Health Promotion Project
By Kendrell Dublin
Injuries and violence are widespread in society. Both unintentional injuries and those caused by acts of violence are among the top 15 killers for Americans of all ages. Many people accept them as “accidents,” “acts of fate,” or as “part of life.” However, most events resulting in injury, disability, or death are predictable and preventable. The Injury and Violence Prevention objectives for 2020 represent a broad range of issues which, if adequately addressed, will improve the health of the Nation. Why Is Injury and Violence Prevention Important?
Injuries are the leading cause of death for Americans ages 1 to 44,1 and a leading cause of disability for all ages, regardless of sex, race/ethnicity, or socioeconomic status. More than 180,000 people die from injuries each year, and approximately 1 in 10 sustains a nonfatal injury serious enough to be treated in a hospital emergency department. Beyond their immediate health consequences, injuries and violence have a significant impact on the well-being of Americans by contributing to: Premature death, Disability, Poor mental health, high medical costs, and lost productivity to. The effects of injuries and violence extend beyond the injured person or victim of violence to family members, friends, coworkers, employers, and communities.
This article is about Violence, including child maltreatment, youth violence, intimate partner violence, and sexual violence, is a significant public health problem in the United States. A public health approach can help providers understand the health burden from violence, evaluate evidence for prevention strategies, and learn where to turn for information about planning and implementing prevention strategies for this preventable problem. For the past three decades, the U.S. Department of Health and Human Services has published “Healthy People” objectives for the next decade. The Healthy People 2020 initiative includes 13 measurable objectives related to violence prevention, one of which was selected as a Healthy People 2020 Leading Health Indicator. Progress to achieve these objectives can save thousands of lives, reduce the suffering of victims and their families, and decrease financial cost to the law enforcement and healthcare systems. The role that nurses can and do play in violence prevention is critical and extends beyond just caring for victims to also include preventing violence before it happens. This article summarizes the violence prevention objectives in Healthy People 2020 and the resources for prevention available to support nurses and others as they move prevention efforts forward in communities to stop violence before it starts.
Some ways how I could use this information for my Health Promotion Project is to gather information and inform the community by flyers or news letters. Some other examples of helpful violence prevention resources include descriptions of prevention programs and strategies that have been rigorously evaluated. For example, Healthy People 2020 maintains a close partnership with the Guide to Community Preventive Services (Community Guide), and several Community Guide reviews are included as evidence-based resources. These resources present the results from the Community Preventive Services Task Force's (2013b; Task Force) review of the evidence for specific prevention strategies and their recommendations for federal, state, and local health departments and agencies. The Task Force has completed systematic reviews of the evidence for 6 violence prevention strategies. Some strategies, such as universal school-based programs to prevent youth violence that average a 15% relative reduction in violent behavior (Community Preventive Services Task Force, 2013a), are supported by evidence and are "recommended." Other strategies, such as transferring youth to the adult criminal justice system are...
References: Healthy People 2020 Article Objectives for Violence Prevention and the Role of Nursing.
Centers for Disease Control and Prevention (CDC), National Center for Injury Prevention and Control. Web-based Injury Statistics Query and Reporting System (WISQARS) [Internet]; 2010 Mar 4 [cited 2010 Apr 1]. Available from: http://www.cdc.gov/ncipc/wisqars
Finkelstein EA, Corso PS, Miller TR. Incidence and economic burden of injuries in the United States. New York: Oxford University Press; 2006.
Centers for Disease Control and Prevention (CDC), National Center for Injury Prevention and Control. Injury fact book 2001–2002. Atlanta: CDC; 2001.
Runyan CW, Casteel C, Perkis D, et al. Unintentional injuries in the home in the United States, Part I: Mortality. Am J Prev Med. 2005;28(1):73-9.
Doll LS, Bonzo SE, Mercy JA, et al., editors. Handbook of injury and violence prevention. New York: Springer; 2007. Chapter 14, Changing the built environment to prevent injury; p. 257-76.
Mercy JA, Mack KA, Steenkamp M. Changing the social environment to prevent injuries. Chapter 15 in Handbook of injury and violence prevention (pp 277-94). Doll LS, Bonzo SE, Mercy JA, et al., editors. New York: Springer; 2007.
Gielen AC, Sleet DA. Injury prevention and behavior: An evolving field. Chapter 1 in Injury and violence prevention: Behavioral science theories, methods, and applications (pp 1-16). Gielen AC, Sleet DA, DiClemente RJ, editors. San Francisco: Jossey-Bass; 2006.
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