Name
Capella University
NURS-FPX 4060 Practicing in the Community to Improve Population Health
Prof. Name
Date
Tobacco use is a significant public health concern in communities across the United States. Public health organizations and healthcare providers are constantly striving to reduce smoking rates and improve the population’s health. This health promotion plan is an effort towards tobacco cessation in Charleston, West Virginia. Through this plan, we aim to spread awareness among the concerned community members, specifically young adults and their guardians, ensuring tobacco cessation and improving community health.
Tobacco use stands as a pressing public health concern in the United States. According to public health organizations, approximately 46 million people in the U.S. are using various kinds of tobacco products (Cornelius et al., 2023). Among the U.S. states, West Virginia remains on the top for the highest rate of adult smoking prevalence (25.2%). It is substantially common in the state, especially in highly-populated communities within West Virginia (West Virginia Department of Health and Human Resources, n.d.). Many factors are associated with tobacco use, including gender, where men of age less than 65 years old are at high risk for this health concern, and socioeconomic differences, where non-Hispanics and financially deprived individuals who have limited access to healthcare services are commonly involved in these activities. Moreover, people with low literacy levels and those suffering from psychological distress are at a higher risk of developing tobacco use habits (Cornelius et al., 2023).
Smoking is a leading cause of preventable death and illness, including cancer, heart disease, and respiratory conditions. This imposes a substantial burden on healthcare systems and diminishes community well-being. Thus, a comprehensive tobacco cessation approach is necessary that includes community-based education campaigns and smoking cessation programs tailored to the unique needs of community residents (Gesinde, 2019). The underlying assumptions of this analysis include the belief related to the effectiveness of educational programs in creating awareness and promoting self-management behaviors among community members. However, uncertainties exist regarding the willingness of individuals to participate in these programs, the impact of cultural beliefs on behavior change, and the long-term effectiveness of these tobacco cessation programs.
The population in Charleston, West Virginia, comprises residents of diverse demographic backgrounds. The predominant population is White (non-Hispanics), accounting for 37.8K people, with a median age of around 40-60 years old. Most of the residents are followers of Appalachian culture, characterized by close-knit communities and traditional values. Several socioeconomic disparities exist, with 17% of the population experiencing poverty. Educational attainment varies, with 92.1% of people possessing a high school diploma or higher education. Employment opportunities often revolve around industries such as healthcare, education, and coal mining, with a substantial ratio of unemployment claims within the communities (Data USA, n.d.; U. S. Census Bureau, n.d.). Overall, the community has a balance of factors leading to healthcare accessibility and healthcare disparities simultaneously.
The participants for this health promotion plan encompass a diverse demographic. They include individuals ages 30-60 years old, reflecting the broad spectrum of tobacco users within the community. Every individual was invited to join the awareness programs belonging to different racial and ethnic backgrounds, but most of them were White non-Hispanics. They possessed high school diplomas to bachelor’s level education and were working for average household incomes. However, the most important selection criteria was that participants must have strong community and familial ties, influencing their motivation to quit smoking.
The demographic characteristics of the population in Charleston, West Virginia, advocate the need to address tobacco smoking through an educational health promotion plan. As discussed by Cornelius et al. (2023), the non-Hispanic population with lower socioeconomic status has a greater likelihood of using tobacco and related products. The predominance of White (non-Hispanic) individuals in this population segment, with a 17% poverty rate, increases the risk of tobacco use as individuals may have limited access to healthcare facilities for tobacco cessation.
This requires comprehensive tobacco cessation awareness programs within the community to reduce disparities and improve population health. Furthermore, the median age of 40-60 years suggests that the population segment is at high risk of adopting these behaviors, as supported by McLeary and colleagues (2022), that middle-aged (3.4x) and older adults (2.8x) have a high prevalence of tobacco use. Hence, this age group should be included within the participants’ population. Overall, a health promotion educational plan tailored to the needs of Charleston residents can effectively address tobacco smoking by raising awareness about the health risks, providing cessation resources, and culturally sensitive support, ultimately improving the well-being of the community.
To address participants’ learning needs, we have developed three SMART (specific, measurable, attainable, relevant, and time-bound) goals along with participants. These goals are as follows:
Goal 1: By the end of the educational session (T), 80% of the participants will be able to identify three health risks associated with tobacco smoking (S). This goal will be measured through a group discussion at the end of the session (M). The information on health risks will be provided during the educational session in a clear and accessible manner, ensuring that participants can grasp and retain the information (A). This goal is relevant to participants’ learning needs as understanding the health risks of smoking will motivate them to improve their lifestyle and promote healthy living (R).
Goal 2: We aim for 70% of the participants to develop accurate personalized tobacco cessation plans tailored to their circumstances and readiness to quit (S). We will provide a cessation plan template supplied during the session, which participants will fill in at the end of the session in the provided activity time (M). Facilitators will guide participants in thinking and outlining cessation strategies that align with their lifestyle and daily routines (A). This goal fulfills their learning need by increasing the likelihood of successful quitting through the recognition of barriers and motivational factors (R). The objective is to be attained by the end of the session during the activity time (T).
Goal 3: By the end of the educational session (T), 80% of the participants will exhibit confidence and improved abilities to quit smoking by actively engaging in group discussions and sharing experiences (S). This goal will be measured through the facilitator’s observation of participation levels and the confidence expressed during group discussions (M). Creating a supportive environment will enhance their engagement in the healthcare journey and motivation to adopt healthy behaviors (Hirko et al., 2023) (A). Increasing participants’ confidence in their ability to quit smoking strengthens their commitment to cessation and fosters a sense of community support, aligning with their learning needs (R).
In conclusion, tobacco use is a significant health concern in the Charleston community, West Virginia. Several factors lead to healthcare disparities. Thus, a comprehensive health promotion plan addressing participants’ learning needs of smoking health risks, tobacco cessation strategies, and promoting motivation is essential. This health promotion plan empowers participants to quit tobacco through education and community engagement.
Cornelius, M. E., Loretan, C. G., Jamal, A., Davis Lynn, B. C., Mayer, M., Alcantara, I. C., & Neff, L. (2023). Tobacco product use among adults – United States, 2021. Morbidity and Mortality Weekly Report, 72(18), 475–483. https://doi.org/10.15585/mmwr.mm7218a1
Data USA. (n.d.). Charleston, WV. https://datausa.io/profile/geo/charleston-wv/
Gesinde, B. (2019). Community-based smoking cessation programs: A way forward? Frontiers in Public Health, 7, 364. https://doi.org/10.3389/fpubh.2019.00364
Hirko, K. A., Moore, P., An, L. C., & Hawley, S. T. (2023). Tobacco cessation motivations, preferences, and barriers among rural smokers: Implications for optimizing referrals in clinical practice. AJPM Focus, 2(1), 100057. https://doi.org/10.1016/j.focus.2022.100057
McLeary, J.-G., Walcott, G., Abel, W., Mitchell, G., & Lalwani, K. (2022). Prevalence, perceived risk and associated factors of tobacco use amongst young, middle-aged and older adults: Analysis of a national survey in Jamaica. The Pan African Medical Journal, 43, 185. https://doi.org/10.11604/pamj.2022.43.185.36517
West Virginia Department of Health and Human Resources. (n.d.). Cessation. https://dhhr.wv.gov/wvdtp/Cessation/Pages/default.aspx
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