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Get Help Now!NR 586 Week 2 Concept Map- Homelessness
Student Name
Chamberlain University
NR-586: Population Health and Epidemiology for Advanced Nursing Practice
Prof. Name
Date
Vulnerable Population: Homeless Individuals
Homeless individuals constitute one of the most marginalized and vulnerable populations in society. Their vulnerability arises from the absence of permanent housing, unstable income, and limited access to healthcare. They often endure harsh environmental conditions, chronic stress, and systemic barriers that adversely affect both physical and mental well-being. Many also experience trauma, unemployment, and social discrimination, which further intensify their health risks and hinder stability.
Variables That Place the Population at Risk
Homelessness is the result of intertwined economic, environmental, and psychosocial challenges. These interrelated variables create a cycle of poverty and health disparities that are difficult to break.
Risk Variables Among Homeless Individuals
| Risk Variables | Description |
|---|---|
| Extreme poverty & lack of affordable housing | Limited financial resources and high housing costs prevent access to safe, stable housing. |
| Increased housing costs | Rising rental prices further restrict shelter options for low-income individuals. |
| Low wages or job instability | Employment opportunities are often temporary, low-paying, or unavailable. |
| Increased medical expenses | High healthcare costs result in untreated or delayed medical care. |
| Substance abuse & mental illness | Frequently co-occurring, increasing vulnerability and social stigma. |
| Trauma & stress | Past trauma and current hardships elevate psychological distress. |
| Self-medication | Drugs or alcohol are used as coping mechanisms, worsening health outcomes. |
| Unemployment | Joblessness reduces economic independence and housing security. |
| Discrimination | Negative stereotypes limit access to resources and opportunities. |
| Transportation barriers | Restricted mobility impedes access to healthcare, food, and employment. |
| Physical or cognitive disabilities | Disabilities hinder self-sufficiency and daily functioning. |
These interconnected factors reinforce a cycle of disadvantage, making it difficult for homeless individuals to regain stability or reintegrate into society.
Health Risks or Disparities
Homeless individuals face a wide range of health risks due to inadequate shelter, poor nutrition, and limited access to preventive healthcare. Compared to the general population, they experience a higher prevalence of acute and chronic medical conditions.
Common Health Risks Among Homeless Individuals
| Health Risks/Disparities | Description |
|---|---|
| Infectious diseases & chronic conditions | Increased incidence of tuberculosis, HIV/AIDS, cardiovascular diseases, and diabetes. |
| Respiratory infections | Exposure to cold, damp conditions and crowded shelters contributes to bronchitis and pneumonia. |
| Skin conditions & injuries | Poor hygiene and unsafe environments lead to infections, wounds, and infestations. |
| Malnutrition | Inadequate access to nutritious food weakens immunity and causes fatigue. |
| Dental issues | Lack of oral healthcare results in tooth loss, pain, and infections. |
| Mental health challenges | High prevalence of depression, PTSD, anxiety, and suicidal ideation. |
| Barriers to mental health services | Stigma, financial limitations, and accessibility issues delay or prevent treatment. |
These health disparities underscore the urgent need for community-based interventions that address both immediate healthcare needs and long-term prevention.
Prioritization of Needs
Homeless individuals often prioritize immediate survival—such as food, shelter, and safety—over preventive healthcare or long-term wellness. This survival-driven mindset delays medical treatment, allowing minor health issues to develop into serious conditions. Consequently, the reliance on emergency care perpetuates poor health outcomes and increases healthcare costs at individual and societal levels.
Lack of Support and Resources
Social support systems play an essential role in maintaining health and well-being. However, homeless individuals frequently lack stable family or community support networks, leaving them isolated and with few avenues for assistance. Barriers within government programs, fragmented healthcare systems, and insufficient affordable housing exacerbate their challenges. Addressing these issues requires coordinated efforts among public health agencies, policymakers, and nonprofit organizations to create sustainable solutions for housing, healthcare access, and employment opportunities.
References
Baggett, T. P., Keyes, H., Sporn, N., & Gaeta, J. M. (2020). Prevalence of SARS-CoV-2 infection in residents of a large homeless shelter in Boston. JAMA, 323(21), 2191–2192. https://doi.org/10.1001/jama.2020.6887
Fazel, S., Geddes, J. R., & Kushel, M. (2014). The health of homeless people in high-income countries: Descriptive epidemiology, health consequences, and clinical and policy recommendations. The Lancet, 384(9953), 1529–1540. https://doi.org/10.1016/S0140-6736(14)61132-6
NR 586 Week 2 Concept Map- Homelessness
National Health Care for the Homeless Council. (2021). Homelessness & health: What’s the connection? https://nhchc.org/
Tsai, J., & Wilson, M. (2020). COVID-19: A potential public health problem for homeless populations. The Lancet Public Health, 5(4), e186–e187. https://doi.org/10.1016/S2468-2667(20)30053-0
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