Not the Usual Suspects: Addressing Layers of Vulnerability
Not the Usual Suspects: Addressing Layers of Vulnerability
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DOI：
10.1111/bioe.12035
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发表时间：
2013-07-01
期刊：
影响因子：
2.2
通讯作者：
Vanderpoel, Sheryl
中科院分区：
文献类型：
--
作者：
Luna, Florencia;Vanderpoel, Sheryl
本文挑战了医疗保健中脆弱性的传统观点，该观点将脆弱性概念化为可识别的亚群列表。这份常见嫌疑人名单主要针对资源较低的群体，是对脆弱性的狭隘描述。在本文中，我们认为在某些情况下，中产阶级也可能变得脆弱。我们提出了一种关系性和分层的脆弱性解释，并通过脐带血（CB）银行的案例研究探索了这一概念。在第一部分中，对比了两种不同的脆弱性处理方法：分类方法与分层方法。在第二部分中，我们描述了 CB 银行业务并介绍了阿根廷 CB 银行业务的案例研究。我们研究了中产阶级孕妇在考虑CB收集和储存时感受到的压力类型。在第三节中，我们使用CB银行案例研究来批评脆弱性的分类方法：该模型无法解释这些女性脆弱性的方式。对脆弱性的分层描述确定了中产阶级女性脆弱的几种方式。最后，本文通过利用分层方法，提出了如何设计公共卫生政策来克服脆弱性。
This paper challenges the traditional account of vulnerability in healthcare which conceptualizes vulnerability as a list of identifiable subpopulations. This list of usual suspects', focusing on groups from lower resource settings, is a narrow account of vulnerability. In this article we argue that in certain circumstances middle-class individuals can be also rendered vulnerable. We propose a relational and layered account of vulnerability and explore this concept using the case study of cord blood (CB) banking. In the first section, two different approaches to vulnerability' are contrasted: categorical versus layered. In the second section, we describe CB banking and present a case study of CB banking in Argentina. We examine the types of pressure that middle-class pregnant women feel when considering CB collection and storage. In section three, we use the CB banking case study to critique the categorical approach to vulnerability: this model is unable to account for the ways in which these women are vulnerable. A layered account of vulnerability identifies several ways in which middle-class women are vulnerable. Finally, by utilizing the layered approach, this paper suggests how public health policies could be designed to overcome vulnerabilities.