Sociology of health & illness最新文献

Biographical Discovery, Affirmation, and Disruption: Trans and Nonbinary Peoples' Experiences Negotiating Gender and Polycystic Ovary Syndrome. 传记的发现、肯定与破坏：跨性别与非二元族群协商性别与多囊卵巢症候群的经验。

IF 2.7 2区医学

Sociology of health & illness Pub Date : 2026-05-01 DOI: 10.1111/1467-9566.70191

Annie McGhee, Ashlyn Arthur

{"title":"Biographical Discovery, Affirmation, and Disruption: Trans and Nonbinary Peoples' Experiences Negotiating Gender and Polycystic Ovary Syndrome.","authors":"Annie McGhee, Ashlyn Arthur","doi":"10.1111/1467-9566.70191","DOIUrl":"https://doi.org/10.1111/1467-9566.70191","url":null,"abstract":"Polycystic ovary syndrome (PCOS) is the most common endocrine irregularity in people who are assigned-female-at-birth and are of reproductive age. PCOS causes infertility, irregular periods and hirsutism. Cis women with PCOS describe these symptoms as 'masculinising,' which makes them feel inauthentic as women. However, trans and nonbinary people with PCOS may desire a more masculine appearance, but little attention has been given to how these people may experience PCOS. Using Apify, we collected 450 posts from three popular PCOS Reddit communities. We examined titles, posts, and comments for discussions of gender identity and expression. A total of 60 posts with 3889 comments were selected for analysis. We find that, despite broad literature that characterises illnesses as disruptive to one's self, trans and nonbinary people often view PCOS favourably. We propose two theoretical frameworks to better capture their experiences: biographical discovery, where PCOS is a catalyst for self-discovery, and biographical affirmation, where symptoms validate their sense of self and ease gender expression. We also discuss how these users experience biographical disruption. These findings elucidate the ways that social identities shape perception of bodily changes as a result of chronic illness and highlight the need for an embodied approach within medical sociology.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":"48 4","pages":"e70191"},"PeriodicalIF":2.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13101570/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147780133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

A Bourdieusian Approach to the Demobilisation of Brazil's AIDS Movement. 巴西艾滋病运动复员的布尔迪乌主义方法。

IF 2.7 2区医学

Sociology of health & illness Pub Date : 2026-05-01 DOI: 10.1111/1467-9566.70187

Helena de Moraes Achcar

{"title":"A Bourdieusian Approach to the Demobilisation of Brazil's AIDS Movement.","authors":"Helena de Moraes Achcar","doi":"10.1111/1467-9566.70187","DOIUrl":"https://doi.org/10.1111/1467-9566.70187","url":null,"abstract":"This article offers a Bourdieusian analysis of the demobilization of Brazil's AIDS movement, once a globally celebrated force in shaping innovative, rights-based public health responses. Drawing on extensive qualitative data, I argue that the movement's decline cannot be explained solely by institutional co-optation, biomedicalisation, or defunding, as suggested in previous scholarship. Instead, I conceptualise demobilisation as a deeper process of depoliticisation that emerges from transformations in the distribution of capital, shifts in habitus, and structural changes in the field of power under neoliberalism. I trace how the pauperisation of the epidemic brought into the field new agents with different dispositions, challenging the movement's politicised doxa forged in the 1980s and 1990s and fragmenting the field. The analysis emphasises the role of symbolic struggles over legitimacy and the effects of changing political-economic logics on activist practices. By combining field theory with a grounded empirical study of Brazil's AIDS movement, the article contributes to broader debates on the sociology of social movements, the neoliberal restructuring of civil society and the conditions of possibility for re-politicisation.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":"48 4","pages":"e70187"},"PeriodicalIF":2.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13101752/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147780080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Navigating Pandemic Hardships: Experiences of Food Insecurity in Racially/Ethnically Diverse Adults in Canada. 导航流行病的困难：在加拿大不同种族/民族的成年人粮食不安全的经验。

IF 2.7 2区医学

Sociology of health & illness Pub Date : 2026-05-01 DOI: 10.1111/1467-9566.70176

Se'era May Anstruther, Dana Lee Olstad, Valérie Levacher, Noberthe Jean-Baptiste, Tanvir C Turin, Katherine M Livingstone, Rosanne Blanchet

{"title":"Navigating Pandemic Hardships: Experiences of Food Insecurity in Racially/Ethnically Diverse Adults in Canada.","authors":"Se'era May Anstruther, Dana Lee Olstad, Valérie Levacher, Noberthe Jean-Baptiste, Tanvir C Turin, Katherine M Livingstone, Rosanne Blanchet","doi":"10.1111/1467-9566.70176","DOIUrl":"10.1111/1467-9566.70176","url":null,"abstract":"The COVID-19 pandemic highlighted the health, economic and social inequities among adults in food-insecure households. Stigma can exacerbate household food insecurity (HFI) by limiting access to vital resources, including nutritious food. We explored the following among racially/ethnically diverse adults in food-insecure households in Canada: (1) experiences of HFI during COVID-19 and (2) programmatic and policy suggestions to reduce dietary inequities and improve food access during future public health crises. Using purposive sampling, 70 participants from Alberta, Ontario and Québec were recruited. Semi-structured interviews were guided by the Stigma and Food Inequity Conceptual Framework, with data analysed through directed content and narrative analysis. Three themes emerged: (1) strained and uneven paths to food access, (2) surviving food scarcity: disruption coping strategies and their hidden costs and (3) from crisis lessons to equitable policy action to reduce HFI. Experiences of HFI worsened during the pandemic, especially among participants with multiple and intersecting stigmatised identities/positions. Physical and economic barriers to food access during COVID-19 were magnified by systemic inequities operating through stigma. Findings underscore the importance of centring lived experience within a stigma framework to inform equitable policies and programmes, addressing structural drivers of HFI and intersecting stigmas during future public health crises.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":"48 4","pages":"e70176"},"PeriodicalIF":2.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13032197/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147575262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Rethinking 'Strengths' in Youth Health Research. 重新思考青年健康研究的“优势”。

IF 2.7 2区医学

Sociology of health & illness Pub Date : 2026-05-01 DOI: 10.1111/1467-9566.70189

Joanne Bryant, Megan Blaxland, Chelsea van Deventer, Ayusha Bajracharya, Reuben Bolt, Peter Aggleton

引用次数: 0

Beyond Individual Illness: Using Illness Narratives to Explore the Navigation of Care and Work When a Relative Is Dying. 超越个体疾病：使用疾病叙事来探索当亲属死亡时护理和工作的导航。

IF 2.7 2区医学

Sociology of health & illness Pub Date : 2026-05-01 DOI: 10.1111/1467-9566.70188

Kate Reed, Laura Towers

{"title":"Beyond Individual Illness: Using Illness Narratives to Explore the Navigation of Care and Work When a Relative Is Dying.","authors":"Kate Reed, Laura Towers","doi":"10.1111/1467-9566.70188","DOIUrl":"https://doi.org/10.1111/1467-9566.70188","url":null,"abstract":"Sociologists have frequently written about family involvement in end-of-life care, highlighting the emotional and physical labour involved. Research has also examined how individuals juggle paid work commitments with informal long-term care. Less is known about the impact of illness trajectory on care and work in the temporarily ambiguous context of terminal illness. Drawing on qualitative data collected using in-depth interviews and analysed thematically, this article explores how individuals manage paid work commitments when they are informally caring for a relative who is terminally ill. Informed by illness narratives as retold by bereaved relatives, this article examines the impact that illness can have on a 'carer's' ability to engage in paid work. This article concludes by highlighting the temporal and socially embedded nature of care. By uncoupling illness experience from the individual sufferer and using it as a vehicle through which to analyse other social lives and social phenomena (namely, work and care), this article offers a novel contribution to the sociology of health and illness and to wider sociological discussions on the use of narrative. It also extends the focus of sociological debates on care by problematising the relationship between care and work across the boundaries of life and death.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":"48 4","pages":"e70188"},"PeriodicalIF":2.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13122280/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147780112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Implementing AI in Radiotherapy: Insights From the Healthcare Professions. 在放射治疗中实施人工智能：来自医疗保健专业的见解。

IF 2.7 2区医学

Sociology of health & illness Pub Date : 2026-05-01 DOI: 10.1111/1467-9566.70190

Juan I Baeza, Jon Hindmarsh, Angie A Kehagia, Anna Barnes

{"title":"Implementing AI in Radiotherapy: Insights From the Healthcare Professions.","authors":"Juan I Baeza, Jon Hindmarsh, Angie A Kehagia, Anna Barnes","doi":"10.1111/1467-9566.70190","DOIUrl":"https://doi.org/10.1111/1467-9566.70190","url":null,"abstract":"The potential for artificial intelligence (AI) to transform healthcare has been of growing academic, policy and professional interest. Various studies have reported on the perceptions of the potential for AI in healthcare. However, fewer studies have examined the lived experiences that healthcare professionals (HCPs) have with the use of AI tools. One area where AI has been implemented is in the auto-contouring of organs-at-risk (OAR) for cancer treatment. In this study, we interviewed 32 HCPs involved in cancer treatment using these AI tools, across five different regional cancer centres in England. In contrast to studies that explore professionals' perceptions of the future possibilities of AI-which often focus on fear and concern-our respondents report very positive experiences. We find that the AI tools offer opportunities to enhance their professional autonomy by re-focusing, on what they consider to be more expert activities. Our findings reveal the enduring value of insights from the sociology of the professions in the age of AI, and evidence the importance of a partial discard of tasks. They also show the relevance for emerging sociologies of AI to appreciate both the particularities of the AI tools in use, and the professions and practices at work.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":"48 4","pages":"e70190"},"PeriodicalIF":2.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13101571/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147780067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Cocooning Nurse Autonomy in Türkiye: Navigating a Path to Professionalism That Does Not Challenge Medical Dominance. 茧护士自主权在<s:1> rkiye：导航专业化的道路，不挑战医学主导地位。

IF 2.7 2区医学

Sociology of health & illness Pub Date : 2026-05-01 DOI: 10.1111/1467-9566.70196

Zuleyha Inceoz, David Hughes

{"title":"Cocooning Nurse Autonomy in Türkiye: Navigating a Path to Professionalism That Does Not Challenge Medical Dominance.","authors":"Zuleyha Inceoz, David Hughes","doi":"10.1111/1467-9566.70196","DOIUrl":"10.1111/1467-9566.70196","url":null,"abstract":"Nursing work in several Western countries has been affected by evolving discourses of managerialism and professionalism. Interdisciplinary working has given nurses more prominence in high-level teams and created hybrid management roles that have affected understandings of professionalism. Such changes generally followed broader new public management (NPM) reforms that shifted power from senior doctors to executive managers. Yet, although there is an extensive literature on the global spread of NPM reforms, less is known about the influence of associated discourses concerning nurse management and professionalism. This paper addresses that gap by presenting qualitative data on the evolving situation of hospital nursing in Türkiye, a country that implemented NPM-type reforms in the early 2000s. Based on 40 in-depth interviews completed in 2021/22, it describes the uneven impact of these reforms on medicine and nursing, the continuing reality of medical dominance and the development of a professionalising project among Turkish hospital nurses that avoids directly challenging medical power. This emphasises continuing professional education, practice guideline development and a curtailed form of teamwork away from doctors. Nurses exercised greatest autonomy in specialised wards, intensive care units and emergency departments, where a stable staff group could operate at a distance from oversight by senior doctors.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":"48 4","pages":"e70196"},"PeriodicalIF":2.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13146112/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147842434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Recognition and Risk: Ethnic Monitoring, Healthcare Access and Everyday Discrimination in Gypsy, Roma, and Traveller Communities in the UK. 识别和风险：种族监测，医疗保健获取和日常歧视在英国吉普赛人，罗姆人和游民社区。

IF 2.7 2区医学

Sociology of health & illness Pub Date : 2026-05-01 DOI: 10.1111/1467-9566.70177

Győző Molnár, Peter Unwin, Rosemary Rosa Cisneros, Shamus McPhee, Allison Hulmes, Stacey Hodgkins

{"title":"Recognition and Risk: Ethnic Monitoring, Healthcare Access and Everyday Discrimination in Gypsy, Roma, and Traveller Communities in the UK.","authors":"Győző Molnár, Peter Unwin, Rosemary Rosa Cisneros, Shamus McPhee, Allison Hulmes, Stacey Hodgkins","doi":"10.1111/1467-9566.70177","DOIUrl":"10.1111/1467-9566.70177","url":null,"abstract":"Gypsy, Roma, and Traveller communities experience stark health inequalities in the UK, including reduced life expectancy and limited-service access. Ethnic monitoring within the National Health Service is promoted as a tool to identify and address such inequalities, yet how these communities experience such practices remains underexplored. Drawing on 11 co-produced focus groups with 86 self-identified Gypsy, Roma, and Traveller participants across the UK, this article examines perceptions surrounding ethnic monitoring. Using Bourdieu's concepts of field, habitus, symbolic violence and social capital, alongside intersectionality, we reveal how disclosure of ethnicity is simultaneously desired as recognition and feared as potential stigmatisation. Participants reported identity concealment, inadequate categorisation, racism, gendered and cultural barriers and literacy and digital exclusions, while also expressing desire for visible signs of respect and cultural recognition. Ethnic monitoring emerges not as a neutral administrative practice, but as a contested site where power differentials are reproduced. Only if reframed as a practice of recognition and justice, supported by inclusive categories, cultural competence and genuine partnership with Gypsy, Roma, and Traveller organisations, can ethnic monitoring contribute to health equity.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":"48 4","pages":"e70177"},"PeriodicalIF":2.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13032790/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147575267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Care Deliberations of Family Carers of People Living With Dementia-Applying an Affective-Discursive Practices Approach. 失智症患者家庭照护者的照护考量——运用情感话语实践方法。

IF 2.7 2区医学

Sociology of health & illness Pub Date : 2026-05-01 DOI: 10.1111/1467-9566.70194

Marja Lönnroth, Ulla Halonen, Emilia Leinonen, Lina Van Aerschot

{"title":"Care Deliberations of Family Carers of People Living With Dementia-Applying an Affective-Discursive Practices Approach.","authors":"Marja Lönnroth, Ulla Halonen, Emilia Leinonen, Lina Van Aerschot","doi":"10.1111/1467-9566.70194","DOIUrl":"https://doi.org/10.1111/1467-9566.70194","url":null,"abstract":"Dementia is the leading cause of care needs for older adults in Finland, with significant care contributions from families. Although not legally obliged, families often provide care driven by emotional bonds, moral obligations and practical considerations. Even though previous research has extensively explored the reasons why families provide care, analyses of their affective dimensions remain scarce. This study aims to explore these by examining the care deliberations of family carers of people living with dementia, using an affective-discursive practices approach. It focuses on how the entangled dimensions of affect, embodied experience and discourse shape their care choices, applying the approach to the written diaries of 15 Finnish adult children of people living with dementia. The approach embeds personal experiences and interactions within broader sociocultural structures. The results show how carers draw from societal norms and expectations linked to family care (e.g., devotion, duty and reciprocity) but also how they might renegotiate them to justify withdrawing from care. The analysis highlights how affective dilemmas can be approached by linking affect to discourse on a macro level, looking at societal discourses and the affective climates of care and examining how affect is mobilised in everyday interactions to make sense of care choices.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":"48 4","pages":"e70194"},"PeriodicalIF":2.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13133426/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147820075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Gender Segregation in Medicine: The Impact of Stereotypes on Speciality Perceptions and Choices. 医学中的性别隔离：刻板印象对专业认知和选择的影响。

IF 2.7 2区医学

Sociology of health & illness Pub Date : 2026-05-01 DOI: 10.1111/1467-9566.70198

Domenico Carbone, Joselle Dagnes, Arianna Antinori, Arianna Radin

{"title":"Gender Segregation in Medicine: The Impact of Stereotypes on Speciality Perceptions and Choices.","authors":"Domenico Carbone, Joselle Dagnes, Arianna Antinori, Arianna Radin","doi":"10.1111/1467-9566.70198","DOIUrl":"https://doi.org/10.1111/1467-9566.70198","url":null,"abstract":"This study examines the role of gender stereotypes in shaping the perceptions and specialisation choices of medical students in Italy. Although women are increasingly entering the medical profession, strong gender segregation persists across medical specialities, with surgical and technological fields remaining male-dominated and people-oriented specialities female-dominated. Using a survey of 502 senior medical students, the analysis explores whether students perceive certain specialities as more suitable for men or women, and how gendered dispositions influence these perceptions and career orientations. The results show that gendered patterns in both perceptions and intended specialisation choices cannot be fully accounted for by gender alone. Rather, they are mediated by communal and agentic traits, understood as socially produced dispositions aligned with the organisation of medical work. Students with stronger communal orientations are less likely to endorse gender-stereotypical views, whereas agentic traits are associated with perceiving certain fields-both male- and female-dominated-as more suitable for one gender. Family background also plays a role, with students from medical families more likely to perceive specialities as gendered. Overall, the findings suggest that implicit biases continue to shape medical career trajectories through indirect and less visible pathways, even in contexts of increasing gender parity in education.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":"48 4","pages":"e70198"},"PeriodicalIF":2.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147856963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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