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E. Bobby's Health Outcomes and SDOH
Bobby's situation highlights several Social Determinants of Health (SDOH) that can negatively impact his health. His family's financial instability, resulting from medical bills and his mother's death, leads to food insecurity. Skipping breakfast and lunch, combined with relying on convenience store food high in sodium and fat, puts Bobby at risk for nutritional deficiencies and potential weight problems. According to the American Academy of Pediatrics, "Children and adolescents who experience food insecurity are more likely to have poor overall health, iron deficiency anemia, asthma, and to be hospitalized" (Council on Community Pediatrics, 2015). Living in a rural area with limited access to fresh, affordable food exacerbates this issue. The lack of a consistent caregiver in the mornings due to his father's night shift work further disrupts Bobby's routine and access to healthy meals. Additionally, the emotional stress of losing his mother and the family's financial struggles can impact Bobby's mental health and well-being.
F. Annie's Health Outcomes and SDOH
While Annie's family lives in an affluent area, her access to healthy food options is still compromised. Although her mothers work in restaurants, the meals they bring home may not always be nutritionally balanced. Annie's reliance on convenience store coffee and sweets for breakfast contributes to excess sugar and caffeine intake, potentially leading to weight gain, dental problems, and difficulty concentrating. The long working hours of her mothers limit family mealtimes and opportunities for shared healthy eating habits. Furthermore, the pressure to maintain their lifestyle in an expensive area could create stress within the family, impacting Annie's emotional well-being. The Centers for Disease Control and Prevention (CDC) states that "Adverse childhood experiences (ACEs) – such as experiencing violence, abuse, or neglect; witnessing violence in the home; or having a family member attempt or die by suicide – are linked to chronic health problems, mental illness, and substance misuse in adulthood" (CDC, 2023). While not explicitly stated, the financial pressures and long working hours could contribute to stress within the family, potentially increasing the risk of ACEs.
G. Sources
American Academy of Pediatrics, Council on Community Pediatrics. (2015). Promoting Food Security for All Children. Pediatrics, 136(5), e1431-e1440.
Centers for Disease Control and Prevention (CDC). (2023, June 28). About Adverse Childhood Experiences. Centers for Disease Control and Prevention. Retrieved from https://www.cdc.gov/violenceprevention/aces/about.html
E. Bobby's Detrimental SDOH
Bobby's situation highlights several Social Determinants of Health (SDOH) that could negatively impact his health outcomes. His family's economic instability, stemming from medical debt and his mother's death, leads to food insecurity. Skipping breakfast and lunch, coupled with relying on convenience store food, likely means Bobby isn't receiving adequate nutrition. This can lead to developmental issues, weakened immunity, and difficulty concentrating in school. His father's night shift work creates a lack of parental supervision, potentially exposing Bobby to risky behaviors. Living in a rural area with limited access to fresh, affordable food contributes to the health disparities often seen in rural populations. The stress associated with his mother's death and the family's financial struggles can also negatively impact Bobby's mental and physical health.
The American Academy of Pediatrics (AAP) emphasizes the importance of nutrition for children's development and well-being. According to the AAP, "Nutritious food is essential for optimal brain development, growth, and overall health throughout childhood and adolescence." (AAP, 2019). Bobby's inconsistent and unhealthy eating habits put him at risk for various health problems, including obesity, type 2 diabetes, and cardiovascular disease later in life. Furthermore, the lack of parental supervision can expose him to unhealthy influences and risky behaviors.
F. Annie's Detrimental SDOH
While Annie's family lives in an affluent area, her situation also presents detrimental SDOH. Although not experiencing food insecurity in the same way as Bobby, Annie's reliance on restaurant food, even if prepared by her chef mom, may lead to an unhealthy diet high in sodium, fat, and sugar. Coupled with her daily consumption of sugary coffee drinks and treats, Annie is at risk for developing obesity and related health problems. Her mothers' long working hours create a lack of parental supervision and potentially limit family meals, which are important for social and emotional development. While access to healthcare may not be a barrier, the stress of her mothers' demanding jobs and the pressure to maintain their lifestyle in an expensive area could negatively impact Annie's mental health.
The Centers for Disease Control and Prevention (CDC) highlights the link between sugary drinks and adverse health outcomes. "Frequent consumption of sugary drinks is associated with weight gain/obesity, type 2 diabetes, heart disease, kidney diseases, non-alcoholic liver disease, tooth decay and cavities, and gout." (CDC, 2021). Annie's regular intake of sugary coffee drinks and treats puts her at increased risk for these health problems. Furthermore, the lack of regular family meals and parental supervision can contribute to unhealthy eating habits and limit opportunities for open communication and emotional support.
G. References
American Academy of Pediatrics. (2019). Nutrition. HealthyChildren.org. Retrieved from https://www.healthychildren.org/English/healthy-living/nutrition/Pages/default.aspx
Centers for Disease Control and Prevention. (2021). Get the Facts: Sugary Drinks. CDC.gov. Retrieved from https://www.cdc.gov/nutrition/data-statistics/sugar-sweetened-beverages-intake.html