(422 E1) vulnerable pops Flashcards
vulnerability
susceptibility to actual or potential stressors that may lead to an adverse effect (for public health that would be poor health outcomes)
-“the degree to which an individual is unable to anticipate w/, cope, resist or recover from potential or actual stressors”
susceptibility is made up of
-limitations in physical resources, enivronmental resources, human capital
+
-limitation in biopsychosocial resources
vulnerability is made up
-susceptibility
-human capital (personal resources)
-resilience
marginalization
occurs when people or populations are relegated to a position on the periphery of society where they have diminished importance, influence or power
-both a cause and outcome of vulnerability
-associated w/ inc likelihood of developing health problems and worse health outcomes
socio-economic status
Social standing or class of an individual or group. It is often measured as a combination of education, income, and occupation. Examinations of socioeconomic status often reveal inequities in access to resources, plus issues related to privilege, power and control
what is a primary driver of vulnerability
poverty
type of poverty
-Crisis: situational, often short-term (ex. college students living at home with financial aid)
-Persistent: chronic, long-term (ex. generational poverty)
-Neighborhood-level poverty (ex. area where there is a lack of businesses/revenue and most of the people in the community are at poverty level)
impact of poverty on health
-inadequate nutrition
-higher rates of chronic illness
-more complications leading to higher mortality rates
-higher infant mortality rates
who is considered “blameless” in their poverty
-widowed women
-children
-laborers injured on the job
-elderly people
who are not considered “blameless” in their poverty
-people who use illicit drugs and people with addiction disorders
-people experiencing homelessness
-young adults
-those considered “lazy”
homelessness definition
a person who lacks a fixed, regular and adequate nighttime residence
3 categories of homelessness
-episodic
-transitional
-chronic
episodic homelessness
-marked by hardship and struggle like unemployment
-move in and out of it
-younger in age
-often have a mental health & substance use problems
transitional homelessness
-caused by a catastrophic event, which necessitates a short shelter stay, eventually transitioning to permanent housing
chronic homelessness
-older age
-chronically unemployed
-disability or substance abuse
-emergency shelter is a long term housing solution
-smallest percent of homeless population
factors contributing to homelessness
-poverty
-shortage of substance use treatment facilities
-domestic/interpersonal violence
who is vulnerable to homelessness
-unemployed
-migrant workers
-people with mental illness and substance use disorder
-those w/ no safety net
-veterans
-victims of violence
-LGBTQ
impact of homeless on health
-Inability to get adequate rest, nutrition, and exercise
-Stress
-Exposure
-Infectious disease
-Acute and chronic illness
-Infestations
-Mental health
primary prevention for homelessness
“trying to prevent things in the first place”
ex:
-poverty reduction
-early childhood support
-affordable or subsidized housing
-old age pensions
-nurses educating to policy makers on these services
secondary preventive services for homelessness
targets people on the verge as well as those who are newly homeless
ex:
-rapid rehousing
-case management
-shelter services
tertiary prevention for homelessness
focuses on minimizing the impact of homelessness and working to ensure that individuals and families never experience another episode of being homeless
sex definition
refers to a person’s biological status and is typically categorized as male, female or intersex. There are a number of indicators of biological sex, including sex chromosomes, gonads, internal reproductive organs and external genitalia
sexual orientation
An inherent or immutable enduring emotional, romantic or sexual attraction to other people
gender identity
One’s innermost concept of self as male, female, a blend of both or neither– how individuals perceive themselves and what they call themselves. One’s gender identity can be the same or different from their sex assigned at birth
disability
an umbrella term covering impairments, activity, limitations and participation restrictions (individual level)
impairment
a problem in body function or structure - activity limitation or participation restriction (mirco level)
handicap
a disadvantage resulting from an impairment or disability that prevents fulfillment of an expected role (marco level)
