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Good job with the needs assessment , but no fact sheet?
Gather assessment data about the community or region you chose (North Dakota). Use the CDC and the United States Census Bureau websites as the sources for your information.
Name of Community/Region: North Dakota
Total Population: 779,094, 0.2% of united states population
Ethnicity/Race
African American
Hispanics
Caucasian
Asian
Other
Gender (M/F)
Male; 50%
Female; 50%
Male; 48%
Female; 52%
Male; 49%
Female; 5
1
%
Male;51
Female;49%
Male: 49.9%
Female: 50.1%
Employment Status (Employed/Unemployed)
Employed;40%
Unemployed;60%
Employed;45%
Unemployed;55%
Employed;45%
Unemployed;55%
Employed;40%
Unemployed;60%
Employed;45%
Unemployed;55%
Education Level (Less than High School, High School/Bachelor’s, Graduate)
Less than high school; 2.6%
High school; 26.7%
College; 66%
Less than high school; 2.6%
High school; 26.7%
College; 66%
Less than high school; 2.6%
High school; 26.7%
College; 66%
Less than high school; 2.6%
High school; 26.7%
College; 66%
Less than high school; 2.6%
High school; 26.7%
College; 66%
Age range (0–17, 18–
3
4, 35–54, 55+)
0-17; 34%
18-34: 19%
35-54; 28.6%
55 and above;
18.4%
0-17; 34%
18-34: 19%
35-54; 28.6%
55 and above; 18.4%
0-17; 34%
18-34: 19%
35-54; 28.6%
55 and above; 18.4%
0-17; 34%
18-34: 19%
35-54; 28.6%
55 and above; 18.4%
0-17; 34%
18-34: 19%
35-54; 28.6%
55 and above; 18.4%
Income level (Less than $25,000, $25,000–50,000, $50,000–75,000, 75,000–100,000, 100,000+)
Less than 25,000; 20%
25,000-50,000; 40%
50,000- 75,000; 40%
Less than 25,000; 20%
25,000-50,000; 40%
50,000- 75,000; 40%
Less than 25,000; 20%
25,000-50,000; 40%
50,000- 75,000; 40%
Less than 25,000; 20%
25,000-50,000; 40%
50,000- 75,000; 40%
Less than 25,000; 20%
25,000-50,000; 40%
50,000- 75,000; 40%
The state of North Dakota is faced with several health problems. A community diagnosis research revealed that alcohol and other substance use disorder is the number one burden in this community. Regarding this, behavioral health was the highest-ranked community health need. At least 1 of every five health needs reported by residents within the state was behavioral Health (Scott et al.,2019). It was the only health need out of the presented 25 health needs selected by every community in North Dakota. The second public health problem reported was mental illnesses. Studies reveal high incidences of mood disorders and schizophrenia. For instance, major depressive disorders experienced in this population have resulted in high incidences of suicide attempts. The current rate of suicide is at 14.2 per 100,000 population, which is significantly higher than a suicide rate of 12.8 per 100,000 population in the entire country. It is according to the AHR annual report of 2021. The prevalence of schizophrenia in North Dakota is at 15.4%, while the prevalence of major depressive disorder is at 19.2%. It is considerably high compared to the rates in the entire county. It could be due to premorbid substance abuse in this population. Due to this, a study conducted in the region revealed that mental health is the second most priority of the health need of the community. It can be achieved through telepsychiatry, availing of psychiatry services to the general public through camps and other means. More than 49% of the participants reported mental health as a concern in North Dakota. Finally, the rates of sexually transmitted infections were also a concern in the communities in North Dakota. According to CDC findings in 2015, North Dakota ranked 30th out of 50 states in the united states of America on gonorrheal infections representing 92.5 per 100,000 persons. However, North Dakota ranked 45th out of 50 states on cases of syphilis (CDC, 2015). Therefore, the need for sexual health came way later. Sexual health aims at reducing the rates of sexually transmitted infections (Schwarzrock, 2021).
|
Problem 1 |
Problem 2 |
Problem 3 |
|||||||
|
Identify the Issue |
Alcohol and other substances use disorder |
Mental illnesses |
Sexually transmitted diseases |
||||||
|
Incidence |
23% |
Suicide rate of 14.2 per 100,000 |
92.5 per 100,000 persons develop gonorrhea |
||||||
|
Prevalence |
28% |
The schizophrenia prevalence rate of 15.4% Depression prevalence rate of 19.2%. |
· State the public health problem or condition you choose.
Alcohol and other substance use disorders
· Explain why: It is the number one burden experienced by the community based on the research findings, which reported the significantly high need for Behavioral Health. According to the National survey on drug use and health conducted in 2019, more than 90% of people living in North Dakota above the age of 18 reported taking alcohol at some point in their lives compared to 85.6 % who have done so in the entire country. Binge drinking has been reported at a prevalence rate of up to 30% of the population above 18 years of age. The highest percentage of binge drinking has been linked with 18 to 29 years of age. Moreover, the highest percentage of the population totaling 15 million who have alcohol use disorders, are reported from North Dakota. The current binge drinking rate in North Dakota is at 23% compared to
18%
reported in the entire united states of America.
· Provide the following data on your select problem or condition.
|
Selected Condition (For example, diabetes) |
Selected Community |
State |
National/Global |
| 18% | |||
|
28% prevalence of alcohol use disorder in North Dakota. |
28% prevalence of alcohol use disorder |
20% prevalence of alcohol use disorder |
Select your target population. Use data to explain why this population bears the burden of the condition.
The population of North Dakota in the age bracket of 18 to 44 carries a huge heavy drinking burden (CDC, 2020). Furthermore, income level was crucial to binge drinking in this population, with reportedly excessive drinking in individuals whose annual household income was more incredible than 75,000 sterling pounds (CDC,2020). Moreover, males are more affected than females; Hawaiin, Hispanic, and white adults are more affected than Asians, highlighting race’s role in alcohol use disorder. Therefore age, race, and income level are critical predictors of alcohol use disorder.
The table below represents the percentage population of the different races in North Dakota involved in binge drinking of alcohol. Binge drinking is reported to be taking five or more drinks on one occasion in a month or repeated heavy drinking of up to 15 or more drinks in a week.
|
Target Population = (n) |
||||||||||
|
Incidence (select condition) |
14.0 % |
19.0% |
17% |
12% |
||||||
|
Prevalence (select condition) |
14.0 |
|
Gender |
Female |
Male |
|
| 18.4% |
26.2% |
||
|
Risk Factors |
|
Male gender |
|
Level of income |
|
Race; Indians are two times at risk of alcohol use disorder compared to whites |
|
Age; high incidence of alcohol and other substance use disorders is reported between 18 and 29. |
|
Low level of education |
Alcohol use disorder has shown a decline from 2014 to 2018. It can be attributed to the impacts of interventions to reduce alcohol use disorder (Ponicki et al., 2018). Behavioral Health entails psychoeducation, rehabilitation, psychoanalysis, and behavior modification techniques in dealing with alcohol and other substance use disorders. Furthermore, the declining trend can also be attributed to the increasing knowledge on the negative impact of alcohol use. A research study conducted in the united state revealed that North Dakota had a higher incidence of alcohol use disorder compared to other states. At the same time, the state of North Dakota’s perception of the impact of heavy drinking on health has been reported the worst, linking ignorance to the high burden of alcohol use disorder. The prevalence doesn’t depict a specific change as new individuals are recruited. It can be because some individuals quit due to behavioral health interventions as new members emerge. Therefore, the incidence rate is more beneficial in evaluating the success of the behavioral intervention programs than the prevalence rate.
|
Year 1 2014 |
Year 2 2015 |
Year 3 2016 |
Year 4 2017 |
Year 5 2018 |
|
25% |
26% |
24% |
||
|
28.3% |
28.5% |
29% |
Is the condition declining, increasing, or the same over the five years displayed?
Answer here: The condition has been declining from 2014 to 2018. As shown above, from a percentage of 25% to a percentage of 23 over five years. It can be linked with the fact that people have gained more knowledge on the harmful effects of drinking.
Are previous interventions working based on the trends shown in the table?
Explain your response: yes. The previous interventions have been working. The decline in the trend means that behavioral health interventions such as counseling, rehabilitation, and psychoeducation have been instrumental in reducing the prevalence of alcohol and other substance abuse.
References
Guzman, G., & US Census Bureau American Community Survey Brief ACSBR-7. (2020). Household income by race and Hispanic origin: 2005–2009 and 2015–2019.
Ponicki, W. R., Henderson, J. A., Gaidus, A., Gruenewald, P. J., Lee, J. P., Moore, R. S., … & Tilsen, N. (2018). Spatial Epidemiology of Alcohol‐and Drug‐Related Health Problems Among Northern Plains American Indians: Nebraska and South Dakota, 2007 to 2012. Alcoholism: clinical and experimental research, 42(3), 578-588.
Scott, D. M., Kelsch, M. P., Hanel, M., & Friesner, D. L. (2019). Appraisal of the entrustable professional activities (EPAs) patient care provider domain by North Dakota pharmacists. Pharmacy Practice (Granada), 17(4).
Schwarzrock, A. (2021). COPE Influence on Resiliency and Self-Efficacy in a Rural North Dakota School (Creating Opportunities for Personal Empowerment) (Doctoral dissertation, North Dakota State University).
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