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The Seychelles Kestrel Falco araeus is an endemic species confined to the larger granitic islands in the Seychelles archipelago. It is classified as “Vulnerable” and became extinct on Praslin and La Digue islands in the 1970s, leading to an attempt of reintroduction in 1977. This reintroduction was not a success, with the last census reporting only four breeding pairs on Praslin Island. Studies on the Seychelles Kestrel are very limited and dated, and a lack of data on the biology and ecology of the species has made it difficult to make a thorough assessment of the cause of the current decline of the Praslin population. In order to determine the limiting factors on Praslin we investigated the following ecological parameters: nest-site availability, trophic availability, predatory pressure, and interspecific competition. Data were collected on Mahé and Praslin islands in three habitats (i.e. urban, suburban, and forest areas) and compared to determine if limiting factors differed among islands, habitats, and islands*habitat. We only found a significant difference in nest-site availability, with Praslin showing a marked lack of nesting cavities. Breeding pairs on Praslin are probably forced to nest in suboptimal sites. Indeed, the breeding success rate on Praslin is very low, and most of the nests there fail. The Seychelles Kestrel population on Praslin is in decline and cannot be sustained without human intervention. Such an intervention must take into account the ecological parameters highlighted in the present study.
The restrictive measures taken by nursing homes during the COVID-19 outbreak in 2020 (e.g., quarantine) may have been important stressors for which residents needed resilience to safeguard their well-being. Based on 30 semi-structured interviews with nursing home residents and close relatives, this study explored the lived experiences with respect to the restrictive measures. The data were collected in psychogeriatric, somatic, and mixed wards in The Netherlands and Flanders, Belgium. The restrictive measures were important stressors for residents, indicated by feelings of loneliness, sadness, and powerlessness. To deal with these measures, residents used various resources, which were determined by factors in the individual (e.g., health), interactional (e.g., possibilities for social interactions) and contextual (e.g. nursing home policy) domains. Because the lived experiences with respect to the restrictive measures seemed to relate to the resilience of nursing home residents, it is crucial to reinforce resources in the individual, interactional, and contextual domains.
People tend to want to know the explicit details of crimes, including descriptions of violence and carnage. The author discusses her team’s research, and the research of others when possible, on the places where female serial killers (FSKs) commit their crimes, which typically includes a suburb, and the primary means FSKs use to commit murder, the most common of which is poison. The author presents information on the victims of FSKs, including the average number deceased, and victim age, vulnerability, familiarity, relatedness. Startlingly, more than half of FSKs killed children, more than three-quarters of FSKs killed someone vulnerable and in their care, more than 90% killed at least one person they knew, and more than 60% were related to at least one victim by blood or marriage. The cases of FSKs Tammy Corbett, Genene Jones, and Nanny Doss are presented to illustrate chapter concepts.
More than three in 10 people living in Jordan are immigrants, with the majority being Palestinian and Syrian refugees, who have a very similar non-communicable diseases (NCDs) profile to the hosting Jordanian community. We conducted a rapid review of the literature of studies, reports, and documents on the evidence of the impact of COVID-19 on vulnerable populations in Jordan with regard to NCD during the first year of the pandemic. COVID-19-related mobility constraints and often lack of awareness of NCDs put additional burden on vulnerable populations like refugees and migrants, in particular on non-registered migrants. COVID-19 pandemic and associated mitigation measures led to disruption in routine health services, significantly impacting people living with NCDs. Ensuring to deliver a people-centered and inclusive approach that works well during COVID-19 is of paramount importance toward Universal Health Coverage (all people have access to the health services they need, when and where they need them, without financial hardship).
Neoliberal policies of industrial relations decentralisation and privatisation have transformed the economic landscape of Australia in the last 20 years. The primary objective of these policies has been to enhance wealth and prosperity by improving productivity and flexibility of the workforce and competition and accountability in the market. Yet the evidence suggests that precarious workers are not benefiting from this increased prosperity, indeed they suffer by comparison with all other workers. Cleaners are a subset of precarious workers who have been hard hit by the dual impacts of labour market decentralisation and privatisation. This study finds quantitative evidence of an increasing gap in earnings between cleaners and other workers in Australia since the onset of workplace relations decentralisation and the proliferation of privatisation in the mid 1990s. We locate our argument in recent debates about the nature of variegated neoliberalism, the emergence of the networked economy, and the implications of these developments for the nature of work and employment.
Natural disasters are becoming more common and destructive. There is a critical need to build accessible legal services for vulnerable populations that suffer disproportionately from natural disasters. Law schools, legal clinics, and law professors are well-positioned to serve vulnerable and marginalized communities and can address the issues of poverty and race that exacerbate the harm caused by natural disasters. Access to justice and civil legal aid after natural disasters should be rooted in preparedness and planning before the disaster. Understanding the nature of natural disasters, the ecosystem of response systems, existing networks, common legal issues, and the typical arc of recovery will help law schools, legal clinics, and lawyers prepare and plan for response. The models and lessons discussed in this chapter may help provide increased post disaster legal services to vulnerable people to empower them with confidence and tools to serve their communities. This chapter builds on lessons learned from previous natural disasters and offers information and insights on responsive program design, professionalism, and disaster response systems. Building a framework for institutional responses in the legal academy can advance and improve access to justice for vulnerable communities recovering after a disaster so that they can survive, rebuild and return home.
This chapter broadly covers what we know of the natural history of the olive colobus monkey, the only monotypic African colobine that shows a suite of unique traits. Distributed in the upper Guinea forests of West Africa, these cryptic, drab-coloured monkeys tend to form long-term and often permanent polyspecific associations with guenon groups as part of their predation avoidance strategy. They carry their infants in their mouths and show several morphological and behavioural traits (e.g., sexual swellings, canine dimorphism, extra-group copulations) that indicate that sexual selection has been important in their evolutionary history. They are selective feeders that favour young leaves and often eat lianas. No long-term studies are currently being conducted on olive colobus monkeys and there is much remaining to be discovered about their behaviour and ecology.
This study sought to identify coronavirus disease 2019 (COVID-19) risk communication materials distributed in Jamaica to mitigate the effects of the disease outbreak. It also sought to explore the effects of health risk communication on vulnerable groups in the context of the pandemic.
Methods:
A qualitative study was conducted, including a content analysis of health risk communications and in-depth interviews with 35 purposively selected elderly, physically disabled, persons with mental health disorders, representatives of government agencies, advocacy and service groups, and caregivers of the vulnerable. Axial coding was applied to data from the interviews, and all data were analyzed using the constant comparison technique.
Results:
Twelve of the 141 COVID-19 risk communication messages directly targeted the vulnerable. All participants were aware of the relevant risk communication and largely complied. Barriers to messaging awareness and compliance included inappropriate message medium for the deaf and blind, rural location, lack of Internet service or digital devices, limited technology skills, and limited connection to agencies that serve the vulnerable.
Conclusion:
The vulnerable are at increased risk in times of crisis. Accessibility of targeted information was inadequate for universal access to health information and support for vulnerable persons regardless of location and vulnerability.
Liberal ideas about personal autonomy, choice and independence emerged internationally in the 1960s. Changing agendas permitted younger people to make choices, even if risky, but older people were perceived as inevitably vulnerable, and despite their experience of life, their wishes were frequently ignored. For older people, clinically and scientifically, things edged on, albeit slowly. Promises of new services for an undervalued sector of the community were particularly vulnerable to political and economic fluctuations. The leadership had to advocate persistently for older people to receive appropriate levels and ranges of care equitable with those provided for younger adults. Ongoing and ageist themes over the fifty years have included prioritising services for younger patients; the double whammy of stigma of mental illness plus old age; and policy decisions based on short-term economic calculations rather than likely health and well-being outcomes.
Homelessness is a growing problem, with perhaps greater than a 150 million homeless people globally. The global community has prioritized the problem, as eradicating homelessness is one of the United Nation’s sustainability goals of 2030. Homelessness is a variable entity with individual, population, cultural, and regional characteristics complicating emergency preparedness. Overall, there are many factors that make homeless individuals and populations more vulnerable to disasters. These include, but are not limited to: shelter concerns, transportation, acute and chronic financial and material resource constraints, mental and physical health concerns, violence, and substance abuse. As such, homeless population classification as a special or vulnerable population with regard to disaster planning is well-accepted. Much work has been done regarding best practices of accounting for and accommodating special populations in all aspects of disaster management. Utilizing what is understood of homeless populations and emergency management for special populations, a review of disaster planning with recommendations for communities was conducted. Much of the literature on this subject generates from urban homeless in the United States, but it is assumed that some lessons learned and guidance will be translatable to other communities and settings.
The Rufous-throated Dipper Cinclus schulzi is endemic to the Southern Yungas of north-western Argentina and southern Bolivia. The species is categorised as ‘Vulnerable’ on the IUCN Red List on the basis of small population size and restricted range. The purpose of our study was to determine the distribution of potentially suitable habitat for the Rufous-throated Dipper, estimate its population size, and assess potential distribution within strict protected areas, in north-western Argentina. We surveyed 44 rivers in the Southern Yungas of Argentina from 2010 to 2013 to determine dipper density (i.e. the number of individuals detected per km surveyed). The dipper’s potential distribution was assessed using a maximum entropy modeling approach based on 31 occurrence points and eight bioclimatic and two topographic variables as predictors. The species is dependent on mountain forest rivers, so the potential distribution was restricted to rivers. We estimated dipper population size by multiplying density by the potential distribution along rivers. Finally, we calculated the extent of suitable habitat contained within the boundaries of Argentina´s National Parks. Dipper density was 0.94 ± 1.55 individuals/km. We estimate that within north-west Argentina there are ~2,815 km of river that are potential habitat, with an area of occupancy of 141 km2 and a population size of 2,657 ± 4,355 dippers. However, of this river extent, less than 5% is within National Parks. Our results highlight the need to create new and to enlarge existing National Parks that protect the potentially suitable habitat of the species. Although more information is needed for Bolivia, the country-level area of occupancy and population size of the dipper found in Argentina provides strong evidence that the IUCN Red List classification of this species as ‘Vulnerable’ is warranted.
To gain a clearer understanding of the attitudes of homeless women towards contraception in central London.
Background:
Homeless women are more vulnerable to sexually transmitted infections and unwanted pregnancies. This makes it imperative to address the health needs of this population. Evidence regarding the obstacles homeless women face when using contraception and accessing sexual/reproductive care is sparse, and almost non-existent in the United Kingdom (UK). American research has identified past experiences of women suffering side effects and their fear of serious health risks as deterrents of sustained contraceptive use among this population.
Method:
This study used convenience sampling and semi-structured face-to-face interviews. During the interview, a topic guide was used to ensure data relevant to the study aim were being collected. In total, 14 English-speaking women, previously street homeless and/or living in temporary accommodation from two homeless shelters located in central London, were interviewed.
Findings:
In summary, the results suggest this group of study respondents find ongoing access to advice on contraception services difficult largely because of their homelessness. This pre-eminent factor alongside their vulnerability inevitably means that other issues take precedence on a daily basis. Furthermore, issues such as individual choice of contraception and the perceptions of this group of women to health professionals ultimately determine whether women receive the services they need. Bearing in mind the paucity of studies in this area of homelessness, the results point to the need for more research and to the allied question ‘how is it best to provide contraceptive services to those women who find themselves homeless?’
The prisoner population is ageing, and consideration is needed for how to best support those with age-related health conditions in the system. Existing work practices and organizational structures often fail to meet the needs of prisoners with dementia, and prison staff experience high levels of burden because of the increased needs of these prisoners. Little is known about the best method of responding to the needs of this growing subpopulation of prisoners.
Method:
A scoping review was conducted to answer the question: what are the perceived best care options for prisoners with dementia? To be included, publications had to be publicly available, reported on research findings, or viewed opinions and commentaries on care practices relevant to older prisoners with dementia. Searches were conducted in 11 databases to identify relevant publications. Data from the included publications were extracted and summarized into themes.
Results:
Eight themes were identified that could support better care practices for prisoners with dementia: (1) early and ongoing screening for older prisoners; (2) specialized services; (3) specialized units; (4) programs or activities; (5) adaptations to current contexts; (6) early release or parole for older prisoners with dementia deemed at low risk of reoffending; and (7) training younger prisoners (8) as well as staff to assist older prisoners with dementia. Besides practical strategies improving care practice, costs, prison-specific resources, and staff skills were highlighted as care barriers across all themes. A lack of empirical evidence supported these findings.
Conclusion:
One of the implications of the international ageing prison population is the higher number of people living with dementia being incarcerated. Suggestions for best care approaches for prisoners with dementia now need to move from opinion to empirical approaches to guide practice.
To describe the design of the Feel4Diabetes-intervention and the baseline characteristics of the study sample.
Design
School- and community-based intervention with cluster-randomized design, aiming to promote healthy lifestyle and tackle obesity and obesity-related metabolic risk factors for the prevention of type 2 diabetes among families from vulnerable population groups. The intervention was implemented in 2016–2018 and included: (i) the ‘all-families’ component, provided to all children and their families via a school- and community-based intervention; and (ii) an additional component, the ‘high-risk families’ component, provided to high-risk families for diabetes as identified with a discrete manner by the FINDRISC questionnaire, which comprised seven counselling sessions (2016–2017) and a text-messaging intervention (2017–2018) delivered by trained health professionals in out-of-school settings. Although the intervention was adjusted to local needs and contextual circumstances, standardized protocols and procedures were used across all countries for the process, impact, outcome and cost-effectiveness evaluation of the intervention.
Setting
Primary schools and municipalities in six European countries.
Subjects
Families (primary-school children, their parents and grandparents) were recruited from the overall population in low/middle-income countries (Bulgaria, Hungary), from low socio-economic areas in high-income countries (Belgium, Finland) and from countries under austerity measures (Greece, Spain).
Results
The Feel4Diabetes-intervention reached 30 309 families from 236 primary schools. In total, 20 442 families were screened and 12 193 ‘all families’ and 2230 ‘high-risk families’ were measured at baseline.
Conclusions
The Feel4Diabetes-intervention is expected to provide evidence-based results and key learnings that could guide the design and scaling-up of affordable and potentially cost-effective population-based interventions for the prevention of type 2 diabetes.
Vulnerable groups are often excluded from clinical research on the basis of scientific, ethical and practical reasons. Although intended to protect vulnerable people and maintain study integrity, exclusion of vulnerable groups from research through use of standard exclusion criteria may not always be necessary and may result in findings that are not generalisable. Achieving a balance between the competing needs to protect vulnerable people and to make progress in our understanding of disorders and their management through research requires a reconsideration of exclusion criteria and consent processes to ensure vulnerable people are appropriately represented in clinical research. Reasons for development of broad exclusion criteria include both concrete barriers and intangible discouraging factors. This paper examines this situation and its consequences, perceived and real barriers to inclusion of vulnerable people in research, and suggests methods for overcoming these barriers and applying thoughtful exclusion criteria.
Abuse of vulnerable adults in institutional settings has been reported from various countries; however, there has been no systematic review of the characteristics of the victims and their abusers. Our aim was to identify and synthesise the literature on victims, perpetrators and institutions where abuse occured in order to inform interventions to prevent such abuse.
Methods
Searches of MEDLINE (OVID), CINHAL (EBSCO), EMBASE (OVID) and PsychINFO (OVID) databases identified 4279 references. After screening of titles and abstracts, 123 citations merited closer inspection. After applying inclusion and exclusion criteria, 22 articles were included in the review.
Results
Our review suggested that the evidence available on risk factors is not extensive but some conclusions can be drawn. Clients, staff, institutional and environmental factors appear to play a role in increasing the risk of abuse.
Conclusions
Vulnerable clients need closer monitoring. Clients and staff may lack the awareness and knowledge to identify and report abuse. Institutions should take proactive steps to monitor clients, train staff and devise systems that allow for the identification and prevention of incidents of abuse.There is a need for further research into the associations between the individual client, staff, institutional characteristics and abuse.
This article provides insights into how the concept of vulnerability operates in welfare and disciplinary processes for young people who are considered ‘vulnerable’. It reports from empirical qualitative research conducted in a large city in England which included interviews with vulnerable young people and with professionals working with this group. Findings highlight that despite differences of opinion about what constitutes ‘vulnerability’, it is a popular and powerful conceptual mechanism which underpins the delivery of service interventions for certain young people. A relationship between vulnerability and ‘transgression’ is revealed, calling into question dichotomous representations of young people as either ‘vulnerable victims’ or ‘dangerous wrong-doers’. It is argued that whilst it can be utilised in the pursuit of more ‘caring’ interventions with those who are seen to be ‘in need’, vulnerability is also a concept relevant to debates concerning selective welfare systems and behavioural regulation.
Morangaya pensilis is an endemic monotypic cactus genus from the southern part of the Baja California Peninsula, Mexico. Previously known only as scattered individuals occurring at a very low density in the highest areas of Sierra de La Laguna, the occurrence of a relatively more dense population (4–7 plants per 250 m2) is reported on Sierra Cacachilas, c. 40 km to the north. Disturbance to the species' habitat includes fragmentation, illegal collection and trade, and land use changes, especially to farming and cattle ranching. Seeds collected from Sierra Cacachilas had a relatively high viability (92%) but recruitment (of 2-month old seedlings) in the area was relatively low, despite above average rainfall in the year of measurement. M. pensilis is eligible for inclusion in Mexico's list of threatened species and fulfils the requirements for categorization as Vulnerable on the IUCN Red List. Management activities that are already taking place in this area include restrictions on cattle and goat grazing and consideration of areas suitable for translocation of the species.
The home range and movements of the quokka Setonix brachyurus, a medium-sized macropodid marsupial, were investigated using radio telemetry. Fifty-eight quokkas from five remnant mainland populations in the northern jarrah (Eucalyptus marginata) forest of Western Australia were radio-collared and monitored for up to 2 years between 1998 and 2000. Mean (±SE) home-range sizes were 6.39±0.77 ha and core ranges averaged 1.21±0.12 ha. Male core home ranges were larger than those of females although not when corrected for body mass. Nocturnal ranges were larger than diurnal owing to nocturnal departures from the swamp. Ranges shifted to the edge of swamps in winter, as the swamps became inundated following rain, and toward the centre in autumn as the swamps dried. Quokka populations are thought to exist below carrying capacity at all sites and this probably caused the lack of dispersal observed in this study. We hypothesize that predation is suppressing population booms which would otherwise drive dispersal and thereby maintain metapopulation dynamics. Without dispersal to rescue unpopulated patches, we conclude that the original quokka metapopulation has collapsed and ameliatory measures are required.