At Risk in America: The Health and Health Care Needs of by Lu Ann Aday

By Lu Ann Aday

This up-to-date moment version of in danger in the US offers an in depth research of these key inhabitants teams so much liable to ailment and harm within the usa today-including homeless people, refugees and immigrants, humans dwelling with AIDS, alcohol and substance abusers, high-risk moms and babies, sufferers of family members or different violence, and the chronically or mentally in poor health. Lu Ann Aday stories the key theories and information bearing on those at-risk teams and gives new ways and methodologies for tracing the social determinants and societal impacts on well-being. She examines the explicit future health wishes and hazards confronted via those teams, their event within the wellbeing and fitness care process, the present guidelines and courses that serve them, and the learn and coverage tasks that would be undertaken to aid lessen their vulnerability.

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Around 8 million people immigrated to the United States during the 1990s, a large proportion of whom are refugees carrying with them the physical, psychological, and social wounds of war. The number of children abused by family members or other intimates has burgeoned to an estimated 2 million children, and with the greater use of firearms, intentional acts of violence toward oneself or others are becoming increasingly deadly in their consequences. Although fewer Americans smoke, drink, or use illicit drugs in general than was the case in the 1980s, the use of cocaine (and particularly crack) among hardcore addicts has resulted in increases in the numbers of drug-related deaths.

Since that time, the number of new AIDS cases has declined, reflecting the earlier diagnosis and more effective treatment of HIV. As of June 1999, 711,344 cumulative cases of AIDS had been reported in the United States, and How Many Are Vulnerable? 27 288,000 individuals in the United States were estimated to be living with AIDS (Centers for Disease Control and Prevention, 1999a). The principal mode of HIV transmission among children is perinatally through their HIV-infected mother. In the early years of the AIDS epidemic, the principal mode of transmission for adults was through male homosexual or bisexual contact.

Mentally Ill and Disabled The mentally ill and disabled include individuals who experience neuroses and psychoses, as well as those with mental retardation or other cognitive impairments. Sources of data to estimate the magnitude of mental illness in the United States include surveys that ask people whether they have had certain mental health problems, as well as patient census or visit data obtained from institutions that care for the mentally ill. Data on the prevalence of mental illness in the United States indicate that almost 50 percent of Americans have experienced a mental health problem at some time in their life, and more than half that number (30 percent) reported having a problem in the last year.

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