We were at a loss of what to do. Americans who are relatively well off (median family income, $50,599) have become uneasy about their future status. Anemia is a frequent health problem in low-income persons. The Institute of Medicine (IOM) (2003) estimated the actual economic costs of not having health insurance to be between $65 and $130 billion per year in health care costs, lost wages, and increased spending burdens on other public welfare programs. Child abuse issues could be prevented by supporting parents with better parenting skills. 1. Others are without health insurance for some time during the calendar year. Deaths from heart disease, stroke, and cancer are all higher in blacks than in whites. How we define a family that is unstable and vulnerable is important. Anemia and concomitant low weight gain in pregnancy are also more prevalent in minorities (USDHHS, 2000; Ural, 2011). Homeless mothers tend to be young, have less education, and have low employment rates. For instance, a chapel “family” has religious connections and distributed ideals, even though its … Increase to 100% the proportion of persons with health insurance (baseline: 83.2% of persons under 65 years had health insurance in 2008). Everyone has the right to live in safety, free from abuse and neglect. Elderly people are the most at-risk population for infection and serious complications due to COVID-19 or any other virus. More than 43% of cities report that they have to turn away people due to lack of adequate food supplies (USCM, 2010). Volunteering for an organisation that supports older people is a key way of helping a lonely or socially isolated older person. This index, the Supplemental Poverty Measure, addresses many of the major concerns with the poverty index. Be open-minded. The poor and vulnerable groups live with inadequate resources and ongoing crises as they attempt to meet their and their families’ needs for food, clothing, and shelter. Some homeless youths are separated from their families because shelter policies prohibit the admission of teenagers, especially older boys, in family shelters. Were these benefits counted as income, critics contend, the number of poor in the United States would be substantially lower (Lewit et al., 1997). The U.S. Conference of Mayors (2010) reports that half of the cities surveyed cited domestic violence as the primary cause of homelessness in that population. Socioeconomic status influences health status in many different ways. Adults 45 to 64 years of age who are below the poverty level are two to three times more likely to have three or more chronic conditions than are people with incomes of 200% or more above the poverty level (KFF, 2010). Figure 21-1 illustrates the interrelationships among multiple factors that affect health status. Older homeless men are more likely to have been married at some time in their lives, whereas many younger homeless men have never been married. Working with vulnerable populations, nurses must become adept at identifying risks that are amenable to intervention as well as those that require greater effort to overcome and those that are not alterable. We've got information and advice on different types of child abuse, how to spot the signs and what you can do to help keep children safe. Diet and weight relationships in minority children indicate greater deviation from average weights, either above or below the norm. In 2010, the mean income of those in the top 20% was 15 times greater than the income of families in the lowest 20%. Cultural Diversity and Community Health Nursing, CommunityPublic Health Nursing Practice Health for Families, One to three health care visits to doctor’s office or emergency department, or home visits, No health care visits to office or clinic (children under 18 years), Vaccination rate, combined series (children 19 to 35 months), No usual source of health care (children under 18 years), No usual source of health care (adults 18 to 64 years), One emergency department visit during past 12 months (children under 18 years), Dental visits in past year (children 2 to 17 years), Dental visits in past year (adults 18 to 64 years), One or more hospital stays in the past year, Reduced access, did not get or delayed care due to cost during last 12 months. Some people in this country still experience hunger and lack access to needed food. Many argue that money would be better spent in providing some kind of insurance coverage for the uninsured. ( Log Out /  (2010). They often have deficiencies in learning readiness, have reading and math delays, lack social interaction skills, and they experience long intervals between school attendance (National Center on Family Homelessness [NCOFH], 2009; U.S. Department of Education, 2006). The more risk factors for poor health a person or group has, the more likely that person or group will be vulnerable. Other chapters in this book address specific vulnerable groups, including children (Chapter 27), older adults (Chapter 28), sexually active adolescents (Chapter 24), individuals exposed to violence (Chapter 23), addicted individuals (Chapter 25), and the mentally ill (Chapter 33), and these groups are not discussed in detail in this chapter. Consequently, children in more advantaged families experience less lone parenthood and family instability. If you need to share a bedroom with someone who is sick, make sure the room has … They lack prenatal care, adequate nutrition, and basic necessities of life, which places both them and their unborn children at risk. “Nonpoor” is defined as having an income of 200% or more of the poverty level. An increase in the number of homeless families has been reported in all areas of the United States. ... the attacks are delivered in a different way. TED Talk Subtitles and Transcript: Our lives, our cultures, are composed of many overlapping stories. Although different types of mental illnesses present different challenges, there are similarities in the way these illnesses impact family members and loved ones. Who Are The Most Vulnerable People. They recommended that a new poverty measure be adopted, one that better reflects the actual value of benefits and income and is more easily adjustable for changes in inflation and the cost of living (Citro & Michael, 1995). 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