(B) Community Health Nursing Diagnosis Statement
My community health nursing diagnosis is increased risk for obesity among children ages 7-15 years of age related to Imbalanced Nutrition: More Than Body Requirements: Intake of nutrients that exceeds metabolic needs as demonstrated by above-average Body Mass Index (BMI) rates.
(B1) Health Inequity/Disparity
After gathering the research from the field hours, children from low-income families are obese due to the lack of healthy food options and exercise opportunities within their vicinity. During the assessment, the majority of the people o this side of town had no means of transportation.
(B1a) Primary Community and Prevention Resources
I found many options in my community that can address the issue. Most low-income families live on the rough side of town, where there are no useful resources to utilize. There is a city bus that picks up during the day to take people to the other side of town, where they have grocery stores with healthy choices and exercise/weight loss opportunities. Also, a better-equipped gym, sports complex area, and children's park that has up-to-date and working equipment.
(B1b) Underlying Causes
Politically speaking, the money or tax dollars are not contributing to cleaning up and upgrading this side of the community because of the crime rate. Transportation is also a pertinent factor to explain why many do not have access to nearby weight loss/ health choice options to decrease/maintain obesity for children in the community.
(B2) Evidence-Based Practice
Childhood obesity has skyrocketed over the last century, and it has become a severe public health issue. Low socioeconomic status is associated with a higher BMI. After evaluating the possible issue, the results concluded that knowledge about healthy eating and self-regulating strategies in isolation is insufficient for practicing healthy food choices. (Pereira, et al., "The Mediator and Moderator Role of Complexity of Knowledge about Healthy Eating and Self-Regulated Behavior on the Relation between Family's Income and Children's Obesity," 2019). According to the next peer review article, there was a study done on children to assess the association between family income and children's physical fitness level for eight different racial/ethnic groups. Lower family income was associated with lower fitness scores, as well as lower-income families, had the highest amount of obese children. All in all, children with lower family incomes tend to have a less healthy lifestyle when it comes to healthy foods and physical fitness compared to families with higher incomes. (Jin & Jones-Smith, "Associations between family income and children's physical fitness and obesity in California, 2010-2012", 2015)
(B2a) Identification of Data
There are currently 4.8 million children from the ages 10-17 that are overweight, which means 1 in 7 children are over the average weight for their age, nationwide. According to Alab...