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diabetes in the african american community
diabetes in the african american community
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In today’s society diabetes mellitus has become a prevalent issue, especially because it is affecting our youth in increasing numbers. Diabetes is defined as “a complex disorder of carbohydrate, fat, and protein metabolism that is primarily a result of a deficiency or complete lack of insulin secretion by the beta cells of the pancreas or resistance to insulin ("DM," 2013, p. 522). The number of adults diagnosed with diabetes has significantly increased from the 1980s to today, as well as the number of children being diagnosed. Risk factors such as family history, obesity, and ethnicity are all crucial to the prevalence of diabetes and its devastating effects on the future health of those affected. Asian-American ethnicity is associated within the high risk factors along with several other ethnicities such as African Americans, Hispanic Americans, and Native Americans (Smeltzer, Bare, Hinkle, & Cheever, 2010, p. 1197). The following will establish how diabetes in adolescents has become a critical topic for their generation and the effects it is having on their personal care and in collaboration with their healthcare providers and nurses. Impact on Patients and Patient Care Adolescents are currently being affected by diabetes because of several factors, but the biggest and most crucial factor is obesity. Research by the Agency of Healthcare Research and Quality on Asian Americans, more specifically those from a Southern Asian background have shown that although the patients’ height, weight, and body mass index (BMI) show the person to be overweight or obese the patient did not perceive themselves as overweight or obese. Those of Asian descent who are diagnosed with type 2 diabetes are diagnosed at a lower BMI than many ot... ... middle of paper ... ...s. (2013, March). Agency for Healthcare Research and Quality: Research Activities, 13. Retrieved from http://www.ahrq.gov/news/newsletters/research-activities/13mar/Mar13RA.pdf Scott, L. K. (2013). Presence of type 2 diabetes risk factors in children. Pediatric Nursing, 4(4), 190-196. Retrieved from http://web.b.ebscohost.com.ezproxy.com.edu/ehost/pdfviewer/pdfviewer?sid=d2677c5a-a052-420e-9d1c-c43b91053f41%40sessionmgr115&vid=12&hid=108 Smeltzer, S. C., Bare, B. G., Hinkle, J. L., & Cheever, K. H. (2010). Brunner & Suddarth’s textbook of medical-surgical nursing (12th ed.). Philadelphia, PA: Lippincott Williams & Wilkins. South Asians may not perceive themselves as being overweight or obese. (2013, March). Agency for Healthcare Research and Quality: Research Activities, 18-19. Retrieved from http://www.ahrq.gov/news/newsletters/research-activities/13mar/Mar13RA.pdf
Hinkle, Janice L, Cheever, Kerry H. (2014). Brunner &Suddarth’s textbook of Medical-Surgical Nursing. Philadelphia: Wolters Kuwer/Lippincott Williams &Wilkins.
Hinkle, J., Cheever, K., & , (2012). Textbook of medical-surgical nursing. (13 ed., pp. 586-588). Philadelphia: Wolters Kluwer Health
Diabetes Mellitus (Type 2 diabetes/adult onset diabetes) is an epidemic in American Indian and Alaska Natives communities.7 AI/AN have the highest morbidity and mortality rates in the United States.7 American Indian/Alaska Native adults are 2.3 more times likely to be diagnosed with Diabetes Mellitus than non-Hispanic Whites.7 More importantly, AI/AN adolescent ages 10-14 are 9 times likely to be diagnosed with Diabetes Mellitus than non-Hispanic Whites.7 Type 2 diabetes is high blood glucose levels due to lack of insulin and/or inability to use it efficiently.8 Type 2 diabetes usually affects older adults; 8 however, the incident rate is rising quicker amongst AI/AN youth than non-Hispanic Whites.7 This is foreshadowing of earlier serious complications that will be effecting the AI/AN communitie...
Diabetes is a prevalent health disparity among the Latino population. Diabetes is listed as the fifth leading cause of death among the Latino population in the website for Center for Disease Control and Prevention, CDC, in 2009. According to McBean, “the 2001 prevalence among Hispanics was significantly higher than among blacks.” (2317) In other words among the Hispanic or Latino community, there is a higher occurrence of diabetes as compared to other racial/ethnic groups such as Blacks and Native Americans. The prevalence of diabetes among Latinos is attributed to the social determinants of health such as low socioeconomic status and level of education. Further, this becomes an important public health issue when it costs the United States $174 billion in both direct and indirect costs, based on the 2007 The National Diabetes Fact Sheet released by the CDC. In turn, medical expenses are twice as high for a patient that has diabetes as opposed to one without. Finally, this high cost becomes another barrier to receiving care for Latinos when some are in the low socioeconomic status.
Childhood obesity has reached epidemic proportions with the one of largest subpopulations being African American girls. According to the (The American Public Health Association [APHA], 2003) nearly 22 percent of African American girls ages 6-11 years of age are overweight. Childhood obesity is a considerable predictor of obesity in adulthood and can lead to deleterious consequences if left untreated. Improving the health needs of this vulnerable populations needs to be paramount not only for the overall wellbeing of the individual, but to avoid placing additional burden on the health care system. Health promotions such as educational programs focusing on health risk or behaviors are successful in improving health behaviors (Bellows, McMenamin, & Halpin, 2010). The purpose of this paper is to provide an individual health promotion for an 8 year old African American female who is the 95 weight percentile for weight. Guiding change is a key component that a nurse display in order to combat childhood obesity (Berkowitz & Borchard, 2009).
Childhood obesity has become a huge problem in the United States. Over twenty one percent of African American children are obese, not including the twenty percent who were just overweight. Studies show that the increase in Type II diabetes, which is caused by obesity has increased dramatically in children of African American culture. (Centers for Disease Control and Prevention) The hospital costs associated with childhood obesity were 127 million dollars from 1997-1999, increasing $92 million from 1979-1981. (Centers for Disease Control and Prevention) However, long term effects are also a concern for adolescent obesity. Overweight children have a 70 percent chance of being obese or overweight adults, which increases to 80 percen...
The links between obesity and diabetes are well recognized worldwide as obesity continues to be a significant public health burden especially among children and adolescents in the United States. Research says that almost one-third of children and adolescents are classified as overweight or obese. The potential roles of the vicious cycle are seen in the context of current trends in obesity and Type 2
Over 60 million people are obese in the world today. The socioeconomic statuses of the Americans play a major part in the obesity rates across the country. People with higher incomes are less likely to be obese than people with lower incomes. One in every seven preschool-aged children living in lower income areas are obese (Center for Disease Control and Prevention). A 2008 study showed that obesity is highest among American Indian and Alaska Native (21.2 percent) and Hispanic Americans (18.5 percent) children, and it is lowest among white (12.6 percent), Asian or Pacific Islander (12.3 percent), and black (11.8 percent) children (Get America Fit).
While T2DM is traditionally viewed as an adult disease, its prevalence among children and adolescents is becoming a major medical crisis, particularly targeting minorities and those genetically prone, and resulting from the rising obesity rates, sedentary lifestyles, and dietary indiscretions. The disease is more commonly found in minorities, predominantly African Americans, Mexican Americans, and Native Americans. Studies of African American children have shown that compared to Caucasian children they have higher rates of insulinemia, increased b-cell activity, reduced insulin clearance, lower insulin sensitivity, and higher obesity risks (Arslanian, 2002). Although it is unclear if these factors are due to racial intrinsic differences, lifestyle, genetics, or other biological factors, these issues could easily explain the higher prevalence of T2DM among minorities. It is most accepted that a combination of these factors is the primary cause for the relationship between race and diabetes.
Childhood and adolescent obesity is a problem of significant concern. Whether obese or at risk, excessive fat is based on the ratio of weight to height, age, and gender of the individual (Ul-Haq, Mackay, Fenwick, & Pell, 2013). Today’s youth are considered the most inactive generation in history thus, childhood and adolescent obesity is more prevalent than ever before. The Centers for Disease Control (CDC) documents the obesity rate in children ages 6-11 in 2012 at 18% (an increase from seven percent in 1980), and adolescents at 21% (an increase from five percent in 1980). The obesity rate in children has more than doubled and quadrupled in adolescents over a 30-year period (CDC, n.d). The factors responsible for childhood and adolescent obesity are related to childhood lifestyle, family influence, and community factors (CMA Foundation, 2008). The Healthy People 2020 goal, NWS-10.4, is to “reduce the proportion of children and adolescents aged 2 to 19 years who are considered obese from 16.1% to 14.5%” (Healthy People 2020, 2013). Overweight children and adolescents are at increased risk for severe medical issues that can last a lifetime. Interventions to reduce the incidence and improve the health of young people involve solutions at the primary (low risk youth), secondary (at risk youth), and tertiary (obese) levels (Sweeting, 2008). Parents, caregivers, and medical professionals can work together in diagnosing if the child is becoming obese or if the child is having a growth spurt (Ul-Haq et al., 2013).
Elissa, Jelallian and Steele, Ric. “Handbook of Childhood and Adolescent Obesity”. New York, NY: SpringeScience+Business Media, c2008.Print.
Potter, P.A., Perry, A.G., Stocker, P.A., & Hall. (2017). Fundamentals of Nursing (9th ed.). St. Louis, MO:
Childhood obesity has already reduced the average life expectancy between four and nine months. “[T]oday’s generation will have shorter and less healthy lives than their parents for the first time in modern history,” warned S. Jay Olshansky, the University of Illinois researcher and author of the study (1). In 2004, the US Center for Disease Control found that at least 66% of adults were overweight or obese—double the percentage in 1980—and that more than 1/6 th of kids ages 2-19 were overweight. Type II diabetes, usually caused by an unhealthy lifestyle rather than genetics, has increased as a side effect of obesity and heart disease is also on the rise. In short, obesity is a national epidemic.
Studies have shown that about 15,000 million children are diagnosed with diabetes each year! Schools can help kids by serving safe, healthy, and delicious foods to kids who order the food. Diabetes is not the only thing that affects children of all ages. Obesity, heart disease, arthritis, and certain
Point blank, diabetes is a serious disease and causes major effects on people’s daily lives. In a society where food comes in such abundance, people are overeating. Compared to the beginning of the twenty first century when only about five percent of the population had diabetes (Nazarko, 2009), today that number is rising and continuing to do so. This is starting to affect the health of children by being diagnosed with diabetes at a young age. When a child has diabetes it becomes very serious since children are at such a young age to deal...