Nursing Paper on Prevalent health Problem in Warren County Ohio: Obesity

Prevalent health Problem in Warren County Ohio: Obesity

The rate of obesity globally has increased among adults. More than a third of the population in the United States is obese. Obesity among adults is based on the relationship between their weight and height to calculate the body mass index (BMI) that correlates with people fat composition. The purpose of this paper is to determine the rates of obesity among adults in Warren County and determine preventing and management approaches that they can apply to reduce obesity rates and help those affected by obesity.

Introduction of Community Problem/Diagnosis

The health problem that I believe was the most relevant in this county was obesity. Approximately, 66.3% of the adults in Warren County were obese between 2011 and 2013 (Warren County Community Health Assessment Report, 2016; Obesity and Related Indicators-Warren County, 2017). The number was higher compared to the national statistics, which stood at 31.4%. The number of obese adults in Warren was also slightly higher compared to Ohio and Medina where the percentage of obesity was 65% and 62% respectively (Warren County Community Health Assessment Report, 2016; Obesity and Related Indicators-Warren County, 2017). The rates of obesity in Warren County were. The rates of insufficient participation in physical activity among adults in Warren were 21.8% (Warren County Community Health Assessment Report, 2016; Obesity and Related Indicators-Warren County, 2017). Mortality rates related to obesity are seen in individuals who develop obesity complication such as diabetes, hypertension, and other cardiovascular diseases (Warren County Community Health Assessment Report, 2016; Obesity and Related Indicators-Warren County, 2017). The germ theory considers aspects such as stress and lifestyle factors among other environmental multidimensional factors as causes of a disease (Nies & McEwen, 2014). Dietary habits and involvement in physical activity were the mostly likely contributors of obesity in this county.

Analysis of Problem/Diagnosis Using Millio’s Framework of Prevention

Milio’s prevention framework outlines suggestions that force the focus of attention from an individual to a communal level as a way of examining to role of the society in promoting the problem (Nies & McEwen, 2014; Clarke, Swinburn, & Sacks, 2016). In determining why the rates of obesity are so high, some of the aspects of the county that were observed included existence of a low number of grocery stores as compared to fast-food restaurants, high rates of low-income families that promotes use of fast-foods, which are cheaper than healthy foods, and a low number of farmers markets (0.3/10,000 people). These rates indicate the increased risks of obesity among the people living in Warren County (Healthy Lifestyles in Warren County, Pennysylvania, 2018). The low number of farmers markets and high number of fast food restaurants indicate that the population in Warren relies more on fast foods rather than healthy meals.

Organizational policies can contribute to the consumption of fast foods among workers due to the distance covered to access stores with healthy meals. A lack of funding at the state level for programs tailored towards provision of nutrition education among obese individuals can influence Warren’s morbidity and mortality rates. The community can be educated on the importance of maintaining proper nutrition throughout the lifecycle to reduce risk of obesity.

Compare Problem/Diagnosis to Health People National Goal

The nursing diagnosis identified in relation to the problem affecting this population was the risk of obesity and obesity-related diseases among adults living in Warren county related to inactivity, dietary patterns, and sedentary lifestyles as evidenced by the rates of overweight and obesity in the country, as well as the rates of insufficient physical activity among people in the county. The Healthy People 2020 national goal for nutrition and weight status was based on the need to promote health and reduce the risk of chronic diseases through intake of healthy diets and achieving healthy body weights (Office of Disease Prevention and Health Promotion, 2018). Most of the people in the county affected by obesity attribute this to genetic factors and eating habits. Although they know that food play a role in contributing to weight gain, they do not understand the types of foods that are associated with weight gain. Community education can help educate these people on the importance of adhering to healthy diets, portion control of meals, and the role of physical activity in promoting weight loss.

Long and Short-Term Goals

A long-term goal would be reduction in the percentage of obese individuals among adults living in Warren County. To achieve this goal, one of the short-term goal that would be implemented would be increasing community awareness about the risks and effects of obesity and the need to participate in physical activity. Other short-term goals that can be implemented include increasing the number of local programs in the county aimed at proving support to people who intend to lose weight, provision of exercising facilities, and provisional educational or reading materials on health issues.

Improving the health status of people in the community is considered as a way of eradicating issues such as diseases like diabetes and hypertension. Implementation of this program would promote reduction in obesity rates in the community and increase the management struggles aimed at provision focus on specific health patterns. Aligning the Healthy 2020 module with the changes needed in the community is essential in promoting change. Through the provision of financial support to programs aimed at educating and guiding people interested in healthy habits, the health status of the community would improve.






Clarke, B., Swinburn, B., & Sacks, G. (2016). The Application of Theories of The Policy Process to Obesity Prevention: A Systematic Review and Meta-analysis. BMC Public Health, 16: 1084. Retrieved from

Healthy Lifestyles in Warren County, Pennysylvania. (2018, March 27). Retrieved from National Institutite for Children’s Healthcare Quality:

Nies, M., & McEwen, M. (2014). Community/Public Health Nursing (6th ed.). St. Louis: Elsevier. Retrieved from

Obesity and Related Indicators-Warren County. (2017, August). Retrieved from Department of Health:

Office of Disease Prevention and Health Promotion. (2018, September 11). Nutrition and Weight Status. Retrieved from Office of Disease Prevention and Health Promotion:

Warren County Community Health Assessment Report. (2016). Retrieved from Warren County Combined Health District: