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While many underlying social and behavioral factors contribute to childhood obesity, it disproportionately affects specific minority youth populations.
Currently, 35.9% of African-American youth are overweight or obese and its prevalence puts the population at a higher risk for certain diseases and illnesses--including high blood pressure, diabetes, and asthma.
2) How do you know that your intervention design and delivery was culturally sensitive?
In terms of our long term and short-term goals and programming proposals on how to stay educated on and make healthier choices in terms of nutrition, we mutually agreed that our interventions and delivery were culturally sensitive. We tended to the epidemic of obesity, taking in consideration how active can the subjects we are studying truly be? An obese adolescent is very less likely to start running given how much weight she has to carry around; thus, as a group, we argued that the child might feel more ambitious to walk. In nursing, we are constantly discussing the meaning behind a ‘realistic goal’ that is implemented for a patient. We ask ourselves, “How likely is it for this objective to be achieved successfully?” Initially, we suggested a 5k on every first Saturday of the month. When we did our final edits, we realized that perhaps this wasn’t realistic enough given the health status of our population. We revised the program to be a walk as oppose to a run, deciding that the walk would promote more participation amongst our subjects. We also considered the low-income families of African-American children. Cost is a major factor when it comes to one’s nutrition. We wanted to address the misplaced claims the food industries place on those children, and how their low-income families may avoid succumbing to “value meals” and processed foods. Today, one can find local farmers markets set up around their cities and towns. The produce doesn’t typically sustain a long life; yet, we thought that this could potentially be a benefit. The less time one has until a food goes bad, the faster the food is likely to be used as not to waste it. Our group brain process is an indication of our awareness and sensitivity to both the design and delivery of our intervention.
1) Discuss the culture-based principles that you used to design this project.
Looking at a culture is important when determining why a problem exists and what the best method to solve it is.
Looking at the African- American community meant seeing what they valued. African Americans are content with what they eat because they accept a variety of shapes and sizes. We also used their surrounding because where they live also adds to the problem. Low income means inability to afford houses in a good neighborhood. Being from a low-income household also increases the mentality of focusing on the present and not so much the future or the effects of one’s actions. This includes the food consumed and the education level as well as the jobs taken. If you’re not worried about how something is going to affect your body in a couple of hours, then you are less likely to question it. The main group we focused on was low-income obese African American children (middle school to high school). The adults in these children’s lives have a great impact on their health given how they handle situations. Knowing this helped us design our project. The main things we focused on were those we could potentially change. Children are influenced by the people around them: family and friends. It is culturally known that African Americans eat soul food. These are foods high in fats, sodium and sugar. Keeping these in mind, we designed a health literacy plan that would address food. Also, living in urban settings where there is overcrowding which lead poverty and a higher level of crime, these children are not very active or motivated to be active for that matter.
Bibliography
Healthy People 2020:
"Nutrition, Physical Activity, and Obesity." | Healthy People 2020. N.p., n.d. Web. 03 Nov. 2014. <http://www.healthypeople.gov/2020/leading-health-indicators/2020-lhi-topics/Nutrition-Physical-Activity-and-Obesity/data?source=govdelivery&tab=data>.
Multicultural Health:
Ritter, Lois A., and Nancy A. Hoffman. Multicultural Health. Sudbury, MA: Jones and Bartlett, 2010. Print
3) Select a definition of health literacy and discuss how your message “matched” that definition.
Health literacy is the ability to obtain, read, understand and use healthcare information to make appropriate health decisions and follow instructions for treatment.
Through the video and brochure made about childhood obesity in the African American community, our message reached the target population. Our goal was to educate the population at risk, which we did through explanation of obesity, its underlying factors, and chronic illnesses that it can cause. In addition to educating about potential risks, we aim to educate the population about steps they can take to reduce obesity, such as avoiding fast foods and other foods high in fats and cholesterol, and to engage in exercise. Through two forms of communication, our target population will receive the healthcare information vital to their health, and hopefully make health decisions based on our recommendations to live a healthier life.
Obesity in children is a growing global health problem that affects 16.1% of children and adolescents aged 2-19 years old.
Childhood obesity increases the risks for a multitude of problems such as
• Cardiovascular Disease--the number one cause of death in the world
• Type-2 Diabetes
• Musculoskeletal disorders
• Endometrial, Breast, and colon cancer.
A fast food (Burger King) dinner for four:
2 large burgers ($7.58)
1 small burger ($1.69)
1 6PC Chicken Nugget ($1.55)
2 medium fries ($4.38)
2 small fries ($3.78)
2 medium sodas ($3.98)
2 small soda ($3.78)
Total = $26.74
A home cooked dinner for four:
1 whole chicken ($5.96)
4 sweet potatoes ($1.79)
1 bunch of lettuce ($1.39)
1 quart of milk ($2.49)
4 pcs of wheat breads ($0.79)
1 lemon ($0.50)
1 cup of olive oil ($0.55)
Salt & pepper ($0.10)
Total=13.56
by Jennifer Jang, Nenser Krua, Allison Morgan, Sophia Tsanotelis
0-18 yr old
Obesity in children has several contributing factors, and not just one causes obesity
1. Biological Factors: A child with a family history of obesity may be predisposed to becoming overweight due to genetic factors.
Example: Obesity in children that are…
• White non-Hispanic 14.0%
• Hispanic 21.8%
• Black non-Hispanic 22.1%
2. Social Determinants: lifestyle and environmental factors that CAN CHANGE
Behaviors like drug use, smoking, nutritional habit and limited physical activity increase the risk of unhealthy habits.
• Heart Disease includes: angina, myocardial ischemia, and eventually myocardial infarction (Necrosis or death of heart cells).
Health problems can affect a child physically, mentally, and emotionally.