Community Health Assessment
Assessment of a community for health care purposes revolves around the goal of treating the community as a client and improving its overall heath. This involves knowing the customs of the community, identifying their needs, and the usage of their current resources and optimally applying them. Beyond these measures nursing intervention can also include advocating for the community through legislative procedures and supporting health campaigns throughout local and state locations. By using these methods, goals and objectives of health promotion along with treatment can be established and used by the community.
A community of interest to me because of my up bringing and family association, lies above the Upper East Side in a districted full of rich history, color, and flavor. It is known for its vibrant cultural atmosphere predominately emitted from its Hispanic/Latino inhabitants, this district is East Harlem known as Spanish Harlem or El Barrio (Spanish for neighborhood). According to New York City.gov website, its neighborhood boundaries are drawn out from 96th Street on 5th Avenue east to the East River and up the east river through Harlem River till 141st and back on down from 141st on 5th Avenue to 96th
As described in the Manhattan Community Board Eleven (2014) Statement of District Needs, there is an estimated 120,814 residents of East Harlem. It’s one of the largest Latino communities in New York City with about 55,836 of its inhabitants or roughly 46.2% composed of Hispanic/Latino heritage. Puerto Rican immigration after the First World War established the first foothold of Latinos in what was a mostly Italian inhabited Harlem back then. The area grew slowly and increasingly the Italians moved out to the surrounding areas like Brooklyn, Bronx, New Jersey, and upstate New York. This allowed Hispanics more room to move in on top of another wave of immigration during and after World War II in 1940s and 1950s. By this time a strong presence of Latinos dominated the area primarily populated by Puerto Ricans, their numbers reached 63,000 in 1950, and defined the neighborhood according to their needs. Today Puerto Ricans make up about 28,779 inhabitants or 23.8% of the total population In Spanish Harlem. As Puerto Rican population declines the Mexican population has been on a steady rise over the past decades, composing 9.1% and the second most Hispanic/Latino population in Spanish Harlem. Black African Americans also heavily populate the area making up 30.2% of the total, estimated at 36,467 inhabitants. The rest of the population is composed of Whites at 14.0%, which estimate to 16,880 inhabitants and Asians at 9,104 or 7.5% of the population, (Community Board Eleven, 2014).
According to an article from Business Insider East Harlem is one of the city’s poorest districts; East Harlem has a median household income around $30,000, compared to around $55,000 for all of New York City, (Goodman, 2013). The percent of residents living below the poverty is nearly twice as high as in Manhattan and New York City overall (Community Health Profiles, 2006, p. 2). Crime rate is also significantly high for the area encompassing East Harlem. “While crime rates in East Harlem have decreased over the past two decades from historic highs, there has been a recent increase in gang related activity, particularly among youth, which has led to increased violence and isolation for residents of public housing” (Community Board Eleven, 2014). In terms of health care residents suffer from higher than average rates of disease and experience more barriers to health care access than those in NYC overall, with 3 in 10 without a regular doctor and more than 20% of residents visiting the emergency department for routine health (Community Health Profiles, 2006, p. 3). According to community board...
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