Behavioral Environmental: the Individual in the Community

Behavioral Environmental: the Individual in the Community
Behavioral Environmental: the Individual in the Community

Community nutrition is a constantly evolving and growing area of practice with the proud focus of serving the general population. Although this practice area encompasses the goals of public health, in the united states the current middle has been shaped and expended by prevention and wellness initiatives that evolved in the 1960s.

Because the thrust of community nutrition is to be proactive and responsive to the needs of the community, current emphasis areas include access to a nutritionally adequate and safe food supply along with disaster and pandemic control, food and water safety, and controlling environmental risk factors related to obesity and another health risk.  Food safety has entered the public health picture in new ways. Although traditional safety concerns continue to exist, potential safety issues such as genetic modification of the food supply is a new and growing concern and must be recognized as apart of community nutrition.

In the public health model the client is a community, a geopolitical entity. The focus of the traditional public health approach is primary prevention with health promotion, as opposed to secondary prevention with the goal of risk reduction, or tertiary prevention with rehabilitation efforts.  Changes in the healthcare system technology and attitudes of the nutrition consumer have influenced the expanding responsibilities of community nutrition providers. Growing involvement in and access to technology, especially social, has framed new opportunities and challenges in public health and community nutrition.

Social Determinants Of Health

The social determinants of health are the conditions in which people are born, grow, live, work, and age. These circumstances are shaped by the distribution of many,  power, and other resources at global, national, and local levels. A summary report of the condition through the world, including the united states, by the world health organization discover how stress, social exclusion, working conditions, unemployment, social support, addiction, quality of food, and transport affect opportunities.

The report describes how people with fewer economic resources suffer from more acute and chronic diseases and ultimately have shorter lives than their wealthier counterparts. This disparity has down attention to the remarkable sensitivity of health to the social environment, including psychological and social influences, and how these factors affect physical health and longevity. The report prices that public policy can shape a social environment, making it more conducive to better health for all. Although it is a challenging task, if policymakers and advocates focus on policy and action for health needs to address the social determinants of health, the stage can be set for attacking the causes of ill health before they lead to problems.

Nutrition Practice In The Community

Nutrition professionals recognize thAt successful delivery of food and nutrition services involves actively engaging people in their own community. The pool of nutrition professionals delivering medical nutrition therapy and nutrition education in community-based or public health setting continues to expand. An example of community growth is the presence of registered dietitians, registered dietitians nutritionists, and other health professionals for profit or retail settings such as supermarket big box stores, or pharmacies as well as in gyms and fitness-oriented clubs.

The objectives of healthy people 2020 offer a framework of measurable public health outcomes that can be used to assess the overall health of a community. Although the settings may vary, there are three core functions in community nutrition practice: (1).     the community needs assessment, (2).   Policy development, and public health assurance. These areas are also the components of community nutrition practice, especially community needs assessments as it relates to nutrition. The findings of these needs assessment shape policy development and protect the nutritional health of the public.

Although there is shared responsibility for completion if the core functions of public health, official state health agencies have primary responsibility for this task. Under this model, state public health agencies, community organizations, and leaders have responsibility for assessing the capacity of their state to perform the essential function and to attain or monitor the goals and objectives of health people in 2020.

Factors that affect health

  1. Counseling and education: example eat healthily, be physically active.
  2. Clinical interventions: example Rx for high blood pressure, high cholesterol, diabetes.
  3. Socioeconomic factors: for example poverty, education, housing, and inequality.
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