IF 2 4区医学

Health Pub Date : 2026-09-01 Epub Date: 2025-11-17 DOI: 10.1177/13634593251394740

Marjaana Jones

{"title":"Commercial ultrasounds: Blurring and renegotiating boundaries in prenatal care.","authors":"Marjaana Jones","doi":"10.1177/13634593251394740","DOIUrl":"10.1177/13634593251394740","url":null,"abstract":"Prenatal ultrasounds have become a routine component of pregnancy care and a significant social milestone for expectant parents. Although originally developed for medical diagnostics, these technologies also carry important social and emotional connotations. This study examines the growing phenomenon of commercial prenatal ultrasounds in Finland, focusing on how these services blur traditional boundaries in maternity care. The research draws on data from private providers' websites, interviews with healthcare professionals who perform commercial ultrasounds and with new parents who opted for additional scans during pregnancy. Using reflexive thematic analysis and the concept of boundary work, the study identifies three key areas of contestation: professional remits, the clinical versus non-clinical nature of ultrasound services, and the timing and autonomy of care decisions. The findings suggest that commercial ultrasounds challenge established professional hierarchies, reshape parental agency, and contribute to the commodification of pregnancy. The study highlights the need for further research into the emotional dimensions of prenatal care and the implications of expanding private maternity services in publicly funded healthcare systems.","PeriodicalId":12944,"journal":{"name":"Health","volume":" ","pages":"661-678"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13534766/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145540421","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

Threatened by an individual double-edged risk? Representations of suicidal behavior and people who attempt suicide in prevention policies in Denmark. A poststructural policy analysis. 受到个人双刃剑风险的威胁？丹麦预防政策中自杀行为和企图自杀的人的表现。后结构性政策分析。

IF 2 4区医学

Health Pub Date : 2026-09-01 Epub Date: 2025-11-12 DOI: 10.1177/13634593251389636

Joanna Wisbech, Alexandra Brandt Ryborg Jønsson, Mari Holen

{"title":"Threatened by an individual double-edged risk? Representations of suicidal behavior and people who attempt suicide in prevention policies in Denmark. A poststructural policy analysis.","authors":"Joanna Wisbech, Alexandra Brandt Ryborg Jønsson, Mari Holen","doi":"10.1177/13634593251389636","DOIUrl":"10.1177/13634593251389636","url":null,"abstract":"The aim of this study is to critically analyze how suicidal behavior and individuals who attempt suicide are problematized and represented in Danish suicide prevention policies. Drawing on a poststructural policy analysis approach inspired by Bacchi and Goodwin, we seek to uncover the underlying assumptions, silences, and potential effects embedded in these problem representations, with particular attention to how certain preventive actions are prioritized while broader social, structural, and relational understandings of suicidality are marginalized. Suicide prevention efforts in Denmark have not led to a reduction in suicides and suicide attempts in the last 20 years. Until recently, the underlying assumptions and constructions shaping national suicide prevention policies have received limited scholarly attention. Following this, our analysis focuses on documents published by key stakeholders and decision-makers involved in the national partnership for the prevention of suicide and suicide attempts in Denmark. The findings indicate that individuals who attempt suicide are predominantly framed as both risky and at risk, due to enduring individual vulnerabilities and mental illness. This dual construction positions the person as an active threat to themselves-engaging in suicidal behavior as a result of poor coping abilities-while simultaneously being a passive victim of external threats such as psychiatric conditions or adverse life circumstances. We argue that these dominant, individualized problem representations frame suicidal behavior as a double-edged risk, narrowing prevention efforts to acute, short-term individual support and treatment. This potentially leaves out the contexts people in suicidal distress navigate as sites of intervention.","PeriodicalId":12944,"journal":{"name":"Health","volume":" ","pages":"743-760"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145495354","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

People on long-term sickness absence and their experiences and perceptions of professionals from the vocational and the health care sector: In this together? 长期因病缺勤的人及其对职业和卫生保健部门专业人员的经验和看法：在一起吗？

IF 2 4区医学

Health Pub Date : 2026-09-01 Epub Date: 2025-11-27 DOI: 10.1177/13634593251394745

Christian Jauernik, Poul Frost, Frans Boch Waldorff, Jan Renneberg, Mette Bech Risør

{"title":"People on long-term sickness absence and their experiences and perceptions of professionals from the vocational and the health care sector: In this together?","authors":"Christian Jauernik, Poul Frost, Frans Boch Waldorff, Jan Renneberg, Mette Bech Risør","doi":"10.1177/13634593251394745","DOIUrl":"10.1177/13634593251394745","url":null,"abstract":"People on long-term sickness absence in Denmark experience the help and support they receive from professionals as problematic. To understand these issues, this study, through interviews with eight interlocutors, investigated how people on long-term sickness absence perceive and experience professionals from both the vocational and health care sectors involved in their situation. Our study led to two main findings: Firstly, the roles of professionals often transcended their formal boundaries, with caseworkers frequently becoming involved in the sick absentees' health-related issues, and health care professionals frequently becoming involved in the sick absentees' vocational issues. Secondly, professionals from both sectors were perceived as enacting one of two positions: A \"position of togetherness,\" where professionals were perceived as someone helping the sick absentee in managing their situation, and a \"position of otherness,\" where the professionals were perceived as an additional uncertainty in the sick absentee's situation. These positions were situational and could change depending on the context and over time. The research highlights the importance of meaningful relationships between professionals and sick absentees, suggesting that fostering a position of togetherness can lead to better outcomes. We believe our findings can help professionals better understand and support people on sickness absence.","PeriodicalId":12944,"journal":{"name":"Health","volume":" ","pages":"641-660"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145632404","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

Self-care and social class: Unpacking inequities in healthcare access during a healthcare reform. 自我保健和社会阶层：在医疗保健改革期间，医疗保健获取的不公平现象。

IF 2 4区医学

Health Pub Date : 2026-09-01 Epub Date: 2025-11-30 DOI: 10.1177/13634593251393746

Iben Charlotte Aamann, Sanne Lykke Lundstrøm, Anne Frølich, Barbara Ann Barett

{"title":"Self-care and social class: Unpacking inequities in healthcare access during a healthcare reform.","authors":"Iben Charlotte Aamann, Sanne Lykke Lundstrøm, Anne Frølich, Barbara Ann Barett","doi":"10.1177/13634593251393746","DOIUrl":"10.1177/13634593251393746","url":null,"abstract":"This article explores the implications of social class for healthcare access and self-care practices among patients with complex multimorbidity in Denmark. Despite universal health coverage, socioeconomic disparities persist in healthcare access. We analyze qualitative data stemming from a summative evaluation of a complex intervention to improve integrated care for these patients, which included extended consultations in general practice. Using a sociocultural and psychosocial concept of class, we examine how patients engage with normative ideals of patient behavior and self-care. By highlighting two extreme cases, our findings reveal significant class-based differences in patients' health practices. While the middle-class patient actively engages in his treatment, the lower-class patient struggles with more pressing life issues, relegating chronic illness management to the background. We argue that future healthcare reforms emphasizing differentiated treatment based on increased self-care may inadvertently exacerbate existing inequity. Such insights are crucial for developing equitable healthcare policies that address the complex interplay between social class and access to healthcare.","PeriodicalId":12944,"journal":{"name":"Health","volume":" ","pages":"679-700"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145648313","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

"If it's going to be, it's up to me. . .": Health-related coaching, personal responsibility, empowerment, digital health, and the expanding practice of ADHD care. “如果是的话，这取决于我……”：健康相关的指导、个人责任、授权、数字健康，以及多动症护理的扩大实践。

IF 2 4区医学

Health Pub Date : 2026-08-18 DOI: 10.1177/13634593261473498

Meredith Bergey

{"title":"\"If it's going to be, it's up to me. . .\": Health-related coaching, personal responsibility, empowerment, digital health, and the expanding practice of ADHD care.","authors":"Meredith Bergey","doi":"10.1177/13634593261473498","DOIUrl":"https://doi.org/10.1177/13634593261473498","url":null,"abstract":"Despite the emergence of various \"health coaches\" in recent decades, little is known about the nature of their work in addressing medicalized conditions. Utilizing in-depth interviews with 51 ADHD coaches, participant observation data from 7 ADHD national symposia, and qualitative content from ADHD coach publications, I examine access to and characteristics of the practice of coaching for a classic case of medicalization: attention deficit hyperactivity disorder (ADHD). Findings indicate certain elements of a neoliberal and consumerist response to what is perceived to be limited, prescriptive, hierarchical medical care. Often drawing upon personal experiences and working with \"clients\" as opposed to \"patients,\" ADHD coaches characterize their practice as highly-tailored support grounded in partnership, accountability, accessibility, and choice - factors often facilitated by the use of digital technologies. Client empowerment is partially constrained and coach/provider empowerment is partially enhanced, however, by determinations of \"coachability,\" an emphasis on individual responsibility, and limited reimbursement options. Additionally, findings point to the role that intersecting stakeholder identities (e.g., clinician/coaches, coach/clients) may play in such dynamics. I discuss the relevance of such findings for theorizing about the engaged health client within an era of increased health consumerism, corporatization, growing and intersecting forms of \"expertise,\" and increased personal responsibility over health.","PeriodicalId":12944,"journal":{"name":"Health","volume":" ","pages":"13634593261473498"},"PeriodicalIF":2.0,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148792348","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 trauma turn in mental health care: Psychocentrism and the governance of social suffering. 心理健康护理中的创伤转向：心理中心主义和社会痛苦的治理。

IF 2 4区医学

Health Pub Date : 2026-08-14 DOI: 10.1177/13634593261477239

Sebastian Monteux, Mark Smith, Kathryn Young

{"title":"The trauma turn in mental health care: Psychocentrism and the governance of social suffering.","authors":"Sebastian Monteux, Mark Smith, Kathryn Young","doi":"10.1177/13634593261477239","DOIUrl":"10.1177/13634593261477239","url":null,"abstract":"Trauma has become a dominant framework for understanding social suffering across contemporary mental health care and social welfare. The rise of Trauma-Informed Care (TIC), presented as a progressive and compassionate approach to service delivery, reflects this broader \"trauma turn.\" In this paper, we examine TIC using the concept of psychocentrism. We focus on how suffering is increasingly interpreted and addressed at the level of the individual, while social, political, and material conditions are marginalised. Drawing on scholarship from psychiatry, psychology, sociology, and critical social theory, we critique trauma discourse and its translation into policy and practice. We examine the growing authority of neuroscience and how adversity is translated into individualised interventions, risk management, and self-regulation. While cumulative adversity can undoubtedly shape people's experiences, we argue that the dominance of trauma risks narrowing how social suffering is understood and responded to. It can also constrain how people understand their circumstances and exercise their agency. Despite the rapid institutionalisation of TIC, its conceptual foundations are contested, and its empirical support remains equivocal. We argue for approaches that engage more fully with the social, relational, and everyday conditions shaping social suffering. Rather than treating trauma as a master explanatory framework, we suggest that it is better understood as one perspective among many.","PeriodicalId":12944,"journal":{"name":"Health","volume":" ","pages":"13634593261477239"},"PeriodicalIF":2.0,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148760388","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

Critique in context: Pragmatic sociology's contribution to health research. 语境中的批判：实用社会学对健康研究的贡献。

IF 2 4区医学

Health Pub Date : 2026-08-13 DOI: 10.1177/13634593261474434

Catarina Delaunay, Luís Gouveia

{"title":"Critique in context: Pragmatic sociology's contribution to health research.","authors":"Catarina Delaunay, Luís Gouveia","doi":"10.1177/13634593261474434","DOIUrl":"10.1177/13634593261474434","url":null,"abstract":"Since the 1990s, marked by Health's inaugural issue and the publication of Boltanski and Thévenot's De la justification, the Sociology of Health and Medicine has been shaped by traditions rooted in Critical Sociology, particularly Foucauldian, Marxist, and Bourdieusian paradigms. These frameworks have offered incisive critiques of power, biopolitics, medicalization, and neoliberal reframing of health responsibility. Concurrently, another sociological movement emerged through the development of French Pragmatic Sociology, or the \"sociology of critical capacity.\" By foregrounding actors' justifications, plural conceptions of worth, and regimes of engagement, it reorients the analysis from structural domination to situated critique, one that is attuned to the complexity, uncertainty, and ambivalence of health-related action. It enables a relational, context-sensitive approach to the lived experiences of patients and professionals as they engage with institutional arrangements and enact critique within situated action. Drawing on a non-exhaustive, interpretive review of empirical studies engaging with Pragmatic Sociology, particularly in healthcare controversies, clinical decision-making, patient-professional interactions, and health innovation, this article shows how this perspective fosters nuanced understandings of normativity, critique, and coordination in health practices. It traces this theoretical realignment and argues that Pragmatic Sociology offers a compelling, flexible, and still underutilized epistemological and methodological framework for health research, sustaining and extending critique through an empirically grounded analysis.","PeriodicalId":12944,"journal":{"name":"Health","volume":" ","pages":"13634593261474434"},"PeriodicalIF":2.0,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148720359","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

Provincializing vulnerability: Rethinking communication inequality in East Asia's COVID-19 research. 脆弱性的省区化：重新思考东亚新冠肺炎研究中的传播不平等。

IF 2 4区医学

Health Pub Date : 2026-08-12 DOI: 10.1177/13634593261473177

Yingjia Huang, Jianfeng Lan

{"title":"Provincializing vulnerability: Rethinking communication inequality in East Asia's COVID-19 research.","authors":"Yingjia Huang, Jianfeng Lan","doi":"10.1177/13634593261473177","DOIUrl":"https://doi.org/10.1177/13634593261473177","url":null,"abstract":"This article examines how East Asian COVID-19 scholarship conceptualizes vulnerable groups and communication inequality, and what this regional corpus contributes to comparative health communication and the sociology of epidemics. Drawing on bibliometric mapping and article-level thematic coding of 184 peer-reviewed studies published between 2020 and 2025 on China, Japan, and South Korea, the study compares East Asia-focused research with global COVID-19 literature. The findings show that East Asian scholarship tends to define vulnerability through situational system mismatch. Children, students, older adults, women, people with disabilities, chronic disease patients, and low-income groups become vulnerable when crisis governance disrupts the institutions, platforms, family relations, and support systems on which they depend. The article further identifies four mechanisms through which communication inequality intensifies vulnerability: institutional and technological exclusion, failures of understanding and judgment, interruptions of support, and governance exposure and stigma amplification. Even within East Asia, the literature shows important internal differences. Japanese studies foreground aging and norm pressure, Chinese studies emphasize urban-rural educational inequality and youth vulnerability, and Korean studies appear closer to global research in their attention to digital inequality, gendered isolation, discrimination, and health management. By bringing East Asian scholarship into comparative pandemic research, this article shows how vulnerability can be generated through everyday system configurations and crisis communication infrastructures. It argues that future pandemic preparedness requires inclusive communication systems alongside medical and epidemiological capacity.","PeriodicalId":12944,"journal":{"name":"Health","volume":" ","pages":"13634593261473177"},"PeriodicalIF":2.0,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148712593","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

Antimicrobial stewardship as a jurisdictional project: A grounded theory of nursing roles in the intensive care unit. 抗菌药物管理作为一个管辖项目：在重症监护病房护理角色的接地理论。

IF 2 4区医学

Health Pub Date : 2026-08-10 DOI: 10.1177/13634593261476080

Junel Padigos, Simon Reid, Emma Kirby, Jennifer Broom

{"title":"Antimicrobial stewardship as a jurisdictional project: A grounded theory of nursing roles in the intensive care unit.","authors":"Junel Padigos, Simon Reid, Emma Kirby, Jennifer Broom","doi":"10.1177/13634593261476080","DOIUrl":"https://doi.org/10.1177/13634593261476080","url":null,"abstract":"Antimicrobial stewardship (AMS) is a systematic programme to optimise antimicrobial use and forms a key pillar of the strategies that are developed to address the global threat of antimicrobial resistance. Nurses constitute the highest number of healthcare professionals, and engagement of nursing is key to AMS. Intensive care units (ICUs) have a high-volume antimicrobial use, and yet nursing integration in AMS in the ICUs is undertheorised. Using constructivist grounded theory, we conducted 36 in-depth interviews with ICU clinicians in two Australian hospitals to explore the processes involved in navigating their roles in AMS. The resulting theory, metaphorised as 'Setting a bonfire in a newfound cave' mapped a phased process of integration reflecting the situated and variable ways nurses encounter, interpret and engage with AMS in practice. Beyond clinical insights, this study theorises AMS as jurisdictional project where nurses negotiate limits of expertise and authority, while navigating organisational and interprofessional challenges. Findings reframe AMS as a politics of care wherein players experience tensions between bureaucratic constraints and ethical obligations. The resulting theory specified the processes required to embed AMS into the core of nursing identity and practice. Situating the discretionary actions of nurses within logic and bureaucracy, we offer nuanced accounts and perspectives of how power, hierarchy and cultural norms influence and shape implementation of innovative strategies such as AMS. The theoretical insights of this study contribute to health sociology, ethics of care and implementation studies by illustrating how authority and transactions in AMS are negotiated, shared and redistributed in practice.","PeriodicalId":12944,"journal":{"name":"Health","volume":" ","pages":"13634593261476080"},"PeriodicalIF":2.0,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148706284","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

Editorial: 30 Years of Health. 社论：30年的健康。

IF 2 4区医学

Health Pub Date : 2026-08-09 DOI: 10.1177/13634593261477586

Rebecca E Olson, Chris Till

引用次数: 0

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