2. Nutrition:
➔ 14.3% of Lawrence adults report
binge drinking
➔ 20.5% of Lawrence adults report
smoking cigarettes
➔ Only 24.5% of Lawrence adults
report eating at least 5 servings
of fruits and vegetables a day
4. Sexual Reproductive Patterns
● 14.4% of births in 2012 were to mothers
aged 10-17
○ Double the state average of 5.4%
● Only 72.2 percent of mothers reported
receiving adequate prenatal care
● 10.8% of pregnancies were premature
● 77.1% of mothers reported having
government assistance with prenatal care
○ More than double the Massachusetts average of
35.8%
9. Elimination
E. L. Harvey Trash Collection System
● 65 gallon trash bin with wheels, pick up
trash truck with automated arms
● Pick up once a week based on collection
schedule
Single Stream Recycling System
● All recycling products disposed into one bin
instead of separate bins
Hazardous Waste Drop Off Facility for products that
cannot be thrown away in trash or recycling bins
Lawrence Street Sweeping done annually April-
November on main streets
10. ● Observation: Big potholes and protruding
manholes on streets
● Lawrence Water and Sewer Department
○ City has made sewer pipe repairs and
replacement in about 50 locations in 2016
○ City is planning to repair and replace 1.5 miles
of sewer pipe in 2017
11. Health Perception/ ManagementFactors:
1)Language barriers
● 73.8% of the population in Lawrence is Hispanic, many of whom are
Spanish-speaking only
● Restrict participation in one’s community leading to a more sedentary
lifestyle
1)Low socioeconomic status
● Eat poorly
● Poor health literacy
12. Values and Beliefs-Hispanic cultural beliefs
● “Hot” and “cold” illnesses
● Illnesses may be caused by
“soul loss” and “evil/ bad eye”
● Herbal remedies are very
common
13. Role Relationships-YMCA and Boy’s and Girl’s Club of
Lawrence
-Lawrence Senior Center
-Neighborhood Organizations
-Greater Lawrence Technical School
-Groundwork Lawrence
-Festivals (Bread & Roses Multicultural
Festival, The Feast of Three Saints)
These lifestyles are responsible for a higher incidence of type two diabetes mellitus and hypertension, which MassCHIP reports are 12.8% and 24.1% of the population respectively, both of which are above the state average.
In Lawrence, the crude rate of Hepatitis B is 12.3%. The 3 series immunization rate for Hepatitis B taken in all of the kindergarten classes of the city averaged at 99.4%. The prevalence of Hep B is higher than the state average, however the vaccine rate is commendable, which is a positive indicator of health management.
Large immigrant population, From our observation of numerous churches around the city, we can guess there is a church for almost every notable religion in the city, which further evidences the city’s respect for its diversity
The “bad eye” is when someone looks at another person with envy or admiration. The belief is that the person that was looked at will experience malaise, sleepiness, fatigue and a severe headache. They also believe that envy causes bad luck
HR: which may interfere with their willingness to try pharmacological therapy and seek a physician's advice. They also value kindness, personal connection, and respect
