Description
Book SynopsisTable of ContentsFigures, Tables, Exhibits xi
Preface xv
The Authors xxi
1 A General Framework to Study Vulnerable Populations 1
Learning Objectives 1
Why Study Vulnerable Populations? 3
Models for Studying Vulnerability 7
The Vulnerability Model: A New Multilevel Conceptual Framework 15
Summary 27
Key Terms 27
Review Questions 28
Essay Questions 28
2 Community Determinants and Mechanisms Of Vulnerability 29
Learning Objectives 29
Race and Ethnicity 30
Socioeconomic Status 43
Health Insurance 68
Multiple Risk Factors 81
Summary 86
Key Terms 86
Review Questions 87
Essay Questions 87
3 Influence of Individual Risk Factors 88
Learning Objectives 88
Racial and Ethnic Disparities 89
Health Care Access 89
Health Care Quality 93
Health Status 97
Socioeconomic Status Disparities 103
Health Care Access 104
Health Care Quality 105
Health Status 108
Health Insurance Disparities 114
Health Care Access 114
Health Care Quality 116
Health Status 119
Summary 123
Key Terms 123
Review Questions 123
Essay Question 123
4 Influence of Multiple Risk Factors 124
Learning Objectives 124
Health Care Access 128
Quality of Health Care 135
Health Status 144
Summary 155
Key Terms 155
Review Questions 156
Essay Questions 156
5 Current Strategies to Serve Vulnerable Populations 157
Learning Objectives 157
Programs to Eliminate Racial and Ethnic Disparities 161
Programs to Eliminate Socioeconomic Disparities 176
Programs to Eliminate Disparities by Health Insurance 186
Summary 194
Key Terms 195
Review Questions 196
Essay Questions 196
6 Resolving Disparities in the United States 197
Learning Objectives 197
The Healthy People Initiative 198
Framework to Resolve Disparities 205
Resolving Disparities in Health and Health Care 210
Integrative Approaches to Resolving Disparities 227
Challenges and Barriers in Implementing the Strategies 236
Course of Action for Resolving Disparities 241
Summary 251
Key Terms 251
Review Questions 251
Essay Questions 251
References 253
Index 281
