IF 2.1 4区医学

Health Pub Date : 2023-11-01 Epub Date: 2022-06-07 DOI: 10.1177/13634593221093492

Marie-Christine Brault, Emma Degroote, Mieke Van Houtte

{"title":"Disparities in the prevalence of ADHD diagnoses, suspicion, and medication use between Flanders and Québec from the lens of the medicalization process.","authors":"Marie-Christine Brault, Emma Degroote, Mieke Van Houtte","doi":"10.1177/13634593221093492","DOIUrl":"10.1177/13634593221093492","url":null,"abstract":"The prevalence of Attention-Deficit/Hyperactivity Disorder (ADHD) diagnoses and medication use has increased over time around the world, but significant regional differences remain. This paper aims to determine and explain disparities in ADHD prevalence and medication use among school-aged children in two distinct school systems, in Flanders (Belgium) and Québec (Canada). We present detailed descriptive and comparative analyses of data from 35 schools, 114 teachers, and 1046 parents (children) that were collected as part of a comparative international project. The data concern teacher and parent suspicions, teachers' ratings of ADHD-related behaviors in children, teachers' views of medication use, and teachers' beliefs about ADHD. The results show that, compared with Flanders, Québec had significantly more children diagnosed with ADHD and more frequent suspicions of ADHD in children by teachers and parents. We refer to the conceptual, institutional, and interactional levels of medicalization to interpret our findings and conclude that social and cultural readings of children's behaviors differ greatly between regions. Medicalization of children's behaviors is more common in Québec than in Flanders.","PeriodicalId":12944,"journal":{"name":"Health","volume":"27 6","pages":"958-979"},"PeriodicalIF":2.1,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1a/b5/10.1177_13634593221093492.PMC10588264.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49676910","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

Imperatives of health or happiness: Narrative constructions of long-term smoking after undergoing lung screening. 健康或幸福的必要条件：接受肺部筛查后长期吸烟的叙事结构。

IF 2.1 4区医学

Health Pub Date : 2023-11-01 Epub Date: 2022-06-06 DOI: 10.1177/13634593221099108

Rebecca E Olson, Ek Xuan Wen, Zoe Staines, Felicia Goh, Henry M Marshall

{"title":"Imperatives of health or happiness: Narrative constructions of long-term smoking after undergoing lung screening.","authors":"Rebecca E Olson, Ek Xuan Wen, Zoe Staines, Felicia Goh, Henry M Marshall","doi":"10.1177/13634593221099108","DOIUrl":"10.1177/13634593221099108","url":null,"abstract":"Tobacco control policies reinforce a health imperative that positions citizens as duty-bound to manage their health by abstaining from or quitting smoking. Limited attention is paid to the repercussions - especially for lung screening - of anti-smoking rhetoric emphasising individual responsibility. Drawing on interviews with 27 long-term smokers involved in an international lung screening trial, this study analysed Australian smokers' narratives of smoking. By attending to stigma and the use of public health rhetoric within personal narratives, we show how narratives underscoring individual responsibility for quitting were layered with conflicting explanations of biological responsibility and normative expectations. Ironically, narratives of individual responsibility potentially undermine smoking cessation. In positioning smokers as responsible for their own healthy choices, such rhetoric also positions smokers as responsible for managing their emotional health, which some did through smoking. Thus, anti-smoking campaigns pit the neoliberal imperative of health against the happiness imperative. These findings have implications for the design and delivery of lung screening campaigns. They also support calls to move beyond health messaging emphasising individual choice, towards acknowledging the moral power of structures and public health campaigns to discipline citizens in unintended ways.","PeriodicalId":12944,"journal":{"name":"Health","volume":"27 6","pages":"1115-1134"},"PeriodicalIF":2.1,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49676911","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: 1

Luckily-I am not the worrying kind: Experiences of patients in the Danish cancer patient pathway for non-specific symptoms and signs of cancer. 幸运的是，我不是那种令人担忧的人：丹麦癌症患者路径中癌症非特异性症状和体征的患者经历。

IF 2.1 4区医学

Health Pub Date : 2023-11-01 Epub Date: 2022-05-03 DOI: 10.1177/13634593221096244

Christina Sadolin Damhus, John Brandt Brodersen, Mette Bech Risør

{"title":"Luckily-I am not the worrying kind: Experiences of patients in the Danish cancer patient pathway for non-specific symptoms and signs of cancer.","authors":"Christina Sadolin Damhus, John Brandt Brodersen, Mette Bech Risør","doi":"10.1177/13634593221096244","DOIUrl":"10.1177/13634593221096244","url":null,"abstract":"In Denmark, due to the implementation of the Non-specific Symptoms and Signs of Cancer-Cancer Patient Pathway (NSSC-CPP), more people with symptoms such as fatigue and weight loss are informed that their symptoms might indicate cancer and they are referred to the pathway. But what do patients in the NSSC-CPP experience, in particular, with respect to being in an affective state of anticipation of a cancer diagnosis? We conducted participant observation and semi-structured interviews with patients to investigate their experience of the NSSC-CPP with a specific focus on their perception of symptoms and their thoughts on worrying about cancer. We found that the phrase 'worried about cancer' was not recognised by the participants, but worry was visible in their increased healthcare use and their interpretation of bodily sensations. Our study indicates the need to explore the impact of anticipation and potential cancer worries in participants' everyday lives, as this context mediates their moral roles and responsibilities and restructures their social lives, while keeping uncertainty and probabilities on the table.","PeriodicalId":12944,"journal":{"name":"Health","volume":"27 6","pages":"1059-1075"},"PeriodicalIF":2.1,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49676914","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: 1

'The day you start lifting is the day you become forever small': Bodybuilders explain muscle dysmorphia. “从你开始举重的那一天起，你就变得永远渺小”：健美运动员解释肌肉变形障碍。

IF 2.1 4区医学

Health Pub Date : 2023-11-01 Epub Date: 2022-04-27 DOI: 10.1177/13634593221093494

Mair Underwood, Roberto Olivardia

{"title":"'The day you start lifting is the day you become forever small': Bodybuilders explain muscle dysmorphia.","authors":"Mair Underwood, Roberto Olivardia","doi":"10.1177/13634593221093494","DOIUrl":"10.1177/13634593221093494","url":null,"abstract":"Muscle dysmorphia (MD) is a pathological preoccupation with muscularity characterised by negative body image, compulsive behaviours, and obsessive thoughts. Since its first identification academics have suggested that it is caused by sociocultural factors. Despite this there has been very little research exploring the role of sociocultural factors in the development and maintenance of MD, and no research that examines MD from within its cultural context. Instead the medical model of MD has dominated understanding. This model presents professionals as the experts on this disorder, and sufferers as pathological individuals in need of expert treatment. This renders cultural context largely irrelevant to understandings of MD. In this paper we present a different kind of expertise with regards MD. We describe the expertise of those most likely to suffer from MD, and upon whom medical descriptions of MD are based: bodybuilders. Specifically, we describe how bodybuilders explain MD (their definition, theory of aetiology and experience of MD, as well as their suggested management strategies), and compare these explanations to the dominant medical model. Through a consideration of the expertise of bodybuilders we break the tunnel vision of medicine, and suggest ways we can move beyond our current under-developed understanding of MD. This paper examines MD from within its cultural context, and in so doing it lays the foundation for a sociocultural explanatory model of MD. If we are to significantly reduce the harms of this disorder we cannot rely solely on treating the few individuals who present to clinicians. Rather we must develop ways to help sufferers to manage their disorder, and to prevent the development of this disorder among those at risk in the first place. To do this we must understand the sociocultural dimensions of MD, and collaborate with bodybuilding communities.","PeriodicalId":12944,"journal":{"name":"Health","volume":"27 6","pages":"998-1018"},"PeriodicalIF":2.1,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49676916","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

A solidarity paradox - welfare state data in global health data economy. 一个团结悖论——全球健康数据经济中的福利国家数据。

IF 2.1 4区医学

Health Pub Date : 2023-09-01 DOI: 10.1177/13634593211069320

Karoliina Snell, Heta Tarkkala, Aaro Tupasela

{"title":"A solidarity paradox - welfare state data in global health data economy.","authors":"Karoliina Snell, Heta Tarkkala, Aaro Tupasela","doi":"10.1177/13634593211069320","DOIUrl":"https://doi.org/10.1177/13634593211069320","url":null,"abstract":"Nordic welfare states have well institutionalised practises of gathering health and social wellbeing data from their citizens. The establishment of population registers coincided with the building of welfare state institutions and a social contract relying on solidarity. During the last decade, the significance of Nordic registers and health data has increased and they have become sources of economic value. Recent policies expect registers, health data and biobanks to attract international investments, making Nordic countries world-leaders in the global health data economy. In this article we question the conditions and boundaries of solidarity in the emerging data-driven health economy. We argue that the logics of welfare state and data-driven health economy create a paradox - the data economy is not possible without the welfare state data regime, but the logic of data-driven health economy contradicts the value bases of the welfare state data regime and therefore the justifications for data gathering and use become questionable. We develop the concept of solidarization to describe the process by which individuals are expected to behave in a solidaristic way to support data gathering and related policy processes. We demonstrate the solidarity paradox through a recent legislative and data infrastructure reform in Finland and discuss it in relation to academic literature on solidarity.","PeriodicalId":12944,"journal":{"name":"Health","volume":"27 5","pages":"664-680"},"PeriodicalIF":2.1,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10423432/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10365530","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: 4

Corona hotels in Israel: Care and abandonment under the auspices of digital medicine. 以色列的科罗娜酒店:在数字医疗的支持下，护理和遗弃。

IF 2.1 4区医学

Health Pub Date : 2023-09-01 DOI: 10.1177/13634593211067904

Shirly Bar-Lev

引用次数: 0

Disciplinary differences in the study of the relationship between social variables and mental health: A systematic mapping review. 社会变量与心理健康关系研究的学科差异:一个系统的地图回顾。

IF 2.1 4区医学

Health Pub Date : 2023-09-01 DOI: 10.1177/13634593211063049

Tegan Cruwys, Baptiste Brossard, Haochen Zhou, Gabriel Helleren-Simpson, Kathleen A Klik, Dirk Van Rooy, Philip J Batterham, Alison L Calear

{"title":"Disciplinary differences in the study of the relationship between social variables and mental health: A systematic mapping review.","authors":"Tegan Cruwys, Baptiste Brossard, Haochen Zhou, Gabriel Helleren-Simpson, Kathleen A Klik, Dirk Van Rooy, Philip J Batterham, Alison L Calear","doi":"10.1177/13634593211063049","DOIUrl":"https://doi.org/10.1177/13634593211063049","url":null,"abstract":"There has been sustained interest in the intersection between social constructs and mental health from diverse disciplines including psychiatry, sociology and public health. However, no systematic attempt has been made to catalogue what is meant by 'social' by different researchers, how variables deemed 'social' constructs are linked to mental health, nor whether these patterns differ by academic discipline. Understanding interdisciplinary differences and commonalities may reveal opportunities for interdisciplinary collaboration to enhance our understanding of how social factors relate to mental health. This article presents a prospectively registered systematic map of social approaches to mental health using an innovative synthesis methodology (coding all sentences from a random selection of N = 287 articles). Results indicated that although approaches are diverse, disciplinary overlap is substantial. Psychology and psychiatry led articles tend to focus on social skills or emotions as features of mental (ill-)health, while public health and social sciences led articles tend to focus on social relationships, status or context as determinants of mental (ill-)health. Medicine led articles were most likely to focus on social outcomes of mental (ill-)health. Potential growth areas are noted, particularly the relative dearth of intervention research drawing upon social approaches. The findings are discussed with a view towards enabling more effective interdisciplinary collaboration.","PeriodicalId":12944,"journal":{"name":"Health","volume":"27 5","pages":"810-828"},"PeriodicalIF":2.1,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10036904","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: 1

Constituting good health citizenship through British Columbia's COVID-19 public updates. 通过不列颠哥伦比亚省COVID-19的公开更新构成良好的健康公民。

IF 2.1 4区医学

Health Pub Date : 2023-09-01 DOI: 10.1177/13634593211064115

Philippa Spoel, Naomi Lacelle, Alexandra Millar

{"title":"Constituting good health citizenship through British Columbia's COVID-19 public updates.","authors":"Philippa Spoel, Naomi Lacelle, Alexandra Millar","doi":"10.1177/13634593211064115","DOIUrl":"https://doi.org/10.1177/13634593211064115","url":null,"abstract":"The COVID-19 pandemic has augmented discourses of individual citizen responsibility for collective health. This article explores how British Columbia, Canada's widely praised COVID-19 communication participates in the development of neo-communitarian \"active citizenship\" governmentalities focused on the civic duty of voluntarily taking responsibility for the health of one's community. We do so by investigating how public health updates from BC's acclaimed Provincial Health Officer Dr. Bonnie Henry articulate this civic imperative through the rhetorical constitution of the \"good covid citizen.\" Our rhetorical analysis shows how this pro-social communication interpellates citizens within a discourse of behavioral, epistemic, and ethical responsibilisation. The communal ethos constituted through this public health communication significantly increases the burden of personal responsibility for health beyond norms of self-care. Making the protection of community health primarily the responsibility of individual citizens also presumes a privileged identity of empowered, active agency and implicitly excludes citizens who lack the means to successfully fulfill the expectations of good covid citizenship.","PeriodicalId":12944,"journal":{"name":"Health","volume":"27 5","pages":"770-788"},"PeriodicalIF":2.1,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10036919","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

And they slept happily ever after: Online interpretive repertoires on the use of benzodiazepines and z-drugs. 从那以后，他们睡得很开心：关于苯二氮卓类药物和z类药物使用的在线解说节目。

IF 2.1 4区医学

Health Pub Date : 2023-09-01 Epub Date: 2021-11-25 DOI: 10.1177/13634593211060770

Melissa Ceuterick, Thierry Christiaens, Hanne Creupelandt, Piet Bracke

{"title":"And they slept happily ever after: Online interpretive repertoires on the use of benzodiazepines and z-drugs.","authors":"Melissa Ceuterick, Thierry Christiaens, Hanne Creupelandt, Piet Bracke","doi":"10.1177/13634593211060770","DOIUrl":"10.1177/13634593211060770","url":null,"abstract":"Drawing on a critical social-psychological framework for discourse analysis, data from a popular forum for people over 50 were analysed to study how the habitual use of benzodiazepines and Z-drugs (BZD/Z) is discursively negotiated by Flemish older adults. We present five different repertoires (risk and addiction; alternative pathways; suffering; rationalisation; cessation) that illustrate how a pharmaceutical imaginary of these medications is constructed online and how posters act as reflexive users taking on a health role. Most repertoires emerge from a tacit norm on the undesirability of medication use for sleeping problems. In the alternative pathways and cessation repertoires this norm is implicitly accepted by focussing on how to either prevent or overcome chronic use with various alternative solutions or through tapering off, while the risk and addiction repertoire is used to more openly defend and discursively magnify the idea that medication has to be avoided at all cost. We discuss how this reflects a prevailing imperative of health and ethos of healthicisation of sleep. The rationalisation and suffering repertoires on the other hand challenge this norm by defending medication use. We further explore how these repertoires are used to self-position as either 'noble non-user', 'deserving and/or compliant patient' or 'rational user', reflecting previously found moral positions in offline settings. Our data add another position that has thus far not been discussed extensively with regard to prescription medication use, namely that of a 'recovered user'. As such, this study shows how this particular online community is a site for contestation of health promotion and medical/pharmaceuticalised discourses on sleep by users and non-users alike and offers a unique insight into how people in the age group that is known to use most BZD/Z discursively negotiate the use of these medications in pseudonymised online interactions.","PeriodicalId":12944,"journal":{"name":"Health","volume":"27 5","pages":"847-866"},"PeriodicalIF":2.1,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9966957","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: 1

Exempting the state and responsibilizing individuals during pandemic governance: Analyzing the health minister's responses to the Covid-19 pandemic in Turkey. 在大流行治理期间免除国家和负责任的个人:分析土耳其卫生部长对Covid-19大流行的反应。

IF 2.1 4区医学

Health Pub Date : 2023-09-01 DOI: 10.1177/13634593211060766

G Ezgi Akguloglu, Gulcin Con Wright

{"title":"Exempting the state and responsibilizing individuals during pandemic governance: Analyzing the health minister's responses to the Covid-19 pandemic in Turkey.","authors":"G Ezgi Akguloglu, Gulcin Con Wright","doi":"10.1177/13634593211060766","DOIUrl":"https://doi.org/10.1177/13634593211060766","url":null,"abstract":"The COVID-19 pandemic pushed the governments of the world to implement different regulative and protective measures. Although these measures required serious re-considerations of public health strategies, they were still grounded on pre-existing contexts of countries' health systems, namely the \"new public health\" paradigm. Turkey's neoliberal health reforms since 2003 coincide with the principles of this paradigm's trends toward marketizing services and responsibilizing individuals; yet the Turkish context of the pandemic also stands out due to its mixed and unique form of governance. Utilizing the tweets of the Turkish Health Minister between March 13th and October 1st, 2020, we conducted a thematic qualitative analysis investigating the Turkish state's response to the COVID-19 pandemic. Our analysis revealed that state responsibility was framed around building new pandemic hospitals, informing the public, and building trust. Conversely, his tweets assigned Turkish individuals an active role in shaping pandemic outcomes through their \"informed\" and \"empowered\" agency. Finally, he coined \"togetherness,\" referring to the sum of individual actions, as an indispensable goal in assuring public compliance with precautions. The Minister's tweets reflect the unique nature of pandemic governance in Turkey with a relatively imposing and swift response of centralized power but a primary focus on \"responsibilized\" individuals' collective actions.","PeriodicalId":12944,"journal":{"name":"Health","volume":"27 5","pages":"867-885"},"PeriodicalIF":2.1,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9973895","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: 1

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