Conceptualizing vulnerable populations health-related research

Conceptualizing vulnerable populations health-related research
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DOI:
10.1097/00006199-199803000-00005
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发表时间:
1998-03-01
期刊:
影响因子:
2.5
通讯作者:
Winslow, BJ
Winslow, BJ
中科院分区:
医学4区
文献类型:
--
作者:
Flaskerud, JH;Winslow, BJ

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背景:脆弱人群研究的一个概念模型涉及资源的可用性和相对风险的健康状况。该模式以人口为基础,由社区负责公民的集体健康状况。弱势群体是指资源有限,因而发病和过早死亡风险相对较高的社会群体。有大量的研究证据支持模型中的主要关系。概念上的联系,需要额外的research.Conclusions:研究的影响,包括各种方法的问题,招募和留住参与者,仪器,和数据收集。研究设计需要超越描述性和流行病学方法,进入干预性和结果性研究。道德考虑对弱势群体具有特殊意义。
Background: A conceptual model for vulnerable populations research relates resource availability and relative risk to health status. The model has a population-based focus that places responsibility for the collective health status of its citizens with the community. Vulnerable populations are social groups who experience limited resources and consequent high relative risk for morbidity and premature mortality. There is considerable research evidence to support the major relationships in the model. Conceptual links that need additional research are identified.Conclusions: The implications for research include a variety of methodological problems related to recruiting and retaining participants, instrumentation, and data collection. Research designs are needed that move beyond descriptive and epidemiological approaches to interventional and outcome studies. Ethical considerations take on special significance with vulnerable populations.