Marginalization: Conceptualizing patient vulnerabilities in the framework of social determinants of health—An integrative review
Scientific advances in health care have been disproportionately distributed across social strata. Disease burden is also disproportionately distributed, with marginalized groups having the highest risk of poor health outcomes. Social determinants are thought to influence health care delivery and the...
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| Veröffentlicht in: | Nursing inquiry 2019-01, Vol.26 (1), p.e12268-n/a |
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| creator | Baah, Foster Osei Teitelman, Anne M. Riegel, Barbara |
| description | Scientific advances in health care have been disproportionately distributed across social strata. Disease burden is also disproportionately distributed, with marginalized groups having the highest risk of poor health outcomes. Social determinants are thought to influence health care delivery and the management of chronic diseases among marginalized groups, but the current conceptualization of social determinants lacks a critical focus on the experiences of people within their environment. The purpose of this article was to integrate the literature on marginalization and situate the concept in the framework of social determinants of health. We demonstrate that social position links marginalization and social determinants of health. This perspective provides a critical lens to assess the societal power dynamics that influence the construction of the socio‐environmental factors affecting health. Linking marginalization with social determinants of health can improve our understanding of the inequities in health care delivery and the disparities in chronic disease burden among vulnerable groups. |
| doi_str_mv | 10.1111/nin.12268 |
| format | Article |
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Disease burden is also disproportionately distributed, with marginalized groups having the highest risk of poor health outcomes. Social determinants are thought to influence health care delivery and the management of chronic diseases among marginalized groups, but the current conceptualization of social determinants lacks a critical focus on the experiences of people within their environment. The purpose of this article was to integrate the literature on marginalization and situate the concept in the framework of social determinants of health. We demonstrate that social position links marginalization and social determinants of health. This perspective provides a critical lens to assess the societal power dynamics that influence the construction of the socio‐environmental factors affecting health. Linking marginalization with social determinants of health can improve our understanding of the inequities in health care delivery and the disparities in chronic disease burden among vulnerable groups.</description><subject>Chronic illnesses</subject><subject>Clinical outcomes</subject><subject>Concept Formation</subject><subject>Health care delivery</subject><subject>Health disparities</subject><subject>Health status</subject><subject>Humans</subject><subject>Marginality</subject><subject>Nursing</subject><subject>Power</subject><subject>Social Determinants of Health - standards</subject><subject>Social exclusion</subject><subject>Social factors</subject><subject>Social Marginalization</subject><subject>Socioeconomic Factors</subject><subject>Vulnerable Populations</subject><issn>1320-7881</issn><issn>1440-1800</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp1kc1u1DAUhSMEoj-w4AWQJTZ0kdaOHcdhgVSNoFRqywbWluO5mXFx7MFOZlRWiGfgCfsk3GHaCpDwxtbxd4-OfYriBaPHDNdJcOGYVZVUj4p9JgQtmaL0MZ55RctGKbZXHOR8TSkKtXpa7HEqlJK83i9-XJq0cMF4982MLoY3ZBaDhdU4bSUXFmSFOoSRrCcfIJnOeYdCJi6QcQmkT2aATUxfSOxJjtYZT-YwQhrQNYx5Ky_B-HF5-_3nacCxERYJPddAEqwdbJ4VT3rjMzy_2w-Lz-_ffZp9KC8-np3PTi9KKwRXpWCqq1jfMhAWrO0bYB2di66W3M4lrerK1tz2lrfCygaVlvfKNA1tKipxkB8Wb3e-q6kbYG7xUcl4vUpuMOlGR-P03zfBLfUirrXkopKyRoPXdwYpfp0gj3pw2YL3JkCcsq4Yb2up6poi-uof9DpOCb95S8mWtdhWg9TRjrIp5pygfwjDqN42ixGC_t0ssi__TP9A3leJwMkO2DgPN_930lfnVzvLX87osdk</recordid><startdate>201901</startdate><enddate>201901</enddate><creator>Baah, Foster Osei</creator><creator>Teitelman, Anne M.</creator><creator>Riegel, Barbara</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-3836-9917</orcidid></search><sort><creationdate>201901</creationdate><title>Marginalization: Conceptualizing patient vulnerabilities in the framework of social determinants of health—An integrative review</title><author>Baah, Foster Osei ; Teitelman, Anne M. ; Riegel, Barbara</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4438-418b21f91e4ceccf7e1b0d4b563cd60252c53cfc394c67d6093f8a770720621f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Chronic illnesses</topic><topic>Clinical outcomes</topic><topic>Concept Formation</topic><topic>Health care delivery</topic><topic>Health disparities</topic><topic>Health status</topic><topic>Humans</topic><topic>Marginality</topic><topic>Nursing</topic><topic>Power</topic><topic>Social Determinants of Health - standards</topic><topic>Social exclusion</topic><topic>Social factors</topic><topic>Social Marginalization</topic><topic>Socioeconomic Factors</topic><topic>Vulnerable Populations</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Baah, Foster Osei</creatorcontrib><creatorcontrib>Teitelman, Anne M.</creatorcontrib><creatorcontrib>Riegel, Barbara</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Nursing inquiry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Baah, Foster Osei</au><au>Teitelman, Anne M.</au><au>Riegel, Barbara</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Marginalization: Conceptualizing patient vulnerabilities in the framework of social determinants of health—An integrative review</atitle><jtitle>Nursing inquiry</jtitle><addtitle>Nurs Inq</addtitle><date>2019-01</date><risdate>2019</risdate><volume>26</volume><issue>1</issue><spage>e12268</spage><epage>n/a</epage><pages>e12268-n/a</pages><issn>1320-7881</issn><eissn>1440-1800</eissn><abstract>Scientific advances in health care have been disproportionately distributed across social strata. 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| fulltext | fulltext |
| identifier | ISSN: 1320-7881 |
| ispartof | Nursing inquiry, 2019-01, Vol.26 (1), p.e12268-n/a |
| issn | 1320-7881 1440-1800 |
| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Chronic illnesses Clinical outcomes Concept Formation Health care delivery Health disparities Health status Humans Marginality Nursing Power Social Determinants of Health - standards Social exclusion Social factors Social Marginalization Socioeconomic Factors Vulnerable Populations |
| title | Marginalization: Conceptualizing patient vulnerabilities in the framework of social determinants of health—An integrative review |
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