Identifying Risk Factors and Solutions

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St. Augustine's University *

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131

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Health Science

Date

Apr 26, 2024

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docx

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2

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Identifying Risk Factors and Solutions Part 1: 1. My chosen community will be West Whittier and the health condition of focus will be chronic kidney disease. 2. Since nutrition and diet is a vital aspect of chronic kidney disease (Gutierrez 2015), access to grocery stores and farmer markets is the first social and environmental risk factor that is relevant. The second social and environmental risk factor that is relevant to West Whittier is supermarket access because, again, diet and poor nutrition plays a large role in chronic kidney disease. Another two social and environmental risk factors that are relevant to West Whittier is Alcohol availability and binge drinking because heavy drinking and even consistent drinking can contribute to chronic kidney disease. Lastly, the current smoker risk factor is the final relevant risk factor because those who smoke and heavily drink have about five times the chance of developing chronic kidney disease than those who do not smoke or drink to excess (Nation Kidney Foundation 2017). 3. West Whittier has only three grocery stores and farmers’ markets within a half mile and is ranked the lowest out of all the communities for this risk factor. It is also ranked the lowest in supermarket access compared to the other communities at 26.52%. At 47.3% alcohol availability, West Whittier is ranked third highest out of all the other communities but is surprisingly ranked lowest in binge drinking percentage at 13.3%. Lastly, it is ranked lowest out of all communities for current smoker percentage at 11.4%. This makes the access to grocery stores and farmer markets, supermarket access, and alcohol availability the most concerning risk factors for West Whittier. Part 2: 1. Since a major contributor to the severity of chronic kidney disease is nutrition and diet, Gangsta Gardening would be the most beneficial to West Whittier in regards to chronic kidney disease. 2. Gangsta Gardening is focused on encouraging people to plant their own gardens full of vegetables and fruit in order to access healthy diets without having to spend so much money at grocery stores. This would directly apply to the access to grocery stores and farmers markets risk factor since there will be no need to be in direct proximity to these businesses. Individuals would be able to plant and take care of their own vegetables and fruit in an attempt to eat healthier which would help decrease the severity of chronic kidney disease. 3. Since West Whittier has a low amount of grocery stores and supermarkets, this makes it difficult for the community to reach healthy vegetables and fruits that would mitigate the prevalence of chronic kidney disease. It has been estimated that more than 90% of cases of type 2 diabetes and 65% of hypertension cases, the two major causes of kidney disease, could be prevented if all US adults adhered to a healthy lifestyle and diet (Kramer 2019). This also means that the community most likely resorts to eating fast food or junk food in replacement of healthier alternatives since fast food restaurants and liquor stores are more prevalent and in immediate proximity. If West Whittier were to adhere to Gangsta Gardening, they would not have to venture far in order to eat vegetables and fruits. Eating more fresh fruits and vegetables are key ways to supplement our normally protein rich Western diets, which can be a main contributor to type 2 diabetes or hypertension and inevitably chronic kidney disease (WebMD 2017).
References Gutiérrez, O. M. (2015). Contextual Poverty, Nutrition, and Chronic Kidney Disease. Advances in Chronic Kidney Disease , 22 (1), 31–38. https://doi.org/10.1053/j.ackd.2014.05.005 https://www.facebook.com/WebMD. (2017, February 2). Your Diet and Chronic Kidney Disease . WebMD; WebMD. https://www.webmd.com/a-to-z-guides/diet-and-chronic-kidney-disease Kramer, H. (2019). Diet and Chronic Kidney Disease. Advances in Nutrition , 10 (Supplement_4), S367– S379. https://doi.org/10.1093/advances/nmz011 National Kidney Foundation. (2017, March 3). Drinking Alcohol Affects Your Kidneys . National Kidney Foundation. https://www.kidney.org/news/kidneyCare/winter10/AlcoholAffects
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