Sentinal with average household income of $80,134

          Sentinal City Windshield SurveyPriya SubbaSaginaw Valley State University          In AcerTech Center neighborhood, the population was 168,390, where the region consistsof predominately White (70.2%) and Hispanic or Latino (13.7 %). People workingin this community has an average household income of $166,300. IndustrialHeights neighborhood has 38,855 population and predominately 46.8% Latino and13.

1 % African American with average household income of $24,672. Nightingale Square community region that has a population of103,976 with race distribution consisting of 81.3% White and 3.7% Latino.

According to Sentinel City demographics data, the median household income forNightingale Square is $269,550. In Casper Park District, the population was652,643 consisting of 63% White, 24% Latino with average household income of$80,134 (Sentinal city, 2015). Duringmy tour in sentinel city communities, I saw many walkers, joggers, and cyclistson the street. Majority were adults, but there were some children on theplayground some children crossing the street with assistance of a policeofficer.

There were a few people on wheelchairs in front of Med care atemergency and in front of Joe’s grocery shop. Additionally, a person using acrutch and wearing an arm sling was walking on the sidewalk. There were teenagerswalking near the areas. Several couples walking, and dinning outside therestaurants as well as parents and children. Police officers were on duty indifferent regions of Sentinel City.Therewere many homeless people in front of the church. There were few men loiteringon the sidewalk and street corners at different locations within Sentinel City.There was protest of about 10-15 people in front of the city hall building.

Therewere fruit and vegetables sellers near the health care facility at sidewalk. Aman was walking his dog on leash. There were couple of stray dog, without tagor leash, exploring around the street. Also, there were other animals such asrats and cat roaming around the dumpsters and trash bags. There were about twochurches in the Industrial Heights neighborhood, but unknown denomination.TheHispanic or Latino is a target population of my interest because they were apredominant race in the Industrial Heights neighborhood with a median householdincome of $24,672.

Hispanics group under 65-year-old withouthealth insurance comprised of 37.5% of the population (14,571 of 38,855) andthe disability rate of this age group is 12.9% (Sentinel City, 2015).Additionally, 20.8% (8082) of the population were under 18 years old. Thesehealth problem indicators could be correlated with the poverty population.

Thephysical environment indicators such as unclean sidewalk can also lead tohealth concerns. There was also road hazard such as roads with debris andcrack, broken car or on fire that can increase risk for injuries, especially tocyclists and walkers.The major health concern for Hispanicpopulation compared to another ethnicity are significant. “Hispanics had higherdeath rates from diabetes, chronic liver disease and cirrhosis, homicide, andessential hypertension and hypertensive renal disease, and they had higher prevalence’sof obesity and uncontrolled hypertension” (Dominguez etal., 2015).

Since Hispanics group under 65-year-old have no insurance, thenthey are less likely to access preventive care such as health screening,vaccines or treatment for the chronic conditions such as prescription drugs.Therefore, they become a health risk category. From personal experience, therewere many Hispanic patients who seek help for their condition at a later stageor severe condition. For example, some health concerns got worse such ashypertension, diabetes, alcoholics. Some diabetic patients become blind orlimbs amputated.

The unclean environment such as trashes bags outside with ratroaming and dog off leash in the neighborhood can post health problem for thiscommunity. The maingoals set for Healthy People 2020 include “attaining high quality, longer livesfree of preventable disease, disability, injury, and premature death” and”achieve health equity, eliminate health disparities, and improve health of allgroups” (Harkness, & DeMarco, 2016). There are major health concerns in theHispanic group living in the Industrial Heights neighborhood. The healthdisparity is remarkable with 37.7 % people don’t have health insurance and12.

9% of disabilities under age 65 (Sentinel City, 2015). The physicalenvironment showed old buildings, unsanitary due to trash and rodents, whichcan also lead to illnesses. Additionally, low income may lead to less resourcesfor the community’s maintenance so roads remained cracked with debris, whichcan cause accident and injuries. Afterriding through the Sentinel City, I learned about the various community andenvironmental factors that affect the overall health condition of the populationgroup in each community. A thorough observation of the environment is valuablefor assessment of health risk and possible barriers. It’s important for acommunity health nurse to interact and assess the health problem and those whoat high risk in the community.

They can provide appropriate help to increasebetter health awareness like teaching about preventive screening, which canoften identify early sign of chronic diseases. Furthermore, lowerincome community can be a shortage in funding source to better maintain thesurroundings. In most cases, a collaborative effort such as clean-up projects,which may require donation from higher-income community, can uplift theenvironment and promote better health to those that can benefit the most.      ReferencesSentinel City (2015).

Sentinel City virtual experience. Retrieved from http://citl.americansentinel.

edu/hli/SentinelCity2.2/ Dominguez et al., (2015).Vital Signs: leading causes of death, prevalence of diseases and risk factors,and use of health services among Hispanics in the United States. US National Libraryof Medicine National Institutes of Health, 64(17).

Harkness, G. A., &DeMarco, R. (2016).

 Community and public health nursing: Evidence for practice. Philadelphia,PA: Lippincott Williams & Wilkins, 153.