PUBH302: Research Plan on Diabetes as a Public Health Issue in NSW

This research plan identifies diabetes as a significant public health challenge in New South Wales, affecting over 27 million Australians, with a notable prevalence in individuals aged 35-68. The plan explores the historical context, noting its evolution from ancient misunderstandings to a modern chronic disease, and addresses the political context, highlighting power imbalances in healthcare. Economically, the plan points out the high cost of diabetes management, especially in socio-economically disadvantaged communities. Socially, it emphasizes the higher risk for individuals in demographically disadvantaged areas with poor eating habits. Community-based initiatives, such as the NSW state health plan, are discussed as efforts to promote healthier lifestyles and integrated care. The plan concludes by underscoring the need for further research and constructive health promotion strategies, particularly targeting men aged 35-68 with unhealthy diets and those in disadvantaged communities. Desklib provides students access to similar assignments and study resources.

Running head: RESEARCH PLAN
Name of the student:
Name of the university:
Author note:

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RESEARCH PLAN
Assignment 1:
Diabetes as health issue
Importance:
Diabetes is highlighted as one of the major challenges in the 21 century affecting more
than 27 million people in Australia. In New South Wales, a 151.8 per 100000 population was
diagnosed with diabetes (Landers et al., 2018). The health issue holds specific importance
because the vulnerable populations are individuals within 35 to 68 years which increase an
average of 1.4 % of hospitalization per person for diabetes in NSW (Tam & Clarke, 2015). The
data was collected from f credible resources such as Australian Bureau of Statistics, Australian
Institute of Health and Welfare, which assist in decision making, research and discussion with
the government regarding the policy amendments and health promotions.
Historical context:
Diabetes is one of the oldest chronic diseases which exponentially increased in Australia.
The history suggested that most common in men than women. In ancient history, the individuals
misunderstood diabetic as the emotional distress such as depression and most affected groups in
New South Wales are in between 35 to 67 years whoa aging exponentially (Landers et al., 2018).
Political Context:
In the political context, patient and nursing power struggle is highlighted as one of the
crucial issues in diabetes. Nurses hold power in the health care sectors where patients have to be
in the mercy of them. This power imbalance influences the prevalence of diabetes in New South
Wales since a considerate number of the patients were not satisfied with the health care facilities
they are receiving (Tam & Clarke, 2015).

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Economic Context:
Due to the high expenditure of the health, 12.3% of the most socio-economically
disadvantaged communities in New South Wales have reported diabetes (Hotu et al., 2018). The
issue becomes unresolved in these communities due to the high cost of diabetes management as
discussed before. Therefore, diabetes New South Wales and ACT are taking the initiatives On 1
April 2019 reforms to Private Health insurance to reduce the prevalence of diabetes.
Social context:
Individuals who live in the demographically disadvantageous areas are at a higher risk of
developing diabetes.in developing areas of Australia, the obese individuals due to poor eating
habits are most vulnerable to the development of diabetes where men are at higher risk compared
to women. The data collected by The Bureau of Health Information which is a credible resource
to assists in further research Agency for Clinical Innovation and Health Education and Training
Institute NSW also act as a credible resource to help in further research of diabetes
Community-based initiative:
The Ministry of Health designed NSW state health plan: towards 2021 committing to
keep people healthy outside and in the hospital. The health policies of this framework include
NSW Healthy Eating and Active Living Strategy focusing on healthy lifestyle choices, NSW
Integrated Care Strategy focusing on effective and efficient care that responds to all health
needs, NSW Aboriginal Health Plan 2013-2023 focusing on indigenous health (Baker et al.,
2016). Australian colleges of perioperative nurses are one of them, in this case, are taking
initiatives of health promotion.

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Conclusion:
Thus, it can be concluded that diabetes is highlighted as one of the major health issues
in the New South Wales which requires constructive strategies for health promotions. The
vulnerable group in this case men in between 35 to 68 with unhealthy diets and disadvantageous
communities. Therefore, ministry of health designed health policies to address the issue and
further research is required in this field.

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References:
Baker, J., White, N., Mengersen, K., Rolfe, M., & Morgan, G. G. (2017). Joint modelling of
potentially avoidable hospitalisation for five diseases accounting for spatiotemporal
effects: A case study in New South Wales, Australia. PloS one, 12(8), e0183653.
Hotu, C., Rémond, M., Maguire, G., Ekinci, E., & Cohen, N. (2018). Impact of an integrated
diabetes service involving specialist outreach and primary health care on risk factors for
micro‐and macrovascular diabetes complications in remote Indigenous communities in
Australia. Australian Journal of Rural Health, 26(6), 394-399.
Landers, J., Liu, E., Estevez, J., Henderson, T., & Craig, J. E. (2018). Presence of diabetic
retinopathy is associated with worse 10‐year mortality among Indigenous Australians in
Central Australia: The Central Australian ocular health study. Clinical & experimental
ophthalmology.
Tam, S. M., & Clarke, F. (2015). Big data, official statistics and some initiatives by the
Australian Bureau of Statistics. International Statistical Review, 83(3), 436-448.