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Community Nutrition

Community Nutrition. What is community nutrition? What is health? CN and trends in healthcare Risk reduction and disease prevention. Definitions. Nutrition = science of food and its use by the body

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Community Nutrition

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  1. Community Nutrition • What is community nutrition? What is health? • CN and trends in healthcare • Risk reduction and disease prevention

  2. Definitions • Nutrition = science of food and its use by the body • Community = “unified body of individuals with common characteristics or interests who live in a particular area” • people • location • social interaction • shared values

  3. What is Community Nutrition? • Community Nutrition (CN) strives to improve the health and well-being of individuals and groups within the community • Three arenas: • people (diverse) • policy (course of action) • programs (instruments to change behavior) • Involves socioeconomic, political, cultural, and psychological aspects of food…

  4. CN vs. Public Health • CN draws on dietetics and public health • public vs private • governmental control • Public Health = societal efforts to promote/restore people’s health • 1900s: sanitation, communicable diseases • now: chronic diseases

  5. Ten Leading Causes of Death in the U.S. (1900) Rank Cause of death 1 2 3 4 5 6 7 8 9 10 Pneumonia/influenza Tuberculosis Diarrhea and enteritis Heart disease Stroke Liver disease Accidents Cancer Diphtheria Meningitis Causes in which diet plays a part Causes in which alcohol plays a part

  6. Ten Leading Causes of Death in the U.S. (2000) Rank Cause of death 1 2 3 4 5 6 7 8 9 10 Heart disease Cancer Stroke Lung diseases Accidents Diabetes Pneumonia/influenza Alzheimer’s disease Kidney disease Septicemia Causes in which diet plays a part Causes in which alcohol plays a part

  7. What is Health? • Absence of disease • State of physical, emotional, mental, social, spiritual well-being

  8. Components of a Healthful Lifestyle • E • E • No _________ behaviors • _________ management • Adequate ___________

  9. Clinical Medical Community Prevention Trends in Nutrition/Healthcare Community nutrition interfaces with the realities of the health care system

  10. Reality Prevention is more effective, but… prevention efforts are rarely reimbursed!! Outcomes can also be hard to prove

  11. Reality Prevention is more effective, but… prevention efforts are rarely reimbursed!! Outcomes can also be hard to prove (Brainstorm measurable outcomes of nutrition intervention)

  12. Health Insurance • Fee-for-Service (private) • traditional individual or group • Managed care (private) • group, usually employer-based • Public (Medicare and Medicaid) • low SES • aged, blind, disabled • are entitlement programs • Uninsured • working poor, seasonal workers • uninsurable

  13. U.S. Healthcare: Insurance Coverage Sources: Census Bureau, CDC (NCHS); September 2008; August 2011 Cohen RA, Martinez ME, Ward BW. Health insurance coverage: Early release of estimates from the National Health Interview Survey, 2009, 2010, 2011. National Center for Health Statistics. June 2010 and 2011. Available from: http://www.cdc.gov/nchs/nhis.htm.

  14. U.S. Healthcare: Insurance Coverage Sources: Census Bureau, CDC (NCHS); August 2004

  15. Trends in the Healthcare System • Increase in managed care: HMOs, PPOs • Increased costs • technology is $ • aging of population • consumer demands • liability coverage • education costs • unhealthy lifestyles • (Trend in jobs: part-time)

  16. Health Continuum

  17. Who is at Risk?(and how do you know?) • Depends on people and hazards considered • Individuals • referral • ill • Groups • risk factors • Population • known problems

  18. U.S. Healthcare: Insurance Coverage Cohen RA, Martinez ME, Ward BW. Health insurance coverage: Early release of estimates from the National Health Interview Survey, 2009. National Center for Health Statistics. June 2010. Available from: http://www.cdc.gov/nchs/data/nhis/earlyrelease/insur201006.pdf

  19. Risks and Disease Prevention • Risk = expected annual mortality / hazard • Risk assessment = determining extent of the hazard / identifying who faces the hazard

  20. Healthy People 2010 • Mission = creating healthy people in healthy communities • 2 Goals: • increase the quality of life and years of healthy life • eliminate health disparities

  21. Healthy People 2020 • Vision = a society in which people live long, healthy lives • Overarching Goals = • Attain high-quality, longer lives free of preventable disease, disability, injury, and premature death. • Achieve health equity, eliminate disparities, and improve the health of all groups. • Create social and physical environments that promote good health for all. • Promote quality of life, healthy development, and healthy behaviors across all life stages.

  22. U.S. Health Disparities: 2002-2008 Sources: Census Bureau, CDC (NCHS); September 2007 http://www.cdc.gov/nchs/data/hus/hus10.pdf#002, August 2011

  23. U.S. Health Disparities ~1998

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