You are a public health nurse practicing in Wellsburg, a town of 75,000 in the Pee Dee. The health department where you work has recently been contracted to provide services at a satellite clinic located in the community center at The Village, located in the downtown area. You are visiting the housing development to assess the health status of this community, and to get an idea of the health needs of its residents. The Village is a public housing development consisting of 350 two-bedroom townhouse apartments. Due t
You are a public health nurse practicing in Wellsburg, a town of 75,000 in the Pee Dee. The health department where you work has recently been contracted to provide services at a satellite clinic located in the community center at The Village, located in the downtown area. You are visiting the housing development to assess the health status of this community, and to get an idea of the health needs of its residents. The Village is a public housing development consisting of 350 two-bedroom townhouse apartments. Due to its downtown location, the neighborhood is bordered by several busy streets. The units are small, and situated closely together, but appear to be in good repair. Near the apartments is a small playground area; however, there is no significant grassy areas in the development. There are five central dumpsters, and you notice that they are overflowing with trash and abandoned debris. The Village has a small community center and commons area, where items of interest can be posted on bulletin boards. Residents’ mailboxes are located here, as well as a bus stop for the public transportation system. There is an elementary school 5 blocks from The Village, however, any shopping or grocery stores (other than corner convenience stores) are located 3 miles away. The community hospital and most physicians’ offices are 10 miles away, on the other side of town. This fall, the Head Start Program will be offering services at the community center for qualifying children ages 3 – 5. For your first visit to The Village, you meet with the director from the public housing authority. He shares with you that The Village has a large number of single parents and pregnant teens. He also tells you that most families who qualify to live in the development fall significantly below the poverty line, and receive assistance from the Department of Jobs and Family Services. Many of the residents have no high school diploma, and there is increasing truancy among the teens. Those residents who are fortunate enough to be employed work at very low-paying jobs, and there are a fair number of disabled and elderly residents living on a fixed income. A recent study conducted by the local university, health department and hospital found that the ethnic composition of The Village is 38% Caucasian, 48% African-American, and 14% Latino. Approximately 12% of all births are premature and only 28% of pregnant women received early prenatal care in the first trimester. There is a growing problem with childhood obesity, and the rate of childhood immunizations is much lower than the state average. Recent concerns also include increased incidence of alcohol and drug use among both teens and adults. Upon driving through the neighborhood, you notice several young women visiting while they watched their small children at the playground. You also notice a fair number of elderly residents sitting out on their porches, and some visiting together in the commons area near the community center.
1. Use your knowledge of social determinants of health (SDOH) to identify some (at least 3) social determinants of health that impact this community. Explain the SDOH and describe (with examples) how it impacts this community. Be sure to cite your sources.
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