ANSWER
Community Evaluation: Miami, Florida
A. Description of the Community and Subpopulation
With a population of over 2.7 million in the county and around 440,000 in the city, Miami, Florida, which is part of Miami-Dade County, is a diversified metropolitan region (U.S. Census Bureau, 2022). Low-income Hispanic adults between the ages of 30 and 50 have been identified as the at-risk subgroup. This group is disproportionately affected by the incidence of chronic diseases, financial instability, and restricted access to healthcare.
Important Features of the Subpopulation and Miami:
Population Size: About 440,000 people live in Miami City, and about 20% of them are low-income Hispanic adults between the ages of 30 and 50.
Gender: Equal numbers of men and women; women may have slightly better access to healthcare since they are more likely to participate in community health initiatives.
Age: Usually working-age individuals, concentrate on those between the ages of 30 and 50.
Seventy percent of the city’s population is Hispanic or Latino.
Income: Miami’s median household income is approximately $41,818. Because of lower-paying occupations, the subpopulation’s income averages approximately $30,000 (City-Data, 2023).
Educational Level: About 27% of adults do not have a high school diploma, which affects their ability to find work.
The percentage Living in Poverty: Hispanics are overrepresented among those who live below the poverty line, accounting for 23.6% of the population.
Crime Rates: Violent and property crimes are among the more common crimes in Miami, which can make stress and unstable finances worse.
Occupations: Members of this subpopulation typically work in domestic services, hospitality, and construction, all of which frequently offer no health insurance.
Access to Healthcare: When seeking care, many people are uninsured or encounter language obstacles.
Transportation: Depends largely on public transportation, which in certain places might not be dependable.
Food Sources: Higher incidence of diabetes and obesity are a result of limited access to reasonably priced, healthful food.
Health and Nutrition Rates: Due to inadequate preventative care and poor nutrition, obesity, hypertension, and diabetes are common.
1. Environmental Issues Miami’s low-income Hispanic population faces a number of environmental obstacles:
Although water quality is generally safe, older housing areas with ageing plumbing systems may raise concerns.
Air quality is generally good, while industrial activities and car emissions can occasionally have an impact.
Natural catastrophes: high susceptibility to flooding and hurricanes, with low-income communities sometimes having fewer resources available for recovery.
Heat Vulnerability: Miami’s hot environment increases the risk of heat-related illnesses, which are made worse by inadequate cooling in subpar housing.
2. Comparison of Demographics and Information Regarding Health Issues The low-income Hispanic subgroup is very different from the general Miami population:
Despite being 70% of the population, Hispanics have lower educational attainment and higher rates of poverty than the overall population.
Due to dietary deficiencies and restricted access to healthcare, chronic diseases including diabetes and hypertension are more common (Florida Department of Health, 2022).
The greater disease burden in this category is closely correlated with social variables including wealth and education, according to data from the Centres for Disease Control and Prevention (CDC).
B. Economic Stability as a Social Determinant of Health (SDOH)
One important SDOH that has an impact on Miami’s low-income Hispanic adults is economic stability.
1. The effects of unstable economies
Cause of Mortality and Morbidity: Financial constraints and restricted access to healthcare worsen chronic conditions like diabetes and hypertension.
Health Issues That Are Contentious: Food insecurity, housing affordability, and growing healthcare expenditures are cited by local media as urgent problems (Miami Herald, 2023).
Community Issues: The most important issues are safe, stable housing and access to reasonably priced healthcare.
Visits to the emergency room: Untreated hypertension and complications from diabetes are common reasons for ER visits.
Decreased Quality of Life: Poor health outcomes are sustained by economic instability, which affects housing, nutrition, and access to preventative healthcare.
C. Resources at Hand
Community health centres (CHCs): Provide preventative and chronic care services together with sliding fee-based, reasonably priced healthcare.
A regional food bank that addresses neighbourhood food insecurity by offering meals and resources is called Feeding South Florida.
D. Required Materials
Accessible, all-inclusive care for managing chronic illnesses and preventive services is offered via reasonably priced primary care clinics.
Justification: Enhances health outcomes and lessens dependency on emergency treatment.
Programmes for Affordable homes Assistance: Increase efforts to offer secure, reasonably priced homes.
Justification: Stress can be reduced and general health can be enhanced by stable housing.
1. An explanation of the need for resources
Hospitalisations would be decreased by primary care clinics’ improved ability to treat chronic illnesses.
Programmes for housing assistance would enhance living conditions and provide protection from natural disasters like storms and intense heat.
E. Programmes for Evidence-Based Intervention for Community Health Workers (CHWs)
Support for Intervention: Studies demonstrate that CHW programmes enhance the treatment of chronic illnesses by linking patients to resources and offering culturally sensitive education (Viswanathan et al., 2019).
For instance, CHWs might help patients find affordable clinics or nutrition programmes and educate them about managing their diabetes.
1. How the Resource Gap Is Reduced by the Intervention CHWs can help close the gap between vulnerable populations and healthcare systems by:
Encourage more people to take part in preventive care.
By offering specialised assistance, like teaching glucose monitoring or stress management, emergency room visits can be decreased.
A CHW might, for instance, use reasonably priced food resources to assist a patient in creating a healthier diet, which would lessen the need for medical treatments.
Citations City-Data (2023). Florida’s Miami. taken from the website https://www.city-data.com
Department of Health, Florida, 2022. Miami-Dade County community health needs assessment. taken from the Florida Health Department’s website.
Viswanathan, M., Nishikawa, B., Kraschnewski, J. L., et al. (2019). A systematic review of the costs and results of community health worker interventions. 12–18 in Medical Care, 57(1). 10.1097/MLR.0000000000001025 https://doi.org
QUESTION
Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. The similarity report that is provided when you submit your task can be used as a guide.
*APA style, double spaced, Times New Roman, Font 12*
**Use Miami, Florida as the area, please**
A. Describe a local town, city, or county and a subpopulation at risk within that area based on your review of data, and support your description with two credible sources. Your description should include the following information:
• the size of the community and the specific subpopulation
• gender
• age
• race
• income
• educational level
• percentage living in poverty
• crime rates
• occupations
• access to healthcare, transportation, and food sources
• health and nutrition rates
1. Describe environmental concerns (e.g., water quality, air quality, sanitation, superfund sites, hazardous waste, environmental toxins, natural disasters, vulnerability to heat/cold) relevant to the subpopulation.
2. Discuss how the demographics (i.e., race, gender, ethnicity, age) of the identified subpopulation compare with the larger community population, and discuss how data supports the health concern for this subpopulation.
B. Identify one social determinant of health (SDOH) affecting the subpopulation described in part A.
1. Explain how this SDOH is affecting the subpopulation described in part A. Your explanation should address the following questions and be supported with local, state, or national data:
• What is the biggest contributor to disease (morbidity) and premature death (mortality) in the community?
• What are the controversial community health concerns discussed in a local newspaper or a local online resource (e.g., online newspaper or blog, hospital website, county health department site)?
• What do you believe people in the community are most concerned about related to health?
• What is generating the most visits to the emergency room or hospital admissions in the community?
• Based on the collected data, what do you believe is reducing the quality of life in the community?
C. Describe two resources currently available to the subpopulation that address the SDOH in part B.
D. Describe two resources that are needed to address the SDOH for the subpopulation described in part A.
1. Explain why each resource from part D is needed.
E. Discuss an evidence-based intervention to address the gap between the available healthcare resources and the resources needed to address the SDOH. Include one scholarly, evidence-based source published within the last five years to support the discussion.
1. Explain how this evidence-based intervention will decrease the resource gap, including one specific example.
Note: This intervention could include policy development, resource development, population education, etc.
F. Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized.
WebLinks:
https://www.city-data.com
https://www.cdc.gov/publichealthgateway/healthdirectories/healthdepartments.html (Links to state and territorial health departments)
https://www.cdc.gov/about/sdoh/index.html (Information about SDOH)