Audience: Hispanic Males who works at the food services either at restaurants, fast food places, schools, hospitals, or any other food services in the Bay Area, North California who are at risk of Type 2 Diabetes and Obesity due to their diet and life style.
Step 1A: Demographics of Male Hispanics working at city restaurant in Santa Clara County in California
| The program will target male Hispanic workers aged between twenty and fifty years working at the city restaurant in Santa Clara County in the state of California. The population is mainly from the lower socio economic class, determined by the low salary they earn every month. Moreover, most of them are immigrants and due to various obstacles faced by foreigners, they are unable to obtain good or well paying jobs. Since it is a restaurant that operates for twenty four hours, most of he workers work in shifts and there are three shifts in a day. It is rare to find workers with a physical disability as the nature of the job may not allow that. More than 90% of the populations do not have private means of transport but there are reliable public means. Although there are women who work in the same lace, the program will focus on men as they are the majority. The program will cater for about two hundred men.
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Step 1 B Specific health issues and Needs related to the intended health audience
Given that Hispanic population in California is characterized by poverty, food security is a major concern across the population. However, there are some nutrition and health issues like obesity, diabetes and cardiovascular disorders which do affect them. For instance, studies of Talamantes (n.d) indicate ttat the prevalence of a disease like diabetis melitus is on the increase.
According to the studies of California Department of Health (n. d), about 40% of adults from Latino are overweight while 29% of the same population is already obese. The problem is not only present among the adults but also among the adolescents since the same studies illustrate out of every three adolescents, one is always at a risk of being overweight.
Various studies which have been conducted indicate that eating from fast food shops increases the risks of not only overweight but also the risks of chronic diseases like type two of diabetes (Effects of Eating out on Nutrition and Body Weight, 2008). Further studies illustrate that this is due to the fact that the habit makes people to eat more calories, sugars and saturated fats and to eat less fruits and vegetables. Such a pattern is risk a factor to conditions like obesity and diabetes. Based on that, it is explicit that it is more risky for men working at food services bearing in mind that they can access high risk foods easily which is characterized by saturated fats, more calories and more sugar (National Institute of Diabetes and Digestive and Kidney Diseases 2010. Studies indicate that in a study which was conducted, a total of 30% adults never engaged in a physical activity or in any exercise outside their regular occupation of (California Department of Health n. d). Further studies indicate that it is only 43% of the same population who engage in some physical activity at least five times in a week. Although the same health and nutrition problems are present in other races Hispanics in California are badly hit due to their economic status which makes them to be food insecure and other factors like poor nutrition.
Step 1 C: Organization
The program will be funded by a city restaurant whose main mission and aim is to improve and rectify the Health of the workers. The restaurant has noted that there are serious health ad nutrition issues that affect their workers and the same can be rectified through offering nutrition health and counseling services. Theretofore, the main aim of the program is to provide nutrition education as well as nutrition counseling services. Since diabetes and obesity are the most prevalent health issues, two programs to attend the same will be established and will be funded by the same city restaurant.
Step 1D Priority Behaviors that Contribute to Obesity and Diabetes
| What is the composition of every meal that you take?
The first question should be aimed at establishing proportion of food consumed by male Hispanics in relation to different food groups that include protein, carbohydrates, fruits and vegetables. Why do you prefer to take carbohydrates instead of proteins and vegetables? It is important to enquire about the reasoning behind making every food choice. This is very important because it will help to determine the information that the target population has concerning proper nutrition. How often do you include vegetables and fruits in your meal? It is very important to know the specifications of every meal eaten in order to estimate the risk factors associated with a particular kind of a diet. For instance, people who eat more vegetables than carbohydrates are at a lower risk of obesity and diabetes as well (Carlifornia Food Guide). Do you prefer steamed, fried or boiled food? It is necessary to know the cooking methods of the food that is eaten in most cases. This is due to the fact that some cooking methods like frying are associated with high risks of conditions like diabetes and obesity. How many times do people who work in food services eat in a day? ce Since these people work in places where food is readily available, at times, they eat many times in a day and that contributes to increased risk since they end up consuming a lot of calories. A lot of calories without enough physical activity or exercised in a contributory factor (Freman, 2007) |
| What types of snacks do you usually take in a day?
Snacking is necessary and it is recommended that people should take snacks between the main meals. However, the types of snacks taken are equally important as some snacks are contributing factors to chronic diseases like diabetes (CDC, 2002), Are all the meals that you take balanced? Do you prefer highly processed foods? Highly processed foods are a risk fact in diabetic patients due to the fact that they are easily converted to simple sugars which end up raising the level of the blood glucose (National Intitute of Health, 2010). The above questions are meant to help find out main behaviors that contribute to high risk of obesity and diabetes. Such behavior may include taking too many sugary and fatty snacks in between meals. |
References
Effects of Eating out on Nutrition and Body Weight. (2008). Research Review.
California Department of Health. (N. d). Latino Health Statistics. Risk Factors. California Department of Health.
CDC. (2002). Obesity Still On the Rise, New Data Show. Retrieved October 20, 2010, from http://www.tompkins-co.org/wellness/worksite/livehealthy/articles/obesityrising.html
Freeman, A. (2007). Oppression through Poor Nutrition. California, United States: University of California Press.
Kaiser, L. (2006). California Food Guide. Health and Dietary Issues Affecting the Latinos. United States.
National Institute of Health. (2010). Statistics Related to Overweight and Obesity. Retrieved October 16, 2010, from http://www.win.niddk.nih.gov/statistics/index.htm
National Institute of Diabetes and Digestive and Kidney Diseases. (2010). Statistics Related to Overweight and Obesity. Retrieved October 16, 2010, from http://my.clevelandclinic.org/disorders/obesity/hic_statistics_related_to_overweight_and_obesity.aspx
Talamantes, M. (n.d.). Health And Health Care Of Hispanic/Latino American Elders. Retrieved October 20, 2010, from http://www.stanford.edu/group/ethnoger/hispaniclatino.html
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