Social Determinants of Vulnerability Framework

Social Determinants of Vulnerability Framework

The link analysis identified seven pre-disaster social factors: children, people with disabilities, older adults, chronic and acute medical illness, social isolation, low-to-no income, and people of color. While each factor alone may present challenges for individuals, the interaction of these social factors intensifies vulnerability. People with these pre-disaster factors are more likely to be exposed to post-incident outcomes such as injury, illness, and death; displacement; limited access to post-emergency services; domestic violence; loss of employment, and property damage. 

Pre-incident social conditions represent the existing social vulnerability of people in cities. These social factors are based on a review of purposively selected literature regarding social vulnerability primarily in the context of emergencies or health.  There were a total of 63 social factors. The social characteristics that had ten or more associated social factors became part of the framework: chronic and acute medical illness, people of color, low-to-no income, children, older adults, people with disabilities, and social isolation. These seven social factors appear in the resultant Social Determinants of Vulnerability Framework.

Post-incident outcomes represent the types of impacts from an emergency or disaster people may experience. There were a total of eight post-incident outcomes from the literature. Six of the eight had at least one link to pre-incident social conditions: access to post-incident services; displacement; injury, illness, and death; loss of employment; property damage; and domestic violence. These post-incident consequences were directly or indirectly related to all of the pre-incident social factors in the Framework. However, they were most significantly related to three of them: social isolation, low-to-no income (had the most links to post-incident outcomes), and people of color.

Another View of the Link Analysis

This view has the social factors in the Social Determinants of Vulnerability Framework and the primary social factors they are directly related to.  The pink circles are the social factors that the literature lists as the ones we should be most concerned with (there were a total of 63). The purple circles are the social factors that the literature showed were related to the pink social factors. The larger the circle, the more connections there were to other social factors.

Abridged Link Analysis Results This view of the link analysis shows both the pre-incident or pre-emergency social factors that increase vulnerability. Additionally, it includes the poor outcomes that people with pre-emergency social factors are more likely to experience at a disproportionately higher level after emergencies (they are highlighted in yellow and connected to the label 'Post-Incident').

Abridged Link Analysis Results

This view of the link analysis shows both the pre-incident or pre-emergency social factors that increase vulnerability. Additionally, it includes the poor outcomes that people with pre-emergency social factors are more likely to experience at a disproportionately higher level after emergencies (they are highlighted in yellow and connected to the label 'Post-Incident').