PICOT Statement:
POPULATION/PATIENT PROBLEM:
Both researchers studied the incidence of overweight/obesity in African-American children. One related it to the low socioeconomic status of the caregivers (SEP) and this study/research was conducted in Pitt County, North Carolina. The other research, four childhood obesity perceptions among African-American caregivers in a rural area Georgia community relates overweight/obesity on the parents’ level of education, income, eating habits and lack of physical activities compared to calorie intake, rural areas lack parks, sidewalks, and other recreational facilities.
INTERVENTION:
The environment targeted were African Americans living in rural areas, their neighborhood schools and type of stores
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At least 155 million children were grouped as overweight or obese worldwide in 2007 (Alexander, Alfonso, Hansen 2014). The vast number of overweight or obese children live in developing countries, and the increase has been 30 percent higher than that of developed countries (Alexander, Alfonso, & Hansen, 2014). By 2025, the amount of obese or overweight infants and young children will increase to approximately 70 million (Alexander, Alfonso, & Hansen, 2014).
The increase in overweight in the United States has disproportionately affected African-Americans, compared to other ethnic groups. It has been estimated that “45 percent of the non-Hispanic black population is obese compared to 30 percent of non-Hispanic whites” (Bennett, Wolin & James, 2007). Members of low socioeconomic groups, especially African-American, Hispanics and American Indians are unreasonably affected (Wang 2010).
Obesity has both physical, mental and social effects on children. Obese children are likely to stay overweight into adulthood. Health complications of overweight/obesity include type II diabetes, hypertension, cardiovascular diseases, gastrointestinal disorders, and cancer. Obese children and adolescents also suffer from psychological impacts such as depression, anxiety, low self-esteem and social stigma. This psychological issue affects the quality of life for children and adolescents. Ethnicity is a risk factor for childhood obesity, and many mediating mechanisms
Over 60 million people are obese in the world today. The socioeconomic statuses of the Americans play a major part in the obesity rates across the country. People with higher incomes are less likely to be obese than people with lower incomes. One in every seven preschool-aged children living in lower income areas are obese (Center for Disease Control and Prevention). A 2008 study showed that obesity is highest among American Indian and Alaska Native (21.2 percent) and Hispanic Americans (18.5 percent) children, and it is lowest
In 2013-2014 37.7% of adults 20 years of age and older in the U.S were obese. Among racial ethnic groups white Non -Hispanics had the lowest rate of obesity at 36.4%. Black and Hispanics populations had rates of 48.4% and 42.6% nationally. The rate for Black non- Hispanic groups were 1.5 times higher than the rate for white non- Hispanic groups.("Healthy People 2020," 2014, p. 3).
Obesity has become a major problem here in America. Although millions of American’s are affected by it, from all levels of society, the biggest problem seems to be focused with low-income families.
South Carolina has one of the highest rates of obesity in the nation and, proportionately, more Latino children aged 2–5 years are obese compared to black and white children in the state (Torres, Meetze, & Smithwick-Leone, 2013). In fact, the proportion of obesity among South Carolina Latino children between the ages of 2 and 5 years in 2009 was 37.3% compared to 27.3% and 26.4% for black and white children, respectively (Torres, Meetze, & Smithwick-Leone, 2013). Moreover, in 2011, about half of all middle-school children were not active, and approximately 30% of high school students were considered overweight or obese (Torres, Meetze, & Smithwick-Leone, 2013). These high numbers of overweight and obese children are startling because overweight
Research has shown an ethnic and racial disparity in the frequency of childhood overweight and obesity. Specifically, minority children face a disproportionately higher chance of obesity; Taveras, Gillman, Kleinman, Rich-Edwards, and Rifas-Shiman agree: “…many risk factors for child obesity are more prevalent among black and Hispanic children than among white children (p. 693). ” They go on to write that additional variables affecting those two minority groups include belonging to a lower socioeconomic class, sleeping less than their white counterparts, and a greater likelihood of consuming sugar-sweetened beverages and fast food after age two .
Children and adolescents, their health is of the most upmost importance. The child is impacting through everything they do in their lives and everything that they come face to. One of these factors that come into play into a child’s life is Obesity. Most importantly the racial and ethnic disparities that involve Obesity. Unless this issue of this inclining obesity is addressed, there will be assumptions that the amount of years a person will live will surely decline (Johnson, 2012). Obesity is a killer as it is the secondary killer and could well be our first if the people don’t take action (Johnson, 2012). Obesity increases the risk of cardiovascular disease as well as asthma and diabetes (Johnson, 2012). Seventeen percent of young adults in the USA today are obese (Rossen, 2014). The commonness of obesity has escalated throughout the years in Children and Young adults that were being seen in Adults (Caprio et al., 2008). There are many disparities in which affect children in every way but the one that affects the obesity in childhood is racial and ethnic disparities. The amount of obesity in childhood is increasing in all ethnic and racial groups but it is found that nonwhite population have the most amount of Obesity (Caprio et al., 2008). The Mexican- American and non-Hispanic black children have a heavier load to carry as of racial and ethnic subgroups (Rossen, 2014). As children are expose to different physical and social environments, they are wide-open to different
Despite the well-publicized health and emotional consequences of obesity, a successful weight-loss industry, and a high rate of voluntary dieting, the prevalence of obesity in African American women continues to increase. For the most part, African American women are aware of the serious health risks related to obesity. Honest attempts to diet and exercise properly usually resulted in gaining of the weight loss and additional pounds in the process. A limited number of studies suggest that African American women maybe less motivated to control their weight because of culturally determined, permissive attitudes toward obesity (Kumanyika & Guilford-Davis, 1993). In fact a select few of obese African
The Centers for Disease Control and Prevention has reported since 1960 adult obesity has tripled and since 1970 childhood obesity rates have also tripled (May, Freedman, Sherry & Blanck, 2013). However, in comparison with national averages, obesity rates amongst minorities remains exceedingly high. Currently, 38 percent of adults in America are obese (Segal, Rayburn & Martin, 2016). Meanwhile, 48.4 percent of Blacks are obese, 42.6 percent of Latinos are Obese and 36.4 percent of Whites are obese. Furthermore, childhood obesity rates for American children is 17 percent. Examination of the data reveals 21.9 percent of Latino children are obese, 19.5 percent of Black children are obese and 14.7 percent of Whites are obese (Segal, Rayburn & Martin, 2016). These gaps are significant and represent a major health disparity. Health disparities are the quantifiable variances in health outcomes amongst groups of people. Obesity
Abstract: African American people have a high percentage of obesity compared to other ethnic groups. Social determinants of obesity in African American people include low socioeconomic status, limited access to affordable and healthy food, dietary behavior and food culture, lack of nutrition knowledge, attitudes and beliefs, higher exposure of marketing of less nutritious food and limited access to safe places to physically active. This research was done to see how these social determinants affect the obesity rate in African American people. Different researches were reviewed. The effects of above mentioned social determinants were observed and some recommendations are given in order to minimize the health disparities in low income African
In looking at the statistics the African American population continues to suffer through obesity because of the limited access provided as well as other barriers such as poor diet and physical education. African American is consistently one of the top ethnicity suffering obesity. Although in the African American culture they continuously keep food as their revolving globe. Food connects the African American population together socially and culturally which individuals were brought up on this mentality. Such as soul food cooked high in fats with a lot of sodium, fat, and cholesterol. Many African Americans were raised on the southern food mentality which they were uneducated about. As the numbers continue to rise in the African American population for obesity, health issues still rise as well. The barriers are a huge issue for African Americans and in order to reduce the risk the barriers need to be knocked down.
Unfortunately, childhood overweight and obesity rates in America have tripled the last three decades and tend to be much higher amongst African Americans. According to research done by UC Davis, “Nearly 40% of African American children are overweight or obese.”
While obesity and overweight levels have been rising for all socioeconomic groups, some groups of people are more affected than others. Relationships between socioeconomic status and obesity undoubtedly have complex explanations. Some studies have shown that people with low socioeconomic status are more likely to be overweight or obese than people with high socioeconomic status. Author also emphasizes that socioeconomic status causes disparities in health and shorten longevity for those who are most disadvantaged. The relationship between overweight or obesity and income is varies by race and ethnicity. For example, in a household with less than $10,000 of annual income about 33 percent of blacks are obese, about 26 percent of Hispanics, and about 19 percent of whites. Culture, race and ethnicity play an important role in determining the obesity rate. Critser emphasizes certain studies that show minority groups tend to have drastically higher obesity and weight related disease rates than
Fried chicken, mash potatoes and collard greens mixed with fatback meat was my family’s favorite Sunday meal. Soul food, as it has been called, is valued by many African American families. Given the worldwide obesity epidemic that appears to be affecting most ethnic groups, there is an appreciation that the causes of obesity among African American families and others must lie in the fundamental aspects of the food supply (Capers, C et al. 2011). In my opinion, African Americans in the United Sates are more likely to be obese because there is a large number of low-income families’ and many are uninsured. According to the Office of Minority Health, African American women have the highest rates of being obese compared to other groups in
In 1970, only 5-7% of U.S. children were obese; today, over 17% of U.S. children and adolescents are obese (Johnson, 2012). One out of every three American children are either obese or overweight (Center for Disease Control [CDC], 2016; American Heart Association, 2017; & Office of Disease Prevention and Health Promotion [ODPHP], 2017). More importantly, obese children grow up to become obese adults, resulting in numerous preventable chronic diseases and increased mortality and morbidity (Johnson, 2012; ODPHP, 2017). Furthermore, childhood obesity creates is a financial catastrophe with over 21% of the United States’ health care spent on obesity, totaling over 14 billion dollars of the United States’ annual health care expenses (National League of Cities,
In addition to the adverse health effects obese children are also more likely to face emotional and psychological problems because of social stigmas and discrimination they may face from their peers, and maybe even their own family. This can lead to a high occurrence of low self-esteem and depression in such children (Braet, 1997).