Obesity is an enormous problem that affects several people who reside in New York. It impacts the lives of many and can may cause several health problems.
The article “Demographic and Behavioral Factors Linked to Obesity Among Inner-City Latino New Yorkers in the Bronx Community” discussed and demonstrated the demographics of how Latinos in the inner cities of New-Yorkers have a high prevalence of overweight status and obesity. Due to several factors such as education level, age, gender, and the individual readiness to change diet and physical activity, it caused several people to be overweight. “Latinos have the highest prevalence of overweight status (46 %) of any ethnic group in the NY State” (Bergad, 2009).
The environmental issues such as the location of fast foods are important factors that have a huge impact on the body weight of an individual in this population. The knowledge and awareness of the issue is the fist step in success of obesity control. In the article “Motivation for obesity prevention among adolescents in low-income communities in three U.S. states” it discussed how one of public health’s main concern is how the obesity in adolescence contribute to health disparities in the United States. Motivation in an individual is a crucial component to aid with behavior change interventions. Studies have demonstrated that the enhancement of risk perception is a necessary step in the behavior change process. However, both perception and motivation need to work together so that behavior change can come in effect.
The article “Adverse family experiences and obesity in children and adolescents in the United States” discussed the impression of how childhood obesity is linked to the exposure of adverse family experiences. For instance, the relationship of obesity may be linked to the death of parent and/or hardships due to low income among children ages 10–17 years. It was found that the death of a parent or guardian had the most effect on child obesity. In hopes to solve this problem in the community, a local foundation has given me $100,000 to make progress on solving obesity in New York. With the money given to me, I will open more local grocery stores that sell inexpensive fresh produce, fruits and vegetables, whole grain cereals, etc. As a result of this, low income residents of New York will have the option to eat healthier foods that are cheap rather than being forced to eat fast foods all the time just because they are low-priced. With the connivence of price and placement of fast food restaurants on every corner of New York, the availability and affordability made it easy and compelling for families to choose to eat these unhealthy, fattening foods. But, with the addition of grocery stores that sell affordable, healthy foods, it will cost less to feed a family and ensure that families are able to eat nutritious foods that they prepare, essentially making it more accessible to be healthy.
Another thing that I will do to help prevent or assist with the problem of obesity is to enforce physical activity and have cultural competent Health Providers. I will increase the access of places for people to walk, run, bike, swim, etc. I will also increase the number of community organizations and school programs that will teach the students and adults the importance of being fit. I will also put in place nutritious meals and snacks in schools and vending machines to help kids live long, healthy lives. There are several things that can possibly make this unethical. For instance, if certain communities in New York lack the access to inexpensive grocery store due to being less privileged or solely based on race, this could potentially make the whole process unethical. Another thing that could make this unethical, is if schools in poorer areas in New York do not provide healthy meals and snacks, but the wealthier schools in New York are provided with it. In order to make sure that this is ethical and has cultural competency to all, I will need to make sure that the funding to aid with obesity is spread out evenly throughout both low-income and wealthy places so that the schools are all provided with healthy foods.
Also, I will need to ensure that the grocery stores, sidewalks, running areas, etc. are located and scattered fairly within the community. When trying to solve the problem of obesity, I have carefully thought everything out so that it does not interfere with the key concepts of people. Overall, the program I have created meets all the criteria for ethical principles related to liberty and health.
For example, adding grocery stores and instructors for fitness does not interfere with anyone’s autonomy because they still have the option to eat at fast food restaurants and they also are not being forced go learn why fitness is good for them. Beneficence is in effect because the programs and grocery stores are set forth to try and do good for all people, and is not causing any harm to anyone (non-malfeasance). There is justice to all with this program because it benefits everyone who needs it and assures that all people have appropriate access to the grocery stores and healthy foods in schools since it it being distributed to both low income and wealthy places. With schools being pro-healthy food, it is paternalistic because we are trying to get kids to eat more healthy without their consent but it is essentially bringing good to them from this act. Cultural competency will be important for my efforts of preventing and controlling obesity because providers and organizations will be needed to effectively care for people in the community. Not only should heath care be accessible, it should also affordable and have no language barriers.
A key point in the process of trying to help with obesity in New York is that we have make sure there is no language barrier between the people of the community and the Health Trainer so that everyone will be able to understand. I would assure that my solution to obesity addresses the individual cultures and needs of the community by offering and providing language assistance services at no cost to each group of people who attend the fitness program at all hours of service. This will eliminate any chance of miscommunication that may occur. The families that reside in the community will need health providers that are a wide range because it is a multicultural community. This is important because the health providers need the ability to understand and communicate with people of different languages to ensure that they will receive the best health care and comprehend how to take medicines prescribed to them.