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Vulnerable Groups

Vulnerable groups involve human samples considered particularly susceptible to coercion or undue influence in a research setting. A vulnerable group includes persons who may be incapable of understanding what it means to participate in research and/or who may not understand what constitutes informed consent. Individuals considered vulnerable may, for various reasons, have a diminished capacity to anticipate, cope with, resist, and/or recover from the impact of a natural or man-made hazard. Vulnerable groups may also consist of individuals who are unable to care for themselves and/or may have an increased chance of suicide, self-harm, or the likelihood of harming others.

Researchers’ assignment of vulnerable group status is both dynamic and relative, because the nature of those groupings is culturally dependent and those labeled as vulnerable are perceived as being in danger, at risk, under threat, susceptible to problems, helpless, and/or in need of protection or support. A situation that makes one person vulnerable may not make another person vulnerable. Being identified as a vulnerable group participant may also overlap with being identified as a victim or a troubled or troublesome individual.

Groups considered vulnerable can vary across academic disciplines, based on the frequency of practitioners’ or researchers’ interactions with those characteristics being studied. However, a nonexhaustive list of groups considered vulnerable across many human-research fields include children, the elderly, single parents, people with disabilities, ethnic minorities, those who are mentally disabled, asylum seekers and refugees, prisoners, pregnant women and fetuses, addicts, individuals with little social support, patients with an acute illness or chronic pain, victims of intimate and other forms of violence, and those who are homeless, economically disadvantaged, poor, illiterate, or unemployed. Some scholars argue that even students used as study participants are vulnerable if their research participation in a specific study (without reasonable alternatives) is mandatory for class credit.

This entry discusses the types of vulnerable groups, provides examples of inappropriate handling of vulnerable groups for research, and presents guidelines for protecting vulnerable groups during research studies.

Identifying Vulnerable Groups

Clearly, there are many different types of vulnerability that contribute to vulnerable group status. One type is the innate/personal, defined by characteristics unique to an individual person that may be sensitive. For example, innate/personal vulnerabilities may include psychological issues, such as anxiety disorders, Alzheimer’s disease, and autism, or issues affecting self-esteem, such as obesity, illiteracy, or nonstandard appearances. Another type of vulnerability includes structural/contextual/environmental factors, or circumstances that lead to a group status assigned by a culture or society. Being homeless, using particular drugs, being a (legal or illegal) sex worker, or living in a war-torn country are examples of external vulnerabilities determined by the structural norms or environmental factors in a given culture.

Vulnerability may depend not only on how a cultural label is employed but also on how the participants themselves perceive their vulnerable status. Emic vulnerabilities are those for which participants possess particular self-awareness. They are aware that their group status or identity is a stigmatized (or otherwise sensitive) one. Emic vulnerabilities may be based on any number of internal or external contributing factors (e.g., mental illness, intimate violence). Etic vulnerabilities, conversely, are those for which the participants themselves may not be aware of their vulnerable status or may not personally identify with the group label that others consider sensitive. In research contexts, etic vulnerabilities are often based on researchers’ identification of a particular demographic variable or group status that has been associated with health problems or social risks in previous research. For example, being a member of a denigrated caste or living below the poverty level are assumed to be stigmatizing situations and, thus, labeled as vulnerable. Ultimately, vulnerability is shaped by a number of intersecting influences such as individual perceptions, situations, and social, historical, political, and cultural factors.

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