Fat Chance Essay

2982 words - 12 pages

11
PUBH100: Assessment 2, ‘Fat Chance’
Introduction
The Active8 campaign was first introduced into the small Victorian town of Ararat, as a result of the popular television show, ‘The Bigggest Loser’, appointing it the fattest town in Australia (Holwell, 2014). It is an empowering and educational public health obesity prevention campaign that has been implemented in order to change attitudes surrounding nutrition, participation and exercise (Holwell, 2014). The public health program, Active8, is to be deployed in one Local Government Area (LGA) within NSW. The final two candidates in consideration to receive the obesity prevention program are Bankstown LGA and Hornsby LGA. The health and ...view middle of the document...

Urbanisation
Bankstown LGA is located approximately 17 kilometers southwest of the Sydney CBD covering a land area of 77km2 (Profile.id, Bankstown, 2014), while Hornsby LGA is located approximately 25 kilometers to the north of the Sydney CBD covering a land area of 462km2 (Profile.id, Hornsby, 2014).

Table 2
LGA demographics (2013 ERP)


Bankstown LGA
Hornsby LGA
Age
No.
%
No.
%
0-14
42,274
21.5
31,599
18.9
15-24
27,911
14.2
23,244
13.9
25-44
53,777
27.3
42,780
25.6
45-64
45,959
23.3
44,583
26.7
65+
27,053
13.7
24,649
14.8
Total
196,974
100.0
166,855
100.0
Note. Reprinted from “Social Health Atlas of Australia: NSW & ACT,” by PHIDU, Adelaide University, 2015, retrieved from: http://www.adelaide.edu.au/phidu/maps-data/graphs/

As shown in Table 2, Bankstown LGA has 30,000 more people than Hornsby LGA, giving it a population density of 2,608 people per square kilometre, whereas Hornsby LGA has a much lower population density of 365 people per square kilometre; therefore it can be said that Bankstown LGA is significantly more urbanised than Hornsby LGA. Urbanisation is the process of how cities develop and become more ‘built up’, and it is assessed by information such as population size, density and increase. (Godfrey & Julien, 2005). Urbanisation can have positive effects on health outcomes such as readily available access to healthcare facilities, but can also be the source of many negative health outcomes such as obesity, diabetes, hypertension (high blood pressure), circulatory diseases, high blood cholesterol, and chronic obstructive pulmonary disease; especially in socio-economic disadvantaged areas (Godfrey & Julien, 2005).

Table 3
Estimated chronic diseases (2011-2013)


Bankstown LGA
Hornsby LGA
Disease
No.
Per 100
No.
Per 100
Diabetes mellitus
11,020
8.0
5,849
4.5
High blood cholesterol
43,653
31.3
42,469
33.2
Mental & behavioural
23,359
12.5
19,324
11.7
Circulatory
32,510
18.4
25,055
15.4
Hypertensive disease
19,424
10.8
17,325
10.3
Respiratory
50,718
27.0
42,323
25.9
Asthma
15,971
8.4
13,978
8.6
Chronic obstructive pulmonary disease
4,754
2.6
3,476
2.1
Musculoskeletal system
49,471
27.2
42,619
25.7
Arthritis
27,703
15.4
21,911
13.1
Note. Reprinted from “Social Health Atlas of Australia: NSW & ACT,” by PHIDU, Adelaide University, 2015, retrieved from: http://www.adelaide.edu.au/phidu/maps-data/graphs/


Table 4
Self-assessed health status (2010)


Bankstown LGA
Hornsby LGA

No.
Per 100
No.
Per 100
Fair/poor
27,608
19.8
14,209
11.1
Severe restrictions
17,090
12.1
12,019
9.3
Note. Reprinted from “Social Health Atlas of Australia: NSW & ACT,” by PHIDU, Adelaide University, 2015, retrieved from: http://www.adelaide.edu.au/phidu/maps-data/graphs/

Table 3 illustrates this trend by displaying that Bankstown has estimated lower health outcomes in almost all categories of diseases. While...

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