Conceptualizing Community
Introduction
According to Healthy People 2030, there is an exhaustive list of indicators, a subset of high-priority people that need special health and wellbeing initiatives. For this paper, two indicators are selected: adolescents with major depressive episodes (MDEs) receiving treatment and obese children or adolescents1. Relevant to these indicators, factors like safety, exercise, diet, and healthcare access would be discussed with evidence from the literature.
Adolescents with Major Depressive Episodes (MDEs) Receiving Treatment
For keeping the neighborhood environment healthy, the health of adolescents needs to be on high priority since they are the future generation of our country. Research has supported that exercise would benefit adolescents who undergo major depressive disorders despite receiving treatment2. Reduction of depressive symptoms has been observed through exercise as physical activity generates heart rate with positive physical and psychological influences. It is interesting to note that evidence noted a link between high socioeconomic status and an increased ability to buy healthy nutritional food, making a healthy diet which is valuable for reducing depression3.
In terms of safety, children and adolescents with MDEs are at high risk of incurring harm to themselves or those around them. Their safety is crucial while treating them, for which treatment efficacy is to be scrutinized. Certain medications and their effectiveness need to be considered, especially when given in the form of anti-depressants, so that safety and tolerability could be in line with the positive health outcomes of this segment of the population4.
Healthcare differences exist for certain races, and their comorbidity and impairment certainly get affected, making their cases of disorder more complex when timely access is not given5. Healthcare disparity plays a major role in ascertaining the positive or negative impacts only...
…the child go out to play; thus, a safe social environment for children has become necessary.References
1. US Department of Health and Human Services. Leading health indicators. ODPHP website. https://health.gov/healthypeople/objectives-and-data/leading-health-indicators. Accessed May 11, 2022.
2. Sunesson E, Haglund E, Bremander A, Jarbin H, Larsson I. Adolescents Experiences of Facilitators for and Barriers to Maintaining Exercise 12 Months After Group-Based Intervention for Depression. Int J Environ Res Public Health.2021; 18. doi:10.3390/ijerph18105427
3. Samuleson R. The Impact of Diet and Nutrition on Adolescent Depression: A Systematic Review. Research paper. St. Catherine University; 2017. https://sophia.stkate.edu/cgi/viewcontent.cgi?article=1789&context=msw_papers
4. Findling RL, DelBello MP, Zuddas A, Emslie GJ, Ettrup A, Petersen ML, Schmidt SN, Rosen M. Vortioxetine for Major Depressive Disorder in Adolescents: 12-Week Randomized, Placebo-Controlled, Fluoxetine-Referenced, Fixed-Dose Study. JAACAP. 2022. doi:10.1016/j.jaac.2022.01.004
5. Rice F, Eyre O, Riglin L, Potter R. Adolescent Depression, and the Treatment Gap. The Lancet. 2017; 4(2): 86-87. doi:10.1016/S2215-0366(17)30004-4
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6. Smith JD, Fu E, Kobayashi MA. Prevention and Management of Childhood Obesity and Its Psychological and Health Comorbidities. Annu Rev Clin Psychol. 2020;16:351-378. doi:10.1146/annurev-clinpsy-100219-060201
7. Smith JD, Fu E, Kobayashi MA. Prevention and Management of Childhood Obesity and Its Psychological and Health Comorbidities. Annu Rev Clin Psychol. 2020;16:351-378. doi:10.1146/annurev-clinpsy-100219-0602018. Sanyaolu A, Okorie C, Qi X, Locke J, Rehman S. Childhood and adolescent obesity in the United States: A public health concern. Glob Pediatr Health. 2019;6. doi:10.1177/2333794X198913059. An R, Yang Y, Hoschke A, Xue H, Wang Y. Influence of Neighborhood Safety on Childhood Obesity: A Systematic Review and Meta-Analysis of Longitudinal Studies. Obes Rev. 2017;18(11):1289-1309. doi:10.1111/obr.12585
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