Mechanic David, Tanner Jennifer
Institute for Health, Health Care Policy, and Aging Research, Rutgers, the State University of New Jersey, New Brunswick, NJ, USA.
Health Aff (Millwood). 2007 Sep-Oct;26(5):1220-30. doi: 10.1377/hlthaff.26.5.1220.
Vulnerability, the susceptibility to harm, results from an interaction between the resources available to individuals and communities and the life challenges they face. Vulnerability results from developmental problems, personal incapacities, disadvantaged social status, inadequacy of interpersonal networks and supports, degraded neighborhoods and environments, and the complex interactions of these factors over the life course. The priority given to varying vulnerabilities, or their neglect, reflects social values. Vulnerability may arise from individual, community, or larger population challenges and requires different types of policy interventions--from social and economic development of neighborhoods and communities, and educational and income policies, to individual medical interventions.
脆弱性，即易受伤害性，源于个人和社区可利用的资源与他们所面临的生活挑战之间的相互作用。脆弱性产生于发育问题、个人能力不足、社会地位不利、人际网络和支持不足、社区和环境恶化，以及这些因素在生命历程中的复杂相互作用。对不同脆弱性的重视或忽视反映了社会价值观。脆弱性可能源于个人、社区或更大范围人群所面临的挑战，需要不同类型的政策干预——从社区和邻里的社会经济发展、教育和收入政策，到个人医疗干预。
