Obesity is a very serious epidemic not only in the United
States but also nationwide. Obesity results from a combination of factors such
as certain medical conditions, medications, individual behaviors, dietary
choices, genetics, and socioeconomic situations. According to Shih, Dumke,
Goran, and Simon (2014), “Current data shows that nearly 17% of children and adolescents
in the United States are obese, increasing their risk for type 2 diabetes, cardiovascular
disease and associated conditions extending into adulthood (p. 1). Los Angeles is the largest county in the United
States. According to Healy (2016), “In Los Angeles, about a third
— 33.4% of American children in 2014 — were overweight, and just over half of
those kids (17.4% of all children) weighed in as obese (para. 1). It is said that poorer communities in Los Angeles have less
access to healthy foods. The
population-based intervention model was created for the community to promote
the general health status of the community by preventing disease, injury,
disability, and premature death. The population-based intervention model
consists of three components: the downstream interventions, the midstream
interventions, and the upstream interventions.


Downstream interventions should focus on weight management
specialists or physicians providing guidance and monitoring the obese patients
in a clinic. The patient should see the physician regularly, receive
medications if necessary, and also receive dietary management instructions. It
is essential to be monitored by the physician because most individuals follow
the doctor’s orders. It is also important that the patient’s family is involved
in his or her care. This epidemic not only affects the patient himself or
herself but also the family members as well. There are numerous dietary
management programs that assist in managing a patient’s diet. These include
meal preparation programs and weight loss programs. The most popular weight
loss programs in Los Angeles are Weight Watchers and Jenny Craig. These
programs have a great success rate if the patient is motivated and eager enough
to lose weight.

Midstream intervention’s focus should be on health care
facilities and hospitals. These are great places to promote health and
wellness. By doing so, patients and families can get familiarized with healthy
lifestyles. The facility that I previously worked at provided healthy meals not
only to the patients but also the employees as well. When family members came
to see their loved ones, they saw what kind of food was served to them. The
facility also provided daily exercise programs. The patients, their family
members, and employees were all allowed to participate. It was amazing to see
how many people got involved in this program. The facility also provided monthly
activities such as walking to the nearby mall or shopping center for outings. I
believe these types of programs promote positive support and commitment in the

Upstream interventions involve “state and national public
policy/environmental interventions that aim to strengthen social norms and
supports for healthy behavior and redirect unhealthy behavior” (Knickman &
Kovner, 2015, p. 133). Upon research, I found out that Michelle Obama launched a
campaign called “Let’s Move!” This campaign assists with the challenges of childhood
obesity. “The goal of the action plan is to reduce the childhood
obesity rate to just five percent by 2030 – the same rate before childhood
obesity first began to rise in the late 1970s” (para. 2). To accomplish this,
the campaign has provided recommendations to create a healthy start for
children, empower parents and care-givers, provide healthy food in schools, improve
access to healthy and affordable foods, and increase physical activity. Former
President, Barrack Obama and his wife, Michelle Obama have made sure that this
program has been supported both by the government and the private sectors. They
both made sure that childhood obesity became known as a national priority so
our children can have a healthier future.


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