Sociology of health & illness最新文献

Running and Stumbling to Recovery: A Carnal Sociological Study of Change in Substance Use. 奔跑和跌跌撞撞的恢复：物质使用变化的肉体社会学研究。

IF 2.7 2区医学

Sociology of health & illness Pub Date : 2025-06-01 DOI: 10.1111/1467-9566.70052

Stephanie Bogue Kerr, Nicolas Moreau

引用次数: 0

Financialisation and the Reshaping of Private Healthcare: A Case Study in India. 金融化与私营医疗重塑：以印度为例

IF 2.7 2区医学

Sociology of health & illness Pub Date : 2025-05-01 DOI: 10.1111/1467-9566.70041

Benjamin M Hunter, Indira Chakravarthi, Shweta Marathe, Susan F Murray

引用次数: 0

The Role of Algorithms in Molecular Tumour Boards-Managing the Gap Between Research and Clinic in Precision Medicine. 算法在分子肿瘤委员会中的作用-管理精确医学研究与临床之间的差距。

IF 2.7 2区医学

Sociology of health & illness Pub Date : 2025-05-01 DOI: 10.1111/1467-9566.70040

Dominik Hofmann, Elena Esposito

{"title":"The Role of Algorithms in Molecular Tumour Boards-Managing the Gap Between Research and Clinic in Precision Medicine.","authors":"Dominik Hofmann, Elena Esposito","doi":"10.1111/1467-9566.70040","DOIUrl":"https://doi.org/10.1111/1467-9566.70040","url":null,"abstract":"The article explores the role of algorithmic procedures in the implementation of the programme of precision medicine (PM), currently pursued in molecular tumour boards (MTBs) that emerged from the confluence of previous tumour boards and the increasing molecularisation of medicine. Our observation of the deliberations in MTBs, confirmed by interviews with participants, shows that the crucial contribution of algorithms in all stages of the processing of molecular data is neither acknowledged nor mentioned. One reason, we argue, is that these highly innovative technologies are very distant from the traditional skills and training of clinicians. The mediation through MTBs provides algorithmic procedures with the viability required to be implemented in medical decisions-and is more effective the more it goes unnoticed. Contrary to the widespread assumption of a blurring boundary between research and care, we claim that the intensification of contacts and exchanges among research endeavours and clinical operations makes the separation between the two fields increasingly sharp. As a consequence, there is a need for new forms of translation, which are accomplished by MTBs.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":"47 4","pages":"e70040"},"PeriodicalIF":2.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12047614/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030192","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

Networked Care: Worlding Mental Well-Being in a Digital Age. 网络护理：数字时代的全球心理健康。

IF 2.7 2区医学

Sociology of health & illness Pub Date : 2025-05-01 DOI: 10.1111/1467-9566.70037

Marjo Kolehmainen

{"title":"Networked Care: Worlding Mental Well-Being in a Digital Age.","authors":"Marjo Kolehmainen","doi":"10.1111/1467-9566.70037","DOIUrl":"https://doi.org/10.1111/1467-9566.70037","url":null,"abstract":"This article analyses mental health support through the lens of care. Drawing upon a study of various practices of teletherapy and remote counselling during the COVID-19 pandemic, it empirically analyses mental healthcare by tapping into the experiences of Finnish therapy and counselling professionals. In telecare, digital technology with its particularities brings forth particular forms of (networked) care: networked connectivity and the relations formed with and through digital technologies operate as 'worlding practices' that bring different modes of mental healthcare into being. Taking as its point of departure the assumption that networked connectivity has transformed and is transforming mental healthcare, this article seeks ways of incorporating networked connectivity into understandings of the enactment of care. By bringing together insights from science and technology studies, feminist materialism and research on networked connectivity, it is interested in asking and analysing how care comes to matter in networked societies. In particular, insights from studies of care networks and network connectivity are brought together to provide novel insights into these configurations and entanglements of care. Through detailed empirical analysis of interviews, the article further develops a concept of networked care.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":"47 4","pages":"e70037"},"PeriodicalIF":2.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11997421/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144031637","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

The Gatekeeper's Dilemma: Unpacking the Complexity of Low-Value Care in General Practice. 守门人的困境：揭开全科医疗中低价值护理的复杂性。

IF 2.7 2区医学

Sociology of health & illness Pub Date : 2025-05-01 DOI: 10.1111/1467-9566.70034

Olivia Spalletta, Sara Green

{"title":"The Gatekeeper's Dilemma: Unpacking the Complexity of Low-Value Care in General Practice.","authors":"Olivia Spalletta, Sara Green","doi":"10.1111/1467-9566.70034","DOIUrl":"https://doi.org/10.1111/1467-9566.70034","url":null,"abstract":"Low-value care (LVC) is increasingly the focus of debates on how to reduce the use of healthcare resources while maintaining quality care. General practitioners (GPs) are often considered central to this aim. Although GPs facilitate early disease detection, disease prevention and coordinated medical care, they must do so while aiming to protect both patients and the healthcare system from the harmful effects of medical overactivity. Public healthcare systems with gatekeeping practices, such as Denmark, lack many of the identified economic and structural incentives for LVC. Why then does LVC persist? Drawing on ethnographic observations and interviews with practising GPs, we explore how Danish GPs handle the difficult task of drawing a line between what requires medical attention and what should be left untreated or monitored. Our findings suggest that LVC literature may overlook the value of some interventions when used by GPs to improve patient trajectories over a longer term, maintain the relationship between patient and practitioner or balance the use of time and resources across the healthcare system. We clarify this point by unpacking the relational and context-dependent work of GPs, which is central to their capacity to serve as trusted gatekeepers.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":"47 4","pages":"e70034"},"PeriodicalIF":2.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11997420/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144037732","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

The Problem With Resilience: Individualisation, Reductionism and Relationality in Health Discourses on Resilience. 心理弹性的问题：心理弹性健康话语中的个体化、还原论和关联性。

IF 2.7 2区医学

Sociology of health & illness Pub Date : 2025-05-01 DOI: 10.1111/1467-9566.70031

Joanne Bryant, Peter Aggleton

{"title":"The Problem With Resilience: Individualisation, Reductionism and Relationality in Health Discourses on Resilience.","authors":"Joanne Bryant, Peter Aggleton","doi":"10.1111/1467-9566.70031","DOIUrl":"10.1111/1467-9566.70031","url":null,"abstract":"Narratives of resilience are proliferating in health policy and research where they are used to address problems threatening individuals and communities. Resilience approaches are often considered alternatives to other models of intervention because they signal a shift away from deficit assumptions to more empowering ways of promoting health. To date, however, there has been a lack of scrutiny of the nature, assumptions and effects of resilience discourse within the health field. This paper critically analyses the logics that underpin the use of such discourse, and the implications of their allure. Findings show that resilience discourse is largely understood and operationalised in neoliberal, individualistic and reductionist terms. Such logics create normative standards for what counts as 'proper resilience' and, by doing so, engender experiences of guilt and shame when individuals are not 'resilient enough'. Seen differently, through the logics of social relationality, for example, resilience can engender new forms of subjectivity and practice for individuals and communities as 'expert' and 'knowing'. Relational resilience is especially evident in First Nations scholarship, where it is conceptualised in terms of collective values, practices and identities rather than the attributes of individuals, offering opportunities to advance thinking about resilience and its use in health contexts.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":"47 4","pages":"e70031"},"PeriodicalIF":2.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11971725/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143788702","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

Associations Between Experiences of Racial Discrimination Across the Life Course and Mental Health: Exploring Direct and Indirect Pathways. 贯穿一生的种族歧视经历与心理健康之间的联系：探索直接和间接途径。

IF 2.7 2区医学

Sociology of health & illness Pub Date : 2025-05-01 DOI: 10.1111/1467-9566.70023

Patricia Irizar, Dharmi Kapadia, Harry Taylor, Gertrude Wafula, Charles Kwaku-Odoi, Laia Bécares, Srinivasa Vittal Katikireddi

{"title":"Associations Between Experiences of Racial Discrimination Across the Life Course and Mental Health: Exploring Direct and Indirect Pathways.","authors":"Patricia Irizar, Dharmi Kapadia, Harry Taylor, Gertrude Wafula, Charles Kwaku-Odoi, Laia Bécares, Srinivasa Vittal Katikireddi","doi":"10.1111/1467-9566.70023","DOIUrl":"10.1111/1467-9566.70023","url":null,"abstract":"We aim to explore the association between racial discrimination across the life course on common mental disorders (CMD) during the COVID-19 pandemic, testing direct and indirect pathways. Cross-sectional data were obtained from the Evidence for Equality National Survey (Feb-Nov 2021, N = 8897 ethnic minority people aged 18-60). The survey measured experiences of racial discrimination across multiple domains and time periods. Path analyses were used to explore the associations between racial discrimination and CMD and the indirect associations via SARS-CoV-2 infection, financial concerns, loneliness and belonging. We find a clear dose-response relationship between experiences of racial discrimination over time and CMD. Compared to no reporting of experiences, chronic experiences of racial discrimination were associated with 2.91 times the odds of CMD (95%CI: 2.33-3.65; recent experiences only OR = 2.11, 1.67-2.67; past experiences only OR = 1.50, 1.16-1.92). Recent and chronic experiences of racial discrimination (but not past experiences) were also indirectly associated with CMD, via SARS-CoV-2 infection, greater financial concerns, greater feelings of loneliness and a reduced sense of belonging. These findings were consistent across all domains of racial discrimination, indicating that racial discrimination in any setting can negatively impact mental health. Anti-racist interventions which target the interconnected dimensions of racism are needed.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":"47 4","pages":"e70023"},"PeriodicalIF":2.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11980026/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812262","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

The Emergence of (Male) Eating Disorders as a Clinical Entity. （男性）饮食失调作为临床实体的出现。

IF 2.7 2区医学

Sociology of health & illness Pub Date : 2025-05-01 DOI: 10.1111/1467-9566.70045

Piotr Maron

{"title":"The Emergence of (Male) Eating Disorders as a Clinical Entity.","authors":"Piotr Maron","doi":"10.1111/1467-9566.70045","DOIUrl":"10.1111/1467-9566.70045","url":null,"abstract":"Psychiatric and psychological research has confirmed that less than 1% of the research on eating disorders is focused on males. However, for the first time, the occurrence of eating disorders is reportedly growing faster among the male population. Nevertheless, men still are more likely to stay undiagnosed. This paper bridges this gap and offers an analysis of male eating disorders (MEDs) and particularly drawing from a feminist technoscience perspective, it examines how male eating disorders are made up in clinical practices and encounters. Specifically, in this paper, I investigate the different ways by which male eating disorders emerge as a situated matter of concern and object of clinical care. In other words, I explore the 'making present' of the male and maleness in the clinical practices treating eating disorders in the Australian healthcare system. Based on the data from 25 semi-structured, qualitative interviews with clinicians, the paper draws out how care in relation to eating disorders is organised and, specifically, how the enactment of a female/male binary mobilised in clinicians' accounts of clinical practices may act to constrain care. Finally, I demonstrate how care practices could attend to male eating disorders differently in a more sensitive and intersectional way.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":"47 4","pages":"e70045"},"PeriodicalIF":2.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12074558/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143980347","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

Bodies at Disposal in Home Care Settings. 在家庭护理机构处理的尸体。

IF 2.7 2区医学

Sociology of health & illness Pub Date : 2025-05-01 DOI: 10.1111/1467-9566.70028

Helle Cathrine Hansen

引用次数: 0

Reconfiguring Vulnerability and Dis/Ability: An Agential Realist Exploration to Disentangle Vulnerability Effects in Austria's COVID-19 Response. 重新配置脆弱性和残疾/能力：在奥地利 COVID-19 应对行动中析出脆弱性效应的代理现实主义探索。

IF 2.7 2区医学

Sociology of health & illness Pub Date : 2025-05-01 DOI: 10.1111/1467-9566.70035

Oliver Koenig, Sabine Mandl, Simon Reisenbauer

{"title":"Reconfiguring Vulnerability and Dis/Ability: An Agential Realist Exploration to Disentangle Vulnerability Effects in Austria's COVID-19 Response.","authors":"Oliver Koenig, Sabine Mandl, Simon Reisenbauer","doi":"10.1111/1467-9566.70035","DOIUrl":"10.1111/1467-9566.70035","url":null,"abstract":"This article examines how vulnerability emerged, evolved and was contested during Austria's COVID-19 response, by attending to the entangled realities of people with dis/abilities. Using a posthumanist, agential realist lens and a diffractive methodology, the research explores how vulnerability is not a fixed state but a dynamic process shaped by material and discursive practices. It introduces the concept of 'vulnerability effects' to articulate that vulnerabilities are simultaneously a product of and a catalyst for material and discursive practices within systems of dis/ability and crisis response. Drawing on Carol Thomas's distinction between disablism and impairment effects, the analysis moves beyond binary framings to capture how vulnerabilities are simultaneously produced by systemic inequalities and contested through creative acts of resistance. Through the narratives of participants navigating institutional restrictions, inaccessible environments and intersecting crises, the article illustrates how debilitating conditions and activist affordances intra-act, shaping the possibilities for agency and resilience. The findings reveal the fluid, context-dependent and performative nature of vulnerability, challenging static paradigms in crisis response. By reframing vulnerability as relational and emergent, the article calls for inclusive and response-able approaches to policy and social structures that address systemic neglect and promote equitable opportunities.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":"47 4","pages":"e70035"},"PeriodicalIF":2.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11976137/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804145","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