Jewish Community of Miami Florida: Public Health

Jewish Population and History in Miami

  • The Jewish population is ethnically diverse and steadily increasing.
  • Miami was initially a Spanish colony without Jews.
  • A significant immigration wave occurred in the 1930s
  • High living standards attracted people from California.
  • As the population aged, the community began to decline.
  • The recent growth of the young adult Jewish population

Reasons for Choosing the Population

  • Jewish young adults in downtown Miami
  • The growing population of ~7000 impacting demographics
  • Minority cultural background defines healthcare challenges.
  • Limited resources may not support population needs.
  • Diverse community from various backgrounds and cultural beliefs
  • No information regarding the culturally competent approach
  • Miami healthcare system unprepared to serve the Jewish community

Aggregate Description

  • Life expectancy averaging between 81-85 years old (Central Bureau of Statistics, 2015).
  • The low fertility rate of 1.5 children per adult
  • High-risk social behavior such as smoking
  • Cultural dietary habits lean towards fats and carbohydrates.
  • Less than 50% practice leisurely physical activity (Benderly et al., 2017).
  • Miami Jewish Health systems primary healthcare facility
  • Approximately 30% live below the poverty level

Aggregate Health Risks and Treatment

  • Leading causes of death: cardiovascular disorders and cancer
  • High-risk factors for diabetes, hypertension, dyslipidemia
  • Noticeable prevalence of higher weight amongst the population
  • 20% are carriers of genetic disorders common to Jews (Warsch et al., 2014)
  • Religion may impact attitudes and treatment choices
  • Lack of competent cultural training to treat population

Analyzing Aggregate Strengths and Weaknesses

  • Community assessment is necessary to develop strategies
  • Culture affects an individual’s physical and psychological health
  • Presence of cultural identity through Jewish institutions
  • High life expectancy but significant percentage aging
  • A sedentary lifestyle and smoking prevalence in the community
  • Over 40% encountered anti-Semitic attitudes (Labgold, 2014)
  • Socio-economic inequality limits access to health care

Family Description

  • Family is historically and currently practicing Judaism
  • Traditional family structure, three generations in the household
  • Large house in a primarily Jewish neighborhood
  • Cohesive familial ties and emotional relationship
  • Open discussions are held about family issues
  • Maintains access to health care services regularly

Risk Assessment

  • Friedman Family Assessment Model utilized
  • Occupations may cause elevated levels of stress
  • Cardiovascular system disorders are prevalent
  • History of cancer, diabetes, and liver issues
  • Family predisposed to rapid progression of conditions
  • Seek support to cope with stressful situations

Developing a Care Plan

  • Using the Healthy People 2020 objective as guidance
  • Vision To develop an intervention plan for aggregate
  • The plan focuses on behavioral intervention and education
  • Diagnosis of family includes imbalanced nutrition
  • Occupational stress and exposure to physical activity
  • Lifestyle can be targeted with behavioral intervention

Intervention Strategies

  • Education promotes home-based self-care of family members
  • Diet and activity addressed through instruction
  • Instruction on health risks and proven strategies
  • The intervention lasts eight weeks combining methods of education
  • The practitioner provides access to community resources (Philis-Tsimikas & Gallo, 2014)
  • Goal to direct family towards sustainable health

Education about Health Risks

  • Intervention in health beliefs, attitudes, perceptions
  • Disease-specific health risks and behaviors
  • Critical to modify the diet to prevent chronic conditions
  • Introducing moderate activity and strength training
  • Activity and nutrition reduces disease risks
  • Hypertension and dust allergy common noncommunicable conditions
  • Disorders result in lower quality of life

Disaster Management Plan

  • Necessary for cities to manage natural disasters
  • An emergency preparedness plan limits adverse consequences
  • Minimizes trauma and health risks during disasters
  • Develops adaptation by promoting appropriate social behaviors
  • Risk awareness ensures survival and individual resilience
  • Timely resource preparation is critical for disaster situations

Family Disaster Education

  • Management plan to create a fundamental knowledge base
  • Acquisition of skills and acceptance of potential dangers
  • Miami susceptible to hurricanes during certain seasons
  • Health practitioner educates and helps to create a plan
  • Evacuation routes, precaution measures, and checking contacts
  • Preparing a disaster survival kit with supplies
  • First aid training and psychological coping practices

Evaluation and Barriers to Implementation

  • Tracking progress – fifth step MAP-IT model
  • The assessment helps identify shortfalls and make corrections
  • Environmental risks in relation to aggregate population
  • Costs may discourage family member participation
  • Costs include resources, materials, and consultations
  • Costs are justified with long-term health benefits

Measurable Signs of Success

  • Project realization is monitored and evaluated
  • Recorded results identified and plan adjusted
  • Subjective perceptions and objective data are analyzed
  • BMI and physiological indexes are compared over time
  • Weight loss, normalized blood pressure, and lipid content
  • Monitoring cardiovascular risk factors and diabetes

Overview of the Aggregate Health Situation

  • Currently, aggregate maintains access to health care
  • Population growth and shortage of competent professionals
  • Nurses require cultural training to treat the Jewish community
  • Genetic predisposition, occupational stress, unhealthy diet
  • Community-based prevention in disaster management plans
  • The preliminary assessment helps manage environmental barriers
  • Data evaluated to modify education and new interventions

References

Benderly, M., Chetrit, A., Murad, H., Abu-Saad, K., Gillon-Keren, M., Rogowski, O., …Kalter-Leibovici, O. (2017). Cardiovascular health among two ethnic groups living in the same region: A population-based study. International Journal of Cardiology, 228, 23-30.

Central Bureau of Statistics. (2015). Life expectancy, by sex, religion and population group. Web.

Labgold, M. (2014). Summary report of the 2014 Greater Miami Jewish Federation Population study: A portrait of the Miami Jewish Community. Web.

Philis-Tsimikas, A., & Gallo, L. C. (2014). Implementing community-based diabetes programs: The Scripps Whittier Diabetes Institute experience. Current Diabetes Reports, 14(2), 462.

Warsch, J., Warsch, S., Herman, E., Zakarin, L., Schneider, A., & Hoffman, J., …Barbouth, D. (2014). Knowledge, attitudes, and barriers to carrier screening for the Ashkenazi Jewish panel: A Florida experience. Journal of Community Genetics, 5(3), 223-231.