Assignment: Health Equity and Access to Mediterranean Diet Graded Discussion Post

Assignment: Health Equity and Access to Mediterranean Diet Graded Discussion Post

Assignment: Health Equity and Access to Mediterranean Diet Graded Discussion Post

Introduction: These assignments are meant to tie in what you are studying with the broader landscape of the SDOH’s our clients encounter and live with. In this case, we are Monitoring Safety by realizing the postpartum maternal mortality rate, the incidence of pre-eclampsia and hypertension, and the potential for healthy foods to be part of their prevention and/or treatment. This is a low-stakes assignment, a space that we’ve tried to create to free you, facilitate to your scholarly curiosity, and provide a space to contemplate these very real issues that affect not only our clients but also our care and treatments.

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Objectives:

1. Identify local SDOHs that impact the nutritional health of clients in your area

2. Recognize our own biases as pertain to the SDOHs and how this may impact the care we provide

So now let’s take a look at the health equity aspect of food and food deserts. You are now familiar with the food list for The Mediterranean Diet as a helpful preventive or adjunct tool in your toolbox. Let’s briefly discuss some terms before the reflection assignment below.

Food Insecurity: The condition of not having access to sufficient food, or food of adequate quality, to meet one’s basic needs. (USDA, 2023)

Food Desert: Any geographic region lacking in sufficient access to healthy, nutritious, affordable food. Food access is impacted by racial and economic disparities as well as income levels. urban area in which it is difficult to buy affordable or good-quality fresh food. For example, many low-income areas are food deserts — they may have plenty of food but the food they do have is not healthy. On the other hand, a grocery store may be a considerable distance or outside of one’s means for transportation. In the U.S., food deserts exist in every state (Karpyn, 2019).

Implicit Bias: A form of bias that occurs automatically and unintentionally, that nevertheless affects judgments, decisions, and behaviors. In this case consider how the Social Determinants of Health may lead us to an implicit bias.

Instructions:

1. Perform a Google search and identify at least one food insecurity contributor in your area. Include the site where you found this data. There are many options but consider any one of these:

a. Availability of quality grocery stores (not a gas station store)- where are the food deserts in your community

b. Access to grocery stores: Public transportation, personal transportation

c. Access to Farmer’s Markets

d. Neighborhood design and safety

e. Economic ability to purchase healthy food – food stamps, WIC, SNAP, …

f. Access to culturally acceptable food sources

2. Perform a Google search and identify 1 aspect of these Social Determinants of Health (SDOH) that could affect clients in your area.

Income and social protection

Education

Unemployment and job insecurity

Working life conditions

Food insecurity

Housing, basic amenities and the environment

Early childhood development

Social inclusion and non-discrimination

Structural conflict

Access to affordable health services of decent quality.

3. Combining the data from #1(food insecurity causes) and #2(SDOH) above, analyze the data to answer these questions:

How do you think the Social Determinants of Health (SDOH) and Food Environment Factors (ERS, 2020) you reviewed above, impact access to the Mediterranean diet in your region and thus affect the health of your patient population?

How could a provider’s implicit bias affect a client’s ability to adopt the Mediterranean diet?

How might your findings and learning from this assignment affect your practice as a nurse-midwife?

4. answer this few thought-provoking questions to comment on: north carolina

Was there some aspect of SDOH that you hadn’t thought of previously?

What have you come to understand more deeply and why?

Did you find someone in your area who discovered a different aspect of nutritional SDOH that you weren’t aware of?