En 2018, Quelle est la définition du concept de vulnérabilité dans la littérature médicale ? Revue systématique

Abstract : For the last ten years, “vulnerability” and “vulnerable populations” have been used in medical literature. SPICES (Scaling up Packages of Interventions for Cardiovascular disease prevention in selected sites in Europe and Sub-saharian africa) is an implementation study which will implement effective primary cardiovascular prevention interventions. It targets populations who are usually excluded from prevention. Those populations could fall within the definition of vulnerable populations. Research question : what is the definition of vulnerability in the medical literature? Methods : a systematic review was conducted on Cochrane, Medline, Pubmed and Google Scholar databases using the PRISMA methodology. Meta-analyzes, systematic reviews and randomized controlled trials were included if they followed the IMRAD format, were in English or French, addressed vulnerability or vulnerable populations and were published to January 2018. Definitions were compared and classified using the MesH terminology and a similarity software. A frequency of vulnerability factors among the definitions was calculated. Results : of the 588 eligible articles, 15 articles were initially included. Their bibliography was screened adding 13 articles. There was no consensual definition of vulnerability. The most frequent vulnerability factors were elderly (68%), race and ethnic minorities (64%), chronic conditions (64%), low income (57%), limited access to care and services (50%). Three studies used the EquiFrame framework, which promoted inclusion of vulnerable groups for health policies. Aday’s definition referred to vulnerable subpopulations. Discussion : the term of "vulnerable populations” did not fit to the SPICES project. Aday’s definition seemed the most appropriate for medical research. A consensual definition of vulnerability would be needed.
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Master Thesis
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Ludovic Even. En 2018, Quelle est la définition du concept de vulnérabilité dans la littérature médicale ? Revue systématique. Life Sciences [q-bio]. 2018. ⟨dumas-01926226⟩

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