Health care practices play a crucial role in reducing teen pregnancies. However, underserved and vulnerable populations such as inner-city youths are less likely than other age groups to receive preventative health services (Bhuiya et al., 2016). Diminished access to preventative care interventions such education on sexual abstinence, safe sex practices including condom use and contraception contribute to higher adolescent birth rates in inner-city youths (Bhuiya et al., 2016). Plan of care interventions should include collaboration with local community-based coalitions to establishing ongoing support resources for this population as a
means to buffer the effects of diminished care access. Clinicians should facilitate formal partnerships with local organizations, providers, and programs to ensure adolescents are linked to quality and youth-friendly reproductive health services towards improved long-term patient outcomes in this population ( Sotolongo et al., 2017). References Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel's guide to physical examination (8th ed.). St. Louis, MO: Elsevier Mosby. Bhuiya, N. S., Crowley, J., Fletcher, E., Perez McAdoo, S., Middleton, D., Hallum-Montes, R., & ... Tendulkar, S. A. (2016). Enhancing adolescent reproductive health services: Assessment of health care practices in Holyoke and Springfield, MA engaged in the youth first initiative. Journal Of Health Care For The Poor & Underserved, 27(2), 495- 509. Sotolongo, J., House, L. D., Swanson, S., & Davis, S. E. (2017). Integrated Community Strategies for Linking Youth to Adolescent Reproductive Health Services: A Case Study. Journal Of Adolescent Health, 60S45-S50. doi:10.1016/j.jadohealth.2016.11.026. •55-year-old Asian female living in a high-density poverty housing complex NURS 6512: Advanced Health Assessment Week One: Response Two Hello Divina: Thank you for sharing a thorough and informative post. Culture is a strong driving force behind health presentation. For Asian-Americans, the role of culture is even more complex as they try to reconcile unique cultural practices within the confines of western society. Infrequent medical visits in this population can be attributed to a number of factors including fear of deportation, language/cultural barriers, and the lack of health insurance (Kanti & Falconier,
2017). The percentage of persons five years or older who "do not speak English very well" varies
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