This is considered, environmental injustice, and remains the focal point of Environmental Protection Agency (Hilmers et al., 2012). It is their goal to continue to work supporting this cause and effort to provide environmental justice to all (Hilmers et al., 2012). “when everyone enjoys the same degree of protection from environmental and health hazards and equal access to the decision-making process to have a healthy environment in which to live, learn, and work” (Hilmers et al., 2012). In general, where a person lives can affect their access to food. In the city of Indianapolis where my patient resides on the suburbs of there is an increased area of food deserts. Residents who live on the east side of Indianapolis say on average they shop at grocery stores that are
Running head: Comprehensive Health Assessment for Patients and Populations 20 between three and six miles from their homes (Whitmeyer, 2014). “ Obviously when you don’t have access to anything, it’s frustrating,” Indianapolis city council member Zach Adamson says (Whitmeyer, 2014) . “It adds to the day to day struggle that people living in poverty have to deal with among many others (Whitmeyer, 2014).” He commutes into the city for work each day and can stop at a grocery on the way home, but many of his neighbors he says aren’t so fortunate (Whitmeyer, 2014). They don’t have cars. They get where they must go on foot or they rely on public transportation or friends for a ride (Whitmeyer, 2014). “You can probably find bread or milk or juice, but Speedway doesn’t have baby formula or vegetables,” Adamson says (Whitmeyer, 2014). “When you’re financially challenged, you’re looking for the most bang for your buck (Whitmeyer, 2014). Even when you’re dealing with Family Dollar or discount stores that have food products, I wouldn’t call them food because they’re so lacking in nutritional value (Whitmeyer, 2014). According to walk score, Indianapolis is rank as the worst in the nation for food deserts (Whitmeyer, 2014). This data was based on how many people could walk up to five miles to the grocery store for their families’ needs. People who live in food deserts want to be able to purchase their food of choice and need. It is unfortunate that the economy, and crime within neighborhoods has lead to the depletion of the needed grocery stores within the low economical areas. Indianapolis is one area in which the community is affected, there are multiple cities across the united states that remain affected by food deserts (Whitmeyer, 2014). Within the rural area the impact is similar in that there is not a desert per say with the grocery stores, however if there is a need to drive greater than ten miles from your home to shop at a grocery store this is a rural food desert. Another challenge for the rural population is that there are a lot of farming communities and for parts of the year there are good produce available
Running head: Comprehensive Health Assessment for Patients and Populations 21 even in the farmers markets. However, during the winter seasons there is a decrease in the
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