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Populations in rural areas grapple with poorer health outcomes due to challenges such as greater resource constraints and shortage of health care personnel and facilities, with vulnerable populations being the most affected. This is particularly true for rural populations in North Dakota (ND) (Molmen et al., 2013). Constituting a substantial portion of the overall state population, older adults (aged 65 and above) in rural areas are particularly affected by the worrying health care situation in the state, especially in terms of smoking, alcohol consumption, and obesity. Education provides a valuable tool through which the behavioural health of older adults in rural North Dakota can be addressed. This paper provides an educational plan for reducing the prevalence of smoking, alcohol consumption, and obesity in older adults in rural North Dakota. The plan describes demographic characteristics of the community, the health care needs of older adults in the community, the role of education in addressing the needs, and strategies for implementing the educational intervention.
The population most affected is the rural population, which is largely characterised by older, poorer people with little or no insurance coverage. North Dakota is home to one of the highest proportions of senior citizens in the U.S. Statistics indicate that 11.8% of adults over 65 years in rural areas in North Dakota smoke (Molmen et al., 2013). Within the same population, prevalence rates of 42.8% and 67.9% are reported for alcohol consumption and obesity, respectively (Molmen et al., 2013).
Indeed, the prevalence of behavioural risk amongst older adults in rural North Dakota is quite disturbing. This is an important concern given the increasingly aging population of the state (Molmen et al., 2013). More fundamentally, smoking, alcohol consumption, and obesity are vital risk factors for chronic conditions such as diabetes, cancer, and heart disease in older adults (Kwon et al., 2016). As the prevalence of smoking, alcohol consumption, and obesity increase, the risk of chronic disease increases as well. Chronic disease can significantly reduce the quality of life and increase the risk of mortality (Kampmeijer et al., 2016). This underscores the significance of improving the behavioural health of older adults in rural North Dakota.
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