![Page 1: Community Nutrition l Review of syllabus l Information from you »Name »Major/year »Why are you taking this course? »one question you would like answered](https://reader035.vdocuments.site/reader035/viewer/2022062422/56649f0d5503460f94c207f9/html5/thumbnails/1.jpg)
Community Nutrition
Review of syllabus Information from you
» Name
» Major/year
» Why are you taking this course?
» one question you would like answered
this semester
![Page 2: Community Nutrition l Review of syllabus l Information from you »Name »Major/year »Why are you taking this course? »one question you would like answered](https://reader035.vdocuments.site/reader035/viewer/2022062422/56649f0d5503460f94c207f9/html5/thumbnails/2.jpg)
Community Nutrition
What is community nutrition? What is health?
CN and trends in healthcare
Risk reduction and disease prevention
![Page 3: Community Nutrition l Review of syllabus l Information from you »Name »Major/year »Why are you taking this course? »one question you would like answered](https://reader035.vdocuments.site/reader035/viewer/2022062422/56649f0d5503460f94c207f9/html5/thumbnails/3.jpg)
Definitions
Nutrition =
science of food and its use by the body
Community = “unified body of individuals with common characteristics or interests who live in a particular area”» people» location» social interaction» shared values
![Page 4: Community Nutrition l Review of syllabus l Information from you »Name »Major/year »Why are you taking this course? »one question you would like answered](https://reader035.vdocuments.site/reader035/viewer/2022062422/56649f0d5503460f94c207f9/html5/thumbnails/4.jpg)
What is Community Nutrition?
Community Nutrition (CN) strives to improve the health and well-being of individuals and groups within the community
Three arenas:» people (diverse)» policy (course of action)» programs (instruments to change behavior)
Involves socioeconomic,
political, cultural, and psychological aspects of food…
![Page 5: Community Nutrition l Review of syllabus l Information from you »Name »Major/year »Why are you taking this course? »one question you would like answered](https://reader035.vdocuments.site/reader035/viewer/2022062422/56649f0d5503460f94c207f9/html5/thumbnails/5.jpg)
CN vs. Public Health
CN draws on dietetics and public health» public vs private» governmental control
Public Health = societal efforts to promote/restore people’s health» 1900s: sanitation, communicable diseases
» now: chronic diseases
![Page 6: Community Nutrition l Review of syllabus l Information from you »Name »Major/year »Why are you taking this course? »one question you would like answered](https://reader035.vdocuments.site/reader035/viewer/2022062422/56649f0d5503460f94c207f9/html5/thumbnails/6.jpg)
Ten Leading Causes of Death in the U.S. (1900)
Rank Cause of death
1
2
3
4
5
6
7
8
9
10
Pneumonia/influenza
Tuberculosis
Diarrhea and enteritis
Heart disease
Stroke
Liver disease
Accidents
Cancer
Diphtheria
Meningitis
Causes in which diet plays a part
Causes in which alcohol plays a part
![Page 7: Community Nutrition l Review of syllabus l Information from you »Name »Major/year »Why are you taking this course? »one question you would like answered](https://reader035.vdocuments.site/reader035/viewer/2022062422/56649f0d5503460f94c207f9/html5/thumbnails/7.jpg)
Ten Leading Causes of Death in the U.S. (2000)
Rank Cause of death
1
2
3
4
5
6
7
8
9
10
Heart disease
Cancer
Stroke
Lung diseases
Accidents
Diabetes
Pneumonia/influenza
Alzheimer’s disease
Kidney disease
Septicemia
Causes in which diet plays a part
Causes in which alcohol plays a part
![Page 8: Community Nutrition l Review of syllabus l Information from you »Name »Major/year »Why are you taking this course? »one question you would like answered](https://reader035.vdocuments.site/reader035/viewer/2022062422/56649f0d5503460f94c207f9/html5/thumbnails/8.jpg)
What is Health?
Absence of disease
State of physical, emotional, mental, social, spiritual well-being
![Page 9: Community Nutrition l Review of syllabus l Information from you »Name »Major/year »Why are you taking this course? »one question you would like answered](https://reader035.vdocuments.site/reader035/viewer/2022062422/56649f0d5503460f94c207f9/html5/thumbnails/9.jpg)
Components of a Healthful Lifestyle
Eating
Exercise No addictive behaviors
» Smoking» Drugs / Alcohol» Eating disorders
Stress management
Adequate sleep
![Page 10: Community Nutrition l Review of syllabus l Information from you »Name »Major/year »Why are you taking this course? »one question you would like answered](https://reader035.vdocuments.site/reader035/viewer/2022062422/56649f0d5503460f94c207f9/html5/thumbnails/10.jpg)
Clinical
Community
Medical
Prevention
Community nutrition interfaces with the realities of
the health care system
Trends in Nutrition/Healthcare
![Page 11: Community Nutrition l Review of syllabus l Information from you »Name »Major/year »Why are you taking this course? »one question you would like answered](https://reader035.vdocuments.site/reader035/viewer/2022062422/56649f0d5503460f94c207f9/html5/thumbnails/11.jpg)
Reality
Prevention is more effective, but…prevention efforts are rarely
reimbursed!!
Outcomes can also be hard to prove
![Page 12: Community Nutrition l Review of syllabus l Information from you »Name »Major/year »Why are you taking this course? »one question you would like answered](https://reader035.vdocuments.site/reader035/viewer/2022062422/56649f0d5503460f94c207f9/html5/thumbnails/12.jpg)
Reality
Prevention is more effective, but…prevention efforts are rarely
reimbursed!!
Outcomes can also be hard to prove
(Brainstorm measurable outcomes of nutrition intervention)
![Page 13: Community Nutrition l Review of syllabus l Information from you »Name »Major/year »Why are you taking this course? »one question you would like answered](https://reader035.vdocuments.site/reader035/viewer/2022062422/56649f0d5503460f94c207f9/html5/thumbnails/13.jpg)
Health Insurance
Fee-for-Service (private)» traditional individual or group
Managed care (private)» group, usually employer-based
Public (Medicare and Medicaid)» low SES» aged, blind, disabled» are entitlement programs
Uninsured» working poor, seasonal workers» uninsurable
![Page 14: Community Nutrition l Review of syllabus l Information from you »Name »Major/year »Why are you taking this course? »one question you would like answered](https://reader035.vdocuments.site/reader035/viewer/2022062422/56649f0d5503460f94c207f9/html5/thumbnails/14.jpg)
U.S. Healthcare: Insurance Coverage
Insured:(number; %)
Uninsured:(White/Black)
2002
242.4 million; 84.8%
10.7% / 19.5%
2003 243.3 million; 84.4%
11.1% / 19.5%
Sources: Census Bureau, CDC (NCHS); August 2004
![Page 15: Community Nutrition l Review of syllabus l Information from you »Name »Major/year »Why are you taking this course? »one question you would like answered](https://reader035.vdocuments.site/reader035/viewer/2022062422/56649f0d5503460f94c207f9/html5/thumbnails/15.jpg)
U.S. Healthcare: Insurance Coverage
Insured: % Uninsured: (White/Black)
2002
84.8%
10.7% / 19.5%
2006 85.2%
10.5% / 16%
2007 85.5% 10.6% / 15.3%
2009 84.6% 15.1% / 22.2%
Sources: Census Bureau, CDC (NCHS); September 2008Cohen RA, Martinez ME, Ward BW. Health insurance coverage: Early release of estimates from the National Health Interview Survey, 2009. National Center for Health Statistics. June 2010. Available from: http://www.cdc.gov/nchs/nhis.htm.
![Page 16: Community Nutrition l Review of syllabus l Information from you »Name »Major/year »Why are you taking this course? »one question you would like answered](https://reader035.vdocuments.site/reader035/viewer/2022062422/56649f0d5503460f94c207f9/html5/thumbnails/16.jpg)
Trends in the Healthcare System
Increase in managed care: HMOs, PPOs Increased costs
» technology is $» aging of population» consumer demands» liability coverage» education costs» unhealthy lifestyles
(Trend in jobs: part-time)
![Page 17: Community Nutrition l Review of syllabus l Information from you »Name »Major/year »Why are you taking this course? »one question you would like answered](https://reader035.vdocuments.site/reader035/viewer/2022062422/56649f0d5503460f94c207f9/html5/thumbnails/17.jpg)
Health Continuum
![Page 18: Community Nutrition l Review of syllabus l Information from you »Name »Major/year »Why are you taking this course? »one question you would like answered](https://reader035.vdocuments.site/reader035/viewer/2022062422/56649f0d5503460f94c207f9/html5/thumbnails/18.jpg)
Who is at Risk?(and how do you know?)
Individuals» referral» ill
Groups» risk factors
Population» known
problems
Depends on people and hazards considered
![Page 19: Community Nutrition l Review of syllabus l Information from you »Name »Major/year »Why are you taking this course? »one question you would like answered](https://reader035.vdocuments.site/reader035/viewer/2022062422/56649f0d5503460f94c207f9/html5/thumbnails/19.jpg)
U.S. Healthcare: Insurance Coverage
Insured: % Uninsured: (White/Black)
Region Uninsured for part of past year Uninsured for more than a year
Northeast
13.5% 7.2%
Midwest 16.6% 8.1%
South 22.8% 13.5%
West 21.5% 12.4%
Cohen RA, Martinez ME, Ward BW. Health insurance coverage: Early release of estimates from the National Health Interview Survey, 2009. National Center for Health Statistics. June 2010. Available from: http://www.cdc.gov/nchs/data/nhis/earlyrelease/insur201006.pdf
![Page 20: Community Nutrition l Review of syllabus l Information from you »Name »Major/year »Why are you taking this course? »one question you would like answered](https://reader035.vdocuments.site/reader035/viewer/2022062422/56649f0d5503460f94c207f9/html5/thumbnails/20.jpg)
Risks and Disease Prevention
Risk = expected annual mortality / hazard
Risk assessment = determining extent of the hazard / identifying who faces the hazard
![Page 21: Community Nutrition l Review of syllabus l Information from you »Name »Major/year »Why are you taking this course? »one question you would like answered](https://reader035.vdocuments.site/reader035/viewer/2022062422/56649f0d5503460f94c207f9/html5/thumbnails/21.jpg)
Healthy People 2010
Mission = creating healthy people in healthy communities
2 Goals:» increase the quality of life and years of
healthy life» eliminate health disparities
![Page 22: Community Nutrition l Review of syllabus l Information from you »Name »Major/year »Why are you taking this course? »one question you would like answered](https://reader035.vdocuments.site/reader035/viewer/2022062422/56649f0d5503460f94c207f9/html5/thumbnails/22.jpg)
U.S. Health Disparities: 2005
1995-2002
IMR
(per 1000 live births)
2001/2005Life expectancy
(years)
2005
Poverty
(% of population)
Whites
5.9
77.7 / 78.3
8.3%
Blacks 13.9
72.2 / 73.2 24.9%
Sources: Census Bureau, CDC (NCHS); September 2007
![Page 23: Community Nutrition l Review of syllabus l Information from you »Name »Major/year »Why are you taking this course? »one question you would like answered](https://reader035.vdocuments.site/reader035/viewer/2022062422/56649f0d5503460f94c207f9/html5/thumbnails/23.jpg)
U.S. Health Disparities ~1998
IMR
(per 1000 live births)
Life expectancy(years)
Poverty
(% of population)
Whites
7.3
~75
11.6%
Blacks 17.6
~65 33.3%