Develop a proposal for taking community action on the Social Determinant of Health you have identified. (a photo of the social determinant of health is included along with a paragraph to explain it.) Direction: 1. Please include a cover page in APA format that includes: the title of your proposal, your name, the date. 2. You will address your action proposal to the City of Chicago Health Commissioner. 3. Think about some action strategies you would use to make the community aware of your negative SDOH and how can you reduce the harmful effects of the SDOH on individuals and communities? Please include the following sections/address these questions in your Action Proposal: 1. Why is your SDOH important? (Explain and use at least one supporting statistic – either local or global – cited from a credible source in APA format to justify why this is an important issue) 2. How does your SDOH affect the health of individuals? 3. How does your SDOH affect the health and lives of communities? 4. Describe at least three actions that can be taken by the City of Chicago to reduce the harmful effects. 5. What is at least one strategy you suggest the city uses to increase awareness of your proposed actions? 6. Where should the community actions take place and which actors need to be involved to implement the actions and how will they contribute? (ex: Government / legislative leaders? Health system? Community leaders? School system? Private sector? NGOs? Who else…?) 7. Link your SDOH to at least two global health concepts (ex: education, nutrition,) to justify the importance and context of this local action on a global scale including at least one statistic to illustrate 8.
adolescence and now many are in college where the pressure to excel academically is high. Healthy individuals who may not fit criteria for BE or FA can fall into either category depending on the level of stress associated in their lives, and how vulnerable they may be to psychological stressors (Hardaway, 2015). CONCLUSION Categorizing Binge Eating into either behavioral or biological categories is difficult because as research has shown components from both domains often interlace with one another. As discussed in this review many psychological stressors can give rise to neuronal activity that will biologically start a maladaptive cycle if the person is not equipped to handle the overwhelming stress. Unfortunately, diagnosis of BE is done incorrectly because patients are not always asked the appropriate questions regarding their eating habits. Diagnosis should take into consideration dopamine, opioid, acetylcholine, and serotonin neuro-circuitry that are associated within the brain reward regions, along with the psychological stressors (depression, self-esteem etc) that could be troubling the patient (Fornaro, 2016). Experimental drugs should as Lisdexamfetamine, have been tested among patients with mild BE and were found to reduce occurrence of BE episodes compared to the placebo. Future trials concerning safety and long term effects of the drug are needed to deem the drug fit for clinical treatment of BE (Fornaro, 2016). Currently self-help techniques including monitoring mood, stress, and eating behavior are preferred to the pharmaceutical approach, however self-help in patients with BE is not effective as compared to those without reported BE (Wolff, 2000). Future work could incorporate neuropsychology as to understand the processes of signal transduction that can lead to behavioral problems. The infusion of psychology and biology is crucial in trying to understand and ultimately treat binge eating caused by stress. As of now such research and studies are scarce combining both components in association with BE. This review aimed to clarify the distinction between psychological and neuronal categorization of stress induced binge eating. As mentioned through this review, it is inaccurate to try and place BE into one category, as both categories are often present in individuals suffering from BE. The greater the awareness of this subject, the more equipped work places, colleges, and individuals can be to recognize potential stressors and the effects they have on those who are vulnerable to psychological conditions. Works Cited Adam, Tanja C., and Elissa S. Epel. “Stress, eating and the reward system.” Physiology & Behavior, vol. 91, no. 4, 2007, pp. 449-458. Born, J. M., et al. “Acute stress and food-related reward activation in the brain during food choice during eating in the absence of hunger.” International Journal of Obesity, vol. 34, no. 1, 2009, pp. 172-181. Burrows, Tracy, et al. “Food Addiction, Binge Eating Disorder, and Obesity: Is There a >