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l he Pramework to study Vulnerable Populations was used in the article handout \

ID: 364865 • Letter: L

Question

l he Pramework to study Vulnerable Populations was used in the article handout "Healthcare Access and Utilization" to predict the physical health and the use of health services for homeless adults based on four conditions. Those conditions include: Blood pressure testing, functional vision testing, exam for skin/leg/foot problems and tuberculosis skin testing (pg. 1281,) and answer the following questions, 1. Define the framework to study vulnerable populations 2. What is the significance of the framework to study vulnerable populations? ( 1-2 sentences) Based on the reading, describe the predisposing vulnerable characteristics of the model and what were the predisposing predictors for the homeless population? 3. What were the study results? a. 4. Based on the reading, describe the enabling vulnerable characteristics of the model and what were the enabling predictors for the homeless population? b. What were the study results? 5. Describe the need vulnerable characteristics of the model and what were the need predictors for the homeless population? c. What were the study results?

Explanation / Answer

The framework of vulnerability can be used to study vulnerable populations in the US by predisposing, enabling and needing characteristics at both individual and ecological levels. Also ultimately influence individuals’ risk of contracting illness and recovering from illness. The percentage of live births with low birth weight is more likely in minority groups. Asian Americans and Pacific Islanders were most likely to begin prenatal care during their first trimester. Mothers of Asian Americans and Pacific Islander origin are most likely to smoke cigarettes during pregnancy. Among women 40 and older the utilization of mammography is highest among whites and lowest among Hispanics. Blacks have shorter life expectancies than whites, higher age adjusted death rates for leading causes of death, higher adjusted maternal mortality rates and higher infant, neonatal and post neonatal mortality rates. Homicide is the sixth leading cause of death, they are less likely to take advantage of preventative care and greater behavioral risks compared to White Americans. A variety in Asian American include bipolar and susceptibility to liver or stomach cancer depending on ethnic region. American Indians have a lower life expectancy, higher rates of death from alcohol, tuberculosis, diabetes, homicide and suicide.

Chronic illnesses are significantly more prevalent among low-income and other disadvantaged populations. Additionally, the impact of these illnesses is more severe among the unemployed, uninsured, and less educated. For example, patients with a chronic illness who have less than a high school education are 3 times more likely to report being in poor health than those with the same illness who hold a college degree.

When comparing the insured versus those without healthcare coverage, the cost of healthcare delivery is disproportionately greater for the uninsured. Whereas 74% of private health insurance spending is attributed to 45% of those with chronic health conditions, 72% of all healthcare spending for the uninsured is attributed to 31% of patients with chronic conditions, and 83% of Medicaid spending is for 40% of noninstitutionalized beneficiaries with chronic conditions.