Sociology of health & illness最新文献

Health inequalities and contemporary youth: Young people's accounts of the social determinants of health in an 'austere meritocracy'. 健康不平等与当代青年：在 "严苛的精英制度 "下，年轻人对健康的社会决定因素的描述。

IF 2.7 2区医学

Sociology of health & illness Pub Date : 2024-10-21 DOI: 10.1111/1467-9566.13842

Gillian Fergie, Katherine Smith, Caroline Vaczy, Mhairi Mackenzie, Shona Hilton

{"title":"Health inequalities and contemporary youth: Young people's accounts of the social determinants of health in an 'austere meritocracy'.","authors":"Gillian Fergie, Katherine Smith, Caroline Vaczy, Mhairi Mackenzie, Shona Hilton","doi":"10.1111/1467-9566.13842","DOIUrl":"https://doi.org/10.1111/1467-9566.13842","url":null,"abstract":"Young people coming of age amidst widespread socioeconomic uncertainty have a unique vantage from which to interpret how social, economic and environmental factors might influence health and the generation of health inequalities. Despite this, only a small number of existing studies of 'lay' understandings of health inequalities have focused on young people. This arts-based qualitative study builds on that body of research, in the context of the UK, to explore how young people make sense of health inequalities. Across two sites, Glasgow and Leeds, six groups of young people (39 in total) took part in online workshops to explore their perspectives. Throughout they engaged with population health research evidence; contributed to group discussions and responded creatively, via visual and performance art and by articulating their own views and experiences. In this paper, we explore how individual and structural explanations for health inequalities emerged, employing concepts from sociological studies of youth to shed light on these accounts. In particular, we argue that the concept of 'austere meritocracy', the persistence of narratives of aspiration and hard work as key to success against an increasingly hostile socio-economic backdrop, helps explain young people's perspectives on health inequalities in the UK.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142473904","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

Engaging with discursive complexities in mental health accessibility: Implications for acquired brain injury. 参与心理健康无障碍环境中的复杂话语：对后天性脑损伤的影响。

IF 2.7 2区医学

Sociology of health & illness Pub Date : 2024-10-15 DOI: 10.1111/1467-9566.13856

Nancy X Y Lin

{"title":"Engaging with discursive complexities in mental health accessibility: Implications for acquired brain injury.","authors":"Nancy X Y Lin","doi":"10.1111/1467-9566.13856","DOIUrl":"https://doi.org/10.1111/1467-9566.13856","url":null,"abstract":"The psychosocial needs of people with acquired brain injury (ABI) have been neglected based on ableist assumptions of incapability to participate in mental health treatment. Although people without disabilities benefit from evidence-based mental health supports, these treatments remain inaccessible for those with disabilities after ABI. Discursive simplifications used in dominant conceptualisations of health and disability may maintain this inaccessibility. This paper examines the role of discursive constraints in concealing the complexities of ABI recovery, undermining the gradients of mental health exclusion among different ABI subpopulations, and muddying possibilities for enhancing mental health accessibility. An alternate discourse that challenges disabling societies in service of centring the whole person is proposed. Discursive opportunities are thus created by conceptualising the objective and subjective dimensions of disability as intermeshed, providing both the motivation to incentivise mental health inclusion, as well as a method to achieve it. By recognising the unavoidable impact of bodily impairments on social participation, participatory ideals can be actualised by accommodating ABI-related disabilities in mental health treatments. The possibilities for transformative research and practice are illuminated through examples of mental health treatments that have been preliminarily adapted using accommodations, and a research agenda for realising these possibilities is proposed.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142473902","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

Genetics, emotion and care: Navigating future reproductive decisions in families of children with rare genetic conditions. 遗传、情感和关怀：为罕见遗传病患儿家庭的未来生育决策导航。

IF 2.7 2区医学

Sociology of health & illness Pub Date : 2024-10-12 DOI: 10.1111/1467-9566.13854

Catherine Coveney, Basma Salem

{"title":"Genetics, emotion and care: Navigating future reproductive decisions in families of children with rare genetic conditions.","authors":"Catherine Coveney, Basma Salem","doi":"10.1111/1467-9566.13854","DOIUrl":"https://doi.org/10.1111/1467-9566.13854","url":null,"abstract":"Little is known regarding the future reproductive decision-making of parents of children with rare genetic conditions. Our research draws on data from an online survey and qualitative photo-elicitation interviews with families living with Noonan Syndrome. We demonstrate how genetic knowledge and prenatal genetic testing become embedded in reproductive practices. Yet the idea of using selective genetic technologies to influence reproductive outcomes remains highly emotive. Our analysis reveals that for these parents, the rationalities of reproduction, although technologised and biomedicalised, remain centred on caring for their disabled child. Genetic subjectivities become entangled with responsibilities of care-giving and emotion tied to the realities of living with disability. We argue that for these parents, reproductive decisions are relational and affective, situated within families and communities and shaped by access to emotional, financial, physical and temporal resources. Our findings provide new insights into the ontologies of selective genetic technologies and reproductive governance in families living with disability.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142473903","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

Positioning comfort measures in antenatal counselling for periviable infants. 围产期婴儿产前咨询中的定位舒适措施。

IF 2.7 2区医学

Sociology of health & illness Pub Date : 2024-10-10 DOI: 10.1111/1467-9566.13852

Katherine Carroll, Megan Thorvilson, Christopher Collura

{"title":"Positioning comfort measures in antenatal counselling for periviable infants.","authors":"Katherine Carroll, Megan Thorvilson, Christopher Collura","doi":"10.1111/1467-9566.13852","DOIUrl":"https://doi.org/10.1111/1467-9566.13852","url":null,"abstract":"Caring for the extremely premature infant born in the grey zone of viability is the most difficult area of neonatal medicine. Little research has been done on antenatal communication between neonatologists and parents anticipating the birth of a periviable infant. This article analyses 25 antenatal consultations between neonatologists and parents in one Midwestern hospital in the United States of America. It explores how neonatologists position comfort care as one of two predominant care trajectories for extremely premature infants born into the grey zone of viability. We found comfort care featured minimally in and was often marginalised by neonatologists' language. The two dominant discourses contributing to this were acute medicine's life-saving capacity and a limited temporal window marked by gestational age where comfort measures were deemed appropriate. Antenatal consultations framed by shared decision-making could be approached as a form of care characterised by a relational openness and responsiveness to parents' views on care. This asks neonatologists to enter antenatal consultations for periviability without knowing ahead of time which care trajectory will necessarily call one's attention or the particular response one should take, thus highlighting the skills of reflexivity in addition to an attentiveness and openness towards those receiving care.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142473905","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

Family planning policy and gender in Nigeria: A thematic analysis of the government's health policy perspective. 尼日利亚的计划生育政策与性别问题：对政府卫生政策观点的专题分析。

IF 2.7 2区医学

Sociology of health & illness Pub Date : 2024-10-01 DOI: 10.1111/1467-9566.13853

Obreniokibo Ibifubara Amiesimaka, Shahin Payam

{"title":"Family planning policy and gender in Nigeria: A thematic analysis of the government's health policy perspective.","authors":"Obreniokibo Ibifubara Amiesimaka, Shahin Payam","doi":"10.1111/1467-9566.13853","DOIUrl":"https://doi.org/10.1111/1467-9566.13853","url":null,"abstract":"Family Planning (FP) lets people control the number and timing of child-births through using contraceptives and/or restoring fertility. Nigeria has several FP policies for managing its population, yet contraceptives usage remains suboptimal despite high FP awareness, suggesting that several factors might be inhibiting FP uptake. The literature spotlights gender as factoring into FP use due to Nigeria's patriarchal society, with men positioned as gatekeepers to women's sexual/reproductive health/expression. Therefore, we investigate if/how gender is considered in Nigeria's FP policies. We thematically analysed the 'National Reproductive Health Policy', 'National Family Planning Communication Plan' and 'Nigeria Family Planning Blueprint (Scale-Up Plan)', from a critical realist viewpoint. Our analysis generated an overarching theme-'A Gendered Human Right', with three further themes: Women's Right-Women's Issue', 'Adolescent Girls-not left out' and 'Men's Right as Supporters'. FP was portrayed as the right of women, adolescents (particularly girls ≥ 10 yrs) and men. It was highly feminised, with women, not men, majorly shouldering the FP responsibility and women's FP access was presented as hindered by men. Moreover, we advance recommendations for optimising Nigeria's policies to address gender imbalances hampering women's FP access and uphold the rights of all people, women/girls especially.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142353084","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

Surviving in the midst of 'Nowhere': Disrupting the conceptualisation of a maternity care desert. 在 "无处 "中生存：打破产妇护理沙漠的概念。

IF 2.7 2区医学

Sociology of health & illness Pub Date : 2024-09-28 DOI: 10.1111/1467-9566.13847

Rose E Archer

{"title":"Surviving in the midst of 'Nowhere': Disrupting the conceptualisation of a maternity care desert.","authors":"Rose E Archer","doi":"10.1111/1467-9566.13847","DOIUrl":"https://doi.org/10.1111/1467-9566.13847","url":null,"abstract":"The conceptualisation of 'care deserts' has gained increased public attention in recent years. This paper engages a reproductive justice framework to investigate the (mis)alignment of a maternity care desert within a predominantly Black rural community in the United States. I draw on a case study of Gadsden County, Florida-a community that is perceived by its members to be a maternity care desert but that is not technically defined as one-to demonstrate how Black birthing people are cultivating a reproductive liberatory consciousness. Semi-structured interviews with birthing persons and reproductive health experts reveal three overarching processes-naming barriers to health equity, resisting health inequity and cultivating health equity-that characterise a reproductive liberatory consciousness, which I identify as an analytical tool to outline how local social actors are identifying structural constraints as well as developing strategies of communal care and resistance. This work contributes to sociological research on reproductive justice and health equity by exploring the limitations of 'desert' frameworks. Pointing to the need to carefully consider the mechanisms that actively disrupt and potentially transform spatial stratifications and inequities, this paper advances a new understanding of birthing space that captures the layered movements of those living within a perceived maternity care desert.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142353087","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

Medicalising agents? Teachers' uncertainty and emerging expertise in the age of inclusion policy and medicalisation in Israel. 医疗代理？以色列全纳政策和医疗化时代教师的不确定性和新兴专业知识。

IF 2.7 2区医学

Sociology of health & illness Pub Date : 2024-09-27 DOI: 10.1111/1467-9566.13849

Galia Plotkin-Amrami, Yariv Feniger, Yam Umansky

{"title":"Medicalising agents? Teachers' uncertainty and emerging expertise in the age of inclusion policy and medicalisation in Israel.","authors":"Galia Plotkin-Amrami, Yariv Feniger, Yam Umansky","doi":"10.1111/1467-9566.13849","DOIUrl":"https://doi.org/10.1111/1467-9566.13849","url":null,"abstract":"Attention deficit hyperactivity disorder (ADHD) is a paradigmatic case for childhood medicalisation. Critical studies of medicalisation have pointed to the increasing clinical role of schools, with teachers tending to rely on medical treatment of students with ADHD and are perceived as a primary source of diagnostic information. Based on 27 semi-structured interviews with teachers working in two Israeli elementary and middle schools, this research explored how teachers mediate the medicalisation process and understand their responsibilities in the classroom amidst the emphasis on inclusion in contemporary Israel. We found that teachers offer a wide range of explanations of the disorder and its prevalence, and their attitudes to medication are ambivalent. We argue that teachers develop pedagogical (lay) expertise in the field of ADHD in parallel with and in opposition to medical solutions. Such expertise is based on practical experience and close interaction with students. A top-down ideological imperative of inclusion, combined with uncertainty about ADHD, has generated a bottom-up set of preformative practices of 'containment' of troubled students. Teachers' emerging knowledge and practices raise questions about the relationship between medicalisation, policy, expertise and the pragmatic value of medical categories when applied outside the medical establishment.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142353086","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

Institutional, humane, therapeutic: Towards an understanding of caregiver violence through third sector violence prevention discourse in Finland. 制度、人道、治疗：通过芬兰第三部门预防暴力的论述来理解照顾者的暴力行为。

IF 2.7 2区医学

Sociology of health & illness Pub Date : 2024-09-26 DOI: 10.1111/1467-9566.13844

Liina Sointu

引用次数: 0

The promise of artificial intelligence in health: Portrayals of emerging healthcare technologies. 人工智能在医疗领域的前景：对新兴医疗保健技术的描述。

IF 2.7 2区医学

Sociology of health & illness Pub Date : 2024-09-23 DOI: 10.1111/1467-9566.13840

Ash Watson, Vaughan Wozniak-O'Connor

{"title":"The promise of artificial intelligence in health: Portrayals of emerging healthcare technologies.","authors":"Ash Watson, Vaughan Wozniak-O'Connor","doi":"10.1111/1467-9566.13840","DOIUrl":"https://doi.org/10.1111/1467-9566.13840","url":null,"abstract":"Emerging technologies of artificial intelligence (AI) and automated decision-making (ADM) promise to advance many industries. Healthcare is a key locus for new developments, where operational improvements are magnified by the bigger-picture promise of improved care and outcomes for patients. Forming the zeitgeist of contemporary sociotechnical innovation in healthcare, media portrayals of these technologies can shape how they are implemented, experienced and understood across healthcare systems. This article identifies current applications of AI and ADM within Australian healthcare contexts and analyses how these technologies are being portrayed within news and industry media. It offers a categorisation of leading applications of AI and ADM: monitoring and tracking, data management and analysis, cloud computing, and robotics. Discussing how AI and ADM are depicted in relation to health and care practices, it examines the sense of promise that is enlivened in these representations. The article concludes by considering the implications of promissory discourses for how technologies are understood and integrated into practices and sites of healthcare.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142294514","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

Social support for the chronically ill during lockdown. Qualitative research in the COVID-19 pandemic. 在封锁期间为慢性病患者提供社会支持。COVID-19 大流行中的定性研究。

IF 2.7 2区医学

Sociology of health & illness Pub Date : 2024-09-21 DOI: 10.1111/1467-9566.13845

Louise Virole, Céline Gabarro, Elise Ricadat

{"title":"Social support for the chronically ill during lockdown. Qualitative research in the COVID-19 pandemic.","authors":"Louise Virole, Céline Gabarro, Elise Ricadat","doi":"10.1111/1467-9566.13845","DOIUrl":"https://doi.org/10.1111/1467-9566.13845","url":null,"abstract":"Chronic illness requires a web of actors, both professional and familiar, who constitute the support network of the chronically ill. This article aims to analyse how the COVID-19 pandemic has impacted on the delicate balance of these supports. Qualitative research was conducted among people with four types of chronic diseases in France: cystic fibrosis, kidney disease, haemophilia and mental disorders. Data on social support was collected using an innovative methodology combining semi-directive interviews (n = 54) and drawings (n = 32). During the first French lockdown (March-May 2020), the chronically ill were mainly supported by the usual support actors of their primary network: spouse and/or family. However, the COVID-19 health crisis has led to several changes in their support network; health-care professionals diversified their support roles and new supporting actors emerged, especially non-human entities and patient organisations. The chronically ill have received an interweaving of emotional, instrumental and informational, formal and informal and human and non-human support. Our study highlights the multiple and dynamic ties between these types of support and argues in favour of a comprehensive approach to social support of the chronically ill, both in social science theory and in practice of care.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142294513","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