NR 503 Discussion Global and Environmental Health

Sample Answer for NR 503 Discussion Global and Environmental Health Included After Question

Assignment Requirements

  1. Locate a lay press article from a national newspaper, for example, from The New York Times, The Washington Post, or other national publication. The article should be no more than three (3) years old.
    1. Locate an article on one of the following topics:
      1. Sex trafficking
      1. Environmental global health issue: For example, but not limited to: Safe water, sanitation, disasters, or oral health.
  2. Read over your chosen article and respond to the following:
    1. Provide a summary of your article. Include the name of the newspaper and author, as well as date of publication.Include data that supports the significance of the topic. For example, related deaths, health care costs, demographic information.During NR503, we have discussed the determinants of health, at-risk groups, social justice theory, outcomes, inter-professional collaboration, advocacy, and other concepts related to epidemiology and population health. How do the concepts addressed in NR503 relate to your article’s topic? Provide definitions and examples in your writing.
    1. Integrate information from the World Health Organization and the SDG’s.

A Sample Answer For the Assignment: NR 503 Discussion Global and Environmental Health

Title: NR 503 Discussion Global and Environmental Health

Article from New York Times on Sex Trafficking (July 19th, 2023)

Article title- When Children Are Bought and Sold by Nicholas Kristof.

Summary on article: The opinion columnist Nicholas Kristof recounts a time when he had met a 15-year-old girl who was trying to recover from being kidnapped and sold for sex by a pimp. The girl’s name was Melanie Thompson, and she goes on to explain how she and two other girls were invited out by some older boys in New York, and during the hang out they were provided alcohol, got drunk, and Melanie blacked out which resulted in her getting rapped. Following the encounter with the boys, Melanie was kidnapped by a pimp and held in an abandon house with another girl. She was then forced against her will to have sex with strangers. At this time, she was only 13 years old (Kristof, 2023).

The author explains that when he had met Melanie, she was in a residential program for girls who had been through the trafficking experience. Melanie was not only a victim of sex trafficking but spent years in foster care. The author correlates inability to finish high school and higher incidence of sex trafficking to the foster care system, in which he calls it a disgrace. Melanie graduated high school at age 19 after attending five different schools and after meeting Taina Bien-Aime, the executive director for Coalition Against Trafficking in Women (non-profit in NY), she started working with them as an outreach and advocacy coordinator (Kristof, 2023).

During Melanie’s experience in college to earn her B.A. in gender studies, she states she felt like an odd woman out with discussions of the sex trade by professors speaking about sex work for consenting adults as empowering. Melanie explains that although her situation did not involve consent, there still isn’t much empowering going on for adults, but mostly just vulnerable people being exploited.

In the state of New York there is a movement to decriminalize sex work, giving a green light to pimping and brothel keeping, but Melanie argues that full decriminalization will allow more abuse and exploitation and instead the focus should be not arresting prostitutes and continue to prosecute pimps and johns (Kristof, 2023). Melanie goes on to explain that the majority of vulnerable people to trafficking include black or brown victims, those coming out of foster care, and L.G.B.T.Q. youth who are marginalized. The opinion is that legalization will create more trafficking, not less (Kristof, 2023).

Include data that supports the significance of the topic. For example, related deaths, health care costs, demographic information.

According to the Interagency Task Force on Human Trafficking (ITF) (2021) there were 92% of confirmed cases of human trafficking, 22% were trafficked for labor purposes, 73% were trafficked for sex, and 3% were trafficked for the use of labor and sex. Out of the confirmed victims 11% were male and 89% were female (ITF, 2021). The region of confirmed victims showed 44% were in NYC, 22% in the Metro area, and 34% in Upstate NY (ITF, 2021). 76% of victims were over the age of 18 and considered adults, while 19% were minors (ITF, 2021).

Demographic data-

In the year 2021 there were 2.137 victims, 1905 were female, 231 were male, 1 was gender non-conforming, 1633 were adults, and 504 were minors younger than 18 (ITF, 2021). This demographic data did not include accounts of mortality or race.

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I found information form the Bureau of Justice Statistics (2022) which showed BJS’ activities during 2021 and 2022 for human trafficking: a total of 2.198 people were referred to U.S Attorneys for human trafficking offenses with 729 prosecuted. From the 1,169 defendants charged by the U.S. district court with human trafficking offenses, 92% were male, 63% were white, 18% were black, 17% were Hispanic, 95% were U.S. citizens, and 66% did not have prior convictions (BJS, 2022).

Offense-

Sex trafficking had 1,567, labor trafficking 459 victims, and 111 involved in both sex and labor trafficking (ITF, 2021). According to the ITF (2021) more than half of the victims were outside of NY city and “Metro” includes Dutchess, Nassau, Orange, Putnam, Rockland, Suffolk, Sullivan, Ulster, and Westchester counties.

During NR503, we have discussed the determinants of health, at-risk groups, social justice theory, outcomes, inter-professional collaboration, advocacy, and other concepts related to epidemiology and population health. How do the concepts addressed in NR503 relate to your article’s topic? Provide definitions and examples in your writing.

Determinants of health have a lot to do with my article and the type of people that are victimized in sex trafficking. Social determinants of health have to do with the conditions that people are born into, live, work, grow up in, and their age. Factors discussed throughout this class included income, education, housing, access to healthcare, and social support network. All of these concepts can greatly affect human trafficking and explain how some people are more at risk for becoming a victim. Those in poverty have a higher chance of being trafficked because they may be in desperate need of money and have less education or resources (NHTTAC, n.d.).

Lack of education creates vulnerability to manipulation and ignorance may make a person question if they have rights (NHTTAC, n.d.).

Being without a home can make a person feel isolated and desperate which will open them up to trafficking and engagement of riskier behaviors.

Trauma is another concern because people who have had previous physical or sexual abuse may be more vulnerable to being controlled or manipulated by someone who wants to exploit them.

According to the World Health Organization (2023) human trafficking affects millions of people globally, adults and children. Sex trafficking is the most common with women and children disproportionately affected by the trade (World Health Organization, 2023). Things that can be done to address human trafficking includes prevention through victim identification, support for survivors, and rescue. Survivors are at high risk for physical and mental health problems, STDs, physical injury, PTSD, depression, increased anxiety, and chronic health conditions (World Health Organization, 2023).

Reference:

Bureau of Justice Statistics. (2022). Human Trafficking Data Collection Activities, 2022. (NCJ305205). Retrieved from https://bjs.ojp.gov/library/publications/human-trafficking-data-collection-activities-2022

Kristof, N.D. (2023). When Children are Bought and Sold. The New York Times. Retrieved from https://www.nytimes.com/2023/07/19/opinion/legalization-sex-trade.htmlLinks to an external site.

Interagency Task Force on Human Trafficking (ITF). (2021). Annual Report. Retrieved from https://otda.ny.gov/programs/bria/trafficking/2021-Human-Trafficking-Annual-Report.pdfLinks to an external site.

National Human Trafficking Training and Technical Assistance Center. (NHTTAC) (n.d.). Using Social Determinants to Inform your Approach. Retrieved on October 10th, 2023 from https://nhttac.acf.hhs.gov/soar/eguide/respond/Using_Social_Determinants_to_Inform_ApproachLinks to an external site.

World Health Organization. (2023). Addressing Human Trafficking through Health Systems: A Scoping Review. Retrieved from https://www.who.int/europe/publications/i/item/9789289058827

A Sample Answer For the Assignment: NR 503 Discussion Global and Environmental Health

Title: NR 503 Discussion Global and Environmental Health

Beware of human trafficking coming to a clinic near you!! In practice you may come across this and so it is so important to be alert to signals, your “gut feeling” that something does not seem right, or patients who are not allowed to be alone in the exam room (by another) with you, pts who only the person with them answers questions, or your intuiting that something is amiss. The rate at which Human Trafficking is growing is shocking and most of you will come across it as NPs, if you have not already in your nursing career!

Many NP, PA and MDs in the past were not provided training in this as students, however in the past few years AMA had instituted training in medical school. AANP now has CME programs for NPs related to Human Trafficking. https://aanp.inreachce.com/Details/Information/d057ad58-631c-41c9-beb7-f0cc503e9604 (Links to an external site.)

I found many sources for this training for providers, students, and the general population online, which is encouraging.