IF 1.9 4区医学

Health Pub 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":"https://doi.org/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":"13634593251319920"},"PeriodicalIF":1.9,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

In search of a habitable world: The long journey of women who survived breast cancer. 寻找一个适宜居住的世界：乳腺癌幸存者的漫长旅程。

IF 1.9 4区医学

Health Pub Date : 2025-02-13 DOI: 10.1177/13634593251319919

Alexandra Guité-Verret, Melanie Vachon

引用次数: 0

More than meets the eye: Understanding the importance of the materialities of care at the vaccination encounter in Portugal. 不仅仅是表面上的：了解在葡萄牙接种疫苗时护理物质的重要性。

IF 1.9 4区医学

Health Pub Date : 2025-01-18 DOI: 10.1177/13634593241313432

Fábio Rafael Augusto, Ana Patrícia Hilário, Joana Mendonça

{"title":"More than meets the eye: Understanding the importance of the materialities of care at the vaccination encounter in Portugal.","authors":"Fábio Rafael Augusto, Ana Patrícia Hilário, Joana Mendonça","doi":"10.1177/13634593241313432","DOIUrl":"10.1177/13634593241313432","url":null,"abstract":"Caring practices during vaccination encounters are deeply interwoven with materiality, encompassing everyday objects and elements that play a crucial role for all actors involved. However, the significance of these materialities in shaping caring relationships within vaccination practices has been largely overlooked. This research seeks to fill that gap by exploring how mundane elements, such as the objects present during vaccination, contribute to the relational dynamics of the experience. Through a qualitative approach involving participant observation of vaccination encounters and interviews with 30 healthcare professionals, four key themes emerged: (i) objects as comfort devices, (ii) caring as gifts, (iii) reinvented medical instruments, and (iv) creating a friendly environment. These findings suggest that material elements are not merely passive tools but active \"co-participants\" in the vaccination process, influencing the interactions and emotional exchanges that occur. By acknowledging the role of materiality, this research enhances our understanding of vaccination as a relational experience, highlighting the importance of considering these often-overlooked factors in both practice and policy. The study offers valuable insights into how healthcare professionals can utilize materialities to foster more empathetic and supportive vaccination environments.","PeriodicalId":12944,"journal":{"name":"Health","volume":" ","pages":"13634593241313432"},"PeriodicalIF":1.9,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143004146","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 systematic-narrative hybrid review of evidence: Exploring how corporate social responsibility initiatives impact population health. 证据的系统叙述混合评论：探索企业社会责任倡议如何影响人口健康。

IF 1.9 4区医学

Health Pub Date : 2025-01-18 DOI: 10.1177/13634593241313433

Toby Freeman, Kristen Foley, Julia Anaf, Beth Nosworthy, Fran Baum

{"title":"A systematic-narrative hybrid review of evidence: Exploring how corporate social responsibility initiatives impact population health.","authors":"Toby Freeman, Kristen Foley, Julia Anaf, Beth Nosworthy, Fran Baum","doi":"10.1177/13634593241313433","DOIUrl":"https://doi.org/10.1177/13634593241313433","url":null,"abstract":"Corporate Social Responsibility (CSR) refers to initiatives undertaken by corporations that aim to make a positive impact on society. It is unclear to what extent these aims are achieved in relation to population health. We explored the evidence for mechanisms by which CSR has positive or negative effects on population health through a systematic-narrative hybrid review of 97 relevant articles. We found few examples overall that could trace a CSR initiative through to verifiable impacts on the population. Our review found that generally the evidence for the impacts of CSR on population health was patchy, highly heterogenous and of varying quality. We found some potential positive impacts of CSR on health; including on poverty alleviation, development, health care, the environment and the health and wellbeing of workers. Some CSR initiatives were rebranding of core functions, such as HR practices and employee wellbeing strategies, or were a partial redressing of the problems the corporation itself is creating, such as CSR initiatives that sought to improve workplace safety, reduce corporate environmental footprints or relocate people displaced by mining activities. We situate these impacts in relation to the role and intent of CSR, and argue that meaningful progress on CSR can only be made with greater transparency and reporting of initiatives to more fulsomely evaluate their impacts - as well as the political economy in which these sit. It is further critical to strengthen government regulation and oversight to maximise any public good that can come from CSR, and minimise the negative consequences reported in research literature.","PeriodicalId":12944,"journal":{"name":"Health","volume":" ","pages":"13634593241313433"},"PeriodicalIF":1.9,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143004497","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

Narrative and obesity: Managing weight stigma associated with bariatric surgery. 叙事和肥胖：管理与减肥手术相关的体重耻辱。

IF 1.9 4区医学

Health Pub Date : 2025-01-04 DOI: 10.1177/13634593241310129

Álvaro Sicilia, María-Luisa Socías-Serrano, Mark D Griffiths, Elena Martínez-Rosales, Enrique G Artero

{"title":"Narrative and obesity: Managing weight stigma associated with bariatric surgery.","authors":"Álvaro Sicilia, María-Luisa Socías-Serrano, Mark D Griffiths, Elena Martínez-Rosales, Enrique G Artero","doi":"10.1177/13634593241310129","DOIUrl":"https://doi.org/10.1177/13634593241310129","url":null,"abstract":"The present study examined how individuals who have been clinically diagnosed as obese explain their decision to undergo bariatric surgery and how they deal with the stigmatization that such a decision may entail. A total of 23 participants (15 women and 8 men) who were awaiting bariatric surgery within the Spanish healthcare system, were interviewed about their weight trajectory and their decision to undergo this surgery. In order to examine the participants' stories, a narrative analysis of the interviews was conducted, with attention to both content (what they told) and structure (how they told) and examining the stories in line with the socially and culturally available narratives that they had access to, and the context in which the stories were produced. The participants explained their weight trajectory through the origin of their weight, the failure to control it, and their decision to have surgery to solve the weight problem. The narrative of a sick body that needs to be restored appeared to function as a schema or script through which participants attempted to defend themselves from anti-fat narratives that assume personal failure while at the same time presenting themselves as deserving to be operated on. Through their narratives, they positioned themselves as undeserving of stigma but did not challenge the stigma itself.","PeriodicalId":12944,"journal":{"name":"Health","volume":" ","pages":"13634593241310129"},"PeriodicalIF":1.9,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142927233","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

Composing adult lives with a ventilator at the intersection of developmental and neoliberal discourses of time. 在发展与新自由主义时间论述的交汇点上，用呼吸机谱写成人生活。

IF 1.9 4区医学

Health Pub Date : 2025-01-01 Epub Date: 2024-01-17 DOI: 10.1177/13634593241226646

Elizabeth J Straus, Helen Brown, A Fuchsia Howard, Gail Teachman

引用次数: 0

Rethinking the logic of early diagnosis in cancer. 重新思考癌症早期诊断的逻辑。

IF 1.9 4区医学

Health Pub Date : 2025-01-01 Epub Date: 2024-02-26 DOI: 10.1177/13634593241234481

Christina Sadolin Damhus, Mette Bech Risør, John Brandt Brodersen, Alexandra Brandt Ryborg Jønsson

{"title":"Rethinking the logic of early diagnosis in cancer.","authors":"Christina Sadolin Damhus, Mette Bech Risør, John Brandt Brodersen, Alexandra Brandt Ryborg Jønsson","doi":"10.1177/13634593241234481","DOIUrl":"10.1177/13634593241234481","url":null,"abstract":"To reduce morbidity and mortality of cancer, more countries have implemented strategies to detect cancer, based on the logic of 'the sooner the better'. Time is thereby an essential component in how cancer research, policies, and prevention are practiced today. Where the logic of early diagnosis benefits some, the logic also produces harms. In this article, we use a cross-disciplinary case-study design to discuss how different notions of time and linearity are essential in today's research ontology of cancer, describe the individual and societal consequences of such ontology, and invite a rethinking of time in cancer. Drawing on theoretical concepts of time together with cancer epidemiological, historical and ethnographical data, we analyse how the logic of early diagnosis has been established as a stable concept. Although evidence supporting the logic points in different directions, the message 'the sooner the better' is currently not being challenged by research, policy or society. This at least partly, can be explained by a linear perception of time and societal traces of neoliberalism and acceleration in our society together with cancer still being a somewhat enigmatic disease that requires acute action. To support a sustainable healthcare sector, we argue there is a need to nuance the logic of early diagnosis. Continuing the linear perception of symptoms and cancer, risks doing more harm than good by making more people patients unnecessarily and by spending health resources on those with the least need.","PeriodicalId":12944,"journal":{"name":"Health","volume":" ","pages":"3-22"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139971661","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

Mind-Stuff and Withdrawal of the Senses: Toward an Interpretation of Pratyahara in Contemporary Postural Yoga. 心灵与感官的抽离：当代姿势瑜伽中的Pratyahara诠释。

IF 1.9 4区医学

Health Pub Date : 2025-01-01 Epub Date: 2024-02-04 DOI: 10.1177/13634593231222450

Elizabeth McKibben

引用次数: 0

Narratives about distributed health literacy during the COVID-19 pandemic. 讲述 COVID-19 大流行期间的分布式健康知识。

IF 1.9 4区医学

Health Pub Date : 2025-01-01 Epub Date: 2023-12-14 DOI: 10.1177/13634593231215715

Susana Silva, Helena Machado, Ilaria Galasso, Bettina M Zimmermann, Carlo Botrugno

{"title":"Narratives about distributed health literacy during the COVID-19 pandemic.","authors":"Susana Silva, Helena Machado, Ilaria Galasso, Bettina M Zimmermann, Carlo Botrugno","doi":"10.1177/13634593231215715","DOIUrl":"10.1177/13634593231215715","url":null,"abstract":"The promotion of health literacy was a key public health strategy during the COVID-19 pandemic. However, the role of social networks and relationships for support with health literacy-related tasks in the context of the COVID-19 pandemic is scarcely understood. Moving beyond traditional notions of health literacy, which focus on individual skills and knowledge, this study uses the concept of distributed health literacy to explore how individuals make meaning of and respond to health literacy and make their literacy skills available to others through their relational and socially situated and lived experiences of the COVID-19 pandemic. Drawing on 89 semi-structured interviews conducted in three European countries (Italy, Portugal, and Switzerland) between October and December 2021, we found narratives of stabilization, hybridization, and disruption that show how health literacy concerning COVID-19 is a complex social construct intertwined with emotional, cognitive, and behavioral responses distributed among individuals, communities, and institutions within socioeconomic and political contexts that affect their existence. This paper opens new empirical directions to understand the critical engagement of individuals and communities toward health information aimed at making sense of a complex and prolonged situation of uncertainty in a pandemic.","PeriodicalId":12944,"journal":{"name":"Health","volume":" ","pages":"100-117"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11660513/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138803325","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

Reply: How do we avoid polarization of interdisciplinary research on cancer diagnosis? 答复：如何避免癌症诊断跨学科研究的两极分化？

IF 1.9 4区医学

Health Pub Date : 2025-01-01 Epub Date: 2024-07-30 DOI: 10.1177/13634593241258410

Christina Sadolin Damhus, Mette Bech Risør, John Brandt Brodersen, Alexandra Brandt Ryborg Jønsson

引用次数: 0

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