Improving Care for At-Risk Populations

A special issue of Healthcare (ISSN 2227-9032).

Deadline for manuscript submissions: 30 June 2026 | Viewed by 1340

Special Issue Editor


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Guest Editor
School of Medicine, Western Paraná State University, Francisco Beltrão 85601-970, Brazil
Interests: epidemiology; quantitative research methods; minority health; evidence-based approaches; systematic reviews

Special Issue Information

Dear Colleagues,

Effective support for at-risk communities requires a comprehensive strategy that addresses the intricate interplay of societal, financial, and healthcare infrastructure. The principle of inverse care posits that those in greatest need frequently receive inadequate support, thereby exacerbating inequalities for low-income populations, racial and ethnic groups, and other groups at-risk. Public health crises further expose these vulnerabilities, as marginalized communities encounter intensified challenges, with increased health burdens and impediments to healthcare access. To mitigate these concerns, patient-focused healthcare frameworks emphasizing the understanding and fulfillment of patient needs can enhance outcomes and reduce disparities, particularly for minority and underserved populations.

Equitable outreach and health literacy improves healthcare access and trust in at-risk communities. An at-risk community approach seeks to reduce health inequalities by modifying social and environmental factors. Culturally attuned healthcare challenges traditional values by promoting social awareness and addressing power dynamics in patient–provider interactions, aiming to eradicate disparities. Collaborative strategizing and community involvement are crucial for developing effective, robust, and inclusive healthcare frameworks for at-risk groups. It is within this realm that we propose this Special Issue, inviting contributions from a wide spectrum of fields, such as public health and epidemiology, medicine, health promotion and education, global health, psychology, social work, nursing and allied health professions (occupational therapy, physical therapy, nutrition).

Dr. Guilherme W. Wendt
Guest Editor

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Keywords

  • public health and epidemiology
  • health promotion and education
  • global health
  • medicine
  • nursing
  • psychology and psychiatry
  • social work
  • occupational and physical therapy
  • nutrition

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Published Papers (1 paper)

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Research

17 pages, 532 KB  
Article
The Role of Ethnic Origin on Psychosocial Health in Portugal: An Examination of Risk and Protective Factors
by Jóni Ledo, Madalena Cruz, Henrique Pereira, Iara do Nascimento Teixeira, Guilherme Welter Wendt, Felipe Alckmin-Carvalho and Catarina Oliveira
Healthcare 2025, 13(23), 3071; https://doi.org/10.3390/healthcare13233071 - 26 Nov 2025
Viewed by 804
Abstract
Background: Social inequalities and vulnerability associated with ethnic and social minority status are risk factors for health inequities. Objective: To assess associations between psychosocial health, social discrimination, perceived social support, and resilience among people living in Portugal based on ethnic origin. Method: This [...] Read more.
Background: Social inequalities and vulnerability associated with ethnic and social minority status are risk factors for health inequities. Objective: To assess associations between psychosocial health, social discrimination, perceived social support, and resilience among people living in Portugal based on ethnic origin. Method: This is an observational and cross-sectional study carried out with 756 individuals aged between 18 and 84 (Mean = 39.3; Standard deviation = 13.79). The sample was probabilistic, and participants were recruited through convenience sampling, on online platforms. Participants responded to the Brief Symptom Inventory, Everyday Discrimination Scale, Multidimensional Scale of Perceived Social Support, Connor–Davidson Resilience Scale, and a sociodemographic questionnaire. Participants were divided into two groups, the first consisting of white Portuguese of European origin (majority group, n = 609, 80.56%) and the second consisting of black individuals, Afro-descendants, Roma, and Portuguese-Roma (minority group, n = 147, 19.44%). Results: Compared to the majority group, the minority group experienced greater structural disadvantages, including lower educational attainment, higher unemployment, and lower income, as well as significantly higher scores for psychological distress, social discrimination, perceived social support, and resilience. Regression analyses revealed that belonging to an ethnic minority predicts psychological distress, even when controlling for other variables. Social discrimination was found to be an important risk factor for psychological distress, while perceived social support and resilience were found to be protective factors. Conclusions: Our results provide preliminary evidence for developing public social policies to care for ethnic minority groups living in Portugal. Further, findings highlight the high frequency of discrimination reported by this group and its associated mental health problems, which underscore the importance of investing in anti-discrimination campaigns, establishing formal and informal social support mechanisms, and developing social strategies to empower and increase the resilience of these minority groups in Portugal. Full article
(This article belongs to the Special Issue Improving Care for At-Risk Populations)
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