Tuesday, November 22, 2011

The effects of poverty on children

As a child we lived below the poverty level.  My mother and father were divorced when I was three and my mother and I moved into a low income neighborhood.  She worked but received minimum wage.  She decided to enroll in college, but it took her several years to get her degree because she could only attend part time.  Those years were tough.  I can remember my mother asking me, “do you want those new shoes or groceries for the week?”  She wanted me to realize money was scarce and we had to provide for our needs before we could buy things we wanted.  I learned valuable lessons at a young age and also watched my mother work very hard juggling her job, school and taking care of me. 
Aside from the possibility of having an empty refrigerator, I also suffered in other ways.  My mom wasn’t home that much and I was either with family, a babysitter or alone quite a bit.  My mom also suffered from depression and I was tremendously impacted by that.  I often felt she was emotionally unavailable.  Also, I hurt for her and worried about her very much.  I suffered from depression myself and sometimes still battle the disorder.   
Speaking in developmental terms I know I was affected cognitively and psychosocially.  I did not ever have any problems with my grades but I will admit I was (and still am) a bit paranoid and insecure.   Emotionally I know I have suffered and have always been very dependent on my relationships with others, to the point of needy.  With age and experience, however, I feel better every day.  Also becoming a mother helped me grow and realize I have to be independent and strong for my own son.
When researching other areas of the world, I chose to find out more about poverty in Mexico.  When I was twenty years old, I traveled to Cancun.  It was my first time out of the country and the resort was beautiful.  We decided to venture out and go to the pyramids at Tulum.  We drove for a while and I was shocked at what I saw outside the resort area.  There were people living in cardboard houses.  It was surreal for me.  I guess I just thought everything was like the United States.  You can hear about it, but until you actually experience it, you don’t really know.
When I began to research children and poverty in Mexico, I came across the term “street children”.  UNICEF has classified three types of street children:  street-living, street-working, and street-family.  Here are the descriptions:
  • Street Living Children: children who ran away from their families and live alone on the streets.
  • Street Working Children: children who spend most of their time on the streets, fending for themselves, but returning home on a regular basis.
  • Children from Street Families: children who live on the streets with their families.
Mexican street children facts & statistics
  • Mexico City has 1,900,000 underprivileged and street children. 240,000 of these are abandoned children. (Action International Ministries)
  • In the central area of Mexico City there are 11,172 street children. 1,020 live in the street and 10,152 work there. (City of Mexico/Fideicomiso, Report, 1991)
  • In 1996, the Inter-American Development Bank and UNICEF estimated there were 40 million children living or working on the streets of Latin America--out of an estimated total population of 500 million.
  • Begging - Some 20% of the children survive by begging, 24% by selling goods, and others by doing subcontracting work. ("Over 5 Million Child Laborers in Mexico", Xinhua: Comtex, 14 September 2000, citing National System for the Integral Development of the Family (DIF), "Prevention, Attention, Discouragement and Eradication of Childhood Labor")
  • 8-11 million children under the age of 15 years are working in Mexico. (US Dept of Labor, Sweat and Toil of Children, 1994, citing US Dept of State, Human Rights Report, 1993)
As far as the effects of poverty on children, the American Psychological Association released the following information:
What are the effects of child poverty?
  • Psychological research has demonstrated that living in poverty has a wide range of negative effects on the physical and mental health and wellbeing of our nation’s children.
  • Poverty impacts children within their various contexts at home, in school, and in their neighborhoods and communities.
  • Poverty is linked with negative conditions such as substandard housing, homelessness, inadequate nutrition and food insecurity, inadequate child care, lack of access to health care, unsafe neighborhoods, and underresourced schools which adversely impact our nation’s children.
  • Poorer children and teens are also at greater risk for several negative outcomes such as poor academic achievement, school dropout, abuse and neglect, behavioral and socioemotional problems, physical health problems, and developmental delays.
  • These effects are compounded by the barriers children and their families encounter when trying to access physical and mental health care.
  • Economists estimate that child poverty costs the U.S. $500 billion a year in lost productivity in the work force and spending on health care and the criminal justice system.
Poverty and academic achievement
  • Poverty has a particularly adverse effect on the academic outcomes of children, especially during early childhood.
  • Chronic stress associated with living in poverty has been shown to adversely affect children’s concentration and memory which may impact their ability to learn.
  • School drop out rates are significantly higher for teens residing in poorer communities. In 2007, the dropout rate of students living in low-income families was about 10 times greater than the rate of their peers from high-income families (8.8% vs. 0.9%).
  • The academic achievement gap for poorer youth is particularly pronounced for low-income African American and Hispanic children compared with their more affluent White peers.
  • Underresourced schools in poorer communities struggle to meet the learning needs of their students and aid them in fulfilling their potential.
  • Inadequate education contributes to the cycle of poverty by making it more difficult for low-income children to lift themselves and future generations out of poverty.
Poverty and psychosocial outcomes
  • Children living in poverty are at greater risk of behavioral and emotional problems.
  • Some behavioral problems may include impulsiveness, difficulty getting along with peers, aggression, attention-deficit/hyperactivity disorder (ADHD) and conduct disorder.
  • Some emotional problems may include feelings of anxiety, depression, and low self-esteem.
  • Poverty and economic hardship is particularly difficult for parents who may experience chronic stress, depression, marital distress and exhibit harsher parenting behaviors. These are all linked to poor social and emotional outcomes for children.
  • Unsafe neighborhoods may expose low-income children to violence which can cause a number of psychosocial difficulties. Violence exposure can also predict future violent behavior in youth which places them at greater risk of injury and mortality and entry into the juvenile justice system.
Poverty and physical health
Children and teens living in poorer communities are at increased risk for a wide range of physical health problems:
  • Low birth weight
  • Poor nutrition which is manifested in the following ways:
a.     Inadequate food which can lead to food insecurity/hunger
b.     Lack of access to healthy foods and areas for play or sports which can lead to childhood overweight or obesity
  • Chronic conditions such as asthma, anemia, and pneumonia
  • Risky behaviors such as smoking or engaging in early sexual activity
  • Exposure to environmental contaminants, e.g., lead paint and toxic waste dumps
  • Exposure to violence in their communities which can lead to trauma, injury, disability, and mortality
Further information can be viewed at http://www.apa.org/pi/families/poverty.aspx#.



Friday, November 11, 2011

The nightmare of malnutrition

Malnutrition
The Food and Agriculture of the United Nations most recent report from 2008 indicates 850 million people are undernourished in the world.  This number represents 13% of the people on Earth.  Malnutrition in children is a very serious problem that can stunt children’s growth, weaken their immune system, and cause their brain to develop abnormally. 
The website for the Food and Agricultural Organization has a feature where you have access to a drop down menu and an interactive hunger map; when you select a country the percentage of those suffering from malnutrition epidemic is displayed.  The website is as follows:  http://www.fao.org/hunger/en/.  
After reviewing several countries, I chose to do some research on Haiti which is very close to Florida where I live.  The total population of Haiti is 9.7 million.  Of that total, 5.5 million, or 57% are malnourished.  This number is alarmingly high and it is from 2008.  Since then Haiti has been devastated by a hurricane and earthquake.  I found another website, www.wfp.org.  This is the page for the World Food Programme.  They listed the following information regarding Haiti:
Poverty, malnutrition, high food prices, hurricanes and now an earthquake. Here are ten facts that give the measure of the hunger crisis facing Haiti, a nation which was already struggling to feed itself even before the earthquake. 
  1. Assessments show that 3 million people may need humanitarian relief, including food assistance, in the wake of the earthquake.
  2. Even before the quake, 1.9 million people were ‘food insecure’, meaning they needed assistance to stave off hunger.
  3. Only 50 percent of Haiti population has access to safe drinking water.
  4. Some 55 percent of Haiti’s 9 million people live below the poverty line of US$1 a day.
  5. Rural households spend almost 60 percent of their income on food; the poorest groups spend more than 70 percent.
  6. Chronic malnutrition affects 24 percent of children under five, rising as high as 40 percent in the poorest zones.
  7. Poor diet means many women and children suffer from micronutrient deficiencies. Anemia affects 59 percent of children between the ages of six months and 5 years.
  8. During 2008, high food and fuel prices triggered violent demonstrations and political upheaval.
  9. In the same year, three hurricanes and one tropical storm struck Haiti, killing 800 people, destroying 27,000 homes and raising the general level of hunger.
  10. Food prices have declined since September 2008, but remain higher than the four-year average.
This county is suffering and children are not developing the way they should.  Every child should have the opportunity to experience a healthy development.  This information has really touched my heart and I will dedicate time to fight for providing these countries with food.  I run a Christian preschool and we are always trying to do things to help people.  Each year I will make it a goal to collect food and money in support of these countries.

Saturday, November 5, 2011

Personal Birth Experience

I gave birth to a beautiful baby boy, Riley Tarrant Wilson, on October 22, 2005.  I was working in the office of an OBGYN group, so I received top notch medical care and could have ultrasounds whenever I wanted.  The doctors and nurses were very supportive and I had a wonderful pregnancy. 

I remember the day I gave birth like it was yesterday.  It was a Saturday morning and I was a little over 38 weeks pregnant.  I had a bad cough left over from a cold I had just gotten over.  We decided to clean up the garage and run some errands.  We were in line for the drive up window at the bank and I had a cough attack.  All of the sudden I stopped and said, "I am not sure, but I think my water may have just broke".  We headed home and by the time we got there I was sure!  We called my doctor and he said he would meet us at the hospital.  When we arrived it was about 11am.  The staff prepped me for labor and my doctor saw me around 1pm.  He said I was only dialated to one and my water broke early because of my deep cough.  He stated it would most likely be a very long labor, between 24 and 36 hours.  He was known for his amazing c-section deliveries and asked me if I wanted to go that route.  He said I could have my baby by 5:30pm later that day, or be in labor until most likely Monday.  My ex-husband said, "Let's do it now my football game starts at 6:00pm and I want to watch it!".  Now you can see why he is my ex!  Anyway, I decided to go ahead and do the c-section because I could not bear the thought of having to wait so long in agony.

The nurses prepared me for the transfer and I was taken into the surgical room.  I had never had any type of surgeries before that point, so I was very nervous.  The surgical room was very white, cool and sterile.  Everyone had masks and scrubs on including my son's father.  They had me on the table and hung a barrier sheet between at just past my neck.  I was looking around and joking with them, saying I felt like I was on the TV show ER.  When I am nervous I tend to seek comic relief!  The had to insert an IV in my spine for the anesthesia and that was very scary.  They say if an error is made at this point it can cause serious damamge.  I felt it going in all the way up my spine and down my leg.  It felt like someone was tugging on my nerves.  Then I went totally numb from the chest down.  I was awake and totally aware and could only feel a bit of pressure whey they were making the incision.  They pulled my son out and I heard him cry, it was a crazy, amazing sound.  I was filled with so much emotion at that point.  The brought him to me and I looked at him.  His father held him and then they took him to clean him off.  Then, they had to finish everything up.  I was a bit scared at this point because I felt a ton of pressure on my chest and was having a hard time breathing has they moved things back into place and sewed me up.  Once that was over they took me into the recovery room.

I remember wanting something to drink so badly but they said I couldn't have anything for a while  After a while in recovery they took me back to my room where about 6 family members were waiting.  I felt horrible and the room was stuffy.  I really just wanted everyone to go away.  I was totally out of it.  Everyone was happy around me, and they all got to take part in washing the baby, taking his hand and foot prints, putting on his first diaper and dressing him.  I couldn't do any of it because I was drugged up.  After begging for something the drink the nurse was apprehensive but finally gave me an ice cube to suck on.  I immediately started vomitting. It was then I understood why I couldn't have anything.  Anyway, that night was horible.  I was having some sort of allergic reaction to the morphine.  I was scratching myself all night, all over my arms.  They asked me if I wanted my son to sleep in my room but I refused hoping to get some rest.  I figured they would take better care of him in the infant room since I was feeling bad.  The next day they switched my pain medication and I felt better.  They brought me my son and I had him with me the rest of the time.  I was in the hospital for three days and then it was off to motherhood!  My son was a wonderful baby - I was very fortunate!

If I had it to do over again I would probably do the same thing.  I will always wonder what it is like to deliver a baby naturally and it is a bit sad I missed out on that opportunity, but at the same time.  I only felt about one or two of my contractions where they started to get big enough and boy did they hurt!  Right when they started to come on it was time for my surgery.  The only thing I question is sometimes I hear people say that certain hormones are released when the baby is born that strengthen the mother's bond with the baby.  Not sure if that is true because I love my son very much, but it was always a concern when I heard it.

I did some research on how births take place in Ireland.  My decendants are from there so I thought it would be interesting.  I found a website, http://www.irishhealth.com/ and read an article about home births.  It does say that hospital births only became the norm a few decades ago, and an increasing number of women are returnign to the system of labor at home with a midwife as previous generations have done.  They claim that it is more comfortable, safer and less stressful for the newborn.  Home births take place in a bed or birthing pool.  The birthing pool is preferred by some because they feel water is a more natrual transition from the amniotic fluid.

I feel that births in Ireland are similiar to those of the United States, because many women in the US also choose home births.  I agree that it is best to be comfortable and natural.  I don't think I would have been as comfortable with having a c-section if I did not work for my OBGYN, see many patients and hear comments about how wonderful my doctor was with c-sections, and know, trust and love him the way I did.  It will be interesting to learn more about births and how they affect children.