IF 2.3 4区医学

Health Pub Date : 2026-02-12 DOI: 10.1177/13634593251408932

Georgia Smith, Hannah Farrimond

{"title":"Understanding 'embedded pharmaceuticalisation': A case study of sleeping medication use in later life.","authors":"Georgia Smith, Hannah Farrimond","doi":"10.1177/13634593251408932","DOIUrl":"https://doi.org/10.1177/13634593251408932","url":null,"abstract":"Sleeping medication use in later life is linked to adverse effects including falls, cognitive decline and dependency. Despite guidelines advocating reduced prescribing and sociological findings of ambivalence and unease among older adults, long-term use remains prevalent. This paper explores how and why sleeping medication use persists in later life, drawing on interviews and diaries with 38 UK adults (65+), whose average use spanned 17 years. While participants expressed familiar moral concerns around use, these were outweighed by a profound emotional need for sleep and reliance on what they saw as the sole effective remedy. We conceptualise this enduring use as 'embedded pharmaceuticalisation': a process through which sleeping medication becomes woven into emotional life, personal identity and daily behaviours. Participants' use was sustained with active strategies (e.g. sourcing, stockpiling) and passive ones (e.g. avoiding reviews), reflecting forms of consumer agency rooted in fear, habit and necessity, rather than optimisation. While much sociological work has focused on the initiation or moral framing of pharmaceutical use, less attention has been paid to the trajectories through which medication comes to be viewed not only as normal, but as necessary. Attending to different forms of pharmaceuticalisation, such as embedded, helps illuminate tensions between expressed desires to reduce or avoid medication and continued long-term use.","PeriodicalId":12944,"journal":{"name":"Health","volume":" ","pages":"13634593251408932"},"PeriodicalIF":2.3,"publicationDate":"2026-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146165126","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

The influence of health resources on income inequality in Europe. 欧洲卫生资源对收入不平等的影响。

IF 2.3 4区医学

Health Pub Date : 2026-02-12 DOI: 10.1177/13634593251404654

Adrián Ferreiro-Pérez, Francisco-Jesús Ferreiro-Seoane, Antía Martínez-Lourido, Cristina Fernández-Pérez, Francisco Reyes-Santías

{"title":"The influence of health resources on income inequality in Europe.","authors":"Adrián Ferreiro-Pérez, Francisco-Jesús Ferreiro-Seoane, Antía Martínez-Lourido, Cristina Fernández-Pérez, Francisco Reyes-Santías","doi":"10.1177/13634593251404654","DOIUrl":"https://doi.org/10.1177/13634593251404654","url":null,"abstract":"In recent times, there has been an increase in social and health research focused on improving citizens' health and equity. Therefore, the main objective of this research is to analyze how health resources influence income inequality and, through this, to understand the relevance of public health policies on social equity. For this purpose, unbalanced panel data from 32 European countries were used for the period 2005-2020 and a random effects model is employed. Results show different values depending on the type of expenditure considered in the model and whether robust errors are applied during estimation, but in general they indicate a significant negative influence of most of the health variables used on income inequality, especially public health expenditure. In contrast, the number of physicians per 1000 inhabitants seem to encourage inequality, which could be due to inefficiencies in the allocation of this resource. Regarding the incorporation of dummy variables into the models, it can be concluded that income inequality in countries with a mixed health system is not significantly different from that in countries with a national health system, while such inequality is lower in countries with a social health insurance system than in those with a national health system, although the difference is not significant with robust errors. All this shows that public health policies aimed at increasing investment in health can be a great support in the fight against income inequality, especially those that impact equity in the financing and distribution of health resources.","PeriodicalId":12944,"journal":{"name":"Health","volume":" ","pages":"13634593251404654"},"PeriodicalIF":2.3,"publicationDate":"2026-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146179198","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

From rational collective feeding to flexible individual choice: The governance of hospital foodservice in transition. 从理性集体喂养到灵活个人选择：转型中的医院餐饮管理。

IF 2.3 4区医学

Health Pub Date : 2026-01-30 DOI: 10.1177/13634593251407695

Sofia Rapo, Ethel Kautto, Agneta Hörnell, Maria Carbin

{"title":"From rational collective feeding to flexible individual choice: The governance of hospital foodservice in transition.","authors":"Sofia Rapo, Ethel Kautto, Agneta Hörnell, Maria Carbin","doi":"10.1177/13634593251407695","DOIUrl":"https://doi.org/10.1177/13634593251407695","url":null,"abstract":"In this article, we critically discuss a Swedish hospital foodservice reform by putting foodservice in a historical and social context and analyzing a case, \"the most flexible patient foodservice system in Sweden,\" by using Bacchi's what's the problem represented to be (WPR) approach. We show how hospital foodservice governance in Sweden has become more focused on the individual patient as a consumer. Our analysis points out how in political protocols and related policy materials freedom of choice, flexibility, and efficiency were articulated as drivers of change. Freedom of choice was argued to enhance quality, increase food intake, diminish demand for special diets and lower costs. This can be seen as empowering patients, but also shifting part of the responsibility of nutrition care and health over to individuals, whether they want it or not. Flexibility was seen as beneficial for patient logistics regarding medical treatment and argued to improve allocation of staff resources. Inefficiency was a characteristic attributed to the old system, while the reform was an opportunity to modernize and be more cost-efficient. The new organizational structures may lead to tensions between foodservice and healthcare. The changes, system flexibility and patient freedom of choice, are salient within a broader neoliberal discourse.","PeriodicalId":12944,"journal":{"name":"Health","volume":" ","pages":"13634593251407695"},"PeriodicalIF":2.3,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146092964","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

Public health crisis as problematization: A comparative analysis of opioid overdose and heart disease. 作为问题化的公共卫生危机：阿片类药物过量与心脏病的比较分析。

IF 2.3 4区医学

Health Pub Date : 2026-01-23 DOI: 10.1177/13634593251409225

Ariane Hanemaayer, Shahina Parvin

引用次数: 0

Effective equity-oriented work requires a nuanced understanding of power that recognizes the incommensurability of common discourses of 'empowerment' and Foucault's ideas of power. 有效的以公平为导向的工作需要对权力有细致的理解，认识到“赋权”的共同话语和福柯的权力观念之间的不可通约性。

IF 2.3 4区医学

Health Pub Date : 2026-01-21 DOI: 10.1177/13634593251401504

Rochelle Einboden, Lisa Dawson, Andrea McCloughen, Niels Buus

引用次数: 0

Caution in dialogical power relationships calls for reflection and clear concepts. 对话性权力关系的谨慎要求反思和清晰的概念。

IF 2.3 4区医学

Health Pub Date : 2026-01-21 DOI: 10.1177/13634593251401490

Tom Erik Arnkil, Jaakko Seikkula

引用次数: 0

Narratives of reconstruction: Looking beyond biographical disruption through three Indian breast cancer memoirs. 重建的叙事：透过三个印度乳腺癌回忆录超越传记的中断。

IF 2.3 4区医学

Health Pub Date : 2026-01-01 Epub Date: 2025-02-19 DOI: 10.1177/13634593251319929

Mahua Bhattacharyya, Ajit K Mishra

{"title":"Narratives of reconstruction: Looking beyond biographical disruption through three Indian breast cancer memoirs.","authors":"Mahua Bhattacharyya, Ajit K Mishra","doi":"10.1177/13634593251319929","DOIUrl":"10.1177/13634593251319929","url":null,"abstract":"Despite extensive research on Western breast cancer (BC) memoirs highlighting how shame profoundly impacts patients' lives making them more vulnerable, Indian BC memoirs remain underexplored, especially in understanding the challenges of shame. This article examines the unique struggles of Indian female BC patients, focusing on their experiences of biographical disruption, the guilt-ridden consciousness of their altered body image, and the shame-induced actions that shape their narratives. Through an analysis of three Indian BC memoirs, Sunshine (2011), To Cancer, with Love (2015) and Cancer, You Picked the Wrong Girl (2021), this article explores how Indian female BC narrators comprehend and articulate their lived experiences of shame and self-perception. The analysis also highlights the diverse coping strategies such as doing humour, normalising breast talk, practising spirituality, and sharing survival lessons employed by these narrators to offer a deeper understanding of the intersection of shame, identity, and healing, and to transcend moments of shame through acts of reconstruction. More importantly, the analysis underscores how these acts of reconstruction provide empowering strategies for navigating the challenges of BC and accentuate the possibility of an autobiographical reconstruction mechanism.","PeriodicalId":12944,"journal":{"name":"Health","volume":" ","pages":"81-98"},"PeriodicalIF":2.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143457601","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

Towards collaborative tinkering in contraceptive consultations: Negotiating side-effects in contraceptive care. 在避孕咨询中走向协作修补：协商避孕护理中的副作用。

IF 2.3 4区医学

Health Pub Date : 2026-01-01 Epub Date: 2025-02-18 DOI: 10.1177/13634593251319920

Ellen Algera

{"title":"Towards collaborative tinkering in contraceptive consultations: Negotiating side-effects in contraceptive care.","authors":"Ellen Algera","doi":"10.1177/13634593251319920","DOIUrl":"10.1177/13634593251319920","url":null,"abstract":"Patients' online information-seeking and sharing has sparked worries about medical misinformation and declining trust in biomedical professionals. At the same time, scholars advocate for including patients as knowers in the clinical encounter. Yet we lack empirical insights into the differing ways care providers and patients substantiate health-related knowledge. This article thus examines (1) how both groups substantiate claims about contraceptive side-effects, (2) the ways their substantiation processes differ and (3) how we can navigate this epistemic tension in contraceptive care. I draw on data from nine interviews with Dutch contraceptive care providers (one nurse practitioner, one gynaecologist and seven general practitioners) and 17 contraceptive users, observations of 11 contraceptive consultations in the Netherlands and analysis of Dutch clinical guidelines. Results reveal that patients substantiate their claims through combining embodied modes of knowing with self-experimentation as well as validation through social media exchanges. Care providers switch between two complementary approaches: demarcating biomedical knowledge from non-scientific claims and clinical tinkering. I show that epistemic tensions between provider and patient may arise because the two groups have differing definitions of what a side-effect is and differing evaluations of information shared online. Based on these findings, I argue that care providers invalidating information shared online may contribute to patients' growing distrust in biomedical authority while collaborative tinkering may provide a common ground for care providers and patients to co-create knowledge.","PeriodicalId":12944,"journal":{"name":"Health","volume":" ","pages":"41-58"},"PeriodicalIF":2.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12741160/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143440754","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

Oncogene-driven advocacy: Collective expertise and therapeutic actionability. 癌基因驱动倡导：集体专业知识和治疗可操作性。

IF 2.3 4区医学

Health Pub Date : 2026-01-01 Epub Date: 2025-04-28 DOI: 10.1177/13634593251336521

Pascale Bourret, Madeleine Akrich, Florence Paterson, Alberto Cambrosio

{"title":"Oncogene-driven advocacy: Collective expertise and therapeutic actionability.","authors":"Pascale Bourret, Madeleine Akrich, Florence Paterson, Alberto Cambrosio","doi":"10.1177/13634593251336521","DOIUrl":"10.1177/13634593251336521","url":null,"abstract":"This paper is intended as a contribution to the social science literature on Patient Advocacy Groups (PAGs). It examines the recent emergence and development of cancer patient organizations that self-define as \"oncogene-focused,\" that is, as centered on tumor-driving genetic mutations that offer novel therapeutic opportunities for tumors to be targeted by precision drugs. Drawing on qualitative methods including interviews with representatives of oncogene focused PAGs, analysis of the groups' publications (biomedical journals, eNewsletters), websites, and social media activity, the paper explores the characteristics of these PAGs' forms of activism. It shows that their common denominator is a focus on patient survival. This shared goal translates into a form of activism that centers on therapeutic actionability, that is, a set of initiatives aiming at the articulation of research, clinical trials, and care to improve the patients' quality of life and maximize survival thanks to awareness of and access to the latest therapies. Beyond individual differences between PAGs, we observe the increasingly seamless entanglement of their activities. Their mutually supportive interventions result in the establishment of an ecosystemic form of activism that also succeeds in mobilizing clinicians and researchers at the increasingly porous interface between research and care.","PeriodicalId":12944,"journal":{"name":"Health","volume":" ","pages":"118-140"},"PeriodicalIF":2.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143962134","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

The IPEDs assemblage: Tracing the entanglements of biomedicine, technology, enhancement and anti-doping policies in sport and society. iped组合：追踪生物医学，技术，增强和反兴奋剂政策在体育和社会中的纠缠。

IF 2.3 4区医学

Health Pub Date : 2026-01-01 Epub Date: 2024-12-18 DOI: 10.1177/13634593241306569

Timothy Piatkowski, Luke Turnock, Nick Gibbs, Cameron Duff

{"title":"The IPEDs assemblage: Tracing the entanglements of biomedicine, technology, enhancement and anti-doping policies in sport and society.","authors":"Timothy Piatkowski, Luke Turnock, Nick Gibbs, Cameron Duff","doi":"10.1177/13634593241306569","DOIUrl":"10.1177/13634593241306569","url":null,"abstract":"The US Anti-Doping Agency (USADA) and Ultimate Fighting Championship (UFC) recently ended their anti-doping partnership amidst controversy. We treat this decision, and the motivations underpinning it, as a means of exploring the complexities of anti-doping norms and the blurred lines between image and performance enhancing drug (IPED) use in sport and wider society. Drawing ideas from assemblage thinking, we analyse the evolving power dynamics surrounding IPED use, anti-doping policy, and the role of popular athletes in shaping societal perceptions of the use of, and potential harms associated with IPEDs. The study offers a case analysis of recent controversies in the UFC to investigate the entanglements of biomedicine, technology and celebrity culture in what we call the IPED assemblage. The 2023 termination of the USADA-UFC partnership has sparked debates about shifts in anti-doping standards, raising concerns about weaker testing protocols and perceptions of IPED normalisation. The case of Conor McGregor's injury recovery and alleged IPED use underscores the blurred lines between therapeutic and enhancement drug use within the IPED assemblage, challenging conventional distinctions between 'good' and 'bad' drugs in the context of sports management and anti-doping policy making. We highlight the inadequacy of current doping policies in responding to the IPED assemblage and highlight the need to shift public discourse to foster a more critical understanding of therapeutic and enhancement strategies to drive innovation in anti-doping frameworks.","PeriodicalId":12944,"journal":{"name":"Health","volume":" ","pages":"3-21"},"PeriodicalIF":2.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12741166/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142846446","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

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