Health最新文献 - Book学术

"Take personal responsibility": Biological citizenship and individualization in Turkish diabetes news. “承担个人责任”：土耳其糖尿病新闻中的生物公民和个体化。

IF 2 4区医学

Health Pub Date : 2026-10-17 DOI: 10.1177/13634593261491630

Semiray Yücebaş, Mesut Yücebaş, Hande Topel

{"title":"\"Take personal responsibility\": Biological citizenship and individualization in Turkish diabetes news.","authors":"Semiray Yücebaş, Mesut Yücebaş, Hande Topel","doi":"10.1177/13634593261491630","DOIUrl":"https://doi.org/10.1177/13634593261491630","url":null,"abstract":"This study examines how diabetes news in the Turkish national press articulates biological citizenship and how this discourse is shaped through sourcing practices. It is based on a qualitative content analysis of 139 diabetes-related news articles published on the websites of the Turkish newspapers Hürriyet and Sözcü throughout 2023. The analysis considers modes of news production, sourcing preferences, reported causes and complications of diabetes, and treatment and prevention recommendations. The findings show that diabetes coverage gives prominence to an individualizing register of biological citizenship, foregrounding lifestyle regulation, personal responsibility, and self-management. Social inequalities, structural determinants, and public responsibilities are not entirely absent, but remain marginal within the news discourse. Food-centered recommendations, complication narratives that mobilize fear and anxiety, and articles based on single or unspecified sources make diabetes intelligible primarily as a condition to be managed through individual regulation of the body. The study also shows that this self-management orientation persists even in articles based on mixed or relatively stronger sourcing. It argues that biological citizenship is articulated and reproduced not only at the level of content but also through sourcing practices and wider journalistic contexts. It further suggests that this discourse calls citizens/patients to self-management through a persistent sense of lack.","PeriodicalId":12944,"journal":{"name":"Health","volume":" ","pages":"13634593261491630"},"PeriodicalIF":2.0,"publicationDate":"2026-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

When the doctor believes you, but you're still not happy: Legitimized contested illness and patients' negative post-consultation experiences and agency. 当医生相信你，但你仍然不开心时：将争议性疾病和患者的负面咨询后经历和代理合法化。

IF 2 4区医学

Health Pub Date : 2026-10-08 DOI: 10.1177/13634593261473147

Suvi Kaikkonen, Marjo Savijärvi, Eerika Finell

{"title":"When the doctor believes you, but you're still not happy: Legitimized contested illness and patients' negative post-consultation experiences and agency.","authors":"Suvi Kaikkonen, Marjo Savijärvi, Eerika Finell","doi":"10.1177/13634593261473147","DOIUrl":"https://doi.org/10.1177/13634593261473147","url":null,"abstract":"This article investigates patients' negative and ambivalent lived post-consultation experiences and the related agencies when a doctor legitimizes their contested illness. The primary data consist of 25 telephone interviews conducted soon after the patients' consultation with a doctor. All the interviewed patients suffered from sick building syndrome. Using reflexive thematic analysis in our study, underpinned by critical realist ontology and epistemology, we generated three themes that characterized these lived post-consultation experiences, and how they shaped patient agency. The results demonstrate that a doctor's legitimization of a contested illness can be a source of simultaneous contentment and suffering for the patient (Theme 1: Confusion), as well as a source of hesitation and distrust (Theme 2: Uncertainty). It can also leave the patient feeling helpless and frustrated by their difficult circumstances (Theme 3: Disappointment). These experiences were related to a varying sense of agency. The study contributes to contextualizing the meaning of a doctor's legitimization of a patient's contested illness, depicting it as indisputably significant yet insufficient in itself to resolve the uncertainties and challenges the patients face. The findings can be used to develop patient-centered consultation practices for dealing with challenging medical encounters with contested illnesses.","PeriodicalId":12944,"journal":{"name":"Health","volume":" ","pages":"13634593261473147"},"PeriodicalIF":2.0,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149136449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Adapting to scarcity: Plasticity in rural healthcare practice. 适应稀缺：农村卫生保健实践的可塑性。

IF 2 4区医学

Health Pub Date : 2026-09-29 DOI: 10.1177/13634593261487148

Crystal Gaudet, Don Eby, Lisa Shepherd, Frances Kilbertus, Erin Kennedy, Sayra Cristancho

{"title":"Adapting to scarcity: Plasticity in rural healthcare practice.","authors":"Crystal Gaudet, Don Eby, Lisa Shepherd, Frances Kilbertus, Erin Kennedy, Sayra Cristancho","doi":"10.1177/13634593261487148","DOIUrl":"https://doi.org/10.1177/13634593261487148","url":null,"abstract":"Rural healthcare practitioners face persistent challenges such as limited staffing, geographic isolation, and broad scopes of responsibility. These conditions require constant adaptation to ensure care delivery. This study introduces plasticity as a conceptual lens for understanding how rural healthcare teams collectively navigate scarcity through flexible role and task shifting. Drawing on constructivist grounded theory, we conducted 19 interviews with nurses and physicians in emergency departments in two rural communities in Ontario, Canada, to explore how plasticity functions in rural healthcare teams. The analysis refined and extended the concept of plasticity by identifying two variations of plasticity: acute (short-term, high-stakes task switching or role expansion) and chronic (long-term role expansion), alongside four interrelated dimensions that characterize this phenomenon in rural settings. While acute plasticity was often empowering, chronic plasticity, exacerbated by the COVID-19 pandemic, contributed to cumulative stress, burnout, and professional demoralization. Our analysis illustrates that plasticity is both a strength and vulnerability in rural healthcare work, enabled through informal learning and relational responsibility to community, yet largely unsupported by formal institutional structures.","PeriodicalId":12944,"journal":{"name":"Health","volume":" ","pages":"13634593261487148"},"PeriodicalIF":2.0,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Inside the ward round: Experiences and perspectives of autistic patients and mental health hospital staff. 病房内：自闭症患者和精神健康医院工作人员的经历和观点。

IF 2 4区医学

Health Pub Date : 2026-09-17 DOI: 10.1177/13634593261481928

Alison Drewett, Michelle O'Reilly

引用次数: 0

Self-tracking inequalities in public health: Mapping the landscape and identifying avenues for research. 公共卫生中的自我跟踪不平等现象：绘制图景并确定研究途径。

IF 2 4区医学

Health Pub Date : 2026-09-09 DOI: 10.1177/13634593261482082

Bastien Presset, Maiju Tanninen, Matthias Bode, Federico García Baena, Dorthe Brogård Kristensen

引用次数: 0

Managing stigmatizing discourses in abortion care: Perspectives of clinic personnel. 流产护理中污名化话语的管理：临床人员的观点。

IF 2 4区医学

Health Pub Date : 2026-09-07 DOI: 10.1177/13634593261481660

Rachael Hernandez, Rikki A Roscoe

{"title":"Managing stigmatizing discourses in abortion care: Perspectives of clinic personnel.","authors":"Rachael Hernandez, Rikki A Roscoe","doi":"10.1177/13634593261481660","DOIUrl":"https://doi.org/10.1177/13634593261481660","url":null,"abstract":"Abortion care in the United States has become the focus of increasingly contentious public discourse in recent years. Abortion providers and clinic personnel occupy a distinct vantage point from which to observe, engage with, and be subject to stigmatizing discourses relevant to their work. Drawing on stigma management communication theory, this study examines how 27 U.S. Planned Parenthood clinic personnel manage stigmatizing anti-abortion discourse in their interpersonal and professional interactions, as well as how such strategies resist or reify that discourse. Using phronetic iterative qualitative data analysis, we identified three dominant anti-abortion discourses and the stigma management strategies participants employed to resist them. First, participants denied the anti-abortion discourse that \"Abortion is Immoral\" by arguing that abortion is lifesaving, basic healthcare that needs no justification. Second, participants resisted the anti-abortion discourse that \"Abortion is for 'the Other'\" by emphasizing its prevalence, highlighting the hypocrisy of abortion stigma, and appealing to emotion to underscore the contextual nature of abortion decision-making. Third, participants countered the anti-abortion discourse that \"Abortion is Dangerous\" by providing factual evidence that abortion is safe. These findings offer important theoretical and practical insights into how abortion-related stigma is communicatively navigated and contested from the perspective of abortion providers and clinic personnel.","PeriodicalId":12944,"journal":{"name":"Health","volume":" ","pages":"13634593261481660"},"PeriodicalIF":2.0,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148900429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

What is health? A deconstruction of the World Health Organization 1948 definition. 什么是健康？对1948年世界卫生组织定义的解构。

IF 2 4区医学

Health Pub Date : 2026-09-01 Epub Date: 2025-11-27 DOI: 10.1177/13634593251393743

Emmie Wahlström, Jonas Stier, Benti Geleta Buli

{"title":"What is health? A deconstruction of the World Health Organization 1948 definition.","authors":"Emmie Wahlström, Jonas Stier, Benti Geleta Buli","doi":"10.1177/13634593251393743","DOIUrl":"10.1177/13634593251393743","url":null,"abstract":"For 75 years, the WHO health definition has been the most influential and widely accepted definition of health globally, having a profound impact on policy making, professional practice, and people's overall understanding of health. Although there are alternative notions and definitions of health, it is argued that this definition has enjoyed an almost hegemonic position in the health discourse. Still, it has rarely been systematically deconstructed. This text aims to deconstruct the WHO 1948 definition of health in its entirety as well as its parts. This is done to highlight the epistemological variations and potential contradictions embedded within, and the possible consequences of the definition. The findings indicate a multitude of occasionally ambiguous or conflicting readings depending on how the reader and contemporary ideas conceptualize words and phrasing in the definition. For example, interpreting health as binary can be challenged by ideas of the present as constantly changing, suggesting that health in the definition is conceptualized along a continuum. Such alternative - and sometimes contradictory readings - call for clarifications on how the definition is used and interpreted in different contexts. Still, its ambiguity might have helped it remain relevant and applicable across different societies and time periods.","PeriodicalId":12944,"journal":{"name":"Health","volume":" ","pages":"701-715"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13534771/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145632390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mental health is everybody's business: The doxa and illusio of local public policy implementation. 心理健康是每个人的事：地方公共政策执行的实证和幻觉。

IF 2 4区医学

Health Pub Date : 2026-09-01 Epub Date: 2025-12-04 DOI: 10.1177/13634593251399224

Andrew Passey, Joseph Ibrahim

{"title":"Mental health is everybody's business: The doxa and illusio of local public policy implementation.","authors":"Andrew Passey, Joseph Ibrahim","doi":"10.1177/13634593251399224","DOIUrl":"10.1177/13634593251399224","url":null,"abstract":"This paper provides a novel application of Bourdieu's theory to the implementation of public policy in the mental health field, by deploying two of his lesser-used concepts (doxa and illusio). Framing a local case study as a Bourdieusian game, we demonstrate how these concepts have explanatory power within the field and how national policy discourses at once influenced and constrained by neoliberalism have real and long-lasting effects when it comes to the implementation of public policy. We found three key themes in the case study: doxa as a narrative device ('mental health is everybody's business'); the linking of this doxa with the game's illusio in a shared view that the policy should address the problem of a high rate of 'inappropriate referrals' into specialist services; and the consequences of the dynamic between the game's doxa and illusio for the organisational hierarchy in the mental health services field. We do not evaluate the success of the policy, but instead apply and explore the potential of Bourdieu's concepts to provide explanatory power to the processes and interactions evident in the implementation programme. This paper highlights the potential of such a theoretically based analytical approach, which could be applied in other contexts and to other health fields and policy domains.","PeriodicalId":12944,"journal":{"name":"Health","volume":" ","pages":"603-621"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13534772/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145668256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The school lunchbox as a social problem. 学校的午餐盒是一个社会问题。

IF 2 4区医学

Health Pub Date : 2026-09-01 Epub Date: 2025-12-01 DOI: 10.1177/13634593251397669

Juliet Bennett, Alex Broom, David Raubenheimer

引用次数: 0

Invisible labour: A qualitative exploration of the professional identity of interpreters working in UK maternity care settings. 无形劳动：在英国产妇护理机构工作的口译员的职业身份的定性探索。

IF 2 4区医学

Health Pub Date : 2026-09-01 Epub Date: 2025-11-27 DOI: 10.1177/13634593251393084

Tabitha Wishlade, Ginny Mounce, Helen Allan

{"title":"Invisible labour: A qualitative exploration of the professional identity of interpreters working in UK maternity care settings.","authors":"Tabitha Wishlade, Ginny Mounce, Helen Allan","doi":"10.1177/13634593251393084","DOIUrl":"10.1177/13634593251393084","url":null,"abstract":"The work of professional interpreters is frequently misunderstood and mistrusted, leading to its underuse across healthcare settings. In UK maternity services, this failing contributes to the higher mortality and morbidity of women with limited or no English proficiency. Our study explored interpreters' professional identities and their contribution to the delivery of care in maternity services. Face-to-face interviews with a purposive sample of professional interpreters working in maternity settings were conducted and data analysed using a version of Foucauldian discourse analysis. Our interpretation of the data is that discourses of 'women's work' were used in constructing the interpreters' professional identity. Their daily working practice included affective, social and supportive behaviours; however, their subject positions were unrecognised in the voluntary professional codes of conduct for interpreting practice and their labour remained largely invisible and under-valued. Recognising professional interpreters' identity as invisible labourers suggests that they negotiate biomedical understandings of healthcare interpretation work held by healthcare professionals and women. It allows a more nuanced understanding of interpreters' practice within maternity settings. Making their work visible offers greater opportunity for regulation, monitoring and evaluation, resulting in greater confidence in its quality and promoting increased uptake.","PeriodicalId":12944,"journal":{"name":"Health","volume":" ","pages":"716-742"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13534778/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145632471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0