Full Answer Section

• Obesity is also a major cause of preventable death in the United States. In 2017-2018, obesity was a contributing factor to 498,477 deaths in the United States.

Specific outcomes to address:

• Reduce the prevalence of obesity in the target population by 5% over 2 years.
• Increase the proportion of the target population who eat a healthy diet by 10% over 2 years.
• Increase the proportion of the target population who are physically active for at least 150 minutes of moderate-intensity aerobic activity or 75 minutes of vigorous-intensity aerobic activity each week by 10% over 2 years.

Vulnerable population and setting:

• Low-income adults living in rural areas.
• Risk factors for obesity in this population include:
  • Lack of access to healthy foods and affordable physical activity facilities.
  • High rates of food insecurity.
  • Low levels of education and income.
  • Cultural factors that may promote unhealthy eating and physical inactivity.

Evidence to support the risk factors:

• A study published in the journal “Obesity” found that low-income adults living in rural areas were more likely to have obesity than high-income adults living in urban areas.
• A study published in the journal “Public Health Nutrition” found that food insecurity was associated with an increased risk of obesity in adults.
• A study published in the journal “Social Science & Medicine” found that low levels of education and income were associated with an increased risk of obesity in adults.
• A study published in the journal “Health & Place” found that cultural factors that promote unhealthy eating and physical inactivity were associated with an increased risk of obesity in adults.

Review of literature from scholarly journals of evidence-based interventions:

A review of the literature found a number of evidence-based interventions for addressing obesity in low-income adults living in rural areas. These interventions include:

• Comprehensive lifestyle change programs: These programs provide participants with education and support to help them make healthy changes to their diet and physical activity habits. A study published in the journal “Obesity” found that a comprehensive lifestyle change program was effective in reducing body weight in low-income adults living in rural areas.
• Community-based interventions: These interventions aim to create supportive environments for healthy eating and physical activity. A study published in the journal “Preventing Chronic Disease” found that a community-based intervention that involved promoting healthy eating and physical activity through churches and community organizations was effective in reducing obesity rates in a rural community.
• Telehealth interventions: These interventions use technology to deliver health services to people at a distance. A study published in the journal “Obesity” found that a telehealth intervention that provided participants with remote support from a registered dietitian was effective in reducing body weight in low-income adults living in rural areas.

Conclusion

Obesity is a major health problem in the United States, and it is particularly prevalent among low-income adults living in rural areas. There are a number of evidence-based interventions that can be used to address obesity in this population. A proposed health promotion program for this population should focus on comprehensive lifestyle change programs, community-based interventions, and telehealth interventions. The proposed program should also be culturally sensitive and tailored to the specific needs of the target population.