Millender PBC ARNP conference presentationenp-network.s3.amazonaws.com › NPC_PBC › PDF ›...
2
10/9/2011 1 Bridging Health Disparities Bridging Health Disparities in in Palm Beach County Palm Beach County Eugenia Millender, MS, RN, PMHFNP, CCRN Eugenia Millender, MS, RN, PMHFNP, CCRN Clinical Director, FAU Diabetes Education & Research Center Clinical Director, FAU Diabetes Education & Research Center The Nurse Practitioner Council of Palm Beach County Conference The Nurse Practitioner Council of Palm Beach County Conference October 14 October 14-15, 2011 15, 2011 Palm Beach Garden, FL Palm Beach Garden, FL Statement of the Problem Statement of the Problem Despite Despite the constant struggle to decrease obesity, the the constant struggle to decrease obesity, the prevalence of obesity among adults in the US is 33.8% prevalence of obesity among adults in the US is 33.8% (Flegal Flegal, Carroll, Ogden, & Curtis, 2010) and 20% in Palm , Carroll, Ogden, & Curtis, 2010) and 20% in Palm Beach County*. Obesity has been linked to chronic Beach County*. Obesity has been linked to chronic illness such as diabetes, cardiac disease and social illness such as diabetes, cardiac disease and social economic status. In a county health ranking survey, PBC economic status. In a county health ranking survey, PBC ranked 24 ranked 24 th th in social & economic factors. Therefore, not in social & economic factors. Therefore, not addressing all the factors that influence health outcomes addressing all the factors that influence health outcomes will continue to widen disparities. will continue to widen disparities. * University of Wisconsin Population Health Institute. (2011). * University of Wisconsin Population Health Institute. (2011). County Health Ranking. Retrieved County Health Ranking. Retrieved from from http://www.countyhealthrankings.org/ http://www.countyhealthrankings.org/ Palm Beach County Ranking Palm Beach County Ranking 4 th th Health Behaviors Health Behaviors 7 th th Health factors Health factors 8 th th Physical Environment Physical Environment 10 10 th th Morbidity Morbidity 11 11 th th Health outcomes Health outcomes 12 12 th th Clinical Care Clinical Care 16 16 th th Mortality Mortality 24 24 th th Social & Economic Factors Social & Economic Factors (education, employment, income, family & social support, community safety). (education, employment, income, family & social support, community safety). University of Wisconsin Population Health Institute. (2011). University of Wisconsin Population Health Institute. (2011). County Health County Health Ranking. Retrieved from Ranking. Retrieved from http://www.countyhealthrankings.org/ http://www.countyhealthrankings.org/
Transcript of Millender PBC ARNP conference presentationenp-network.s3.amazonaws.com › NPC_PBC › PDF ›...
10/9/2011
1
Bridging Health Disparities Bridging Health Disparities in in
Palm Beach CountyPalm Beach County
Eugenia Millender, MS, RN, PMHFNP, CCRNEugenia Millender, MS, RN, PMHFNP, CCRN
Clinical Director, FAU Diabetes Education & Research CenterClinical Director, FAU Diabetes Education & Research Center
The Nurse Practitioner Council of Palm Beach County Conference The Nurse Practitioner Council of Palm Beach County Conference
October 14October 14--15, 201115, 2011
Palm Beach Garden, FLPalm Beach Garden, FL
Statement of the ProblemStatement of the Problem
�� Despite Despite the constant struggle to decrease obesity, the the constant struggle to decrease obesity, the prevalence of obesity among adults in the US is 33.8% prevalence of obesity among adults in the US is 33.8% ((FlegalFlegal, Carroll, Ogden, & Curtis, 2010) and 20% in Palm , Carroll, Ogden, & Curtis, 2010) and 20% in Palm Beach County*. Obesity has been linked to chronic Beach County*. Obesity has been linked to chronic illness such as diabetes, cardiac disease and social illness such as diabetes, cardiac disease and social economic status. In a county health ranking survey, PBC economic status. In a county health ranking survey, PBC ranked 24ranked 24thth in social & economic factors. Therefore, not in social & economic factors. Therefore, not addressing all the factors that influence health outcomes addressing all the factors that influence health outcomes will continue to widen disparities. will continue to widen disparities.
�� * University of Wisconsin Population Health Institute. (2011). * University of Wisconsin Population Health Institute. (2011). County Health Ranking. Retrieved County Health Ranking. Retrieved from from http://www.countyhealthrankings.org/http://www.countyhealthrankings.org/
Palm Beach County RankingPalm Beach County Ranking
�� 44thth Health BehaviorsHealth Behaviors
�� 77thth Health factorsHealth factors
�� 88thth Physical EnvironmentPhysical Environment
�� 1010thth MorbidityMorbidity
�� 1111thth Health outcomesHealth outcomes
�� 1212thth Clinical CareClinical Care
�� 1616thth MortalityMortality
�� 2424thth Social & Economic Factors Social & Economic Factors �� (education, employment, income, family & social support, community safety).(education, employment, income, family & social support, community safety).
�� University of Wisconsin Population Health Institute. (2011). University of Wisconsin Population Health Institute. (2011). County Health County Health Ranking. Retrieved from Ranking. Retrieved from http://www.countyhealthrankings.org/http://www.countyhealthrankings.org/
10/9/2011
2
Conceptual FrameworkConceptual Framework
�� To To explore the social determinants of explore the social determinants of health among health among residents of Palm Beach residents of Palm Beach County.County.
Social Determinants of HealthSocial Determinants of Health
ReferencesReferences
�� Marmot, M., & Wilkinson, R. G. (2006). Marmot, M., & Wilkinson, R. G. (2006). Social Social Determinants of Health Determinants of Health (2(2ndnd ed.). New York, NY: Oxford ed.). New York, NY: Oxford University Press.University Press.
�� FlegalFlegal, K. M., Carroll, M. D., Ogden, L. C. & Curtis, L. R. , K. M., Carroll, M. D., Ogden, L. C. & Curtis, L. R. (2010). Prevalence and trends in obesity among US (2010). Prevalence and trends in obesity among US adults, 1999adults, 1999--2008. 2008. Journal of American Medical Journal of American Medical AssociationAssociation, 303(3), 235, 303(3), 235--241.241.
�� University of Wisconsin Population Health Institute. University of Wisconsin Population Health Institute. (2011). (2011). County Health Ranking. Retrieved from County Health Ranking. Retrieved from http://www.countyhealthrankings.org/http://www.countyhealthrankings.org/
