Health Promotion and Vulnerability in Teenage Pregnancy
Health promotion has been considered a vital part of nursing for over 150 years. Florence Nightingale stated in 1859 that health promotion is significant to the definition of nursing. Health promotion has been confused with health education for years in nursing literature. However, health promotion as a concept requires more patient involvement than health education because it requires the patient to make a change in their lifestyle (Raingruber, 2017).
The concept of vulnerability has been around since the 1970’s but it has changed in its meaning over the years. This concept is still pertinent to our society today because the United States still has a large amount of the population that is considered vulnerable. The concept of vulnerability is used in multiple different situations when associated with potential poor outcomes, risk or danger within a population. (Arora, Shah, Chaturvedi, & Gupta, 2015)
When vulnerability is defined by the Indian Journal of Community Medicine it is said that it is the “state or condition of being weak or poorly defended” (Arora et al., 2015, p. 193). The definition of vulnerability can differ depending on the source. Those individuals who are vulnerable populations are extremely important to health care professionals. This is due to the vulnerable populations not always having access to medical care due to lack of transportation or even insufficient funds to be able to pay for their medical bills. These populations are also important to health care providers because since they don’t always seek treatment for their medical conditions, these conditions can worsen over time and cause further issues down the road. For example, individuals who cannot afford healthcare or do not have insurance often visit the emergency room or urgent care to seek treatment and this causes a strain on the health care system.
The concept of vulnerability can be directly related to the concept of health promotion because these concepts have many similarities when it comes to vulnerable populations. According to Raingruber (2017), health promotion is defined as “lifestyle coaching designed to promote optimal health, quality of life, and well-being” (p. 6). Health promotion has many components when it comes to motivating an individual to improve their health. These components consist of the health care provider considering the individuals financial situation, social support, educational background, and any environmental factors affecting their health (Raingruber, 2017). When the health care provider considers the individuals situation, they are acting as a patient advocate. This is done by motivating the patient to improve their health and want to change their lifestyle behavior.
The biological domain of the vulnerability model includes genetic predisposition, age, or race. It has been found that certain races have a higher prevalence of teenage pregnancy than others. The ages for teenage pregnancy range from 13 to 19 years old. According to the American Public Health Association, the highest adolescent birth rates in the United States occurs within Hispanic, African American, American Indian, and Alaska Native adolescents (Burrus, 2017). Therefore, studies have shown that African American and Hispanic teenagers have a higher risk for pregnancy due to their race. According to Krost and Henshaw, although the pregnancy rate of black teenagers fell 56% between 1990 and 2010, their teen pregnancy rate remains at more than twice the rate of white teenagers (2014).
The sociocultural domain within the vulnerability model includes an individual’s economic status, education, social support, and health care quality and access. Studies have shown that teens with a low socioeconomic status and low education can have a higher risk of teenage pregnancy (Penman-Aguilar, Carter, Snead & Kourtis, 2013). It has also been found that teens who get pregnant while in high have a high dropout rate that could lead to a low level of education and a low economic status (Kaphagawani & Kalipeni, 2017). Lastly, it has been found that adolescents who do not have access to health care have a greater risk of getting pregnant as a teen (Bhuiya et al., 2016). It can be concluded that teens who do not have access to health care relating to reproductive health and pregnancy prevention have a higher risk of teenage pregnancy.
The environmental domain consists of an individual’s work environment, home environment, community environment, and geographical location. For pregnant teens the environmental domain mainly relates to their home environment. According to the American Public Health Association, “Rates for other vulnerable groups, such as runaway and homeless adolescents, adolescents in foster care, and adolescents living in rural areas, are higher than those of the general adolescent population (Burrus, 2017, p. 1).” An adolescent’s home life can place them at higher risk for teenage pregnancy, specifically if the teen comes from a broken home with little familial support. Studies have shown that teens who come from a household with parents who are not together or if they have witnessed domestic violence within the home are at a greater risk of teenage pregnancy (McAlister, 2016). Although an adolescent’s home life plays a large part in the environmental domain, the geographical location of the adolescent is also important. This is important because the United States has the highest teen pregnancy rates of developed countries (McAlister, 2016).
The behavioral domain includes emotional health, sexual practices, diet and exercise, rest, alcohol, and drugs. When teenagers partake in risky behaviors it can place them at a higher chance of getting pregnant. If a teenager participates in unsafe sexual practices like not using contraception and having multiple partners, it increases their risk for an unplanned pregnancy.
Research has also shown that when teens engage in risky sexual behaviors it can correlate with an increased prevalence of engaging in other unhealthy behaviors like consuming alcohol, drugs, or tobacco (Burrus, 2017). Also, when a teenager engages in substance use it can directly correlate with them having unsafe sexual practices as well. In addition, studies have shown that if teens have lower levels of self-esteem this places them at a higher risk of becoming pregnant (McAlister, 2016).
The teenage pregnancy population is a population that nurses should provide proficient care related to their culture and current situation. Teenagers themselves have a peculiar culture, however, pregnant teenagers have their own subculture within the teenager culture. For example, the nurse should consider the teenage culture when educating and speaking with the pregnant teenager. Many teenagers lack maturity and this could cause the teenager to use substances like alcohol or drugs while pregnant. NURSE EDUCATION
Pregnant adolescents may also struggle with the level of responsibility they will have once the baby is born.
As years evolve, teenage pregnancy has become more common and accepted amongst society but what teenagers did not understand was that at that moment their life would have changed forever. Teenage pregnancies are a source of disturbance all around the world. According to the World Health Organization (WHO), about 16 million girls aging between 15 and 19 years and about one million girls younger than 15 years give birth every year. Nowadays, most teenage pregnancies take place in average and...
Introduction The question I am researching is “Is teenage pregnancy a problem?” The aim of this project is to research the positives and the negatives of teenage pregnancy, the health risks during pregnancy, how teenage pregnancy has changed over time, and how it differs with different social classes. I am doing my project on this specific topic as I am interested in going into midwifery or nursing as a career in the future. This specific question is useful as teenage...
Since my mom was a teen mom this is an issue that was interesting and important to me. “In 2017, a total of 194,377 babies were born to women ages 15-19 years”. Teens pregnancy 1991-2015, teen birth rate went down 61%. In the district of Columbia 67% has the highest rate of teen pregnancy. Massachusetts has the lowest teen pregnancy at 8.5%. The teen pregnancy rate in Minnesota is 18.8% and the teen pregnancy rate in Wisconsin is 15%. This...
Since the 1500’s young women were conceiving children at a young age. This occurred all around the world in many different countries with and without the consent of the young woman. In today’s world, young women beginning from the age of 15-19 are still conceiving children and the birth rate is 18.8 per 1,000 women based on the Centers for Disease Control and Prevention in the United States. The government, who is majority ran by men, are making male decisions...
Teenage pregnancy is usually defined as pregnancy that happens in young girls below the age of twenty, regardless of whether or not they’re married or of adult age. Teenage pregnancy has been increasing at an alarming rate especially within the US, Africa, and UK. It’s become a worldwide concern because it not only affects the teenager and her family, but the society generally. An increase in teenage pregnancy will within the top, cause increased child poverty also as degradation of...
Many experts suggested that a multitude of factors are taking part in the increase, but a majority of them are pointing to the socio-economic problems in the provinces where the rates have skyrocketed. One of the problems is that teenage girls are more likely to get pregnant sooner when they have fewer job and education opportunities provided to them, to postpone having a child. Lucia O’Sullivan, who is a psychology professor at the University of New Brunswick and also holds...
Young adolescent sexual and reproductive health is an essential issue. Pregnancy, childbirth and sexually transmitted infections are significant contributors to morbidity in the young adolescent age group. Adolescents are undergoing developing processes that may influence them to undertake risky sexual behaviors. Throughout the time of development, some teenagers tend to engage in behaviors that come as a desire to experiment with the seeking of peer approval. The relatively short relationships and unrealistic expectations of the likely consequences of teenage pregnancy...
Introduction Young pregnancies and adolescent parenthood are a reason for concern around the world. From a historic perspective, young pregnancies are the same old thing. For a lot of mankind’s history, it was totally basic that young girls were wedded during their late puberty and experienced first birth during their second decade of life. This sort of reproductive behavior was socially wanted and considered as expected. These days, in any case, the counteractive action of high school pregnancies and young...
My, definition of the American dream is where everyone can achieve their goals through sacrifice and hard work. It used to apply to immigrants but it can now be referring to all. Two groups that have had problems completing the American dream are teenage mothers and undocumented immigrants. The problem for undocumented immigrants is in the name which will lead to many problems as deportations, placement in detention camps, racial profiling and discrimination, and more. These stressful things can lead...
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