THE SOCIAL DETERMINANTS OF VULNERABILITY FRAMEWORK
The Social Determinants of Vulnerability Framework provides cities with a way to base mitigation, response, and recovery mission areas on the needs of people in their jurisdiction. Local emergency management analysis, planning, decision-making, and assignment of available resources must be equitable and respect the human rights of constituents. Exclusion of socially vulnerable populations in any of the emergency management mission areas, whether intentional or not, may be a violation of civil rights. The Social Determinants of Vulnerability Framework supports urban areas to reduce the likelihood of excluding the most vulnerable populations while respecting the complexity of their social circumstances.
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.