According to a 2013 study in the american journal of

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according to a 2013 study in The American Journal of Public Health . 3. Certain geographical communities Americans living in rural areas often have worse health than the general population. The reason for this disparity is that rural populations experience geographic isolation, have a lower socioeconomic status, have limited job opportunities, and tend to be older. Exacerbating these issues in rural communities is the fact that this population has trouble accessing care. The New York Times reported that people in rural America, especially pregnant women, are far from care. In addition to the fact that 85 rural hospitals have closed since 2010, fewer than half of rural counties have a hospital offering obstetric care. Native Americans living on reservations are also vulnerable. The Indian Health Service has noted that “American Indian and Alaska Native people have long experience lower health status when compared with other Americans.” They have lower life expectancy (5.5 years less than the all- races population) and their inadequate education, higher poverty rates, and cultural differences have also led to a disproportionate disease burden. Native Americans also have issues accessing care, partly because their health programs are underfunded , but also because one-fourth of Native Americans have reported experiencing discrimination when they do go to the doctor or a health clinic, NPR reported . 4. LGBTQ+ population Nearly 1 in 5 members of the LGBTQ community has avoided seeking medical care because they have faced or fear facing discrimination. Within the LGBTQ community, there are also significant racial differences. For instance, black transgender women are disproportionately burdened with HIV. Healthy People 2020 reported that discrimination against LGBTQ people is associated with higher rates of psychiatric disorders, substance abuse, and suicide. Some of the social determinants that affect the health of the LGBTQ community include discrimination in access to safe housing and a shortage of healthcare providers who are knowledgeable and culturally competent in LGBTQ health. A recent study has found that people who presented as transgender or gender nonconforming before their 18th birthday have a higher prevalence of mental health conditions, including anxiety, depression, and attention-deficit disorders compared with cisgender counterparts.
MODULE 6 WRITTEN ASSIGNMENT - VULNERABLE POPULATIONS 10 5. The very young and very old The American Public Health Association has focused on how climate change affects vulnerable populations like children, who have developing organs, low immunity, spend more time outdoors, and breathe more air and drink more water per body weight than adults. In addition, there has been a lack of adequate pediatric research and testing of medical interventions with pediatric populations. Children respond different to medicines and interventions than adults and cannot just be viewed as “small adults” in the healthcare setting.

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