Evidence map›Paper›PMID 36402852›Full record

ArticleMedicine, health care, and philosophy2023

Vulnerability, ageism, and health: is it helpful to label older adults as a vulnerable group in health care?

Elisabeth Langmann

Abstract read
In one paragraph

Article in Medicine, health care, and philosophy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed.

  1. Trial
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  4. Clashing Perspectives? Two Approaches to the Desirability of Biological Aging.Health care analysis : HCA : journal of health philosophy and policy · 2026
    Article
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  18. Perspectives on vulnerability from the narratives of older migrants.Zeitschrift fur Gerontologie und Geriatrie · 2024
    Review
  19. Vulnerability and narrative in later life.Zeitschrift fur Gerontologie und Geriatrie · 2024
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

Elisabeth LangmannInstitute of Ethics and History of Medicine, University of Tübingen, Gartenstraße 47, Tübingen, 72074, Germany. elisabeth.langmann@uni-tuebingen.de.ORCID http://orcid.org/0000-0003-1678-3073

Funding

Eberhard Karls Universität Tübingen Eberhard Karls Universität Tübingen
6 · The paper itself

Abstract

Despite the diversity of ageing, society and academics often describe and label older persons as a vulnerable group. As the term vulnerability is frequently interchangeably used with frailty, dependence, or loss of autonomy, a connection between older age and deficits is promoted. Concerning this, the question arises to what extent it may be helpful to refer to older persons as vulnerable specifically in the context of health care. After analyzing different notions of vulnerability, I argue that it is illegitimate to conclude that older age is related to increased vulnerability. Much more, identifying older adults as a vulnerable group is closely related to ageism and can be associated with paternalistic benevolence and a tendency to overprotection, especially within health care. Additionally, even though older adults are more often in situations of increased vulnerability due to their potentially higher need for health care, I argue further that older adults mainly become a vulnerable group due to ageism. In this way, it can be concluded that the vulnerability of older adults does not originate in certain attributes of the group, but arises from a characteristic of society and, in turn, health personnel, namely ageism. Labeling older adults as vulnerable therefore is only helpful, when it is used to raise awareness of the widespread ageism in society, in this context, especially in the setting of health care, and the negative consequences thereof for older adults.

Indexed as

AgeismAgedAged, 80 and overAgingDelivery of Health CareHealth PersonnelHumansPaternalismAgeismEthicsHealthcareOlderadultsVulnerability

Identifiers

PMID36402852
PMCPMC9676836

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.