in wealthier areas, we do not see such a great discrepancy in our numbers-- or so it appears. To see that such a heavily populated city, like Los Angeles, treats residents so disproportionately was
Social determinants of health have attracted the attention of governments, policy makers and international health organisations over the last three decades (Hankivsky & Christoffersen 2008). This is because social conditions which people are born in, live and work play an important role in their health outcomes (WHO 2015). According to Kibesh (1200) social determinants drive health disparities, disrupts the human developmental process and undermine the quality of life and opportunities for people and families (ref). Thus, several theories have been developed over the years to provide in-depth understanding of the social determinants of health and to reduce health inequalities (Hankivsky & Christoffersen, 2008). However, there is still significant
Wilkinson, R.G. & Marmot, M.G. 2003, Social determinants of health: the solid facts, World Health Organization.
What is a SWOT analysis? This concept involves assisting businesses to identify their strengths, weaknesses, opportunities and threats. It is often used to analyze an organization and its environment. Businesses find the analysis useful in assisting them to improve their business, establish goals and objectives.
This will give the community and residents a greater understanding of the factors influencing the health in their community. Overall, I consider Harwood Heights a fairly healthy community with a room for improvement. The community is clean and the village is working on enforcing ordinances of proper disposal and collection to keep a clean and healthy living condition for the residents. Harwood Heights offers a variety of healthcare options and excellent school program that is a walking distance for the residents. The community is surrounded with many parks, playgrounds, and recreation areas that encourage physical activities. The sidewalks in the area are well-maintained that can be used by the public for walking, jogging, and bicycling. The community is supportive by providing environments that improve health and participate in healthy behaviors. The crime rates in the community is relatively low compared to Chicago overall, but it needs to be better. In addition, there is room for improvement with respect to healthy behaviors. According to Presence Resurrection Medical Center (2013), only 27% of the residents are eating the daily recommend servings of fruit and vegetable and 30% get no exercise in a normal week. Also, additional work needs to be accomplished when it comes to the general health of the residents of Harwood Heights: obesity, heart disease, diabetes, and alcohol and tobacco
A community can be defined as a group of people, who live, learn, work and play in an environment at a given time. (Yiu, 2012, p.213) There are many factors that may influence the community’s development and health status. These can include resources available, accessibility, transportation, safety, community needs etc… These influences may combine together to form community strengths and as well as community challenges or weaknesses. As a community health care nurse, it is significant for us to assess and identify these strengths and challenges within the community in order for us to intervene and provide the appropriate needed health care services for the community members. This individual scholarly paper will explore and focus on one challenge issue identified from our group community assessment.
Needs assessments are imperative to the success of a project. They are an essential part of the planning process. A need assessment guides the administrators as they define the terms of the project. A needs assessment is defined as, “a systematic approach to studying the state of knowledge, ability, interest, or attitude of a defined audience or group involving a particular subject” (McCawley, 2009, p. 3). An effective needs assessment provides insight, information, is objective, and assists in identifying gaps in services.
This elderly interview took place at A.A's beautiful home located along the Colorado River in Big River, California. The weather was perfect. It was in the 70's and there was a slight breeze. When I first arrived we all sat in the kitchen while his wife made coffee. A.A was not feeling too great which was to be expected. He was in pajama shorts and a sweatshirt. He looked very tired and had dark circles around his eyes. His wife was gathering his medications and breakfast. I sat there catching up with them while he finished his morning meds. She had mexican food cooking in the crockpot as well and their house smelled so amazing. The walls of their home are covered in pictures of their children, grandchildren, great grandchildren and friends. That gave the home a warm and cozy feel. A.A got a couple bites of breakfast down with his morning medications
Infant Mortality Rate can be defined as death of an infant before his or her first birthday. These rates often help the nation to assess underlying factors such as maternal care, social & economic conditions, and individual’s access to medical care. With a world of 195 countries and estimated population of 7 billion people the chances of death are marginal. Living in the United States of America have sought out to be one of supreme beings when it comes to Infant Mortality Rate, the laws have declared it to be a crime. While looking at other countries in the Asian continent which Infant deaths are treated as sustainable way of life. The continent of Asia holds together countries that posses very high infant mortality rates. Some countries
According to an NIH study, respiratory illnesses, such as pneumonia, are the primary cause of death among children five-years-old or younger living in rural