Objective: To report on the backgrounds and physical and emotional well-being of street children using two street shelters in Kyiv, Ukraine. This study is important because personal accounts of street children may highlight individual or family factors that are associated with vulnerability for and risk of poor mental health, and these could have serious repercussions for the future. This study also poses a challenge to research because street children are a highly elusive population that services find hard to reach.
living poor with style pdf 37
Poverty is a prime predictor for lacking basic human essentials including adequate clean water, nutrition, health care, education, clothing, and shelter [23]. African Americans are the poorest ethnic group in the USA. They have had the lowest median household income in the USA for the past 50 years: in 2014, measured at $35,398, compared to $53,657 for all races, and $74,297 for Asians [24]. Although African American income peaked in 2000, it has been declining ever since. Poverty is highly correlated with poor health outcomes and increased morbidity and mortality. Heart disease, diabetes, obesity, elevated blood lead levels, and low birth weight are all more prevalent among poor individuals.
Obviously, much remains to be achieved when it comes to addressing the needs of the poorest communities in America, which are also those who suffer the highest rates of tobacco use and tobacco-related consequences. Community-Based Participatory Research (CBPR) is a promising approach to help overcome the lack of adequate smoking cessation programs for minority and underserved populations, such as the implementation of community-based smoking cessation interventions that are peer-based and place emphasis on behavioral change training and social support, along with the use of nicotine replacement therapies and strategies toward stress management [61]. These and other efforts take advantage of federal and state-funded quit-lines that offer free counseling and nicotine replacement therapy to those interested in quitting tobacco. However, it is also necessary to acknowledge that the high cost of effective medications has been an important barrier to quitting tobacco among blacks and other minority groups.
Of course, addressing the wide ranging consequences of poverty is a social problem that all those working for health equity must attempt to redress. Although there has been significant progress in assuring healthcare for the poor with the ACA and other programs, health institutions must not pretend that adequate healthcare is available to all. The care that is provided to all must be of the highest quality, not only technically but ethically. Physicians and public health professionals, black and otherwise, must stand for racial and social justice [99]. Proactive efforts must be taken throughout health systems to eliminate the conscious and unconscious differences in the quality of care currently provided in all aspects of medical practice. These efforts must be directed at the practice of all health providers and the functioning of all systems [100].
Usually, the black community is not present when strategies and programs addressing their poor health status are designed and prioritized, and planners have limited understanding of the social mores and history of the African American community. The administration of health and social organizations serving black communities is rarely in the hands of those with this knowledge and commitment.
It is evident that focusing on health risks alone is not conducive to redressing health disparities among African Americans, given that structural factors primarily underlie their poorer health outcomes and shorter lifespans. Tackling the social determinants of health, from poverty to the built environment, racial discrimination, violence, and incarceration, is likely to elicit greater effects on black health than risk reduction programs. Even though the ACA has expanded access to African Americans, medical care for people with unhealthy lifestyles and social and cultural barriers to access will have limited effects on reducing health disparities of African Americans in the USA.
This generation is also significantly more likely (27 percent) than other generations, including millennials (15 percent) and Gen Xers (13 percent), to report their mental health as fair or poor, the survey found. They are also more likely (37 percent), along with millennials (35 percent), to report they have received treatment or therapy from a mental health professional, compared with 26 percent of Gen Xers, 22 percent of baby boomers and 15 percent of older adults.
Gallup Daily Tracking Survey data only provide information about the presence of children under 18 in the home instead of actual parenting status. To assess the likelihood of parenting among LGBT and non-LGBT individuals, these next analyses consider comparisons among those most likely to be in a parental role with any children in the household: men and women age 50 or younger who are living alone or with a spouse or partner.
On average, same-sex couple households with children under age 18 include 1.75 children. This means that there are approximately 125,000 same-sex couples raising nearly 220,000 children. Approximately 3 in a thousand children (0.3%) in the US are living with a same-sex couple.
Among all children under age 18 being raised by same-sex couples, approximately one in ten (10%) are adopted, compared to just 2% of children being raised by different-sex couples. In total, 1.4% of all adopted children under age 18 living in households with same-sex or different-sex couples live in a same-sex couple household.
Parenting of foster and other childrenSame-sex couples are six times more likely than their different-sex counterparts to be raising foster children. Among couples with children under age 18, 2% of same-sex couples are raising a foster child compared to just 0.3% of different-sex couples. Approximately 2,600 same-sex couples are raising an estimated 3,400 foster children in the US. In total, 1.7% of foster children living with same-sex or different-sex couples are being raised by same-sex couples.
More than a quarter of same-sex couples raising children (25.6%) include children identified as grandchildren, siblings, or other children who are related or unrelated to one of the spouses or partners. Approximately 32,000 same-sex couple households include more than 48,000 such children. Among these children living with couples, 0.8% live with a same-sex couple.
Children under 18 being raised by same-sex couples are slightly older than those being raised by different-sex couples. The median age of children under age 18 living with same-sex couples is 9 compared to 8 for those living with different-sex couples. However, adopted children living with same-sex couples are younger. They report a median age of 6 compared to a median age of 10 among adopted children living with different-sex couples.
Analyses of the Gallup data show that single LGBT adults raising children are three times more likely than comparable non-LGBT individuals to report household incomes near the poverty threshold (less than $12,000 per year). Married or partnered LGBT individuals living in two-adult households with children are twice as likely as comparable non-LGBT individuals to report household incomes near the poverty threshold (less than $24,000 per year).
Poverty rates are much higher in communities with large minority populations [71]. Consequently, since minorities are more likely to vote Democrat, it is expected that there will be an inverse relationship between poverty rates in a county and the percent voting for Trump in that county. It is further expected that there will be an inverse relationship between poverty rates and vaccination rates, in spite of political views [72]. Reasons for low vaccination rates in high poverty communities include language barriers and a lack of trust in health experts [73, 74]. Thus, Moore et al. [75] found significant levels of vaccine resistance in low-income black communities in the South. Finally, research has found that high poverty communities have significantly higher rates of COVID-19 cases and deaths than communities with lower poverty rates [61, 76,77,78]. Often persons in poverty are living in crowded and unsanitary conditions that enhance disease spread. Additionally, persons living in poverty are more likely to have underlying health conditions and often have inadequate health care [79, 80]. The relationship between poverty levels and both vaccination rates and per capita COVID-19 cases and deaths is expected to be indirectly impacted by political views.
The survey also finds that the gap between rich and poor goes far beyond income. Adults who self-identify as being in the upper or upper-middle class are generally happier, healthier and more satisfied with their jobs than are those in the middle or lower classes. And they are much less likely to have suffered economic hardships as a result of the recession.In addition, those in the upper class are more satisfied than those in the middle or lower classes with their family life, their housing situation and their education. Upper-class Americans even report experiencing less stress. Only 29% of those in the upper class say they frequently experience stress, compared with 37% of those in the middle class and 58% of lower-class adults.
Upper-class adults are also happier and healthier than those in the middle and lower classes. Four-in-ten upper-class adults (42%) say they are very happy with their lives overall. This compares with 32% of middle-class adults and 20% of lower-class adults. The gaps are almost identical when it comes to personal health. While 44% of upper-class adults rate their health as excellent, only 32% of middle-class adults and 19% of lower-class adults say the same. Among those in the lower class, four-in-ten rate their health as only fair (29%) or poor (11%). 2ff7e9595c
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