Global and Population Health Assignment Paper

Global and Population Health Assignment Paper

  1. Location and Subpopulation Description

Community/Location: Fort Collins, CO

Subpopulation: Spanish population

Local Town, City, or County Aspects Description / Data  
Community’s size Fort Collins population as of 2023 was approximately 167,554. This population is reducing by about -0.29% per year World (Population Review, 2023).  
Subpopulation’s size Spanish speakers in Fort Collins, CO, represent about 5.72% of the population (World Population Review, 2023).  
Gender: The population of females in the city (66.7%) is twice that of males (33.3%) (Mast & Ruiz, 2023).  
Age: The city’s median age is approximately 36.2 (Population Review, 2023). Global and Population Health Assignment Paper  
Race: Fort Collins consists of several ethnic groups, including White (84.52%); Asian (3.25%); two or more racial groups (7.84%); and other races: 1.92%. Additionally, African Americans represent about 1.48%, Native American (0.86%), and Native Hawaiian 0.13% (Population Review, 2023).  
Income: The Fort Collins average household income is approximately  $96,301 (Population Review, 2023).  
Education Level: High School Graduates represent about 14.06%, while individuals with College education represent 25.8%. About 33.32% of the population has pursued a bachelor’s Degree, while 24.21% has completed a graduate degree (Population Review, 2023).  
Percentage Living in Poverty: The city’s poverty rate is approximately 15.66% (Population Review, 2023).  
Crime Rates: The 2020 crime rate in Fort Collins, CO is 139 (City-Data.com crime index)  
Occupations:  Fort Collins, CO’s economy has employed about 92.4k citizens. Approximately 15,137 citizens work in the education sector, while 11 161 individuals provide Health Care & Social Assistance services. Lastly, the Retail Trade has employed about 9,530 citizens (Census Bureau., 2023).  
Access to Healthcare: About 93.8% of Fort Collins, CO’s population has health coverage. Approximately 57.3% are covered by employee plans, while 11.3% are under Medicaid. Additionally, about 7.81% are on Medicare, with 16% and 1.36% insured by non-group and VA plans, respectively (Census Bureau., 2023).  
Access to Transportation: The highest percentage of the city’s population (69.7%) drove to work alone, 11.6% worked at home, and 6.71% carpooled (Census Bureau., 2023).  
Access to Food Sources: Food, including seafood and meat, is highly accessible in the city (Census Bureau, 2023).  
Health Rates:  93.8% of the population of Fort Collins, CO has health coverage, with 57.3% on employee plans, 11.3% on Medicaid, 7.81% on Medicare, 16% on non-group plans, and 1.36% on military or VA plans (Census Bureau, 2023).  
Nutrition Rates: Healthy diet rate: 53.1%  

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A1. Description of Environmental Concerns

A2. Comparison Discussion (Subpopulation vs. Larger Community Population) Global and Population Health Assignment Paper

Spanish speakers represent about 5.72% of the city’s population (World Population Review, 2023). The education attainment among Spanish speakers in Fort Collins, CO, is relatively lower than that of English speakers (World Population Review, 2023).

  1. Social Determinants of Health (SDOH)

SDOH determines an individual’s overall health outcomes. Zajacova and Lawrence (2018) attributed higher educational attainment in adults to healthier and longer lives. Individuals with higher education attainment have healthier lives than their less educated counterparts. Therefore, Spanish speakers living in Fort Collins live less healthily than English speakers due to low education attainment.

B1. Explanation of SDOH Impact on Subpopulation

Low education attainment affects Spanish speakers living in Fort Collins adversely. These individuals have relatively higher disease burden and mortality rates than English speakers. This trend is associated with limited health literacy, reduced employment opportunities, and higher poverty rates than the general population.

  1. Resources Available to the Subpopulation

Description of Available Resource #1: Spanish speakers living in Fort Collins, CO, have limited healthcare services (World Population Review, 2023). This trend results in adverse health outcomes due to a need for more high-quality, timely, and effective healthcare services.

Description of Available Resource #2: Spanish speakers have low health literacy due to low education attainment (World Population Review, 2023). This trend leads to a high disease burden and mortality rates in this population.

  1. Needed Resources

Description of Needed Resource #1:  This population requires timely, accessible, high-quality healthcare services. Access to high-quality healthcare services, reducing high disease burden mortality rates (Kruk et al., 2018).

Description of Needed Resource #2: Secondly, the population requires a high level of health literacy. Improved health knowledge will enhance self-care, resulting in optimal health outcomes, such as reduced disease burden and mortality rates. Global and Population Health Assignment Paper

D1. Resources Explanation

  1. Evidence-Based Intervention Discussion

The proposed evidence-based interventions involve education programs targeting Spanish speakers living in Fort Collins, CO. According to Block et al. (2018), community education programs significantly improve public health through literacy. This subpopulation has relatively low education attainment compared to English speakers. Therefore, an education program is needed to improve their health literacy and knowledge.

E1. How will the Intervention Decrease the Gap?  

The proposed Intervention will enhance Spanish speakers’ health literacy and knowledge. These individuals will incorporate knowledge and skills acquired during the education program in self-care and disease prevention, reducing disease burden and mortality rates. Global and Population Health Assignment Paper

 

References

Block, L., Flynn, S. J., Cooper, L. A., Lentz, C., Hull, T., Dietz, K. B., & Boonyasai, R. T. (2018). Promoting sustainability in quality improvement: evaluating a web-based continuing education program in blood pressure measurement. BMC Family Practice19(1), 1-9.

Census Bureau. (2023). Population and Diversity. Census Bureau. https://sunbird.datausa.io/profile/geo/fort-collins-co?redirect=true#education

Kruk, M. E., Gage, A. D., Joseph, N. T., Danaei, G., García-Saisó, S., & Salomon, J. A. (2018). Mortality due to low-quality health systems in the universal health coverage era: a systematic analysis of amenable deaths in 137 countries. The Lancet392(10160), 2203-2212.

Mast, B. D., & Ruiz, T. (2023). Visualizing Spanish Speaking Limited English Proficiency and Hispanic Populations in Fort Collins, Colorado. Cityscape25(1), 281-286.

World Population Review. (2023). Fort Collins, Colorado Population 2023. World Population Review. https://worldpopulationreview.com/us-cities/fort-collins-co-population

Zajacova, A., & Lawrence, E. M. (2018). The relationship between education and health: reducing disparities through a contextual approach. Annual Review of Public Health39, 273-289.

  1. Location and Subpopulation Description

Community/Location: Fort Collins, CO

Subpopulation: Spanish population Global and Population Health Assignment Paper

Local Town, City, or County Aspects Description / Data  
Community’s size Fort Collins population as of 2023 was approximately 167,554. This population is reducing by about -0.29% per year World (Population Review, 2023).  
Subpopulation’s size Spanish speakers in Fort Collins, CO, represent about 5.72% of the population (World Population Review, 2023).  
Gender: The population of females in the city (66.7%) is twice that of males (33.3%) (Mast & Ruiz, 2023).  
Age: The city’s median age is approximately 36.2 (Population Review, 2023).  
Race: Fort Collins consists of several ethnic groups, including White (84.52%); Asian (3.25%); two or more racial groups (7.84%); and other races: 1.92%. Additionally, African Americans represent about 1.48%, Native American (0.86%), and Native Hawaiian 0.13% (Population Review, 2023).  
Income: The Fort Collins average household income is approximately  $96,301 (Population Review, 2023).  
Education Level: High School Graduates represent about 14.06%, while individuals with College education represent 25.8%. About 33.32% of the population has pursued a bachelor’s Degree, while 24.21% has completed a graduate degree (Population Review, 2023).  
Percentage Living in Poverty: The city’s poverty rate is approximately 15.66% (Population Review, 2023).  
Crime Rates: Fort Collins total crime index is approximately is 15 with with annual crime rate of 25.40 per 1,000 residents (The NeighborhoodScout 2023). Global and Population Health Assignment Paper  
Occupations:  Fort Collins, CO’s economy has employed about 92.4k citizens. Approximately 15,137 citizens work in the education sector, while 11 161 individuals provide Health Care & Social Assistance services. Lastly, the Retail Trade has employed about 9,530 citizens (Census Bureau., 2023).  
Access to Healthcare: About 93.8% of Fort Collins, CO’s population has health coverage. Approximately 57.3% are covered by employee plans, while 11.3% are under Medicaid. Additionally, about 7.81% are on Medicare, with 16% and 1.36% insured by non-group and VA plans, respectively (Census Bureau., 2023).  
Access to Transportation: The highest percentage of the city’s population (69.7%) drove to work alone, 11.6% worked at home, and 6.71% carpooled (Census Bureau., 2023).  
Access to Food Sources: Foodstuffs, including seafood and meat, are highly accessible in the city (Census Bureau, 2023). However, the limited number of Fort Collin’s grocery stores, which is 0.94 / 10,000 pop compared to the state’s rate (1.50 / 10,000 pop) limit access to food sources (City-data.com, 2023).  
Health Rates: The Fort Collins’ health cost index is approximately 93.2, indicating better healthcare than other United States Cities. Additionally, the city’s adult diabetes rate in the city is 4.5%, which is relatively low than the state’s rate (5.3%) (City-data.com, 2023). Furthermore, Fort Collin’s general health condition is about 62.8%, which is higher than that of Colorado (57.3%) (City-data.com, 2023). Public Health services at Fort Collins are paid about $30.77 hourly (ZipRecruiter, Inc., 2023).  
Nutrition Rates: The city’s healthy diet rate is 53.1%, which is relatively high than the average state’s rate (49.4%) (City-data.com, 2023). The city’s average hourly pay for nutritionists is about $25.47(ZipRecruiter, Inc., 2023). Global and Population Health Assignment Paper  

 

A1. Description of Environmental Concerns

The residents of Fort Collins have adequate water supply from various sources, including ground water, purch surface water, and surface water. However, several water quality parameters violation incidents have been reported in the city, exposing residents to various contaminants, including lead, copper, Chlorine dioxide, and chlorite (City-data.com, 2023). Consequently, the rate of water-borne diseases is relatively high at Fort Collins than other parts of Colorado.

A2. Comparison Discussion (Subpopulation vs. Larger Community Population)

The selected subpopulation is Spanish. Data shows that Spanish speakers represent about 5.72% of the city’s population (World Population Review, 2023). The education attainment among Spanish speakers in Fort Collins, CO, is relatively low than that of English speakers (World Population Review, 2023). As a result, health literacy and self-care skills are relatively low among Spenish speakers, making them prone to lifestyle diseases than the larger community population. Global and Population Health Assignment Paper

  1. Social Determinants of Health (SDOH)

SDOH determine an individual’s overall health outcomes. Zajacova and Lawrence (2018) attributed higher educational attainment in adults to healthier and longer lives. Individuals with higher education attainment have healthy lives than their less educated counterparts. This trend is associated with high health literacy and excellent self-care skills in indivduals with high education attainment. Therefore, Spanish speakers living in Fort Collins are less healthy than English speakers due to compromised self-care and disease management (City-data.com, 2023). The most significant contributor to high morbidity and mortality rates among Spanish speakers living in Fort Collins is ischemic heart disease (IHD) (Roux & Rojas-Rueda, 2021). The controversial community health issues is homelessness. About 400 residents of Fort Collins are homeless (Ye 2020). City residents are concerned with the highest rate of homeliness since exposes them to contagious diseases, compromising their overall health. Most cases if emergency room or hospital admissions in Fort Collins are associated with ischemic heart disease, which is relatively high among the residents (Roux & Rojas-Rueda, 2021). The community’s quality of life is reduced by the high rate of chronic obstructive pulmonary disease (Roux & Rojas-Rueda, 2021).

B1. Explanation of SDOH Impact on Subpopulation

Low education attainment affects Spanish speakers living in Fort Collins adversely. These individuals are less likey to manage their health conditions at home or take recommended disease prevention measures due to low health literact level. Consequently, Spanish speakers residing at Fort Collins have relatively high disease burden and mortality rates than English speakers. Additionally, limited medical insurance coverage hinder Spanish speakers from accessing high-quality and timely patient care, resulting in adverse health outcomes, including high mortality rate. Global and Population Health Assignment Paper

  1. Resources Available to the Subpopulation

 Description of Available Resource #1: Spanish speakers living in Fort Collins, CO, have high disease burden and mortality rates due to low health literacy (World Population Review, 2023). Consequently, more advanced healthcare facilities have been constructed in the city.

Description of Available Resource #2: Spanish speakers have low health literacy due to low education attainment (World Population Review, 2023). This trend has led to the introduction of community health education programs targeting Spanish speakers residing in the city.

  1. Needed Resources

Description of Needed Resource #1:  This population requires Medicare coverage. Expanding Medicare coverage to Spanish speakers will enhance their access to high-quality healthcare services, lowering their disease burden and mortality rates (Kruk et al., 2018). Therefore, increasing healthcare facilities in the city has enhanced access to timely and high-quality medical care, reducing high disease burden and mortality rates among Spanish speakers.

Description of Needed Resource #2: Secondly, the population requires education programs. These programs will improve their health knowledge required in self-care, resulting in optimal health outcomes, such as reduced disease burden and mortality rates.

D1. Resources Explanation

First, Medicare coverage is required to enhance access to quality healthcare services among Spanish speakers residing in Fort Collins. Consequently, individuals with chronic illnesses such as ischemic heart disease will seek timely healthcare, preventing adverse health outcomes, including death. Secondly, education programs will boost health literacy among Spanish speakers residing in the city, enabling them to manage their health conditions, reducing high mortality rates. Global and Population Health Assignment Paper

  1. Evidence-Based Intervention Discussion

The proposed evidence-based interventions involve education programs targeting Spanish speakers living in Fort Collins, CO. According to Block et al. (2018), community education programs significantly improve public health through literacy. This subpopulation has relatively low education attainment compared to English speakers. Therefore, an education program is needed to improve their health literacy and knowledge. Additionally, Medicare should be expanded to cover uninsured Spanish speakers. This intervention is proposed since Medicare enhances access to timely and high-quality healthcare services among members of minority groups (Mochari-Greenberger & Pande, 2021).

E1. How will the Intervention Decrease the Gap?  

Introducing community education grograms will enhance Spanish speakers’ health literacy and knowledge. These individuals will incorporate knowledge and skills acquired during the education program in self-care and disease prevention, reducing disease burden and mortality rates. Additionally, increasing Medicare coverage to Spanish speakers will enhance their healthcare access, reducing high disease burden and mortality rates. Global and Population Health Assignment Paper

 References

Block, L., Flynn, S. J., Cooper, L. A., Lentz, C., Hull, T., Dietz, K. B., & Boonyasai, R. T. (2018). Promoting sustainability in quality improvement: evaluating a web-based continuing education program in blood pressure measurement. BMC Family Practice19(1), 1-9.

Census Bureau. (2023). Population and Diversity. Census Bureau. https://sunbird.datausa.io/profile/geo/fort-collins-co?redirect=true#education

City-data.com. (2023). Fort Collins, Colorado. City-data.com.  http://www.city-data.com/city/Fort-Collins-Colorado.html.

Kruk, M. E., Gage, A. D., Joseph, N. T., Danaei, G., García-Saisó, S., & Salomon, J. A. (2018). Mortality due to low-quality health systems in the universal health coverage era: a systematic analysis of amenable deaths in 137 countries. The Lancet392(10160), 2203-2212.

Mast, B. D., & Ruiz, T. (2023). Visualizing Spanish Speaking Limited English Proficiency and Hispanic Populations in Fort Collins, Colorado. Cityscape25(1), 281-286.

Mochari-Greenberger, H., & Pande, R. L. (2021). Behavioral health in America during the COVID-19 pandemic: Meeting increased needs through access to high quality virtual care. American Journal of Health Promotion35(2), 312-317.

Roux, J., & Rojas-Rueda, D. (2021). Colorado Burden of Disease, Injuries and Risk Factors, 1990–2019: A Sub-Analysis of the Global Burden of Disease Study. International Journal of Environmental Research and Public Health19(1), 288.

The NeighborhoodScout. (2023). Fort Collins, CO Crime Rates. The NeighborhoodScout. https://www.neighborhoodscout.com/co/fort-collins/crime#:~:text=The%20chance%20of%20becoming%20a,and%20towns%20of%20all%20sizes.

World Population Review. (2023). Fort Collins, Colorado Population 2023. World Population Review. https://worldpopulationreview.com/us-cities/fort-collins-co-population

Ye, S. (2020). Top 5 Fort Collins issues to follow that aren’t COVID-19. The Rocky Mountain Collegian. https://collegian.com/articles/news/2020/08/category-news-top-5-fort-collins-issues-to-know-that-arent-about-covid-19/

Zajacova, A., & Lawrence, E. M. (2018). The relationship between education and health: reducing disparities through a contextual approach. Annual Review of Public Health39, 273-289.

ZipRecruiter, Inc. (2023). Public Health Salary in Fort Collins, CO. ZipRecruiter, Inc. https://www.ziprecruiter.com/Salaries/Public-Health-Salary-in-Fort-Collins,CO Global and Population Health Assignment Paper

Use Template
City: Fort Collins, CO
Subpopulation: Spanish
virtual assessment
In this task, you will collect and review data from the windshield survey within the D224 course or from online sources (e.g., citydata.com, hospital community assessments, department of public health sites) to identify an at-risk subpopulation within your local town, county, or city and a social determinant of health (SDOH) concern. (Web links to some of these data sources have been attached in the Web Links section.)

You will then provide a written report outlining assessment findings, identified SDOH, and proposed evidence-based interventions to address the SDOH.
A. Describe a local town, city, or county and a subpopulation at risk within that area based on your review of data, and support your description with two credible sources. Your description should include the following information:

• the size of the community and the specific subpopulation

• gender

• age

• race

• income

• educational level

• percentage living in poverty

• crime rates

• occupations

• access to healthcare, transportation, and food sources

• health and nutrition rates

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1. Describe environmental concerns (e.g., water quality, air quality, sanitation, superfund sites, hazardous waste, environmental toxins, natural disasters, vulnerability to heat/cold) relevant to the subpopulation.

2. Discuss how the demographics (i.e., race, gender, ethnicity, age) of the identified subpopulation compare with the larger community population, and discuss how data supports the health concern for this subpopulation.

B. Identify one social determinant of health (SDOH) affecting the subpopulation described in part A. Global and Population Health Assignment Paper

1. Explain how this SDOH is affecting the subpopulation described in part A. Your explanation should address the following questions and be supported with local, state, or national data:

• What is the biggest contributor to disease (morbidity) and premature death (mortality) in the community?

• What are the controversial community health concerns discussed in a local newspaper or a local online resource (e.g., online newspaper or blog, hospital website, county health department site)?

• What do you believe people in the community are most concerned about related to health?

• What is generating the most visits to the emergency room or hospital admissions in the community?

• Based on the collected data, what do you believe is reducing the quality of life in the community?

C. Describe two resources currently available to the subpopulation that address the SDOH in part B.

D. Describe two resources that are needed to address the SDOH for the subpopulation described in part A.

1. Explain why each resource from part D is needed.

E. Discuss an evidence-based intervention to address the gap between the available healthcare resources and the resources needed to address the SDOH. Include one scholarly, evidence-based source published within the last five years to support the discussion.

1. Explain how this evidence-based intervention will decrease the resource gap, including one specific example.

Note: This intervention could include policy development, resource development, population education, etc.

F. Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.

G. Demonstrate professional communication in the content and presentation of your submission. Global and Population Health Assignment Paper