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Feminizat
      ion
                    of Poverty
Brenda Clemens
Colleen Curran
Kristen Geisinger
April Treible
Objectives:

   Teen Pregnancy
    ◦ Understand the prevalence of teen
      pregnancy in the U.S.
    ◦ Understand the risk factors for
      teenage pregnancy
    ◦ Understand risks factors to the child
      of a teen parent
Objectives, cont‟


   Women‟s Healthcare
    ◦ Define poverty and its effects on women
    ◦ Link the impact poverty has on nutrition
    ◦ Compare symptoms of men and women
      during a heart attack
Objectives, cont‟

 Economics   of Divorce
 ◦ Understand the prevalence of divorce in
   the U.S.
 ◦ Understand the challenges of divorce
   from an economic standpoint
 ◦ Understand the options health care
   providers can provide
Objectives, cont‟

 Maternal   Mortality
 ◦ Learn how maternal mortality is
   determined and defined.
 ◦ Learn its correlation to impoverished
   nations and the reasons why
 ◦ Identify nursing interventions to decrease
   mortality
Brenda Clemens

TEEN PREGNANCY
STATISTICS

   Approximately 820,000 teens become
    pregnant each year
    ◦ 78% are unplanned        (Davidson, London, &
     Ladewig, 2008)

   17-35% will become pregnant again within
    1st year (Thurman, Hammond, Brown, & Roddy, 2007)
Risk Factors for Teen
Pregnancy
   Poverty
   Cultural factors
   Low education
   Lack of goals
   High risk behaviors
   Family dysfunction
   Poor self esteem

                      (Davidson, London, & Ladewig, 2008)
Negative Outcomes of
Teen Pregnancy

   Decrease in likeliness of finishing high
    school
   Increased risk of using welfare
   Increased risk for premature infants


                        (Davidson, London, & Ladewig, 2008)
POTENTIAL OUTCOMES
For children of Teen
Parents
 Increased risk for mental retardation
 Poverty
 Low birth weight
 Poor school performance
 Abuse and neglect



                       (Davidson, London, & Ladewig, 2008)
Kristen Geisinger

WOMEN'S
HEALTH
CARE
Poverty Statistics
   2008 Census Bureau Poverty Rate
   Erick Eckholm (2009) of the New York
    Times defines poverty
   Women & Poverty
NUTRITION & POVERTY
   Diet of the poor
   Results of poor nutrition
   Nurses‟ role:
       Education
Women Vs. Men
   Different Signs and Symptoms
   Nurses‟ role: Educate
   Access to healthcare
    ◦ Free clinics
Colleen Curran

ECONOMICS OF
DIVORCE
Problem
   A significant cause of poverty
    for women and children.


   Many couples are getting
    divorced.


   Mothers have to depend on
    themselves and their skills to
    take care of their families.
STATISTICS
    “Almost one out of every two
     marriages ends in divorce.”



    “About one half of divorced
     women receive the full amount
     of promised child support
     payments”

               (Davidson, London, & Ladewig, 2008).
STATISTICS, CONT.

   “7.3 million divorced women are under the
    age of 65 in the United States. Forty-two
    percent had incomes below the poverty
    level and sixteen percent were „near
    poor‟.”
                              (Locke, & Gibbons, 2008).
STATISTICS, CONT.

        “Married women with a
        median income of $53,200
        find a decrease in income to
        $21,000 once a divorce has
        taken place”
                    (Locke, & Gibbons, 2008).
Family Types
   Two parents work

   Father works, mother is
    a stay home mom

   Mother works, father
    stays at home
Income Challenges after
Divorce
   Family with 2 parents working:
    ◦ Take on longer hours
    ◦ Second job
    ◦ Child support if applicable


   Stay at home mom:
    ◦ Find reliable job
    ◦ Dependant on child support
SEARCHING FOR WORK
 Search for quality      jobs:
  ◦ Workforce is strict
  ◦ Best of the best
 Obstacles:
  ◦ Minimal education levels
  ◦ Lack of work experience
 Stay-home mothers: Skills could be
 considered “rusty”
Psychological Challenges
            Increased stress
             ◦ Moving to new house 
               decreased sense of
               security
             ◦ Losing close friends
               moving
               change in marital status
           ◦ Decreased social support
           ◦ Personal identity shift
          Also effects children!
Counseling

   Counseling offers:
    ◦   Directional advice
    ◦   Job training
    ◦   Volunteer work
    ◦   Job placement
    ◦   Child care
April
Treible

MATERNAL
MORTALITY
Maternal Mortality
 Defined:
 ◦ Death of a woman within 42 days of
   the termination of pregnancy
   Any length pregnancy
   Any cause for termination
   Direct or indirect
IMPORTANCE:
     Shows the health of a country
      ◦ MM is a preventable COD

                   (Guendelman, S., Thornton, D., Gould, J., & Hosang, N., 2005)




      HOW IT’S MEASURED
               Ratio: Number of pregnancy-related
                deaths per 100,000 live births.
MM Correlation with Poverty
                      Global MM each year
                                                Developing
                                                Nations




Reasons:                                 •   Attendants at birth

• Lack of basic maternal
  care                           •   Nutrition
      •   Education              •   Sanitation
      •   Access
                                              (Callister, 2005; WHO, 2007)
United States         Sierra Leone
 11-21 deaths per    2,100 deaths per
 100,000 live         100,000 live
 births               births

                                   (WHO, 2007)




          100-191 fold increase
CAUSES
   Hemorrhage (25%)
    ◦ 88% of deaths are within 4 hours of birth
   Infection (15%)
   Unsafe abortions (13%)
   PIH (12%)
   Obstructed labor (8%)
   Indirect Causes (20%)
    ◦ Malaria
    ◦ Iron-deficiency anemia
                                                  ◦   (Callister, 2005)
World Response
   United Nations
    ◦ Millennium Development Goals project
            maternal death by 75% by 2015

    ◦ Objectives:
      Culturally-sensitive approach
          Education
          Reproduction
          Interventions
      Improve accuracy and standardization of MM
       statistics
LOW-COST INTERVENTIONS

   Educating birth attendants
    ◦ Fundal massage
    ◦ Immediate breast feeding
    ◦ Obstructed-labor management
 Mag-sulfate (PIH)
 Oxytocin

                                    (Callister, 2005)
“It is estimated that more than 80% of
 maternal deaths could be prevented or
 avoided through actions that are proven to
 be effective and affordable, even in
 resource-poor countries.” –WHO


                                  (Callister, 2005)
References
Davidson, M. R., London, M. L., & Ladewig, P. A. (2008).
  Olds’ maternal-newborn nursing & women’s health
  across the lifespan. (8th ed.).   Upper Saddle
  River, NJ: Pearson Prentice Hall.

Thurman, A. R., Hammond, N., Brown, H. E, &
      Roddy,          M. E. (2007). Preventing repeat teen
  pregnancy: Postpartum depot medroxyprogesterone
  acetate, oral contraceptive pills or the patch?. Journal of
  Pediatric and Adolescent Gynecology, 20, 61-65.

Eckholm, E. (2009, September 10). Last year‟s poverty
  rate was highest in 12 year. The New York Times.
  Retrieved from http://nytimes.com

Mozes, A. (2008, February 21). Poverty drains nutrition
 from family diet. The Washington Post. Retrieved from
 http://www.washingtonpost.com
References, cont‟.
Cornforth, T. (2009). Symptoms of heart attack in women.
  Retrieved from http://womenshealth.about.com

Locke, W., & Gibbons, M. (2008). On her own again: the
  use of narrative therapy in career counseling with
  displaced new traditionalists. The Family Journal, 16.
  doi: 10.1177/1066480708314258

Callister, L. (2005). Global maternal mortality: Contributing
  factors and strategies for change. The American
  Journal of Maternal/Child Nursing. 30(3), 184-192.

Callister, L. (2007). Poverty and the health of women and
  children. The American Journal of Maternal/Child
  Nursing. 32(6), 384. doi:
  10.1097/01.NMC.0000298137.85526.41
References, cont‟.
Guendelman, S., Thornton, D., Gould, J., & Hosang, N.
 (2005). Social disparities in maternal morbidity during
 labor and delivery between Mexican-born and US-born
 white Californians, 1996-1998. American Journal of
 Public Health. 95(12), 2218-2224. doi:
 10.2105/AJPH.2004.051441

World Health Organization. (2007). Maternal mortality in
 2005: Estimates developed by
 WHO, UNICEF, UNFPA, and the World Bank. Retrieved
 from http://www.who.int/whosis/mme_2005.pdf

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Feminization of poverty

  • 1. Feminizat ion of Poverty Brenda Clemens Colleen Curran Kristen Geisinger April Treible
  • 2. Objectives:  Teen Pregnancy ◦ Understand the prevalence of teen pregnancy in the U.S. ◦ Understand the risk factors for teenage pregnancy ◦ Understand risks factors to the child of a teen parent
  • 3. Objectives, cont‟  Women‟s Healthcare ◦ Define poverty and its effects on women ◦ Link the impact poverty has on nutrition ◦ Compare symptoms of men and women during a heart attack
  • 4. Objectives, cont‟  Economics of Divorce ◦ Understand the prevalence of divorce in the U.S. ◦ Understand the challenges of divorce from an economic standpoint ◦ Understand the options health care providers can provide
  • 5. Objectives, cont‟  Maternal Mortality ◦ Learn how maternal mortality is determined and defined. ◦ Learn its correlation to impoverished nations and the reasons why ◦ Identify nursing interventions to decrease mortality
  • 7. STATISTICS  Approximately 820,000 teens become pregnant each year ◦ 78% are unplanned (Davidson, London, & Ladewig, 2008)  17-35% will become pregnant again within 1st year (Thurman, Hammond, Brown, & Roddy, 2007)
  • 8. Risk Factors for Teen Pregnancy  Poverty  Cultural factors  Low education  Lack of goals  High risk behaviors  Family dysfunction  Poor self esteem (Davidson, London, & Ladewig, 2008)
  • 9. Negative Outcomes of Teen Pregnancy  Decrease in likeliness of finishing high school  Increased risk of using welfare  Increased risk for premature infants (Davidson, London, & Ladewig, 2008)
  • 10. POTENTIAL OUTCOMES For children of Teen Parents  Increased risk for mental retardation  Poverty  Low birth weight  Poor school performance  Abuse and neglect (Davidson, London, & Ladewig, 2008)
  • 12. Poverty Statistics  2008 Census Bureau Poverty Rate  Erick Eckholm (2009) of the New York Times defines poverty  Women & Poverty
  • 13. NUTRITION & POVERTY  Diet of the poor  Results of poor nutrition  Nurses‟ role: Education
  • 14. Women Vs. Men  Different Signs and Symptoms  Nurses‟ role: Educate  Access to healthcare ◦ Free clinics
  • 16. Problem  A significant cause of poverty for women and children.  Many couples are getting divorced.  Mothers have to depend on themselves and their skills to take care of their families.
  • 17. STATISTICS  “Almost one out of every two marriages ends in divorce.”  “About one half of divorced women receive the full amount of promised child support payments” (Davidson, London, & Ladewig, 2008).
  • 18. STATISTICS, CONT.  “7.3 million divorced women are under the age of 65 in the United States. Forty-two percent had incomes below the poverty level and sixteen percent were „near poor‟.” (Locke, & Gibbons, 2008).
  • 19. STATISTICS, CONT.  “Married women with a median income of $53,200 find a decrease in income to $21,000 once a divorce has taken place” (Locke, & Gibbons, 2008).
  • 20. Family Types  Two parents work  Father works, mother is a stay home mom  Mother works, father stays at home
  • 21. Income Challenges after Divorce  Family with 2 parents working: ◦ Take on longer hours ◦ Second job ◦ Child support if applicable  Stay at home mom: ◦ Find reliable job ◦ Dependant on child support
  • 22. SEARCHING FOR WORK  Search for quality jobs: ◦ Workforce is strict ◦ Best of the best  Obstacles: ◦ Minimal education levels ◦ Lack of work experience  Stay-home mothers: Skills could be considered “rusty”
  • 23. Psychological Challenges  Increased stress ◦ Moving to new house  decreased sense of security ◦ Losing close friends  moving  change in marital status ◦ Decreased social support ◦ Personal identity shift  Also effects children!
  • 24. Counseling  Counseling offers: ◦ Directional advice ◦ Job training ◦ Volunteer work ◦ Job placement ◦ Child care
  • 26. Maternal Mortality  Defined: ◦ Death of a woman within 42 days of the termination of pregnancy  Any length pregnancy  Any cause for termination  Direct or indirect
  • 27. IMPORTANCE:  Shows the health of a country ◦ MM is a preventable COD (Guendelman, S., Thornton, D., Gould, J., & Hosang, N., 2005) HOW IT’S MEASURED  Ratio: Number of pregnancy-related deaths per 100,000 live births.
  • 28. MM Correlation with Poverty Global MM each year Developing Nations Reasons: • Attendants at birth • Lack of basic maternal care • Nutrition • Education • Sanitation • Access (Callister, 2005; WHO, 2007)
  • 29. United States Sierra Leone  11-21 deaths per  2,100 deaths per 100,000 live 100,000 live births births (WHO, 2007) 100-191 fold increase
  • 30. CAUSES  Hemorrhage (25%) ◦ 88% of deaths are within 4 hours of birth  Infection (15%)  Unsafe abortions (13%)  PIH (12%)  Obstructed labor (8%)  Indirect Causes (20%) ◦ Malaria ◦ Iron-deficiency anemia ◦ (Callister, 2005)
  • 31. World Response  United Nations ◦ Millennium Development Goals project  maternal death by 75% by 2015 ◦ Objectives:  Culturally-sensitive approach  Education  Reproduction  Interventions  Improve accuracy and standardization of MM statistics
  • 32. LOW-COST INTERVENTIONS  Educating birth attendants ◦ Fundal massage ◦ Immediate breast feeding ◦ Obstructed-labor management  Mag-sulfate (PIH)  Oxytocin (Callister, 2005)
  • 33. “It is estimated that more than 80% of maternal deaths could be prevented or avoided through actions that are proven to be effective and affordable, even in resource-poor countries.” –WHO (Callister, 2005)
  • 34. References Davidson, M. R., London, M. L., & Ladewig, P. A. (2008). Olds’ maternal-newborn nursing & women’s health across the lifespan. (8th ed.). Upper Saddle River, NJ: Pearson Prentice Hall. Thurman, A. R., Hammond, N., Brown, H. E, & Roddy, M. E. (2007). Preventing repeat teen pregnancy: Postpartum depot medroxyprogesterone acetate, oral contraceptive pills or the patch?. Journal of Pediatric and Adolescent Gynecology, 20, 61-65. Eckholm, E. (2009, September 10). Last year‟s poverty rate was highest in 12 year. The New York Times. Retrieved from http://nytimes.com Mozes, A. (2008, February 21). Poverty drains nutrition from family diet. The Washington Post. Retrieved from http://www.washingtonpost.com
  • 35. References, cont‟. Cornforth, T. (2009). Symptoms of heart attack in women. Retrieved from http://womenshealth.about.com Locke, W., & Gibbons, M. (2008). On her own again: the use of narrative therapy in career counseling with displaced new traditionalists. The Family Journal, 16. doi: 10.1177/1066480708314258 Callister, L. (2005). Global maternal mortality: Contributing factors and strategies for change. The American Journal of Maternal/Child Nursing. 30(3), 184-192. Callister, L. (2007). Poverty and the health of women and children. The American Journal of Maternal/Child Nursing. 32(6), 384. doi: 10.1097/01.NMC.0000298137.85526.41
  • 36. References, cont‟. Guendelman, S., Thornton, D., Gould, J., & Hosang, N. (2005). Social disparities in maternal morbidity during labor and delivery between Mexican-born and US-born white Californians, 1996-1998. American Journal of Public Health. 95(12), 2218-2224. doi: 10.2105/AJPH.2004.051441 World Health Organization. (2007). Maternal mortality in 2005: Estimates developed by WHO, UNICEF, UNFPA, and the World Bank. Retrieved from http://www.who.int/whosis/mme_2005.pdf