Cover image for At risk in America : the health and health care needs of vulnerable populations in the United States
At risk in America : the health and health care needs of vulnerable populations in the United States
Aday, Lu Ann.
Personal Author:
Second edition.
Publication Information:
San Francisco : Jossey-Bass Publishers, [2001]

Physical Description:
xxiii, 372 pages ; 26 cm.
Format :


Call Number
Material Type
Home Location
Item Holds
RA418.5.P6 A3 2001 Adult Non-Fiction Central Closed Stacks

On Order



This updated second edition of At Risk in America provides a detailed analysis of those key population groups most vulnerable to disease and injury in the United States today-including homeless persons, refugees and immigrants, people living with AIDS, alcohol and substance abusers, high-risk mothers and infants, victims of family or other violence, and the chronically or mentally ill. Lu Ann Aday reviews the major theories and knowledge concerning these at-risk groups and offers new approaches and methodologies for tracing the social determinants and societal influences on health. She examines the specific health needs and risks faced by these groups, their experience in the health care system, the current policies and programs that serve them, and the research and policy initiatives that might be undertaken to help reduce their vulnerability.

Author Notes

Lu Ann Aday is professor of Behavioral Sciences and Management and Policy Sciences at the University of Texas, Houston, School of Public Health

Reviews 1

Choice Review

Since the first edition (1993) of this book, the intervening years have been good ones for the general welfare of the country, according to the key economic indicators of increasing per capita income, gross national product, and stock market value, with generally low unemployment and interest rates. This new edition is needed to determine if vulnerable populations (defined as being at risk of poor physical, psychological, or social health) have shared in this increasing largess of the nation, particularly as it applies to health and health care. Aday (Univ. of Texas, Houston) shows that in some ways there has been improvement, but in far too many instances there has been stagnation or decline in health indexes for these populations. This new edition provides extensive descriptions and analyses of trends during the 1990s, elaborates and extends Aday's theoretical framework of vulnerability, provides a systematic assessment of research needed to advance the understanding of the vulnerable and the health problems they face, and outlines a policy and plans of action to address these problems. A useful book for health care practitioners, teachers, researchers, and students of public health. Highly recommended. Undergraduates through faculty. J. M. Howe AIDS Information Center, VA Headquarters (DC)

Table of Contents

Ronald M. Andersen
Figures and Tablesp. xi
Forewordp. xiii
Prefacep. xv
Acknowledgmentsp. xxi
The Authorp. xxiii
1 Who Are the Vulnerable?p. 1
2 How Many Are Vulnerable?p. 16
3 Who Is Most Vulnerable?p. 54
4 Why Are They Vulnerable?p. 91
5 What Programs Address Their Needs?p. 117
6 Who Pays for Their Care?p. 159
7 How Good Is Their Access to Care?p. 179
8 How Much Does Their Care Cost?p. 200
9 What's the Quality of Their Care?p. 219
10 What Do We Still Need to Know?p. 239
11 What Programs and Policies Are Needed?p. 264
Resource A National Data Sources on Vulnerable Populationsp. 279
Resource B Source Notes on the Data Tablesp. 289
Referencesp. 295
Name Indexp. 353
Subject Indexp. 364