Women are twice as likely to be depressed and have psychological disorders than men
Women are twice as likely to be depressed and have psychological disorders than men
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Women are twice as likely to be depressed and have psychological disorders than men (Prodan‐Bhalla & Browne2019). As a provider, it is important to screen all patients for depression, anxiety and suicidal ideation, but even more important to screen women as they have higher rates of these disorders. Marginalized women often have unhealthy diets, live in poverty, and have less access to health care than others. Another thing providers can do to ensure good care for marginalized women is to screen them for abuse at each visit. Marginalized women are less likely to seek healthcare due to mistrust and long wait times (Prodan‐Bhalla & Browne2019). A third way providers can mitigate social impacts on this population is by participating in outreach programs which provide services for homeless women. Women’s Hearth is one great example of a successful program which benefits high risk women who are homeless, on drugs or have psychological disorders. (Toolis et al., 2022). By participating in programs like Women’s Hearth, providers can help this vulnerable population and reshape values of equal worth and empower women (Toolis et al., 2022). Providers can volunteer at classes and activities which are aimed at assisting marginalized women in poverty reach their goals and gain skills to improve their situation (Toolis et al., 2022). As primary care providers, NP’s are well positioned to provide preventative medicine which ideally causes resistance to disease (Lee et al., 2020). Primary care of women, pregnant women and young children is perhaps the most impactful demographic for disease prevention through education, support, and modifiable risk factor interventions (Lee et al., 2020).
Healthcare policy can have a huge impact on marginalized populations like women, children, and childbearing families at the federal, state and local levels. Federal policy affects funding for Medicaid and special supplemental nutrition programs for women, infants and children, WIC programs. States disperse these funds and manage the programs. Local government, health departments, and providers then accept these patients and utilize the funding for its intended purpose. Policy along this pathway can be streamlined and made accessible and easy for marginalized women, but it may not always benefit them. One example of this is when the WIC program underwent emergency changes in it’s policy due to the COVID pandemic. One study found that participants of the WIC program significantly increased their purchases of junk food and sweetened beverages where other groups did not (Duffy et al., 2022). In addition, a small pilot study in California found that an additional $40 fruit and vegetable credit for those with WIC benefits did not increase the fruit and vegetable consumption of this group nor decrease the food insecurity (Ridberg et al., 2022). Interestingly, this study was conducted before March 2021 when the federal government did approve a $43/month increase in WIC benefits for fruits and vegetables (Ridberg et al., 2022). In general, the WIC program provides a wonderful benefit to marginalized women and children by providing them financial support for nutritious food. It is important in our evidence-based world however, to verify that our government healthcare policies are in fact getting the desired results. There may be regional differences based on how state and local governments educated the population on these new WIC benefits, and differences in food availability and prices.
Reference
Duffy, E., Taillie, L.S., & Ng, S.W. (2022). Estimating the effects of COVID-19 on WIC participant food purchases. Current developments in Nutrition, 6. https://academic.oup.com/cdn/article/6/Supplement_…
Lee, D., Starr, N. B., Brady, M. A., Gaylord, N. M., Driessnack, M., & Duderstadt, K. (2020). Burns’ pediatric primary care (7th ed.). Elsevier.
Prodan‐Bhalla, N., & Browne, A. J. (2019). Exploring women’s health care experiences through an equity lens: Findings from a community clinic serving marginalised womenLinks to an external site.Links to an external site.. Journal of Clinical Nursing, 28(19-20), 3459-3469. https://doi.org/10.1111/jocn.14937
Ridberg, R.A., Levi, R., Marpadga, S., Akers, M., Tancredi, D.J., & Seligman, H.K. (2022). Additional fruit and vegetable vouchers for pregnant WIC clients: an equity-focused strategy to improve food security and diet quality. Nutrients, 14(11), 2328. https://www.proquest.com/docview/2674382413?parent…
Toolis, E., Dutt, A, Wren, A., & Jackson-Gordon, R. (2022). “It’s a place to feel like part of the community”: Counterspace, inclusion and empowerment in a drop-in center for homeless and marginalized women. American Journal of Community Psychology, 70(1), 102-116. https://onlinelibrary-wiley-com.chamberlainunivers…
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Masters Nursing
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