Global And Population Health

A. Describe a local town, city, or county and a subpopulation at risk within that area based on your review of data, and support your description with two credible sources. Your description should include the following information:

  • the size of the community and the specific subpopulation
  • gender
  • age
  • race
  • income
  • educational level
  • percentage living in poverty
  • crime rates
  • occupations
  • access to healthcare, transportation, and food sources
  • health and nutrition rates

  1. Describe environmental concerns (e.g., water quality, air quality, sanitation, superfund sites, hazardous waste, environmental toxins, natural disasters, vulnerability to heat/cold) relevant to the subpopulation.
  2. Discuss how the demographics (i.e., race, gender, ethnicity, age) of the identified subpopulation compare with the larger community population, and discuss how data supports the health concern for this subpopulation.

B. Identify one social determinant of health (SDOH) affecting the subpopulation described in part A.

  1. Explain how this SDOH is affecting the subpopulation described in part A. Your explanation should address the following questions and be supported with local, state, or national data:

  • What is the biggest contributor to disease (morbidity) and premature death (mortality) in the community?
  • What are the controversial community health concerns discussed in a local newspaper or a local online resource (e.g., online newspaper or blog, hospital website, county health department site)?
  • What do you believe people in the community are most concerned about related to health?
  • What is generating the most visits to the emergency room or hospital admissions in the community?
  • Based on the collected data, what do you believe is reducing the quality of life in the community?

C. Describe two resources currently available to the subpopulation that address the SDOH in part B.

D. Describe two resources that are needed to address the SDOH for the subpopulation described in part A.

  1. Explain why each resource from part D is needed.

E. Discuss an evidence-based intervention to address the gap between the available healthcare resources and the resources needed to address the SDOH. Include one scholarly, evidence-based source published within the last five years to support the discussion.

  1. Explain how this evidence-based intervention will decrease the resource gap, including one specific example.

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Sample Answer

 

 

 

A. Subpopulation at Risk: Flint, Michigan and Low-Income African Americans

Community: Flint, Michigan (population: 90,399 [1])

Subpopulation: Low-income African Americans in Flint

  • Size: Approximately 40% of Flint’s population is African American (36,159) [1]. Data suggests a higher concentration of low-income residents within this demographic.
  • Gender: Distribution likely reflects the general population (approximately 52% female) [2].
  • Age: All age groups are represented, but poverty might disproportionately affect children and seniors.

Full Answer Section

 

 

 

  • Race: African American
  • Income: Low income
  • Educational Level: Lower educational attainment rates are common in low-income communities [3].
  • Percentage Living in Poverty: Flint’s poverty rate is 28.3%, significantly higher than the national average (11.4%) [4].
  • Crime Rates: Flint has a violent crime rate above the national average [5].
  • Occupations: Limited job opportunities often characterize low-income areas.
  • Access to Healthcare: Access to quality healthcare can be limited due to cost and lack of transportation.
  • Transportation: Public transportation options might be limited or unreliable.
  • Food Sources: Access to fresh and affordable food options might be limited (food deserts).
  • Health and Nutrition Rates: Low-income communities often experience higher rates of chronic diseases like diabetes and obesity due to limited access to healthy food and preventative care [6].

Environmental Concerns:

  • Water Quality: Flint’s water crisis, where lead contamination occurred from 2014 to 2016, has had lasting health consequences for residents, particularly children [7].
  • Air Quality: Air quality concerns include emissions from industrial facilities, impacting respiratory health [8].

Demographic Comparison:

  • Flint’s African American population experiences higher poverty rates compared to the overall community.
  • Educational attainment might be lower in the low-income subpopulation.
  • Crime rates might be higher in low-income neighborhoods.

Data Supporting Health Concerns:

  • Lead exposure can lead to developmental delays, learning disabilities, and behavioral problems in children [9].
  • Poor air quality can exacerbate respiratory illnesses like asthma, particularly affecting children and older adults [10].

B. Social Determinant of Health (SDOH): Economic Disadvantage

Explanation:

Economic disadvantage in Flint limits access to resources that contribute to good health. Residents might struggle to afford healthy food, quality housing, and preventative healthcare.

  • Morbidity and Mortality: Chronic diseases like diabetes and heart disease are prevalent in low-income communities due to factors like poor diet and lack of preventative care [11].
  • Community Health Concerns: The lingering effects of the water crisis and ongoing air quality issues are major concerns [12].
  • Community Concerns: Residents are likely concerned about the long-term health effects of lead exposure, access to affordable healthcare, and overall community safety.
  • Emergency Room Visits: Childhood asthma and lead-related health problems might be frequent causes of emergency room visits.
  • Reduced Quality of Life: Limited access to resources, environmental hazards, and health problems likely contribute to a lower quality of life.

C. Available Resources

  • Flint Public Health Department: Provides various health services, including lead poisoning prevention programs [13].
  • Food Banks and Pantries: Offer emergency food assistance to low-income residents [14].

D. Needed Resources

  • Affordable Housing Programs: Stable and affordable housing can improve overall health outcomes [15].
  • Job Training and Educational Opportunities: Improved employment prospects can lead to higher income and better access to healthcare.

Explanation:

  • Affordable Housing: Safe and secure housing reduces exposure to environmental hazards and promotes overall well-being.
  • Job Training and Education: Increased earning potential allows residents to afford healthy food, quality healthcare, and potentially move to safer neighborhoods.

E. Evidence-Based Intervention: Mobile Health Clinics

Intervention: Mobile health clinics can provide accessible healthcare services in underserved communities, reducing transportation barriers [16].

Scholarly Source: A study published in the Journal of the American Board of Family Medicine (2019) found that mobile health clinics improved access to preventive care for underserved populations, demonstrating a positive impact on health outcomes [16].

Example: A mobile clinic offering lead testing, nutritional counseling, and chronic disease management can directly address the health concerns of Flint’s low-income African American residents in their neighborhoods. This reduces transportation barriers and provides much-needed healthcare services.

Conclusion:

By addressing the SDOH of economic disadvantage through improved access to affordable housing

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