Health最新文献

{"title":"Producing non-communicable diseases(NCD's) as health 'problems' in Botswana: A critical analysis of the NCD strategy (2018-2023).","authors":"Tebogo B Sebeelo","doi":"10.1177/13634593251332879","DOIUrl":"10.1177/13634593251332879","url":null,"abstract":"<p><p>Non-communicable diseases (NCD's) have recently become a focus of attention for policymakers in Botswana. In line with the global community, the country has been intentional about dealing with the challenges posed by NCD's and the potential threat it poses to the population. Although the concern with NCD's is legitimate, it is relatively unknown how NCD's have been constructed as policy 'problems' in Botswana. More importantly, the genealogy of NCD's and the politics of their emergence has largely been outside the scope of mainstream policymaking. This paper draws from Carol Bacchi's 'What's the Problem Represented to Be' (WPR), a poststructural analytic approach to examine how the Botswana Multi-Sectoral Strategy for Prevention and Control of Non-Communicable Diseases (2018-2023) represents the NCD 'problem' in Botswana. The paper argues that the NCD strategy in Botswana is framed from a neoliberal approach that place emphasis on individual responsibility and neglect larger social forces. Furthermore, the paper highlights that the use of international 'experts' and consultants bring along international tropes of evidence that might undermine local knowledge systems. The NCD strategy essentially neglects the socio-cultural factors that shape NCD risk in Botswana. The paper provides a critical analysis of how the construction of NCD 'problems' might undermine the everyday experiences of the people of Botswana. Alternative conceptualisations of the NCD 'problem' identified by the WPR analysis is outlined in the conclusion of the paper.</p>","PeriodicalId":12944,"journal":{"name":"Health","volume":" ","pages":"278-291"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144003154","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}

{"title":"'Why can't you just be fine?': An autoethnography of self-harm from a lived experience and nursing perspective.","authors":"Caroline da Cunha Lewin","doi":"10.1177/13634593251342902","DOIUrl":"10.1177/13634593251342902","url":null,"abstract":"<p><p>Psychiatric discourse problematises self-harm as a psychopathological behaviour indicative of individualistic deficiency. This guides clinical priorities in treatment whilst negating salient components and individual preferences. Conversely, survivor-controlled research emphasises underacknowledged aspects of self-harm, such as its embodied emotionality as embedded within sociocultural context. This suggests a need for re-theorisation. Autoethnography (AE) utilises the researcher as the main source of data to elucidate social phenomena. Through AE, I consider my lived and professional experiences, as a registered general nurse, of self-harm by referring to my medical notes, memory reflections and personal diary entries as contextualised to self-harm literature. This lived experience (LE) perspective of self-harm is derived from subjective experience and contemporary literature, framed within survivor epistemology. This novel understanding argues that people with self-harm may experience immersive, aversive embodied emotionality arising from sociocultural and relational conflict. It considers self-harm as supporting the person to (1) be an integrated whole; (2) employ self-care; and (3) connect with oneself and others. This LE perspective directly critiques dominant psychiatric conceptualisations, instead compassionately framing self-harm as socially implicated. This could improve societal understanding, reduce pejorative attitudes and benefit people with LE.</p>","PeriodicalId":12944,"journal":{"name":"Health","volume":" ","pages":"193-213"},"PeriodicalIF":2.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12923617/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144150310","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}

{"title":"'I'm very open about it if people ask': Selective sharing, seeking community and careful censoring in women's epistemic practices surrounding childbirth experiences.","authors":"Lea Høj Høstrup, Lea Cordes, Julie Grøn Corneliussen, Jeanette Ørskov Pedersen, Kia Cecilie Korsgaard Sørensen, Nicole Thualagant, Katja Schrøder, Astrid Janssens","doi":"10.1177/13634593251332891","DOIUrl":"10.1177/13634593251332891","url":null,"abstract":"<p><p>This study sought to explore which possibilities for voicing childbirth experiences women who have given birth experience having, and what types of knowledge they share in different social contexts. With an interpretative phenomenological analysis, conducted in collaboration between academic researchers and The Birthing Experience Panel, the study explores nine Danish women's accounts of articulating and sharing experiential childbirth knowledge. The analysis presents two main themes and six subthemes: (1) Women differentiate practices of voicing of their childbirth experiences by dosing details: by relational proximity, by listener's insight, and by the expertise of health professionals and (2) Women maneuver sharing experiential knowledge, through seeking community, considering countering experiences and careful censoring, differentiated by the childbirth experiences held by the listener. We lean on concepts from feminist epistemology as we discuss how individual epistemic practices rely on cultural perceptions of the value of experiential childbirth knowledge. The detailed understanding of how experiential childbirth knowledge is shared and valued in women's daily lives can contribute to broader discussions on efforts to build collective knowledge resources and include experiential knowledge in the organization of reproductive health care.</p>","PeriodicalId":12944,"journal":{"name":"Health","volume":" ","pages":"258-277"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143983379","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}

{"title":"Navigating residual diagnostic categories: The lived experiences of women diagnosed with autism and ADHD in adulthood.","authors":"Emma Craddock","doi":"10.1177/13634593251336163","DOIUrl":"10.1177/13634593251336163","url":null,"abstract":"<p><p>This article conceptualises a combined autism and ADHD (AuDHD) diagnosis as a residual category not formally represented in diagnostic systems, addressing a critical gap in neurodiversity research. Using Interpretative Phenomenological Analysis of email interviews with six women diagnosed in adulthood, it examines the ambivalence arising from inhabiting this liminal diagnostic space. Residuality generates conflicting feelings about autism, ADHD, and the self, resulting in fragmented identities shaped more by societal narratives than by interpersonal perceptions. Themes include the contradictions between autism and ADHD ('two separate parts of my brain'), their sometimes-complementary relationship ('two sides of the same coin'), and the tension between neurodiversity and medicalisation narratives ('autism is a part of me, ADHD is an add-on'). To resolve this ambivalence, participants sought an objective understanding of their conditions and distinguished between neurodivergent and neurotypical identities. Collectively, their narratives reveal a fluid and dynamic understanding of AuDHD. As the first study to explore the lived experiences of adults diagnosed with both autism and ADHD, it makes an original contribution by developing an AuDHD phenomenology and analytical framework. By amplifying the voices of women historically marginalised, the findings underscore the need for integrated diagnostic processes and tailored support to foster cohesive self-identity. This article contributes to neurodiversity literature, broadens understandings of categorical systems, and illuminates the complexities of navigating residual diagnostic spaces.</p>","PeriodicalId":12944,"journal":{"name":"Health","volume":" ","pages":"235-257"},"PeriodicalIF":2.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12923626/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143994178","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}

{"title":"Cancer journeys and health practitioners as gatekeepers, brokers, and boundary enforcers.","authors":"Kevin Dew, Kerry Chamberlain, Richard Egan, Elizabeth Dennett, Chris Cunningham","doi":"10.1177/13634593261424221","DOIUrl":"https://doi.org/10.1177/13634593261424221","url":null,"abstract":"<p><p>Cancer survival is increasingly prevalent, and the longevity of survivors enable them to provide insights into the experiences of living with cancer. The objective of this article is to consider the roles that health practitioners play that can facilitate or provide hindrances to investigations and cancer treatment following a diagnosis of cancer. From 2020 to 2022, 81 interviews were conducted with Māori and non-Māori throughout Aotearoa New Zealand identified as having survived cancer for a long time, from 4 to 37 years. Three primary roles were identified from the participants' stories: practitioners as gatekeepers, brokers, and boundary enforcers. We suggest that each of these roles is based on different forms of integrity: professional, personal, and scientific. Findings raise concerns about the potential for the healthcare system to foster iniquitous outcomes and to marginalise those who explore alternative understandings of cancer and its treatment. To better support survivorship the healthcare system could be more expansive in its approach, improve its performance in the capacity to detect cancer signals, particularly in patients with a prior history of disease, and take a more tailored approach to cancer survivorship.</p>","PeriodicalId":12944,"journal":{"name":"Health","volume":" ","pages":"13634593261424221"},"PeriodicalIF":2.3,"publicationDate":"2026-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147270683","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}

{"title":"Mapping methodological ecosystems in the journal Health (1997-2025): A critical scoping review.","authors":"Oxana Mikhaylova","doi":"10.1177/13634593261421656","DOIUrl":"https://doi.org/10.1177/13634593261421656","url":null,"abstract":"<p><p>The journal Health has published interdisciplinary scholarship on the social dimensions of health and illness since 1997. Despite rich thematic syntheses at milestone anniversaries, no study has systematically examined how research designs, data collection techniques, and analytic frameworks have evolved to shape the journal's empirical output. This critical scoping review maps the evolution of methodological ecosystems in the journal Health's empirical articles from 1997 to 2025, examining which research traditions have structured the journal's output, how these have changed over time, and how institutional pressures-particularly cross-sectional design bias-have shaped research temporality. A comprehensive search of the journal Health's archives identified 692 empirical articles, which were coded in MAXQDA 2024 for research design, temporal orientation, data collection methods, analytical techniques, theoretical paradigm, and reporting clarity, and then clustered using code co-occurrence networks and modularity-based community detection to identify five methodological ecosystems. Five distinct ecosystems structure the journal's research-quantitative positivism, qualitative interpretivism, ethnographic and observational inquiry, mixed-methods integration, and critical/discourse-oriented research-with cross-sectional designs dominating 78% of studies across all traditions, likely reflecting funding cycles, publication timelines, and career pressures rather than paradigmatic commitments. Over three decades, quantitative positivism declined from over half of published output in the late 1990s to under one quarter by 2025, while qualitative, ethnographic, mixed-methods, and critical approaches collectively increased from 17% to 46%, with notable inflection points including a qualitative \"breakthrough\" around 2012, an ethnographic resurgence after 2020, and methodological convergence across all ecosystems by 2023. The analysis theorizes these patterns as expressions of institutional cross-sectionalism, whereby structural constraints compress temporal depth even in paradigms that value process, and argues that advancing interdisciplinary health scholarship requires structural reforms in funding, publication policy, career evaluation, and methodological infrastructure to support longitudinal, immersive, and participatory inquiry.</p>","PeriodicalId":12944,"journal":{"name":"Health","volume":" ","pages":"13634593261421656"},"PeriodicalIF":2.3,"publicationDate":"2026-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147270727","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}

{"title":"Functional stupidity in Danish intersectoral pathways: An institutional ethnographic text analysis of documentary practices.","authors":"Stine Lundstrøm Kamionka, Morten Sodemann, Niels Bilenberg, Niels Buus","doi":"10.1177/13634593261419400","DOIUrl":"https://doi.org/10.1177/13634593261419400","url":null,"abstract":"<p><p>Written information exchange is widely used to share information and coordinate care across services. Yet, its coordinating effects remain unclear. The aim of the study was to explore the textually mediated practices through which institutional work was coordinated between social care and healthcare professionals in Danish intersectoral care pathways. We analysed seven Health Statuses, each consisting of a request (LÆ 121) from social care and a reply (LÆ 125) from a general practitioner. These were collected from seven textually mediated pathways of people with disadvantage and examined through an institutional ethnographic text analysis of their textual characteristics and discursive practices. We found that the practices were directly influenced by detailed policy texts. The textually mediated accounts of the client/patients' situation were brief, highly structured by macro policy documents, and drew on two distinctly different discourses, health and social care respectively. These practices did not support intersectoral coordination and warrant scrutiny of intended and unintended consequences.</p>","PeriodicalId":12944,"journal":{"name":"Health","volume":" ","pages":"13634593261419400"},"PeriodicalIF":2.3,"publicationDate":"2026-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146226666","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}

{"title":"Degendered care and the biomedicalization of masculinity after myocardial infarction: A qualitative analysis exploring Swedish healthcare professionals' perspectives.","authors":"Jesper Andreasson, Thomas Johansson, Carina Danemalm Jägervall, Anna Strömberg","doi":"10.1177/13634593261422512","DOIUrl":"10.1177/13634593261422512","url":null,"abstract":"<p><p>This study investigates the interplay between biomedical practices and sociocultural constructs of gender and masculinity in shaping healthcare professionals' (HCPs) understandings of myocardial infarction (MI) and MI patients. Theoretically, the study departed from the ongoing reframing of healthcare in Sweden and internationally, whereby the medical gaze is transformed into biomedicalization. The findings show that the dominance of biomedical perspectives serves to create certain norms regarding how bodies and illness are to be treated, bringing a strong focus to person-centered care, and to patients' own moral responsibility to adhere to medical advice. The expansion of individualized perspectives - the construction of \"biological citizens\" - however, also entails a risk of creating a false sense of universality, whereby social and cultural aspects of illness are made invisible. Even though some HCPs describe MI as a \"male disease,\" patients are largely constructed as gender-neutral. The dominance of biomedicalization serves to obscure opportunities to think through the connections between risk factors, gender/masculinity, and MI. Accordingly, the healthcare system and HCPs working in MI care may fail to account for how diverse gender scripts and cultural dynamics might contribute to form patients' experiences, care seeking behavior and adherence with medical advice in rehabilitation.</p>","PeriodicalId":12944,"journal":{"name":"Health","volume":" ","pages":"13634593261422512"},"PeriodicalIF":2.3,"publicationDate":"2026-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146212953","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}

{"title":"Does digital mental health live up to its promise? An international study among people experiencing anxiety, carers and healthcare professionals.","authors":"M Morgiève, L Beauvallet, M Duliere, M Dubuson, Sören Brähmer, C Steuwe, Khadicha Amarti, M Ciharova, Marion Macinnes, C Borda-Niño-Wildman, S Poulter, T Robinson, Anna-Paulina Ewalds Mulliez, D Sebbane","doi":"10.1177/13634593251399918","DOIUrl":"https://doi.org/10.1177/13634593251399918","url":null,"abstract":"<p><p>Anxiety disorders are highly prevalent, driving the development of digital mental health technologies and raising important socio-anthropological questions. This study examines the representations and practices surrounding these tools among individuals experiencing anxiety, carers, and healthcare professionals across six European countries. Drawing on qualitative analysis of 100 focus group participants, this study explores lived experiences and perspectives on integrating digital technologies into mental health care. Participants valued the potential of digital tools to foster social connexion, reduce isolation, and empower users, viewing them as complementary to, rather than a substitute for, human interaction due to their limitations in addressing complex needs. Concerns about data security, intrusiveness, and the risk of dehumanising care were also prominent. Cross-country differences highlighted how healthcare policies, socioeconomic conditions, and cultural norms shape attitudes and usage patterns. Individuals experiencing anxiety expressed optimism, while professionals adopted a more cautious stance, emphasising personalisation and ethical oversight. These findings highlight the importance of designing digital mental health tools that are inclusive, equitable, and sensitive to users' material conditions and needs. This study contributes to sociological debates on health digitalisation, by demonstrating how such technologies can both mitigate and reinforce existing inequalities.</p>","PeriodicalId":12944,"journal":{"name":"Health","volume":" ","pages":"13634593251399918"},"PeriodicalIF":2.3,"publicationDate":"2026-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146179135","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}

{"title":"\"More like a drug cartel than a baby plan\": A multimodal analysis of infertility GIFs on Reddit.","authors":"Rim H Chaif","doi":"10.1177/13634593251409222","DOIUrl":"https://doi.org/10.1177/13634593251409222","url":null,"abstract":"<p><p>This research presents a multimodal analysis of 189 infertility GIFs collected from the subreddit <i>r/trollingforababy</i> over a 12-month period. Drawing on symbolic interactionism and Bakhtinian concepts, the analysis examines how users repurpose popular culture imagery to narrate infertility struggles on digital platforms. Three major themes emerged: temporal disjuncture and the symbolic weight of waiting, dialogic resistance and carnivalesque inversion of infertility social scripts, and the grotesque medicalized body and the politics of visibility. Across the three themes, GIFs emerge as symbolic performances that enable users to negotiate stigma, build collective meaning, and resist dominant reproductive ideologies, positioning infertility as not only a medical and social condition but also a communicative site where meaning, identity, and agency are contested.</p>","PeriodicalId":12944,"journal":{"name":"Health","volume":" ","pages":"13634593251409222"},"PeriodicalIF":2.3,"publicationDate":"2026-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146165095","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}