Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
COMMUNITY
COMMUNITY
in different ethnic groups; 41% off-reserved aboriginal children are overweight or obese whereas
18% of Southeast Asian or East Asian children are overweight or obese (Shields, 2006, as cited
in Kuhle, 2013). Overweight or obesity rate is more among children from middle class families
than that of low income families (28% vs 25% in 2004/2005) ((Shields, 2006, as cited in Kuhle,
2013).
Nearly one third of children in Canada is considered have overweight or obesity
(Roberts et al., 2012, as cited in Kuhle, Doucette, Piccinini-Vallis, & Kirk, 2015). According to
WHO (2000), it is the greatest threat to public health in developed countries (as cited in Kuhle,
2013). Obesity has also been linked to serious health concerns including shorter life spans,
increased health care costs, and increased risk of certain illnesses such as diabetes and heart
disease. According to the Children Obesity Foundation (2015), in the recent decades, childhood
overweight or obesity has been increasing steadily in Canada. The statistics show that children
between the ages of two to 17 are mostly affected; among them, the rate of overweight and
obesity is almost double (from 14 percent to 29 percent) among youth, aged 12 to 17 years
(Public Health Agency of Canada, 2012, as cited in Children Obesity Foundation, 2015). There
are multiple causal factors, such as readily available poor-nutrient food (fast food), costs of
healthy food, and sedentary lifestyles, are associated with obesity, so an alteration of a single
factor by individual approach is not enough to address the issue; a combination of lifestyle and
behavioural modification is the key factor (Kuhle, Doucette, Piccinini-Vallis, & Kirk, 2015).
Without an early intervention, obese children are more likely to become obese adults; therefore,
it is important for health care providers to recognize, treat, and prevent obesity in children and
adolescents before obesity-related complications become severe and debilitating (Faguy, 2016,
p279).
COMMUNITY
4
Identifying Assessment Model
The Population Health Promotion model has been used for the community assessment. The goal
of the model is to promote health and improve sustainable health outcome of the community
by incorporating determinants of health, health promotion strategies, and primary healthcare
principles (Stamler & Yiu, 2012, p.215).
Rationale for Selected Assessment Model
The model is ideally used for assessing, planning, intervening, and evaluating the health of the
community (Stamler & Yiu, 2012). According to Registered Nurses Association of Ontario
(RNAO), the childhood or adolescent obesity is strongly related to the determinants of health
including socioeconomic status (poverty), Obesogenic environmental conditions (lack of
resources for physical activity or healthy eating), and individual-level conditions (biologic
influence) (2014).
Assessment Based on Determinants of Health
Socioeconomic Status
Children living in a lower socioeconomic status are more prone to develop overweight or
obesity. According to the Canada Community Health Survey (carried out by Statistics Canada)
(2006), the obesity rate is 37.8% higher in children living in a low income family compared to
6.2% in high income. The obesity rate is 10.5% higher in the children whose parents havent
completed high school than the children whose parents have completed high school (1.3%) (as
cited in Burton & Phipps, 2009).
COMMUNITY
COMMUNITY
determine options for healthy food choices and age appropriate serving size. The healthy food
environment also includes the community's accessibility and affordability of healthy food such as
fresh fruits and vegetables (Karnik, & Kanekar, 2012).
Individual-level Condition (Behavioral Factors)
Some behavioral factors including not performing regular physical activity and
consuming high calorie food can also play a major role in developing childhood overweight or
obesity; in other words, weight gain is common when the energy consumption is more than its
expenditure (Karnik & Kanekar, 2012) . Children with sedentary lifestyle are more prone to
develop overweight or obesity. The sedentary lifestyle includes watching television, playing
video games, and/or working/studying on computers (Karnik & Kanekar, 2012)).
Analysis of community assessment
There are 15 schools under the Grande Prairie Public School District (2016) and 15
schools under the Grande Prairie Catholic School District (2016). Among them, three
catholic schools, St. Clement, St. Patrick and St. Joseph High School, and two public
schools, Avondale and Hillside, have started the Grande Prairie Schools Snack Program
(GPSSP) where the students are provided healthy morning breakfast, fresh fruit
midmorning snack, and a nutritious emergency bag lunch (Huffman, 2015). The goal of
the program is to alleviate hunger and educate children about healthy lifestyle choices
(GPCSD, 2016, para 1). According to CDC (2015), students who eat school lunches
consume healthier food than those who dont; school lunch serves lunch lower in
unsaturated fats and salt and more fruits, vegetables, milk, and fibres.
There are some organizations in the city of Grande Prairie that facilitate health and wellbeing of children and youth in the community:
COMMUNITY
Be fit for life; Ever active schools; Alberta Health Services-health promotion
coordinators; Health and physical education council-regional representatives; Active for
life; Alberta healthy school community wellness fund; Healthy Alberta; ParticipAction-
get moving get living; Alberta active living partners (GPRC, 2016).
Children and adolescents should do at least 1 hour (60 minutes) or more of physical
activity each day. According to the stats, some 93% of parents are not ensuring their kids
get off the couch for at least 60 minutes a day. There are tons of activities that cost
nothing but your time and perhaps a little energy. (Rinne, 2012).
Average Family Income (2011 Census): $106,993 (City of Grande Prairie, 2016)
Unemployment Rate (May 2016): 7.8% (City of Grande Prairie, 2016)
The City of Grande Prairie has more than 600 acres of park areas that are operated and
COMMUNITY
high in calories, sugar, and fat (CDC, 2009). Therefore, having limited school snack programs
can be a risk factor for overweight or obesity.
Conclusion
Community health assessment is an important tool to facilitate health promotion of a
community. In this paper, I have selected overweight or obese children or adolescent as
aggregate because in Canada, the rate of obesity is increasing day by day. I have used the
Community Health Promotion Model and selected three health determinants to carry out the
assessment. The determinants include socioeconomic factor, environmental factor, and
behavioral factor. After analyzing the assessment data, I have made a deficit diagnosis which will
help me determine goals and interventions to promote the health of the community.
COMMUNITY
9
References
Burton, P., & Phipps, P. Shelley Phipps. (2009). Low family income and the overweight status of
Canadian adolescents. Retrieved from
http://myweb.dal.ca/phipps/Burton_Phipps_Chapter.pdf
Centers for Disease Control and Prevention. (2015). Americas schools make positive changes to
create healthier school meals. Retrieved from
http://www.cdc.gov/media/releases/2015/p0827-school-meals.html
Centers for Disease Control and Prevention. (2015). Community health assessments & health
improvement plans. Retrieved from https://www.cdc.gov/stltpublichealth/cha/plan.html
Centers for Disease Control and Prevention. (2015). Defining childhood obesity. Retrieved from
http://www.cdc.gov/obesity/childhood/defining.html
Centers for Disease Control and Prevention. (2015). Nutrition standards for foods in schools.
Retrieved from
http://www.cdc.gov/healthyyouth/nutrition/pdf/nutrition_factsheet_parents.pdf
Children Obesity Foundation. (2015). Statistics. Retrieved from
http://childhoodobesityfoundation.ca/what-is-childhood-obesity/statistics/
City of Grande Prairie. (2016). City parks and boulevards. Retrieved from
http://www.cityofgp.com/index.aspx?page=593
City of Grande Prairie. (2016). Quick statistics. Retrieved from
http://www.cityofgp.com/index.aspx?page=756
COMMUNITY
Faguy, K. (2016). Obesity in Children and Adolescents: Health Effects and Imaging
Implications. Radiologic Technology, 87(3), 279-302 24p
Grande Prairie & District Catholic Schools. (2016). Our schools. Retrieved from
http://www.gpcsd.ca/Schools.php
Grande Prairie Public School District. (2016). Our schools. Retrieved from
https://www.gppsd.ab.ca/Schools/Pages/default.aspx
Grande Prairie Regional College. (2016). Alberta organizations who support healthy school
communities. Retrieved from https://www.gprc.ab.ca/community/bffl/partners.html
Haener, M. (2013). A living wage for Grande Prairie: Background report. Retrieved from
www.cityofgp.com/modules/showdocument.aspx?documentid=787712.
Karnik, S., & Kanekar, A. (2012). Childhood Obesity: A Global Public Health Crisis.
International Journal of Preventive Medicine, 3(1), 17.
Kuhle, S. (2013). Determinants and consequences of childhood overweight in Canada.
Dissertation Abstracts International, 74,
Kuhle, S., Doucette, R., Piccinini-Vallis, H., & Kirk, S. F. L. (2015). Successful childhood
obesity management in primary care in Canada: what are the odds? PeerJ, 3, e1327.
http://doi.org/10.7717/peerj.1327
Registered Nurses Association of Ontario. (2014). Primary prevention of childhood obesity.
Retrieved from http://rnao.ca/sites/rnaoca/files/Primary_Prevention_of_Childhood_Obesity_0.pdf
Rinne, D. (2012). Childhood obesity rates not such a big mystery. Retrieved from
10
COMMUNITY
http://www.dailyheraldtribune.com/2012/03/14/childhood-obesity-rates-not-such-a-bigmystery
Stamler, L. L., & Yiu, L. (Eds.). (2012). Community health nursing: A Canadian perspective
(3nd ed.). Toronto: Pearson/Prentice Hall.
Taylor, B. (2010). Poor and fat: The link between poverty and obesity in Canadian children.
Retrieved from http://www.cbc.ca/news/technology/poor-and-fat-the-link-betweenpoverty-and-obesity-in-canadian-children-1.972762 2.
Vollman, A. R., Anderson, E. T., & McFarlane, J. (2012). Canadian community as partner:
Theory and practice in nursing (3nd ed.). Philadelphia: Wolters Kluwer | Lippincott
Williams & Wilkins.
11