NURS FPX 6011 Assessment 2 Attempt 1 Evidence-Based Population Health Improvement Plan Community Data Evaluation Environmental & Epidemiological Data More than 90% of the diabetic patients in America are diagnosed with T2DM American Indians are mostly diagnosed diabetic The AI men are 14%, AI women are 14.7%, and AIs regardless of sex are 14.6% diabetic patients Prevalent Population Health Concerns among AIs Get Your Paper Ready in No Time!! Our Professional Ph.D. Writers are here for you! Obesity Hypertension Cardiovascular Disease 2 Epidemiological Data According to research from the Centers for Disease Control and Prevention (CDC), every tenth American (about 37 million individuals) has diabetes, with type 2 diabetes accounting for 95% of cases (CDC, 2021). The American Indians (Ais) are one of the most affected ethnic groups from diabetes. According to the CDC, one in two AIs has diabetes, and those who were born around 2000 are particularly susceptible. The prevalence of the diagnosis was 16% higher among white non-Hispanics (Saldana & Guarnaccia, 2022). According to a research, AIs have twice as much of a probability of developing type II diabetes and dying as White people do (Elma et al., 2021). The white American people are less likely to get diabetes diagnosed as compared to other racial groups. Diabetes has decreased among AIs since 2013, according to a new IHS analysis, but it is still one of the main causes of illness and mortality among AIs (Brockie et al., 2018). In Ais, T2DM brings other diseases as well like cardiovascular diseases and obesity. And among AI deaths, CVD is one of the most common causes. The incidence of AIs varies across locations and tribal groups as well. For instance, among Indian tribes, the Pima tribe has the greatest occurrence rate (Hsueh et al., 2018). 2 Community Data Evaluation Environmental Factors Traumatic events created severe situations of AIs Dependent on government subsidies, forced immigration, and unwanted lifestyle modifications Disparities in their healthcare facility such as obesity, causing Diabetes

NURS FPX 6011 Assessment 2 Attempt 1 Evidence-Based Population Health Improvement Plan

3 Environmental Factors Genetics and environmental factors are the two main causes of diabetes in American Indians. After the Indian Removal Act was enacted by Congress, they had to deal with a number of upsetting experiences. Their animals were hunted again and again and Ais were forced to migrate. Their forced lifestyle adjustments and societal insults, which were a major contributor to health inequalities, are documented throughout history. They were forced to relocate historically, and the destruction of their traditional irrigation methods made them dependent on government aid. The consumption of fat rich foods increase the chances of obesity and diabetes in AIs (Lucero & Roubideaux, 2022). Relevance and Validity of the Resources The information extracted from the credible sources helps to gain knowledge about risk factors of environment and T2DM prevalence. The majority of the information is based on reports from the CDC and IHS, two of the most reliable databases for gathering information on health, particularly that of AIs. 3 Meeting Community Needs Population Health Improvement Plan Five ethical principles, such as equity, empowerment, openness, respect, and participation For the proper maintenance of budget and training to community members Cooking classes focused on promotion of culture-relevant T2DM Ethically spreading the information of diabetes to the community members Potential Barriers: Lack of access to low fat and low carbs diet Preference to cultural meals over western dishes Rejection of government healthcare medicines

NURS FPX 6011 Assessment 2 Attempt 1 Evidence-Based Population Health Improvement Plan