Children

Author(s):  
Sara Rosenbaum ◽  
Kay A. Johnson ◽  
Rachel Gunsalus

This chapter focuses on the impact of social injustice on children, primarily in the United States, emphasizing children’s rights in a legal context. It begins with a discussion of the legal status of children in society, citing international standards and U.S. law. It describes how social injustice affects the health needs of children. It describes how poverty, environmental hazards, public policies related to civil and human rights, and other factors threaten the health of children. It analyzes the underlying factors and roots of social injustice that affect children, including maldistribution of income and failure to invest in the neediest families. The chapter concludes with a discussion of what needs to be done and the roles of health workers in addressing social injustice that affects children. A text box describes how the United States compares with other high-income countries in addressing the needs of children. Another text box focuses on saving children’s lives in low-income countries.

2012 ◽  
Vol 69 (3) ◽  
pp. 351-365 ◽  
Author(s):  
Patricia Pittman ◽  
Carolina Herrera ◽  
Joanne Spetz ◽  
Catherine R. Davis

More than 8% of employed RNs licensed since 2004 in the United States were educated overseas, yet little is known about the conditions of their recruitment or the impact of that experience on health care practice. This study assessed whether the labor rights of foreign-educated nurses were at risk during the latest period of high international recruitment: 2003 to 2007. Using consensus-based standards contained in the Voluntary Code of Ethical Conduct for the Recruitment of Foreign-Educated Health Professionals to the United States, this study found 50% of actively recruited foreign-educated nurses experienced a negative recruitment practice. The study also found that nurses educated in low-income countries and nurses with high contract breach fees, were significantly more likely to report such problems. If, as experts believe may occur, the nursing shortage in the United States returns around 2014, oversight of international recruitment will become critically important to delivering high-quality health care to Americans.


2015 ◽  
Vol 2 (1) ◽  
pp. 17-24 ◽  
Author(s):  
O.C. Nwagwu Emeka

Studies indicate that about 23 percent to 28 percent of the physicians working and residing in the United States, Canada, Australia, the UK and New Zealand were born and trained in the low-income countries, areas suffering from critical shortages of physicians and other health workers. In the US alone, the preponderance of the foreign physicians hails from South Africa, Philippines, India, Pakistan, and Nigeria. From Africa alone where the burden of disease, poverty, deprivation and death are greatest, around 23,000 qualified physicians emigrate annually. From the perspectives of the low-income countries, significant amounts of resources are, by necessity, committed into turning their nationals into vital intellectual capital for their own desperately needed health needs and crumbling healthcare systems. Thus, the migration of these physicians to other nations to help strengthen their already stable health care systems is not only ethically deplorable but poses moral hazards for both the physicians and the high-income countries. That is, high-income countries such as the United States, Canada, UK, Australia and New Zealand are draining the scarce recourses of the low-income countries through the loss of intellectual capital, a phenomenon that socio-economic and developmental experts have dubbed “the brain drain”.


Elements ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. 39-52
Author(s):  
Charlie Power

The debate over the future direction of elementary and secondary education in the United States is fractious and contentious. Many of these are rooted in concerns over disparities in financial circumstances and race. While the full extent of the gaps, in addition to the United States' mediocre education system relative to other industrialized nations, has been a subject of frequent research and heated debate, one crucial component of this divide has yet to be analyzed: summer learning loss. This paper will closely analyze published literature in order to analyze the impact of summer education loss. Additionally, this paper will argue that summer learning varies by socioeconomic status (SES), with low-income populations gradually regressing over the years. This phenomenon has ramifications on students' achievement and explains the disparities that accumulate over a student's educational career. Finally, based on current evidence, this paper will make policy recommendations on how to change the current education system to better address summer's inherent inequities. 


2020 ◽  
Vol 6 (1) ◽  
pp. 41
Author(s):  
Ram Lakhan ◽  
Sean Y. Gillette ◽  
Sean Lee ◽  
Manoj Sharma

Background and purpose: Access to healthcare services is an essential component for ensuring the quality of life. Globally, there is inequity and disparities regarding access to health care. To meet the global healthcare needs, different models of healthcare have been adopted around the world. However, all healthcare models have some strengths and weaknesses. The purpose of this study was to examine the satisfaction among a group of undergraduate students from different countries with their health care models namely, insurance-based model in the United States and “out-of-pocket” model prevalent in low-income countries.Methods and materials: The study utilized a cross-sectional research design. Undergraduate students, representing different nationalities from a private Southeastern College, were administered a researcher-designed 14-item self-reported electronic questionnaire. Independent t-test and χ2 statistics were used to examine the differences between two health care systems and the qualitative responses were analyzed thematically.Results: Satisfaction towards health care system between the United States and low-income countries was found significantly different (p < .05). However, students in both settings experienced an inability toward affording quality healthcare due to economic factors and disparities.Conclusions: There is dissatisfaction with health care both in the United States and low-income developing countries among a sample of undergraduate students representing these countries. Efforts to ensure low-cost affordable health care should be a global goal.


2018 ◽  
Vol 35 (1) ◽  
pp. 100-113 ◽  
Author(s):  
Julia H. Kim ◽  
Jong C. Shin ◽  
Sharon M. Donovan

Background Returning to work is one of the main barriers to breastfeeding duration among working mothers in the United States. However, the impact of workplace lactation programs is unclear. Research Aim The aim of this study was to evaluate the effectiveness of workplace lactation programs in the United States on breastfeeding practices. Methods A systematic search was conducted of seven databases through September 2017. Articles ( N = 10) meeting the inclusion criteria of describing a workplace lactation intervention and evaluation in the United States and measuring initiation, exclusivity, or duration using an experimental or observational study design were critically evaluated. Two reviewers conducted quality assessments and reviewed the full-text articles during the analysis. Results Common services provided were breast pumps, social support, lactation rooms, and breastfeeding classes. Breastfeeding initiation was very high, ranging from 87% to 98%. Several factors were significantly associated with duration of exclusive breastfeeding: (a) receiving a breast pump for one year (8.3 versus 4.7 months), (b) return-to-work consultations (40% versus 17% at 6 months), and (c) telephone support (42% versus 15% at 6 months). Each additional service (except prenatal education) dose-dependently increased exclusively breastfeeding at 6 months. Sociodemographic information including older maternal age, working part-time, longer maternity leave, and white ethnicity were associated with longer breastfeeding duration. Conclusion Workplace lactation interventions increased breastfeeding initiation, duration, and exclusive breastfeeding, with greater changes observed with more available services. More evidence is needed on the impact of workplace support in low-income populations, and the cost-effectiveness of these programs in reducing health care costs.


2018 ◽  
Vol 40 (6) ◽  
pp. 711-738 ◽  
Author(s):  
Colleen K. Vesely ◽  
Bethany L. Letiecq ◽  
Rachael D. Goodman

This study explored how low-income documented and undocumented Latina immigrant mothers negotiate motherhood and adapt to life in new cultural and structural contexts. Grounded in ecocultural theory, we analyzed data from 21 in-depth interviews with Latina immigrant mothers to surface how their experiences of motherhood in the United States were shaped by their country of origin experiences and their situatedness in the United States. We documented emergent tensions related to their immigration context, often driven by changes in their legal status as they crossed borders, changes in family and community supports, and differing cultural expectations of their gendered roles as caregivers and family members. These tensions forced mothers to renegotiate and adjust their perceptions, identities, and roles as women, mothers, partners, and members of larger, often transnational kin and community networks. Implications of these tensions and identity and role shifts in the context of immigrant family life in the United States are discussed.


PEDIATRICS ◽  
1993 ◽  
Vol 91 (1) ◽  
pp. 182-188
Author(s):  
Sandra Scarr ◽  
Deborah Phillips ◽  
Kathleen McCartney ◽  
Martha Abbott-Shim

The quality of child care services in the United States should be understood within a context of child care policy at the federal and state levels. Similarly, child care policy needs to be examined within the larger context of family-support policies that do or do not include parental leaves to care for infants (and other dependent family members) and family allowances that spread the financial burdens of parenthood. Maynard and McGinnis1 presented a comprehensive look at the current and predictable policies that, at federal and state levels, affect working families and their children. They note the many problems in our "patchwork" system of child care—problems of insufficient attention to quality and insufficient supply for low-income families. Recent legislation is a step toward improving the ability of low-income families to pay for child care (by subsidizing that part of the cost of such care which exceeds 15% rather than 20% of the family income) and some steps toward training caregivers and improving regulations. They note the seeming political impasse over parental leaves, even unpaid leaves, and the impact of this lack of policy on the unmet need for early infant care. We should step back from the current morass of family and child care policies in the United States and look at what other nations have done and continue to do for their working families. By comparison with other industrialized countries in the world, the United States neglects essential provisions that make it possible for parents in other countries to afford to rear children and to find and afford quality child care for their children.


Author(s):  
Betsy Kalin

The documentary East LA Interchange (2015) has extraordinary potential to be used to increase awareness about our diverse, multicultural society and the specific challenges facing low-income communities of color. These communities’ residents are especially vulnerable to gentrification and displacement, and across the United States, we are currently seeing the impact of gentrification on our neighborhoods. One of the most important aspects of a documentary is what happens after the film is completed. We are in the process of creating a multiplatform strategic outreach campaign designed to engage youth and mobilize advocates around the issues addressed in the film. Our outreach and engagement goals are varied yet complementary to the themes in East LA Interchange. We believe that East LA Interchange’s message of empowerment through community action is one that can greatly benefit youth and adults in rapidly changing communities. Because Boyle Heights is one of the United States’ great places of diversity, inclusion, and tolerance, we would like the film to create momentum around social justice issues depicted in the film such as acceptance and appreciation of diversity, immigrant rights, environmental and transportation justice, urban development, and effective political representation.


2018 ◽  
Vol 10 (9) ◽  
pp. 2988 ◽  
Author(s):  
Alana Siegner ◽  
Jennifer Sowerwine ◽  
Charisma Acey

The aim of our review is to critically analyze the urban agriculture and urban food systems literature in order to understand the impact of urban-produced foods on community food security. We examine the role of city planning, food policy, and civic engagement in creating spaces for urban agriculture in cities across the United States, and whether (and how) these spaces promote food justice and food security. Bringing together multidisciplinary literature on access to urban agriculture and the distribution of urban-produced foods in a thematic, systematic review, we point out gaps in the academic research that would benefit from further study. The review integrates academic literature generated from Web of Science searches with gray literature identified through Google Alerts. We find that while there is a strong focus on elucidating the multiple benefits of urban agriculture, there are few studies that robustly measure the impact of urban farms on improving food security in low-income communities. Much of the literature is theoretical, focused on the production potential of urban agriculture, while more work is needed to understand and overcome barriers to access and distribution among communities in need. We conclude with a set of recommendations for researchers, practitioners, and policymakers who seek to create spaces in cities for food justice, equity, access, and sovereignty.


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