Vulnerable people, groups, and populations: societal view.

Vulnerability, the susceptibility to harm, results from an interaction between the resources available to individuals and communities and the life challenges they face. Vulnerability results from developmental problems, personal incapacities, disadvantaged social status, inadequacy of interpersonal networks and supports, degraded neighborhoods and environments, and the complex interactions of these factors over the life course. The priority given to varying vulnerabilities, or their neglect, reflects social values. Vulnerability may arise from individual, community, or larger population challenges and requires different types of policy interventions--from social and economic development of neighborhoods and communities, and educational and income policies, to individual medical interventions.

[1]  M. Khoury,et al.  From Public Health Emergency to Public Health Service: The Implications of Evolving Criteria for Newborn Screening Panels , 2006, Pediatrics.

[2]  K. Watkins,et al.  Supplemental Security Income (SSI), Disability Insurance (DI), and Substance Abusers , 1998, Community Mental Health Journal.

[3]  M. Lieberman,et al.  The stress process. , 1981, Journal of health and social behavior.

[4]  G. Watt,et al.  Education and occupational social class: which is the more important indicator of mortality risk? , 1998, Journal of epidemiology and community health.

[5]  G. Evans The environment of childhood poverty. , 2004, The American psychologist.

[6]  Joseph E. Zins,et al.  Enhancing school-based prevention and youth development through coordinated social, emotional, and academic learning. , 2003, The American psychologist.

[7]  D. Mechanic Population Health: Challenges for Science and Society , 2007, The Milbank quarterly.

[8]  D. Remler,et al.  What other programs can teach us: increasing participation in health insurance programs. , 2003, American journal of public health.

[9]  David Mechanic,et al.  Disadvantage, inequality, and social policy. , 2002, Health affairs.

[10]  L. Casalino,et al.  Disease management and the organization of physician practice. , 2005, JAMA.

[11]  K M Cummings,et al.  Tax, price and cigarette smoking: evidence from the tobacco documents and implications for tobacco company marketing strategies , 2002, Tobacco control.

[12]  McGinnis Jm,et al.  Actual causes of death in the United States. , 1993 .

[13]  Sandeep Vijan,et al.  The value of medical spending in the United States, 1960-2000. , 2006, The New England journal of medicine.

[14]  A. Monheit,et al.  The concentration of health care expenditures, revisited. , 2001, Health affairs.