1 6 Assignment: Windshield Survey/Community Assignment Maria Pribe Walden University NURS 4210-4/4211-4 Role of the Nurse Leader January 25, 2020 Windshield Survey-Community Assessment Facts and General Population of the A cme community, Grand Traverse County Acme is one of the communities in Grand Traverse County, Michigan State. It has a total population of 4, 375, and covers a land area of 64.8 square kilometers, with more than 2,215 households and 1, 231 families. Currently, the population density is 172.1 people per square kilometer. The community population is composed of various races (Ogden et al., 2017). The white race makes 97.3%, African American 0.23%, Native American 0.28%, Asian 0.35%, and Hispanic 2.10%. As a nurse, I am determined to serve the obese adults’ population across all the present races in the community. The completion of a windshield survey will help me identify healthcare gaps among adults with obesity and ways in which their condition is enhanced or promoted. A windshield survey of the Acme community facilitates this Community assessment. 25 .5% of the population is below 18 years old, 6.1% range between 19 to 24 years, 27.1% from 25 to 44 years, 27.4 from 45 to 64, and those with over 65 years of age make 13.9%. The average earning for a household in the community is $50, 425, and the average income for a family is $58, 886 (Hales et al., 2018). The per capita income for the community is $24, 219. Almost 4.5% and 6.5% of the community population is under poverty line, inclusive of 3.5% of those under 18 years old and 9.7% of those aged 65 and above . Windshield Survey While walking around the Acme township, the general view of the environment is attractive. Tarmacked roads and skyscrapers are everywhere. All races engage in business activities that make a busy community. However, the white race dominates the community, and white people own most of the private healthcare facilities. On the streets, most of the adult beggars have excess body weight. Below are some of the photographs taken during the windshield survey 1.0. Obese adults seeking help from authorities 1.1. Business activities in Acme townsip 1.2. Healthcare Facility 1.3. Acme Township Street 1.4. Healthcare Facility 1.5. Manufacturing Plant Obese Adults in Acme Community Approximately 25% of adults within the Acme community are obese, according to the Michigan State Health Report. Out of 83 counties of Michigan State, Grand Traverse County is ranked 23rd as one of the top counties leading in obesity. In 2013, Grand Traverse County had 26.8% of residents with obese (Perez-Sanz, 2019). The graph below from the Centers for Disease Control indicates the percentage of Grand Traverse County adults who are overweight. Adult African Americans in my community have a significantly high prevalence of obesity (20.1%) than other races . Within the Acme community, the most vulnerable obese population has low income ...

1. 1
6
Assignment: Windshield Survey/Community Assignment
Maria Pribe
Walden University
NURS 4210-4/4211-4 Role of the Nurse Leader
January 25, 2020
Windshield Survey-Community Assessment
Facts and General Population of the A
cme community, Grand Traverse County
Acme is one of the communities in Grand Traverse County,
Michigan State. It has a total population of 4, 375, and covers a
land area of 64.8 square kilometers, with more than 2,215
households and 1, 231 families. Currently, the population
density is 172.1 people per square kilometer. The community
population is composed of various races (Ogden et al., 2017).
The white race makes 97.3%, African American 0.23%, Native
American 0.28%, Asian 0.35%, and Hispanic 2.10%. As a nurse,
I am
determined to serve the obese adults’ population across all the
present races in the community. The completion of a windshield
survey will help me identify healthcare gaps among adults with
obesity and ways in which their condition is enhanced or
promoted.

2. A windshield survey of the Acme community facilitates this
Community assessment. 25
.5% of the population is below 18 years old, 6.1% range
between 19 to 24 years, 27.1% from 25 to 44 years, 27.4 from
45 to 64, and those with over 65 years of age make 13.9%. The
average earning for a household in the community is $50, 425,
and the average income for a family is $58, 886 (Hales et al.,
2018). The per capita income for the community is $24, 219.
Almost 4.5% and 6.5% of the community population is under
poverty line, inclusive of 3.5% of those under 18 years old and
9.7% of those aged 65 and above
.
Windshield Survey
While walking around the Acme township, the general view of
the environment is attractive. Tarmacked roads and skyscrapers
are everywhere. All races engage in business activities that
make a busy community. However, the white race dominates the
community, and white people own most of the private
healthcare facilities. On the streets, most of the adult beggars
have excess body weight. Below are some of the photographs
taken during the windshield survey
1.0. Obese adults seeking help from authorities 1.1.
Business activities in Acme townsip
1.2. Healthcare Facility 1.3. Acme Township Street
1.4. Healthcare Facility
1.5. Manufacturing Plant
Obese Adults in Acme Community
Approximately 25% of adults within the Acme community are

3. obese, according to the Michigan State Health Report. Out of 83
counties of Michigan State, Grand Traverse County is ranked
23rd as one of the top counties leading in obesity. In 2013,
Grand Traverse County had 26.8% of residents with obese
(Perez-Sanz, 2019). The graph below from the Centers for
Disease Control indicates the percentage of Grand Traverse
County adults who are overweight. Adult African Americans in
my community have a significantly high prevalence of obesity
(20.1%) than other races
.
Within the Acme community, the most vulnerable obese
population has low income and lives below the federal poverty
line. Obese beggars depict this along Acme township streets
from the photographs taken during my windshield survey. These
obese adults use wheelchairs to seek assistance from
government offices.
Social Determinants Creating Obese State
Race, education level, gender, income level, poverty, and
unemployment are the main social determinants leading to
increased rates of obesity among adults in the Acme community.
Diet remains a critical factor attributed to obesity that has a
close connection with differences in dominance seen across
geographical areas and higher obesity rates with low social and
economic status individuals in the Acme community. In the
Acme community, most of the many businesses sell fast foods.
Fast food restaurant density contributes to increased cases of
obesity among residents and makes the issue prevalent (Ogden
et al., 2017). Adults who eat two to three times a week at a fast-
food restaurant do not meet physical activity guidelines. They

4. have decreased self-efficacy for feeding on healthy diets.
Transport is another considerable factor influencing the rate of
obesity among adults because the community infrastructure
determines neighborhood walkability and transportation linked
to weight status. Walkability leads to the low prevalence of
overweight and obesity among adults within the community.
Proximity to recreational facilities, access to sidewalks and
paths, and access to parks are the main facilitators of physical
activity
.
Community Strengths
Acme community has some strengths (resources), too, despite
vulnerabilities to obesity. There are many resources to reverse
the obesity epidemic among adults in the Acme community. The
community enjoys initiatives provided by higher learning
institutions in dealing with the obesity issue among adults and
other residents. Michigan State University Extension Action is
an initiative that gives or delivers relevant, affordable,
evidenced-based education to assist obese adults, young people,
and families living in urban and rural communities (Lee et al.,
2019). The initiative helps obese adults in the Acme community
to acquire skills required to purchase and prepare nutritious,
budget-friendly meals, and increase physical activity. These
services offered to form an integral part of the community
strengthens that prevail to help the population. This program
has reached even other neighborhoods in all counties of the
State of Michigan.
Building Healthy Communities program is a beneficial resource
within the Acme community for fighting against obesity among
adults. Community members apply for this program since it is a
private-public initiative designed to fight obesity in the Acme
community. The Michigan Fitness Foundation and Community
Impact and Action for Healthy Adults back the initiative (Arend

5. et al., 2019). The initiative educates obese adults about risk
factors to obesity and ways they can avoid them. For instance,
the community is encouraged to adopt healthy lifestyles, such as
a good diet that determines their health for a lifetime. Further,
the program target schools to assist kids with obesity, where the
main objective is improving childhood health through school-
based wellness. Kids gain knowledge of healthy habits that can
even help them in their adulthood.
Acme community in Grand Traverse County continues to face
obesity as a public health issue. Obese adults do not have
adequate knowledge in maintaining the condition in terms of
lifestyles. Social factors such as poverty, low education, and
low-income are prevalent risk factors to the obesity issue. Most
of the community members do not engage in physical activity
since the improved infrastructure, such as roads, makes them
use cars instead of walking. This transportation issue increases
the prevalence of obesity within the community. If the
community uses available resources, the obesity issue within
time will become a thing of the past
.
References
Arend, A., Liu, L., Vapenik, K., Ye, N., & Yu, K. (2019). The
Blue Communities Initiative: Empowering communities
to instill the value of water at the heart of all they do.
Hales, C. M., Fryar, C. D., Carroll, M. D., Freedman, D. S., &
Ogden, C. L. (2018). Trends in obesity and severe obesity
prevalence in US youth and adults by sex and age, 2007-2008 to
2015-2016. JAMA, 319(16), 1723-1725.
Lee, K. H., Heo, J., Jayaraman, R., & Dawson, S. (2019).
Proximity to parks and natural areas as an environmental
determinant to spatial disparities in obesity prevalence. Applied
Geography, 112, 102074.
Ogden, C. L., Fakhouri, T. H., Carroll, M. D., Hales, C. M.,
Fryar, C. D., Li, X., & Freedman, D. S. (2017). Prevalence of

6. obesity among adults, by household income and education—
United States, 2011–2014. MMWR. Morbidity and mortality
weekly report, 66(50), 1369.
Perez-Sanz, S. (2019). The problem of obesity among high
school students in Michigan State House District 101. Public
Health Review, 2(1).
�Check APA Manual for how to format headings including how
to bold headings.
�Avoid use of first and third person.
�Do not start a sentence with a number or spell it out.
�Need to cite source of data. Good use of data.
�Good use of data.
�Good points.
�Good resources. Always complete papers with a formal
conclusion.
Interesting community.
�Citation is incomplete as I do not know where it came from.

7. 1
6
Assignment: Windshield Survey/Community Assignment
Maria Pribe
Walden University
NURS 4210-4/4211-4 Role of the Nurse Leader
January 25, 2020
Windshield Survey-Community Assessment
Facts and General Population of the A
cme community, Grand Traverse County
Acme is one of the communities in Grand Traverse County,
Michigan State. It has a total population of 4, 375, and covers a
land area of 64.8 square kilometers, with more than 2,215
households and 1, 231 families. Currently, the population
density is 172.1 people per square kilometer. The community
population is composed of various races (Ogden et al., 2017).
The white race makes 97.3%, African American 0.23%, Native
American 0.28%, Asian 0.35%, and Hispanic 2.10%. As a nurse,
I am
determined to serve the obese adults’ population across all the
present races in the community. The completion of a windshield
survey will help me identify healthcare gaps among adults with
obesity and ways in which their condition is enhanced or
promoted.

8. A windshield survey of the Acme community facilitates this
Community assessment. 25
.5% of the population is below 18 years old, 6.1% range
between 19 to 24 years, 27.1% from 25 to 44 years, 27.4 from
45 to 64, and those with over 65 years of age make 13.9%. The
average earning for a household in the community is $50, 425,
and the average income for a family is $58, 886 (Hales et al.,
2018). The per capita income for the community is $24, 219.
Almost 4.5% and 6.5% of the community population is under
poverty line, inclusive of 3.5% of those under 18 years old and
9.7% of those aged 65 and above
.
Windshield Survey
While walking around the Acme township, the general view of
the environment is attractive. Tarmacked roads and skyscrapers
are everywhere. All races engage in business activities that
make a busy community. However, the white race dominates the
community, and white people own most of the private
healthcare facilities. On the streets, most of the adult beggars
have excess body weight. Below are some of the photographs
taken during the windshield survey
1.0. Obese adults seeking help from authorities 1.1.
Business activities in Acme townsip
1.2. Healthcare Facility 1.3. Acme Township Street
1.4. Healthcare Facility
1.5. Manufacturing Plant
Obese Adults in Acme Community
Approximately 25% of adults within the Acme community are

9. obese, according to the Michigan State Health Report. Out of 83
counties of Michigan State, Grand Traverse County is ranked
23rd as one of the top counties leading in obesity. In 2013,
Grand Traverse County had 26.8% of residents with obese
(Perez-Sanz, 2019). The graph below from the Centers for
Disease Control indicates the percentage of Grand Traverse
County adults who are overweight. Adult African Americans in
my community have a significantly high prevalence of obesity
(20.1%) than other races
.
Within the Acme community, the most vulnerable obese
population has low income and lives below the federal poverty
line. Obese beggars depict this along Acme township streets
from the photographs taken during my windshield survey. These
obese adults use wheelchairs to seek assistance from
government offices.
Social Determinants Creating Obese State
Race, education level, gender, income level, poverty, and
unemployment are the main social determinants leading to
increased rates of obesity among adults in the Acme community.
Diet remains a critical factor attributed to obesity that has a
close connection with differences in dominance seen across
geographical areas and higher obesity rates with low social and
economic status individuals in the Acme community. In the
Acme community, most of the many businesses sell fast foods.
Fast food restaurant density contributes to increased cases of
obesity among residents and makes the issue prevalent (Ogden
et al., 2017). Adults who eat two to three times a week at a fast-
food restaurant do not meet physical activity guidelines. They

10. have decreased self-efficacy for feeding on healthy diets.
Transport is another considerable factor influencing the rate of
obesity among adults because the community infrastructure
determines neighborhood walkability and transportation linked
to weight status. Walkability leads to the low prevalence of
overweight and obesity among adults within the community.
Proximity to recreational facilities, access to sidewalks and
paths, and access to parks are the main facilitators of physical
activity
.
Community Strengths
Acme community has some strengths (resources), too, despite
vulnerabilities to obesity. There are many resources to reverse
the obesity epidemic among adults in the Acme community. The
community enjoys initiatives provided by higher learning
institutions in dealing with the obesity issue among adults and
other residents. Michigan State University Extension Action is
an initiative that gives or delivers relevant, affordable,
evidenced-based education to assist obese adults, young people,
and families living in urban and rural communities (Lee et al.,
2019). The initiative helps obese adults in the Acme community
to acquire skills required to purchase and prepare nutritious,
budget-friendly meals, and increase physical activity. These
services offered to form an integral part of the community
strengthens that prevail to help the population. This program
has reached even other neighborhoods in all counties of the
State of Michigan.
Building Healthy Communities program is a beneficial resource
within the Acme community for fighting against obesity among
adults. Community members apply for this program since it is a
private-public initiative designed to fight obesity in the Acme
community. The Michigan Fitness Foundation and Community
Impact and Action for Healthy Adults back the initiative (Arend

11. et al., 2019). The initiative educates obese adults about risk
factors to obesity and ways they can avoid them. For instance,
the community is encouraged to adopt healthy lifestyles, such as
a good diet that determines their health for a lifetime. Further,
the program target schools to assist kids with obesity, where the
main objective is improving childhood health through school-
based wellness. Kids gain knowledge of healthy habits that can
even help them in their adulthood.
Acme community in Grand Traverse County continues to face
obesity as a public health issue. Obese adults do not have
adequate knowledge in maintaining the condition in terms of
lifestyles. Social factors such as poverty, low education, and
low-income are prevalent risk factors to the obesity issue. Most
of the community members do not engage in physical activity
since the improved infrastructure, such as roads, makes them
use cars instead of walking. This transportation issue increases
the prevalence of obesity within the community. If the
community uses available resources, the obesity issue within
time will become a thing of the past
.
References
Arend, A., Liu, L., Vapenik, K., Ye, N., & Yu, K. (2019). The
Blue Communities Initiative: Empowering communities
to instill the value of water at the heart of all they do.
Hales, C. M., Fryar, C. D., Carroll, M. D., Freedman, D. S., &
Ogden, C. L. (2018). Trends in obesity and severe obesity
prevalence in US youth and adults by sex and age, 2007-2008 to
2015-2016. JAMA, 319(16), 1723-1725.
Lee, K. H., Heo, J., Jayaraman, R., & Dawson, S. (2019).
Proximity to parks and natural areas as an environmental
determinant to spatial disparities in obesity prevalence. Applied
Geography, 112, 102074.
Ogden, C. L., Fakhouri, T. H., Carroll, M. D., Hales, C. M.,
Fryar, C. D., Li, X., & Freedman, D. S. (2017). Prevalence of

12. obesity among adults, by household income and education—
United States, 2011–2014. MMWR. Morbidity and mortality
weekly report, 66(50), 1369.
Perez-Sanz, S. (2019). The problem of obesity among high
school students in Michigan State House District 101. Public
Health Review, 2(1).
�Check APA Manual for how to format headings including how
to bold headings.
�Avoid use of first and third person.
�Do not start a sentence with a number or spell it out.
�Need to cite source of data. Good use of data.
�Good use of data.
�Good points.
�Good resources. Always complete papers with a formal
conclusion.
Interesting community.
�Citation is incomplete as I do not know where it came from.