Diabetes is a chronic condition in the United States and is one of the top leading causes of death and disability. The most common form of diabetes is type 2 diabetes as, “it may account for about 90 percent to 95 percent of all diagnosed cases of diabetes” (“Basics about diabetes,” 2014). Type 2 diabetes is one of the biggest health challenges facing African Americans, especially African American women (“Diabetes,” 2010). “Among African Americans 20 years or older, 11.8 percent of women and 8.5 percent of men have diabetes. Nearly one out of three African American women ages 65 to 74 years has diabetes” (“African-American diabetes,” 2014). African Americans are at greater risk of developing diabetes than whites are and African American women …show more content…
Using regression analysis and other forecasting techniques, the future number of African American females with diabetes can be estimated. Based on regression analysis, using data from 1980 to 2011, by 2024, there will be approximately 2,286,820 African American adult females diagnosed with diabetes. African American women are predisposed to diabetes due to genetic, environmental and behavioral factors. For example, poverty, lack of access to health care, cultural attitudes, and behaviors are barriers to preventive and diabetes management care for some African American women (“Groups especially affected,” 2014). Death rates for women aged 25 – 44 years with diabetes are more than 3 times the rate for women without the disease (“Groups especially affected,” 2014). Some of the latest data on diabetes suggest that although there was a doubling of the incidence and prevalence of diabetes from 1990 to 2008, there has been a plateauing, or slowing, in the diabetes epidemic (Fiore, 2014). Although there appears to be a slowing in the epidemic, there have been continued increases in the prevalence and incidence of diabetes among subgroups, including African Americans and Hispanics (Fiore, …show more content…
The health service in this instance is the nation’s fight against diabetes. The nation is currently not using its resources in the most efficient way to improve the health of the population, as there are still disparities among subgroups. A community health needs assessment is, “a process that describes the state of local people, enables the identification of the major risk factors and causes of ill health, and enables the identification of the actions needed to address these” (Rowe, McClelland & Billingham, 2001). Through research of historical data and the analysis of completed surveys, the needs of the community will be assessed. The needs assessment will be conducted to identify the unmet needs of African American women ages 25 and older who are an at-risk population of type 2
One in every two of American minorities born after 2000 will contract early onset of diabetes. The price of medicine to treat diabetes is very expensive, especially for those who are uninsured or with little or poor insurance coverage. In many low income families and families of minorities the expenses of medicine take away from income. These families are then unable to buy healthy foods. Cheap food means it is also unhealthier, take a look at fast food restaurants that offer dollar menu items. You can easily buy a burger for a dollar or a large soda full of high fructose corn syrup for only a dollar. Water is more expensive than soda or sugary drinks in many instances. Diabetes is caused by eating foods that are unhealthy and requires daily medication to control. These medications can be very expensive causing families to continue their unhealthy eating habits because it is the only thing they can afford to eat so a cycle is created and passed on to the younger generations. Food companies have place a veil between us and the food we consume, even things that appear to be a healthy choice, in many cases is not. We consume food that is injected with fillers like pink slime, foods that contain high fructose corn syrup, and are genetically modified. It is no wonder why America has seen a rise in childhood obesity and the early onset of diabetes. The pictures in the store that depict pretty
A Community Health Needs Assessment (CHNA) was conducted in the city of Atlanta, Georgia, with the focus on mainly Dekalb and Fulton Counties. The CHNA was conducted to identify the needs and resources in the community with the input from the community members, key stakeholders, and the public health. The CHNA would be used as a guide for the community in its future community health projects.
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...
Sharpe, D. A Culturally Targeted Self-Management Program for African Americans with Type 2 Diabetes Mellitus. (2012, December 15). Retrieved from http://www.ncbi.nlm.nih.gov
Rajaram, S. S., Vinson, V. (1998). African american women and diabetes: a sociocultural context. Journal of Health Care for the Poor & Underserved, 9(3), 236-247.
According to the Center for Disease Control and Prevention (CDC) (2012), the diabetes rate has more than tripled since 1980 from about 5.6 million people affected, to nearly 21 million people. And, of the 2.9 million Native Americans, approximately 16% have been afflicted with type-2 diabetes (U.S. Census Bureau, 2010). These rates were more than twice the rates for the white population and strongly correlated with income level. One factor that is believed to have contributed to the high rates of non-insulin-dependent diabetes is dietary changes from traditional foods to processed foods (Reinhard et al., 2012).
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.
Over the last few years, I shadowed a Primary Care Adult Nurse Practitioner whose office is located in the underserved urban area of Irvington, NJ. She also takes care of patients from the surrounding areas of Irvington, Newark, and East Orange, all of which have very large underserved populations including African Americans, Latinos, and patients from the Middle East. During my clinical shadowing, I gained a appreciation for the complexity of treating long term chronic conditions such as asthma, diabetes, HIV, and hypertension. In many cases these conditions were exacerbated due to poor nutrition, non-compliance, and lack of education about healthy lifestyle choices. I gained a keen understanding of the importance of patient education and the ability to connect patients with community services to help them with their economic and social challenges.
Jost, Kenneth. “Diabetes Epidemic: why is this serious disease on the increase?” The CQ Researcher (March 9, 2001): 185-200
The first article is titled Love Your Heart: A Pilot Community-Based Intervention to Improve the Cardiovascular Health of African American Women. The authors of this study include: Fa ́tima Rodriguez, Lula Christopher, Caitlin E. Johnson, Yun Wang, and JoAnne M. Foody. The purpose of this study is to determine if implementing a heart healthy community prevention program, ...
Diabetes has been emerging prevalently in the Bronx, New York and also all over the United States. Fortunately, it can be controlled by healthy behaviors, good eating habits and physical activity that help to achieve and sustain optimal health. Healthy people make up healthy communities; therefore, the government should create unlimited healthcare support as well as disease prevention and early interventions for residents in the Bronx community. The more we care, the healthier community we live in, and the better society we will have. Let’s fight for a community without diabetes!
Diabetes is a disorder when the body does not produce enough insulin, and when insulin is not released into the body it does not allow glucose to enter the blood stream. There are three different type of diabetes but the one that affects African Americans is type 2 diabetes. Type 2 diabetes normally occurs in adults and it happens when their body can make its own insulin but will not be able to use it. Some symptoms for diabetes ca...
The diversity among the U.S. population is very large and continue to grow, especially the Hispanic group. More so, health promotion can be defined or perceived in many ways depends on the minority group and their culture beliefs. As health care provider, recognizing and providing cultural competent is very important. In addition, assessing the health disparities among the minority group and teaching them how to promote good health will benefit along the way. Furthermore, health care providers have the role to promote good health but without proper education and acknowledge cultural awareness will be impossible to accomplish.
For my cultural interview, I decided to interview an African American male of age 49, who is suffering from chronic diabetes mellitus. This disorder has caused a significant
Huang, E., Basu, A., O'Grady, M., & Capretta, J. (2009). Projecting the future Diabetes Population size and related costs for the U.S. Diabetes Care, 32(12).