Patricia L. Flores
NUR/405 Health Communities: Theory and Practice
University of Phoenix
January 11, 2010
The community I have chosen is the city of Rowland Heights California, where I reside. This city is located in Los Angeles Country but borders Orange and San Bernardino Counties. Rowland Heights is in the Pacific Time Zone and sits at 525-feet above sea level. The city is 9.02 square miles with 5,380.70 residents per square mile. At the time the 2000 census data was collected, the total population was 48, 553 residents. According to City Data (2010) the median household income in 2009 was $67,042, the median detached home value was $527,392, and the cost of living index was 130.2. Rowland Heights reports that 5.9% of residents have incomes 50% below the poverty level, and an unemployment rate of 5.3% (City Data, 2010). About 49.2% of the population is female and 50.8% is male. 82.1% of the population in the city has at least a high school diploma. Of residents 25 age and older, 33.3% have a bachelor’s degree, and 10.9% hold a graduate or professional degree (City Data, 2010). More than 50% of the population is married and the average household size is 3.4 people (City Data, 2010). Community Aspects Affecting Health
More than 20% of the residents are 15 years or younger and about 15% fall in the category of 16-24 years. I have identified several areas of concern that can affect the health of the community. Obesity is one of these areas of concern. Rowland Heights has an adult obesity rate of 20.4% and a diabetes rate of 7.9% (City Data, 2010). According to Active Diner (2010) there are 16 fast food restaurants in the city. Poor air quality is another area of concern. According to City Data (2010, p. 1) Rowland Heights is in a county that was #1 in the “ Top 101 counties with the highest Ozone (1-hour) air pollution reading”, #3 with the “highest Ozone (8-hour) pollution reading”, and #5 with the “highest Nitrogen Dioxide air pollution reading” in 2005. Another aspect of this community identified that can affect health is the potential for injury from motor vehicle accidents and violent crimes. Many of the younger population in Rowland Heights speed, they race each other sometimes in the middle of the day. On December 4, 2010, a 20-year-old female was killed when one of two men street racing lost control of his car (Los Angeles Times, 2009). The city is also home to 28 registered sex offenders with charges ranging from lewd conduct with a child under 14 years, to attempted rape, and sexual battery (City Data, 2010). According to CLR Search (2010) in the 2009 crime risk index, Rowland Heights had a murder risk of almost twice the national average and a motor vehicle theft risk 50% higher than the national average, while personal crime and robbery were equal to the national average. Rape, assault, and burglary risks were assesses at less than half the national average (CLR, 2010). Healthy People 2020 Health Indicator
The Healthy People 2020 health indicator I have chosen is overweight and obesity. My area of specialty is emergency nursing. Patients arrive on a daily seeking medical treatment for health conditions related to obesity. Many suffer from chronic diseases, such as diabetes, high blood pressure, high cholesterol, heart disease, kidney failure, and strokes. Some diseases are related to genetic factors, whereas others are individual behavior determinants, such as diet, and exercise (Healthy People, 2010). A nursing role to affect this indicator is focusing on modifying individual behaviors, such as increasing physical activity, and following a proper diet. These simple changes can help prevent, and reduce the incidence of many chronic conditions, therefore “increasing the quality and years of healthy life” (Nevada Public, 2010, p. 1). Definitions
According to Stanhope and Lancaster (2008, p. 192) “A community is...