The District of Columbia (D.C) is made up of 52.8% females, 54% African Americans, and 40.6% Caucasians. Of the roughly 600,000 living in D.C., 101,400 (or 16.9%) are living below the poverty line (US Census, 2009). Over the years, the poverty rate in D.C. has continued to grow. With this number growing, there is a profound need to learn more about the women that are being affected. That being said, it is important to learn more about sexual and reproductive health in low-income women. In the District of Columbia, many women are living below the poverty life and are thus unable to get the help that they need in regards to their sexual and reproductive health. As researchers, there is a need to investigate why this is and what can be done to fix it. Through this research paper, there will be a large focus on low income women, their rates of and what barriers they may face with regards to Human Immunodeficiency Virus/Acquired Immune Deficiency (HIV/AIDS), Sexually Transmitted Disease’s (STD’s), Breast Cancer and Cervical Cancer.
As of December 31, 2008, there were 16,513 residents of DC living with HIV/AIDS. Of the residents, 75.6% were African American. This large number gets more devastating when it is seen that one in every 21 African Americans in D.C. has HIV/AIDS and African American women are 17 times more likely to have HIV/AIDS than a Caucasian women (DC Department of Health, 2009). When studying testing rates for HIV/AIDS, Medina (2009) found that most of the participants in the study were self-motivated to get tested. After the initial test, participants had a slightly higher chance of reducing risky sexual behavior. However, the study also found that testing was not a method that should be used to sustain consistent...
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...) set up free, easy to access care for low-income women. Even when the testing was free and easy to access, many women still did not participate. In addition, they found that less mammogram usage is associated with low income women, as 36.4% to 54% of the low income women that were seen had never had a mammogram.
The studies above have found three main points that will be used in the rest of this research article. First and foremost, DC has a high number of reproductive illnesses among women of low-income that need to be addressed. Secondly, there is a definite need to address the income barrier, as many studies show that income and insurance are high predictors of sexual health testing and treatment. Lastly, minority women are more likely to have reproductive diseases, and are also less likely to be diagnosed in a timely matter, and thus treated appropriately.
Two-thirds of infants die during the first month of life due to low birth weight (Lia-Hoagberg et al, 1990). One reason for this outcome is primarily due to difficulties in accessing prenatal care. Prenatal health care encompasses the health of women in both pre and post childbearing years and provides the support for a healthy lifestyle for the mother and fetus and/or infant. This form of care plays an important role in the prevention of poor birth outcomes, such as prematurity, low birth weight and infant mortality, where education, risk assessment, treatment of complications, and monitoring of fetus development are vital (McKenzie, Pinger,& Kotecki, 2012). Although every woman is recommended to receive prenatal health care, low-income and disadvantaged minority women do not seek care due to structural and individual barriers.
Both white and non-white youth in poverty experience a higher rate of teenage pregnancy, AIDS, and tend to live in single-parent homes.
For example, income often determines one’s access to health-care. Researchers have found that low-income families are less likely to fill prescriptions, have dental coverage, and have preventative care visits (Ives et al., 2015, p. 170). Further, Williamson et al. (2006) declared, “professional treatment services…not covered by provincial health care plans, social services, or Indian and Northern Affairs were most frequently cited by respondents…as services that they choose not to use because of their low-income status” (p. 113). In addition to being unable to afford services, low-income individuals are often unable to afford transportation to appointments (Williamson et al., 2006, p. 116). Clearly, although individuals have the right to health, low-income individuals and families face many barriers in accessing and affording health-care services in
It is important to identify at risk populations who suffer from health care disparities in order to decrease these disparities. Health care disparities can result in negative health outcomes when at risk populations are not afforded proper health treatment. According to Ranji, Beamesderfer, Kates, and Salganicoff (2014) health concerns and risk factors affecting the LGBT community include HIV/AIDS and other sexually transmitted diseases (STDs), drug abuse, mental health issues, and sexual and physical violence. The LGBT community is an at risk population due to barriers in health care linked to discrimination, prejudice, social stigma, and lack of access to health insurance especially for same-sex couples. (Healthypeople.gov 2013). It is important to identify community resources in the city of Houston for LGBT people in order to improve the health, safety, and well-being of these individuals. In an effort to promote the health of LGBT people, a health and wellness plan should be targeted within the LGBT community in the city of Houston.
The birth rate among teens in the United States has declined 9% from 2009 to 2010, a historic low among all racial and ethnic groups, with the least being born in 2010; and in 2011 the number of babies born to adolescents aged 15-19 years of age was 329,797 (“Birth Rates for U.S.”, 2012). Although the decline in unwanted and unplanned teen births is on the rise the United States continues to be among the highest of industrialized countries facing this problem. This is a prevailing social concern because of the health risks to these young mothers as well as their babies. Teens at higher risk of becoming pregnant are raised at or below the poverty level by single parents; live in environments that cause high levels of stress (i.e., divorce, sexual psychological and physical abuse); are influenced by peers or family members that are sexually active; and lack parental guidance that would direct them to be responsible and self-controlled.
There is a lot of poverty in sub-Saharan Africa, causing these women to put providing for their families over their own health, which is understandable. Although they might have access to condoms and know they are at risk of HIV/AIDS, what they might not understand is how far these infections can spread. Evidence-based information provided in a fun and engaging session may make these women realize just how many people they are putting at risk, including their own family members. Learning condom negotiation skills may help them better protect themselves and their sexual partners. These sessions may allow these women to feel more comfortable discussing sexual health, and encourage them to get tested. Being surrounded by their peers in a non-judgemental setting may encourage them to make changes, or support each other’s decisions to make
3. Chandra A; Martinez GM, Mosher WD, Abma JC, Jones J (November 2005). Fertility, Family Planning, and Reproductive Health of U.S.Women: Data From the 2002 National Survey of Family Growth. Hyattsville, Maryland: US Department of Health and Human Services. pp. 17, 90. Retrieved February 27, 2012.
Connolly, Ceci ?As Teen Pregnancy Dropped, So Did Child Poverty? Washington Post 9 Jan 2014. Web 14 April 2014
Dehlendorf, Christine, Lisa H. Harris, and Tracy A. Weitz. "Disparities in Abortion Rates: A Public Health Approach." American Journal of Public Health 103.10 (2013): 1772-779. Print.
the Community (7th ed.). St. Louis: Mosby Vyavaharkar, M., Moneyham, L., Corwin, S., Tavakoli, A., Saunders, R., & Annang, L. (2011). HIV-Disclosure, Social Support, and Depression Among HIV-Infected African American Women Living in the Rural Southeastern United States. AIDS Education & Prevention, 23(1), 78-90. doi:10.1521/aeap.2011.23.1.78.
During the 1980s, efforts increased to alert the public to the dangers of human immunodeficiency virus (HIV), other sexually transmitted diseases (STDs), and unintended pregnancy, yet these problems have increased. Adolescents and young adults have been especially hard hit. Pregnancy and birth rates among teenagers are at their highest levels in two decades.
Socioeconomic Disparities and health are growing at a rapid rate throughout the United States of America. To further understand the meaning of Socioeconomic Disparities, Health and Socioeconomic disparities & health, this essay will assist in providing evidence. Disparities can be defined in many ways, of which include ethnic and racial background and class types that deal with it the most. Due to the low income some individuals receive, they have less access to health care and are at risk for major health issues. Although, ethnicity and socioeconomic status should not determine the level of health care one should receive or whether not the individual receives healthcare.
The chosen health improvement initiative that is going to be studied within this community profile is reducing the amount of teenage pregna...
Yao, J., Murray, A.T. and Agadjanian, V., 2013. A geographical perspective on access to sexual and reproductive health care for women in rural Africa. Social Science & Medicine (1982), 96, 60
The first solution that should be suggested is for more efforts to be required by civil society groups and government agencies for greater awareness on gender issues and rekindling efforts of all stakeholders in the quest to formulating policies and programs towards reduction of gender inequality. Specifically, both education and health programs should be emphasized. These programs could greatly benefit women because it can improve access to services for both women and men by removing financial barriers, bringing services closer to local communities, and tackling HIV/AIDS. This would lead to men having a deeper understanding of how protecting their wives and women in general is important, such as always wearing a condom during sex, which would lead to women having a lower chance of contacting