Evidence-Based Clinical and Culturally Appropriate Strategy

Evidence-BasedClinical and Culturally Appropriate Strategy


Evidence-BasedClinical and Culturally Appropriate Strategy

Tobacco use, poor delivery of community and clinical preemptiveservices, unhealthy risk factors and lifestyle orientations, poordiet, and unconducive environments contribute significantly topremature deaths or physical inabilities among African-Americanpopulation in Washington, DC. In fact, Blackwell, Lucas, &ampClarke (2014) show that African-Americans in the area considered inpoor health stands at 14%, those under the risk of using tobacco at24%, with mortality rates standing at 720 deaths per 100,000population. Stroke hypertension, cancer, and heart diseases remainthe prominent causes of death among the population with a populationof more than 17% without insurance cover. Ockene et al. (2007)suggest that a body of literature on evidence-based strategies offerinterventions that contribute meaningfully to the reduction of burdenof illness. In this regards, to reduce the burden of cancer and heartdiseases, evidence-grounded strategies aligned to tobacco control andobesity will suffice as proposed by US Preventive Services.

Obesity is aleading cause of heart diseases and death among African-American andsince it is a composite interaction of cultural, hereditary,ecological, developmental, and social factors a clinical interventionbased on screening patients using BMI followed by developmentalinterventions and thorough psychoanalysis develop as the bestintervention. Ockene et al. (2007) and Garrett et al. (2011) suggestthat a high intensity intercession that combine physical andnutrition activities offer effective solutions to people. On theother hand, as Dietz (2015) and Ockene et al. (2007) suggest acomprehensive process, which allows the screening of people inclinical setting followed by cessation strategies and tobacco bans,restrictions, price increases, media crusades, and aide-mémoirestructures for cultural settings, will greatly reduce tobacco use inthe area. A cultural-environmental research to identify reduced riskfactors, new morbidity and mortality rates, consumption of tobacco,and change in lifestyles will help determine the effectiveness of theabove strategies i.e. increased gym sessions, society participationin local activities, and reduced admission to hospitals would signalthe effectiveness of the strategy. Development of worksites andmobilization of the community would ensure the alteration of thementioned strategies to align to culture issues. In fact, themobilization of the community in these processes coupled withelucidations and alignments to culturally accepted norms wouldgreatly make the strategies suitable in lessening illness burdens.


Blackwell, D. L., Lucas, J. W., &amp Clarke, T. C. (2014). health statistics for us Adults: national health interview survey,2012.&nbspVital and health statistics. Series 10, Data from theNational Health Survey, (260), 1-171.

Dietz, W. H. (2015). The Response of the US Centers for DiseaseControl and Prevention to the Obesity Epidemic.&nbspAnnual reviewof public health, (0).

Garrett, B. E., Dube, S. R., Trosclair, A., Caraballo, R. S.,Pechacek, T. F., &amp Centers for Disease Control and Prevention(CDC). (2011). Cigarette smoking—united states, 1965–2008.&nbspMMWRSurveill Summ,&nbsp60(Suppl), 109-113.

Ockene, J. K., Edgerton, E. A., Teutsch, S. M., Marion, L. N.,Miller, T., Genevro, J. L., … &amp Briss, P. A. (2007).Integrating evidence-based clinical and community strategies toimprove health.&nbspAmerican journal of preventivemedicine,&nbsp32(3), 244-252.

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