ArticlePloS one2019
Towards a universal concept of vulnerability: Broadening the evidence from the elderly to perinatal health using a Delphi approach.
Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Towards Establishing Shared Terminology for Person-Centred Care: A Modified Delphi Study With Consumers and Health Professionals.Health expectations : an international journal of public participation in health care and health policy · 2026Article
- A mixed-methods evaluation of outreach service provision by the "Strengthening Migrant Access to Reproductive Health in Thailand" Initiative, 2020-2024.Frontiers in global women's health · 2026Article
- Predicting population-level vulnerability among pregnant women using routinely collected data and the added relevance of self-reported data.European journal of public health · 2024Article
- Development and validation of a Context-sensitive Positive Health Questionnaire (CPHQ): A factor analysis and multivariate regression study.Journal of patient-reported outcomes · 2024Article
- Vulnerabilities and reparative strategies during pregnancy, childbirth, and the postpartum period: moving from rhetoric to action.EClinicalMedicine · 2024Review
- Comprehensive analysis of vulnerability status and associated affect factors among prehospital emergency patients: a single-center descriptive cross-sectional study.Frontiers in public health · 2024Article
- Preparing for the next outbreak: A review of indices measuring outbreak preparedness, vulnerability, and resilience.Preventive medicine reports · 2023Review
- Defining vulnerability subgroups among pregnant women using pre-pregnancy information: a latent class analysis.European journal of public health · 2023Article
- Group Care in the first 1000 days: implementation and process evaluation of contextually adapted antenatal and postnatal group care targeting diverse vulnerable populations in high-, middle- and low-resource settings.Implementation science communications · 2022Article
- Connections and Biases in Health Equity and Culture Research: A Semantic Network Analysis.Frontiers in public health · 2022Article
- Population Vulnerability to the SARS-CoV-2 Virus Infection. A County-Level Geographical-Methodological Approach in Romania.GeoHealth · 2021Article
- Article
- Social capital or vulnerability: Which has the stronger connection with selected U.S. health outcomes?SSM - population health · 2021Article
- Care and cost trajectories of asylum seekers in a nurse-led, patient centered, care network in Switzerland.BMC health services research · 2021Article
- Value-based chronic care model approach for vulnerable older patients with multiple chronic conditions.Journal of gastrointestinal oncology · 2021Review
- Socio-ethical Dimension of COVID-19 Prevention Mechanism-The Triumph of Care Ethics.Asian bioethics review · 2020Article
- Long-term survival and cause-specific mortality of patients newly diagnosed with tuberculosis in São Paulo state, Brazil, 2010-15: a population-based, longitudinal study.The Lancet. Infectious diseases · 2020Article
- COVID-19 infodemic and digital health literacy in vulnerable populations: A scoping review.Digital healthArticle
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4 authors.
Funding
Abstract
backgroundThe concept 'vulnerability' is prevalent in the public domain, health care, social institutions and multidisciplinary research. Conceptual heterogeneity is present, hampering the creation of a common evidence-base of research achievements and successful policies. Recently an international expert group combined a specific literature review with a 2-stage Delphi procedure, arriving at a seemingly universal concept of vulnerability for the elderly with applications for research instruments. We replicated and extended this study, to generalize this result to health in general, and perinatal health in particular.
methodsTwo independent expert panels (general health, perinatal health) repeated the Delphi-procedure, using an extended and updated literature review to derive statements on the concept and defining pathways of vulnerability. Additional views were collected on research tools. Consensus-by-design was explicitly avoided. Data collection and processing was independent.
resultsBoth panels showed surprising convergence on the pathways of vulnerability to health/ill-health, and their interaction. The agreed conceptual model describes a dynamic relation between health and ill-health and vulnerability. The 2 key pathways that link to vulnerability, are complementary, but not symmetrical as biological processes of maintaining health or obtaining better health are not reciprocal to recovery, so also not in terms of vulnerability impacts. An individual's degree of vulnerability is the net balance of risk effects and protective and healing factors (socially, biologically and in terms of health literacy and health care access). These factors can for measurement purposes (according to the panels: interview for exploration, checklists for population research) be grouped into 'material resources', 'taking responsibility for one's own health', 'risky activities and behaviors', and 'social support'. Supportive and transforming action can thus be undertaken.
conclusionA universal concept of vulnerability in the context of health was successfully derived after careful replication and extension of an international Delphi study on vulnerability among the elderly.
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