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Vulnerable populations in America
Literature review health disparities
Literature review health disparities
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Recommended: Vulnerable populations in America
Vulnerable populations is refer to social groups or individuals that are who have an increased propensity to unfavorable health outcomes which include premature death or mortality, decreased functional status, relative morbidity, and diminished quality of life (Rewlett, 2011). In maryland, the community of Conowingo fall into these categories due to shortage of primary care providers as a result escalating the vulnerabilities to this community. The people of Conowingo in Maryland are victims of lack of access to care, poor utilization of health promotion and negative health outcomes (Rewlett, 2011). In order to care for this population, the two model identified are the vulnerable populations conceptual model by Flaskerud and Winslow (1998), and health belief model by Becker, 1977 will be used (Rawlett, 2011). The VPCM emphasized on the interactive connection among accessibility of resources, health status and relative risk in a population. The VPCM can be useful to vulnerable underserved or deprived elderly population because it conveys a comprehensive assessment of these groups by a population focused practitioners. According to Smith (2011), a comprehensive assessment of these populations is important because the low-income individuals has limited resources that results to elevated risks for …show more content…
mortality and morbidity. The VPCM encompasses three concepts; (1) availability of resources, this is a reflection of the individual and community level to access health care, financial, and geographic factors, examples are income, jobs and health education. (2) Relative risk: this deal with the health risk factors (biological and behavioral), and (3) health status is strictly affected by resources and their accessibilities, such as the prevalence, incidence, mortality, and morbidity rate (Smith, 2011). The health belief model: the essence of a HBM in the study of the vulnerable population is that the belief of an individual in the community affects that a persons’ actions is a reflective of their health status.
The HBM has four concepts; (1) perceived susceptibility is the personal belief that condition or illness is unavoidable, (2) perceived severity- this is personal or individual view of the amplitude of the illness and the consequences, (3) perceived benefits, individual thoughts of the availability and the recommended actions to avoid such as smoking cessation. (4) Perceived barrier refers to all the negative features of particular health action (Rawlett,
2011). The similarity of the two models is both model serve as a conceptual framework in assessment of vulnerable underserved population in health promotion and disease prevention. The can be used to raise questions about population health disparities. In contrary, the VPCM has specific questions regarding access to health, health promotion services and disease status in a given vulnerable population (Rawlett, 2011).
It indicated that people will carry out a health-related action if they have the perception
The United States’ population is currently rising exponentially and with growth comes demographic shifts. Some of the demographics shifts include the population growth of Hispanics, increase in senior citizens especially minority elderly, increase in number of residents who do not speak English, increase in foreign-born residents, population trends of people from different sexual orientation, and trends of people with disabilities (Perez & Luquis, 2009). As a public health practitioner, the only way to effectively eliminate health disparities among Americans, one must explore and embrace the demographic shifts of the United States population because differences exist among ethnic groups (Perez, 2009). We must be cognizant of the adverse health conditions for each population and the types of socioeconomic factors that affect them. Culture helps shape an individual’s health related beliefs, values, and behaviors. It is more than ethnicity and race; culture involves economic, political, religious, psychological, and biological aspects (Kleinman & Benson, 2006). All of these conditions take on an emotional tone and moral meaning for participants (Kleinman & Benson, 2006). As a health professional, it is one’s duty to have adequate knowledge and awareness of various cultures to effectively promote health behavior change. Cultural and linguistic competencies through cultural humility are two important aspects of working in the field of public health. Cultural competency is having a sense of understanding and respect for different cultural groups, while linguistic competency is the complete awareness of the language barriers that impact the health of individuals. These concepts are used to then work effectively work with various pop...
The Health Belief Model is a framework that is used for understanding service user’s health behaviours. The Health Belief Model is based on believing that a service user will seek health care related action if they believe that they are at risk of developing a certain condition and also if they believe that they can successfully and confidently take action to avoid getting the condition. A conceptual framework that describes a person's health behavior as an expression of health beliefs. The model was designed to predict a person's health behavior, including the use of health services, and to justify intervention to alter maladaptive health behavior. www.medical-dictionary.com (accessed 1/11/2016).
As defined by World Health Organization (WHO), health is a "state of complete physical, mental, and social well-being, and not merely the absence of disease or infirmity." (WHO, 2016). However, this statement can vary among people’s perspective of what consider healthy or unhealthy. In the minority group of Hispanics or Latino, health issues have taken a big toll due to fact they are the largest uninsured rates of any racial and ethnic groups in the United States (OMH, 2015). Besides not having health insurance, there are many barriers that this minority group encounters that create a big impact on what enables them to promote health. This paper will analyze the health status of the Hispanic or Latino groups by comparing and contrasting it to the national average, and also will highlight the health disparities in the group and the best approach to health using the three levels of health promotion and prevention.
According to healthypeople.gov, a person’s ability to access health services has a profound effect on every aspect of his or her health, almost 1 in 4 Americans do not have a primary care provider or a health center where they can receive regular medical services. Approximately 1 in 5 A...
One of the most prevalent and pervasive social issues in the United States today is the provision of equal access to health care for the impoverished. Far too many people live in conditions of poverty and struggle to find the means by which to meet their basic needs. For those without insurance, access to medical care is often preempted by other necessities. An unexpected medical expense can push this group further into poverty. Those who do have insurance may find themselves underinsured in the event of an emergency and unable to make the necessary co-payments. Alternatively, the insured’s provider may refuse to cover certain conditions. Besides the cost of adequate insurance and the booming cost of medical care, there are other factors that affect equal access to medical care for the impoverished. Among these are race, age, and geographic location. Poverty and the resulting inadequate medical care is a ubiquitous social problem that merits further discussion of the issue’s causes and implications.
The key concept of the health belief model includes threat perception (perceived threat), behavioral evaluation, self-efficacy and other variables. The threat perception has very great relevance in health-related behaviors. This perception are measured by perceived susceptibility (the beliefs about the likelihood of contacting a disease) and perceived severity (the feeling about the seriousness of contacting an illness and leaving it untreated). The behavioral evaluation is assessed by the levels of perceived benefits (the positive effects to be expected), perceived barriers (potential negative aspects of a health behavior), and cues to action (the strategies to activated one’s readiness). The self-efficacy key concept was not originally included in of the health belief model, and it was just added in 1998 to look at a person’s belief in his/her ability to take action in order to make a health related change. The other variables that are also the key concepts of the model include diverse demography, sociopsychology, education, and structure. These factors are variable from one to another and indirectly influence an individual’s health-related behavior because the factors influence the perception...
Pincus, T., Esther, R., DeWalt, D.A., & Callahan, L.F., (1998) Social conditions and self-management are more powerful determinants of health than access to care. Ann Intern Med. 1998 Sep 1;129(5):406-11.
Stanhope and Lancaster (2008) define vulnerable populations as “those defined at a greater risk for poor health status and health care access”(p.712). The role of a public health nurse in contrast to a vulnerable population is to establish interventions to help break the cycle of vulnerability thus aiding to eliminate health disparities within the population. The term “risk” helps public health nurses establish a person probability of something happening to them. This epidemiological term is used with the triangle of host, agent and environment in contrast to ones health within a population. The author will discuss vulnerability as discovered within a community based on surveying the community and establishing risk and interventions on the intervention wheel and with concepts related to the human becoming school of thought in relation to poverty and alcoholism. The diagnosis that will be discussed throughout this paper is risk of alcoholism among the community of zip code 92509 related to poverty stressors.
Vulnerable population. As of 2013, the adults with health insurance in West Queens was 62.9%, that is less than 10% of the rest of Queens (76.5%) and less than 15% lower than all of New York City (78.8%). As previously mentioned 64.2% of the population in district 3 is of Hispanic origin and noninsurance rates among minorities are higher than rates among the non-Hispanic white population. Individuals in minority groups experience disproportional rates of illness, premature death, and disability compared to the general population. According to a study by the Urban Institute, in 2009 the disparities among minorities will cost the health care system $23.9 billion dollars, where Medicare alone will spend an extra $15.6 billion and private insurers
A vulnerable population is made up of more than just a set group of people from a list. They are people with interrelations and interactions among several determinants of health that when put together places them as risk for being vulnerable (Nickitas, Middaugh & Aries, 2016). Even the word vulnerable is too vague. One could name a list of what these people are vulnerable to, such as abuse, homelessness, or drug addiction.
Health psychology is a system that postulates that not just one approach but rather a dual approach should be administered when thinking about health and illnesses. Health psychology has four theories that are used, the biopsychosocial model, health and illness as a continuum, direct and indirect pathways between health and illness and a focus on variability. Constructs are behavioral patterns accepted by society or culture used as predictors of outcomes. The constructs of habit, delayed help-seeking, lack of support and being overworked are what was seen in the case of
Improving population health necessitates a variety of the contributions from health entities. These health entities can be state, local governments, hospitals, health centers, and community organizations. Unfortunately, these contributions and services are not equally distributed throughout the population. Lack of a supermarket in a neighborhood limits residents’ access to healthy food and other resources. Furthermore, ethnic minority and/or low-income communities are burdened with several health disparities such as greater risk for diseases, or limited access to healthcare services (Jackson, 2014). The National Cancer Institute reported that individuals from medically underserved population are more likely to be diagnosed with late-stage diseases because they have inadequate resources to education, or health insurance. When an individual does not have adequate access to healthcare services, healthy disparity grows larger in the overall health of a
Lundy, K. S., & Janes, S. (2009). Care of Communities and Populations. Community Health Nursing: Caring for the Public's Health (2nd ed.). Sudbury, Mass.: Jones and Bartlett Publishers.
Health psychology is a relatively new concept rapidly growing and could be defined as the biological and psychological influences affect ones behaviour also bringing in social influences of health and illness (MacDonald, 2013). Biological determinants consider genetic and biological factors of an illness whereas psychological determinants focus on the psychological factors such as why people behave the way they do when dealing with issues such as anxiety and stress. Models such as the Health Belief Model and Locus of Control were developed in attempt to try and explain psychological issues around a chronic illness such as breast cancer (Ogden, 2012). Sociological factors can cause an enormous amount of pressure for one to behave in a certain way for example gender roles in society and religious considerations when dealing with health beliefs. Health Beliefs can be defined as one’s own perception to their own personal health and illness and health behaviours (Ogden, 2012). There are also theories and models used to explain pain and coping with diagnosis such as Moos and Schaefer (1984) Crisis theory and Shontz (1975) cycle of grief people go through when being diagnosed with a serious illness.