Sentinal with average household income of $80,134











Sentinal City Windshield Survey

Priya Subba

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Saginaw Valley State University











In Acer
Tech Center neighborhood, the population was 168,390, where the region consists
of predominately White (70.2%) and Hispanic or Latino (13.7 %). People working
in this community has an average household income of $166,300. Industrial
Heights neighborhood has 38,855 population and predominately 46.8% Latino and
13.1 % African American with average household income of $24,672. Nightingale Square community region that has a population of
103,976 with race distribution consisting of 81.3% White and 3.7% Latino.
According to Sentinel City demographics data, the median household income for
Nightingale Square is $269,550. In Casper Park District, the population was
652,643 consisting of 63% White, 24% Latino with average household income of
$80,134 (Sentinal city, 2015).

my tour in sentinel city communities, I saw many walkers, joggers, and cyclists
on the street. Majority were adults, but there were some children on the
playground some children crossing the street with assistance of a police
officer. There were a few people on wheelchairs in front of Med care at
emergency and in front of Joe’s grocery shop. Additionally, a person using a
crutch and wearing an arm sling was walking on the sidewalk. There were teenagers
walking near the areas. Several couples walking, and dinning outside the
restaurants as well as parents and children. Police officers were on duty in
different regions of Sentinel City.

were many homeless people in front of the church. There were few men loitering
on 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. There
were fruit and vegetables sellers near the health care facility at sidewalk. A
man was walking his dog on leash. There were couple of stray dog, without tag
or leash, exploring around the street. Also, there were other animals such as
rats and cat roaming around the dumpsters and trash bags. There were about two
churches in the Industrial Heights neighborhood, but unknown denomination.

Hispanic or Latino is a target population of my interest because they were a
predominant race in the Industrial Heights neighborhood with a median household
income of $24,672. Hispanics group under 65-year-old without
health insurance comprised of 37.5% of the population (14,571 of 38,855) and
the disability rate of this age group is 12.9% (Sentinel City, 2015).
Additionally, 20.8% (8082) of the population were under 18 years old. These
health problem indicators could be correlated with the poverty population. The
physical environment indicators such as unclean sidewalk can also lead to
health concerns. There was also road hazard such as roads with debris and
crack, broken car or on fire that can increase risk for injuries, especially to
cyclists and walkers.

The major health concern for Hispanic
population compared to another ethnicity are significant. “Hispanics had higher
death rates from diabetes, chronic liver disease and cirrhosis, homicide, and
essential hypertension and hypertensive renal disease, and they had higher prevalence’s
of obesity and uncontrolled hypertension” (Dominguez et
al., 2015). Since Hispanics group under 65-year-old have no insurance, then
they 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, there
were many Hispanic patients who seek help for their condition at a later stage
or severe condition. For example, some health concerns got worse such as
hypertension, diabetes, alcoholics. Some diabetic patients become blind or
limbs amputated. The unclean environment such as trashes bags outside with rat
roaming and dog off leash in the neighborhood can post health problem for this

The main
goals set for Healthy People 2020 include “attaining high quality, longer lives
free of preventable disease, disability, injury, and premature death” and
“achieve health equity, eliminate health disparities, and improve health of all
groups” (Harkness, & DeMarco, 2016). There are major health concerns in the
Hispanic group living in the Industrial Heights neighborhood. The health
disparity is remarkable with 37.7 % people don’t have health insurance and
12.9% of disabilities under age 65 (Sentinel City, 2015). The physical
environment showed old buildings, unsanitary due to trash and rodents, which
can also lead to illnesses. Additionally, low income may lead to less resources
for the community’s maintenance so roads remained cracked with debris, which
can cause accident and injuries.

riding through the Sentinel City, I learned about the various community and
environmental factors that affect the overall health condition of the population
group in each community. A thorough observation of the environment is valuable
for assessment of health risk and possible barriers. It’s important for a
community health nurse to interact and assess the health problem and those who
at high risk in the community. They can provide appropriate help to increase
better health awareness like teaching about preventive screening, which can
often identify early sign of chronic diseases. Furthermore, lower
income community can be a shortage in funding source to better maintain the
surroundings. In most cases, a collaborative effort such as clean-up projects,
which may require donation from higher-income community, can uplift the
environment and promote better health to those that can benefit the most.








Sentinel City (2015).
Sentinel City virtual experience. Retrieved from 

Dominguez et al., (2015).
Vital Signs: leading causes of death, prevalence of diseases and risk

and use of health services among Hispanics in the United States. US National

of 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.