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NRS 428 Discussion: Compare vulnerable populations

NRS 428 Discussio Compare vulnerable populations

Topic 3 DQ 1

Compare vulnerable populations. Describe an example of one of these groups in the United States or from another country. Explain why the population is designated as “vulnerable.” Include the number of individuals belonging to this group and the specific challenges or issues involved. Discuss why these populations are unable to advocate for themselves, the ethical issues that must be considered when working with these groups, and how nursing advocacy would be beneficial.

In today’s world, health disparities are largely existent among a few groups of populations or vulnerable groups who are more prone to various diseases and lack sufficient healthcare services. This number of health disparities is significant among the vulnerable population in the United States and the rest of the world. Due to their social status and economic factors, their health care facilities are largely aggravated and as a result, they suffer from various health issues. These vulnerable populations include racial and ethnic minorities, the economically disadvantaged, low-income children, the elderly, the homeless, and those suffering from chronic health issues (Falkner, 2018). Among the many vulnerable populations in the world, the women in India are one of them, especially the reproductive mothers. The women in India face a higher risk of poor health and access to health care facilities leaving them open to a higher probability of having illness than others. Even in the 21st century, the caste system exists in India, where the members of the lower groups lack basic health care needs and access to these medical facilities.

As a result, women in India face double discrimination, one being part of lower caste and the other being to experience vulnerabilities

NRS 428 Discussio Compare vulnerable populations

NRS 428 DiscussioN Compare vulnerable populations

relating to their gender. In India, the patriarchal system is highly existent all over the country, and the women hardly get any opportunity to express themselves or make important decisions in the family or even related to their own life. They have little or no control over the resources and their personal decisions. Due to the ongoing system of early marriage and its effects, the health of women in India is adversely affected. According to a 2006 survey conducted in a district in India, about 28% of girls get married before their legal age and experience early pregnancy, which has significant consequences on their health. Along with it, the rate of maternal mortality is significantly high in India and according to a national survey in 2000; the average mortality ratio at the national level is 540 deaths per 100,000 live births. This number varies from region to region and whether it is a rural or urban area. The rural MMR (Maternal Mortality Rate) is 617 deaths of age between 15-49 years per 100,000 live births as compared to the urban MMR which is 267 deaths per 100,000 live births. Additionally, a large population of women in India receives no antenatal care and institutional delivery is the lowest for women belonging to lower caste or group as compared to women from a higher caste (Chintey & Chintey, 2014).

The vulnerable population of women in India is unable to advocate for themselves, largely due to the male dominance in their society. The women are considered as those who are only responsible for the work in the kitchen, and other household responsibilities. They do not have the freedom of stepping their feet outside and expressing themselves. When they do express themselves, they are faced with huge backlash and violence from society. They are not even allowed to gain basic education and they are not sent to schools, as it is considered as a waste of money spent on the women. The culture, various stereotypes, and taboos that exist in these Indian societies do not allow women to be influential and the strict rules fixed by the conservative society, instill fear and depression in these women (Agarwal & Sethi, 2013). Nurses, especially the female nurses, can be impactful in helping out these vulnerable populations of women by showing themselves as an inspiration or role-models. They can relate their life stories and motivations with those suffering from these caste systems and gender discrimination. They can provide public health services, with access given specifically for these vulnerable women and those at high risk. Along with it, they can provide health education and safe health care practices to adolescent girls and adult women. They should keep in mind the life these women have gone through and should approach them delicately and with care (Falkner, 2018). Finally, nurses can motivate them by showing and proving the various changes that have happened around the world with women at the top of the progress and how they can make a difference in their own lives and the world.


Agarwal, S., & Sethi, V. (2013). Nutritional Disparities among Women in Urban India. Journal of Health, Population, and Nutrition31(4), 531–537. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3905648/

Chintey, M., & Chintey, B. (2014). Women and Children as Vulnerable groups in India: Their Health and Human Rights. IOSR Journal of Humanities and Social Science19, 01–04. https://doi.org/10.9790/083719620104

Falkner, A. (2018). Community as Client. Retrieved from Gcumedia.com website: https://lc.gcumedia.com/nrs427vn/community-and-public-health-the-future-of-health-care/v1.1/#/chapter/3

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Vulnerable Populations

Despite the urge for equitable and accessible health care, experiences differ across populations. The presence of vulnerable populations shows how the United States is yet to provide equitable care. Such people are generally disadvantaged and need support and advocacy to address their challenges. They include racial and sexual minorities, the elderly, the uninsured, and children.

Sexual minorities are an exciting group to study. They are considered vulnerable because they experience unusual challenges in their quest to remain healthy and when seeking health care services. Such disadvantages increase this population’s physical and mental health problems and reduce their overall productivity. Powell (2021) reported that approximately 8% of the US population is comprised of LGBTQ individuals. Challenges usually vary depending on one’s sexuality. However, sexual minorities are typically discriminated against when seeking health care services (Mirza & Rooney, 2018). Their health care challenges usually co-occur with mental health problems. Pachankis et al. (2021) found that stress and depression are high among LGBTQs due to stigmatization. As a result, a concerted effort is vital to enable them to access health care when needed and equitably.

Many issues make vulnerable populations unable to advocate for themselves. For instance, they lack adequate resources and influential political presentation to push for their needs. Human Rights Watch (2018) found that many LGBTQ individuals rarely get health care providers who understand their unique needs. Such barriers hamper self-advocacy efforts since resources, political backup, and social support networks are necessary when advocating for the needs of vulnerable groups. When working with these groups, health care providers must be wary of social stigma, cultural and religious beliefs, and education, among other factors, shaping how such populations perceive health care. Confidentiality, informed consent, and culturally sensitive care should be prioritized. Nursing advocacy is vital to improve access to health care services and address issues such as social stigma and discrimination when seeking health care services that the LGBTQs experience.


Human Rights Watch. (2018). You don’t want second best. https://www.hrw.org/report/2018/07/23/you-dont-want-second-best/anti-lgbt-discrimination-us-health-care

Mirza, S. A., & Rooney, C. (2018). Discrimination prevents LGBTQ people from accessing health care. CAP. https://www.americanprogress.org/article/discrimination-prevents-lgbtq-people-accessing-health-care/
Pachankis, J. E., Hatzenbuehler, M. L., Bränström, R., Schmidt, A. J., Berg, R. C., Jonas, K., … & Weatherburn, P. (2021). Structural stigma and sexual minority men’s depression and suicidality: A multilevel examination of mechanisms and mobility across 48 countries. Journal of Abnormal Psychology130(7), 713-726. https://doi.org/10.1037/abn0000693
Powell, L. (2021). We Are Here: LGBTQ+ adult population in United States reaches at least 20 million, according to human rights campaign foundation report. Human Right Campaign. https://www.hrc.org/press-releases/we-are-here-lgbtq-adult-population-in-united-states-reaches-at-least-20-million-according-to-human-rights-campaign-foundation-report
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