needs. Informing patient of available options for treatment, provide information of support groups within the community to help the patient develop healthy lifestyles, and help maintain outcomes. Partnering with health care providers and support groups patients can set goals, achieve weight loss and how to maintain weight loss. Disparities Obesity has become a global pandemic. Data indicates that women are tending to be more overweight and obese than men. The United States is the most obese nation in the world at 38.2% with Mexico as a close second at 32.4%. (Dibonaventura, Meincke, Lay, Fournier, Bakker, & Ehrenreich, 2017) With the sharp increase in obesity seen in the women of both countries. Trending data reveals that Mexican Americans are becoming more obese at a higher rate than non-Hispanic whites. With 42.5% of the Hispanic population being overweight compared to 32.6% non-Hispanic whites. The attributes that have influenced such an increase are the development of unhealthy eating habits, increased time watching tv, computers, or other screen time, poor sleep habits, increase use of medications, how and where people are living and availability to healthy foods and safe places to be active. Management of obesity in low-income social status is a challenging struggle due to economic status, low literacy level, and food preferences. Low-income status is defined by individuals who have a high school diploma or less, and make less than $37,000 a year. (Global, Regional, and National, 2014) Individuals with limited economic resources may turn to food with poor nutritional value because it is inexpensive and ease accessibly. Physical activity is a problem due to neighborhoods of low-income areas being more dangerous and having high
16 UNDERSTANDING OBESITY crime rates. Statically lower-income neighborhoods do not have good supermarkets, making it hard for families to have access to healthy fresh nutrition foods. However, neighborhood usually has an abundance of fast food restaurants, targeting the community with advertisements encouraging the consumption high fat low nutrient food at a low price. Unhealthy fast food is cheaper to buy and access versus the more expensive harder to access healthier nutritious food. Individuals who live and work in lower income areas tend not to have good healthcare insurance with affordable rates further decreasing their ability to seek out health care providers to help with obesity management. Those who work minimal wage jobs/ low-income jobs do not have the extra income to pay for or see treatment for the management of obesity. Middle to higher income individuals, those making $50,000 and more, tend to have higher education, live in safer neighborhoods, have good health insurance, access to more places to be physically active (gyms, yoga, family activity centers) and access to healthier food.
- Spring '16