Obesity in adult living on American Indian reservation age 65
Topic: Obesity in adult living on American Indian reservation age 65
Information about the topic
Part A
For this part of the assignment, please fill in a determinants table for your issue and reference list. All sources should be reputable (i.e. government sites or scholarly articles) and any source used for any part of the assignment should be included in the reference list.
Your table should identify those factors that you have identified as potential determinants (influences/causes) of the disparity that you have chosen.
this table should include at least 8 determinants that you have identified/explored in the literature.
– Include determinants at all levels of the SEM
– Remember you need to be focusing on determinants of the disparity, not the health issue in general
– For each row of the table, you should provide sources that support the statements you have included
For this table, you should not be explaining why the determinant leads to the disparity, but rather
simply identifying that the literature supports that it is a determinant.
For each determinant:
1. Name the determinant
2. Identify how the determinant is associated with the health issue you have selected (with citation) 3. Identify how the determinant is associated with the population you have selected (with citation) 4. Indicate which level of the social-ecological model (SEM) you feel your determinant would fit into
example:
HDR Part 2 Table: Summary of Determinants – Partial Examples Topic: HPV Vaccinations among Hispanic Americans Determinant How the determinant leads to How the determinant particularly affects Level of SEM HPV vaccinations Hispanic Americans Socioeconomic status When there is lower socioeconomic status then Compared to the overall population, Hispanic Individual there is less HPV vaccination (Guittierez, 2010) Americans are more likely to experience low socioeconomic status (Ruis-Alvarez et al, 2015) Proximity of health care When there is less proximity to health care Compared to the overall population, Hispanic Community services services then there is less HPV vaccination Americans are less likely to experience proximity (King et al, 2012) to health care services (Johnson & White, 2014) Topic: Lung Cancer Mortality among African-Americans Determinant How the determinant leads to How the determinant particularly affects Level of lung cancer mortality African Americans SEM Severity of lung cancer When lung cancer is less severe, then there is Compared to the overall population, African Individual less lung cancer mortality (Robinson & Crusoe, Americans are more likely to experience severe 2014). lung cancer (Robinson & Crusoe, 2014). Tobacco use When there is less tobacco use, then there is Compared to the overall population, African Individual less severe lung cancer (Uhura et al, 2011). Americans are more likely to use tobacco When there is less severe lung cancer, there is (Mendes, 2018). less lung cancer mortality (citation above). Tobacco advertising When there is less tobacco advertising, then Compared to the overall population, African Community there is less tobacco use (Proctor & Gamble, Americans are more likely to be exposed to 2015). When there is less tobacco use, then tobacco advertising (Washington & Lee, 2017). there is less severe lung cancer and less lung cancer mortality (citation above). Policy restricting tobacco When there is more policy restricting tobacco Compared to the overall population, African Policy advertising advertising, then there is less tobacco Americans are more likely to be exposed to advertising (Singh, 2018). When there is less tobacco advertising (citation above), therefore tobacco advertising, there is less lung cancer are more likely to be impacted by policy mortality (citation above). restricting advertising.
Part B:
Choose three (3) of the disparity population inequities from your Determinants Table and provide explanations for why and how the inequities are perpetuated. The “inequities” will be statements from the “Population” column of your table. Each explanation should be in full sentences. Keep in mind that you want to start to identify root causes of the inequity (e.g. classism, ableism, money in politics, income inequality, etc)
example:
HDR Part 2: Determinants Table Topic: Obesity among Individuals with Severe Mental Illness (SMI) Explanation of lnequities Choose three (3) of the disparity population inequities from your Determinants Table and provide explanations for why and how the inequities are perpetuated. The "inequities” will be statements from the "Population” column of your table. Each explanation should be in full sentences, and about 100-300 words in length. Keep in mind that you want to start to identify root ca uses of the inequity (e.g. classism, ableism, money in politics, income inequality, etc) Choose three statements of inequity from this column. for food supplies food supplies, then there is more obesity (Johnston et al, 2013) Determinant How the determinant leads to How the determinant particularly affects Level of SEM Obesity Individuals with Severe Mental Illness Reliance on local food banks When there is more reliance on local food banks for Compared to the overall population, individuals Individual with SMI are more likely to experience reliance on local food banks for food supplies (Ruiz~Alvarez et al, 2015) Reliance on medications that cause weight gain When there is more reliance on medications that cause weight gain, then there is more obesity (Han 8: Simmons, 2011) Compared to the overall population, individuals Individual with SMI are more likely to experience reliance on medications that cause weight gain (SAMHSA, 2014a) Experience of stigma from not aligning with cultural norms When there is more experience of stigma from not aligning with cultural norms, then there is more obesity (Nikolajski & Egjflgll, 2012) Compared to the overall population, individuals Individual with SMI are more likely to experience stigma from not aligning with cultural norms (NAMI, 201D)
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