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Community Assessment and Analysis Presentation
Miami‐Dade County is a minority group that comprises the majority of the population, with 66.4% of the population in Miami‐ Dade County identifying as either Latino or Hispanic compared to 24.1% of the State of Florida population (FloridaHealth.gov 2020)
Miami‐Dade County has a larger percentage of Black/African American residents (18.8% compared to 16.9%) and a lesser percentage of Asian residents (1.9% compared to 3.2%).
Miami-Dade County has a total population of 2,715,516 and almost 1.5 million (53.3%) people are foreign-born. Furthermore, 74.3% of Miami Dade County residents over the age 5 speak a primary language other than English at home. The primary languages spoken among Miami-Dade County residents are English, Spanish and Creole.
In Miami-Dade County and the United States, a significant number of the population work in the following fields: healthcare and social assistance, retail trade, professional, scientific, management, administrative, and waste management.
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Community Description
African Americans are descendants of enslaved people and immigrants.
Community engage in some exercise activities
The community is among the minority in the society.
The community enjoy deep rooted cultural beliefs.
African American communities are considered the descendants of the enslaved people within the boundaries of the United States. The community is known to have native American ancestry and also African origin. Culture plays an important role in shaping African Americans' health behaviors especially their norm of abandoning prescribed drugs immediately after feeling better. The community is considered one of the minority, and they face challenges of economic and health inequality due to their poor economic status. The community engages in some exercise activities and also selective food choices between American and African origin.
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Financial Level
Financial and economic inequality.
Most of the community members are either middle- or low-income earners.
Source of income for most health promotion are sourced through sponsorship and donations.
This Photo by Unknown author is licensed under CC BY-ND.
This Photo by Unknown author is licensed under CC BY-SA-NC.
African Americans are subject to discrimination that resulted in financial and economic inequality in society. Most African Americans are the middle and low-income earners because of the high rate of unemployment because of most opportunities reserved for White Americans.
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Education Background
MOST COMMON STUDENT RACE OR ETHNICITY
Hispanic or Latino
79,734 degrees awarded
Black or African American
54,953 degrees awarded
White
142,812 degrees awarded
In 2017, 142,812 degrees were mostly awarded to White students, Black or African American 54,953 degrees awarded which mean that there were 1.79 times more White students then the next closest race/ethnicity group, Hispanic or Latino, with 79,734 degrees awarded (DataUSA, 2017).
In terms of high school graduation rates, American Indian or Alaska Native persons have a declining graduation rate. In 2019 the graduation rate for this group was 77.5% while their white counterparts was 90.2%. Most students graduating from Universities in Miami, FL are Hispanic or Latino (9,936 and 73.1%), followed by Black or African American (2,096 and 15.4%), White (925 and 6.81%), and Unknown (398 and 2.93%).
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Common goals and interests
Equality in education, job opportunity and political influence.
Fight for representation that would be useful to get leaders fighting for the rights of African Americans.
This Photo by Unknown author is licensed under CC BY-SA-NC.
This Photo by Unknown author is licensed under CC BY-SA-NC.
African Americans are looking forward to achieving equality in society, and they are fighting for better services in terms of healthcare, job opportunities, and also political influence using civic duty. African Americans are pushing for more representation to make sure that they have leaders pushing for their rights. The issue of racism and stereotype is also a common objective to counter and defend the black race.
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Social Determinants of Health
People living in neighborhoods with large proportions of poverty, lack of education, and lack of insurance has a detrimental effect on achieving HIV viral load control among people living with HIV, particularly for Black/African Americans. The impact of the race then is compounded by the conditions that Black/African Americans with HIV in Miami-Dade endure.
It emerged during the assessment that socio-economic issues emerged, indicating issues contributed by unemployment, limited access to education, and lack of social support. There are cases of discrimination that affect access to quality education and employment opportunities.
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Education
Social support
Employment
Value/belief pattern
The assessment resulted to no religious beliefs that has influence on health.
Community members value good healthcare services.
The community use most of the resources on food and clothing.
African Americans value affordable medication.
There are cultural and ethical concepts that are known to influence and related to healthcare, for example, the African American community beliefs after taking given prescribed drugs and feel better, an individual can discontinue the drug intake. The assessment resulted in no religious beliefs that influence health. The community uses most of the resources on food and clothing. Affordable healthcare is their demand because they are among the middle and low-income earners.
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Health Perception/ Management
The common diseases include diabetes, heart diseases and cancer.
Preventable programs adopted include education and awareness.
This Photo by Unknown author is licensed under CC BY-SA.
This Photo by Unknown author is licensed under CC BY-ND.
This Photo by Unknown author is licensed under CC BY-NC-ND.
African Americans are known to consume unhealthy junk foods that increase lifestyle diseases that include diabetes, cancer, and heart diseases. There have been several prevention techniques employed that include education and awareness. A common example is the breast cancer education program that the community appreciates and considers an important resource. The healthcare sector has opted for prevention techniques that would be cheaper than the treatment of the diseases.
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nutrition/metabolic
Increased intake of junk and processed foods.
Junk foods is unhealthy increasing risks of obesity, heart diseases and diabetes.
There are cases of nutrition deficiency in the African American community, demonstrated by their failure to thrive and also the challenges of mental health. The community is characterized by an increased intake of unhealthy foods such as junk and processed food. There are increased cases of nutritional deficiency in the community. It is indicated by the rising cases of lifestyle diseases that include obesity, diabetes, and heart diseases.
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Environmental factors
Air contaminants are experienced that is asbestos and pesticides increasing risk of lung diseases.
Poor waste disposal
Hand hygiene has improved due to Covid-19 pandemic.
In the community environment issues of pollution was present, and what was critical include the presence of asbestos and the use of pesticides that risks the lives of the people through lung illnesses. They have poor water disposal and a septic system that is characterized by overload. Hand hygiene currently has improved after the outbreak of the Covid-19 pandemic, and the level of cleanliness has reduced the infection of other diseases.
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activity/exercise
Community fitness programs has reduced because the donors were affected by Covid-19 pandemic.
Current generation focus much on social media than outdoor activities
This Photo by Unknown author is licensed under CC BY-SA-NC.
Community fitness currently attracts fewer teenagers compared to the past years before the emergence of technology and social media. The community fitness programs that are commonly undertaken include bike trails, swimming, and running. The exercises are essential for improving body metabolism and burning excess fat and cholesterol. A good sleep or rest is important for everyone in the community, especially in terms of mental health.
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sleep/rest
The community demonstrated high cases of unrests and limited sleep.
Limited sleep is caused by increased responsibilities in families because most of them bear more children.
The African American community engages in multiple jobs trying to meet the daily requirements creating limited time for sleep and rest. The community is also known culturally to bear more children than makes home life challenging due to increased needs resulting in stress that affect normal sleep.
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Cognitive/ Perceptual
The community has the indigenous languages and uses English as a common language.
Education opportunities for prisoners
The community values their native languages but communicates with other communities using the English language to understand each other. Educational opportunities are offered to the prisoners through the online platform, especially the GED programs that are easily obtained no matter the student age, civilization, and special programs. There is funding resources used for the programs are sourced from grants, state assistance, fundraising, and donations.
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Self-perception
There are community-based support and volunteering programs.
The community demonstrated strong team spirit when it comes to supporting each other and also volunteering programs like feeding the homeless, hospital activities, and community cleaning programs. The spirit has been there for a long period from one generation to the next based on community history.
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stress
There is an increased drug abuse over the years promoted by increased stress levels.
Covid-19 has increased the stress levels.
Proper stress management.
There is an increased stress level in the community caused by economic challenges experienced by the minority community in the United States that faces challenges in securing job opportunities and health expenses. The community rarely shares their problems. They instead engage in drug abuse as a way to relieve their stress. Proper stress management is required to encourage people to open up and share their challenges with therapists or counselors.
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conclusion
The community also has opportunities like healthcare promotion that community appreciate especially prevention programs.
Low socio-economic status to afford quality care
This Photo by Unknown author is licensed under CC BY-NC.
The community has challenges in terms of access to healthcare due to limited resources. The community also has opportunities like healthcare promotion that the community appreciate especially prevention programs
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Interview Questions
I created some questions to ask the community health nurse (Tsalane Johnson) regarding her role experience within the African American community in Miami-Dade County.
This Photo by Unknown author is licensed under CC BY-SA-NC.
This Photo by Unknown author is licensed under CC BY-NC.
1. What evaluations do you utilize to monitor the work of community health providers in Miami-Dade County?
Firstly, I asked Ms. Tsalane Johnson about the forms of assessment community health providers use to monitor their work. The forms of assessment include surveys, interviews and use of questionnaires.
2. What are the common roles of community health providers throughout Miami-Dade County?
I wanted to know the role of the community health providers throughout Miami Dade County, Ms. Tsalane Johnson said that their role includes creating awareness and education programs as volunteers about breast cancer prevention and other diseases.
3. What do you feel stresses you most when working within this community?
About what stresses her and other providers working in the City of Miami Dade, Ms. Tsalane Johnson identified financial challenges as what stresses her most.
4. What do you think are the most common health issues in Miami-Dade County?
I asked Ms. Tsalane Johnson to identify the common health issues facing the Miami-Dade County community. According to her lifestyle diseases including cancer, diabetes and heart diseases are common due to minimal exercises increasing obesity.
5. Can you suggest how health departments can support the role of community health providers in Miami-Dade County?
I asked Ms. Tsalane Johnson to suggest how health departments can support the role of community health providers. She said that support needed include healthcare providers to join voluntary programs and also offer support in terms of finances and medical supplies.
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references
CDC. (2020). Coronavirus Disease 2019. Centers for Disease Control and Prevention. Retrieved 14 December 2020, from https://www.cdc.gov/chronicdisease/index.htm.
CDC. (2020). New Adult Obesity Maps. Centers for Disease Control and Prevention. Retrieved 14 December 2020, from https://www.cdc.gov/obesity/data/prevalence-maps.html.
CDC. (2020). Open Data Portal | CDC. Cdc.gov. Retrieved 14 December 2020, from https://www.cdc.gov/chronicdisease/data/indicators.htm.
2020 Community Health Assessment 2020-Miami Dade County http://www.floridahealth.gov/
