Sociology of health & illness最新文献

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Health inequalities among people experiencing food insecurity. An intersectional approach. 粮食不安全人群中的健康不平等。交叉方法。
IF 2.7 2区 医学
Sociology of health & illness Pub Date : 2024-06-01 Epub Date: 2023-12-23 DOI: 10.1111/1467-9566.13745
Nick Drydakis
{"title":"Health inequalities among people experiencing food insecurity. An intersectional approach.","authors":"Nick Drydakis","doi":"10.1111/1467-9566.13745","DOIUrl":"10.1111/1467-9566.13745","url":null,"abstract":"<p><p>The study examines the socioeconomic determinants of physical health among populations experiencing food insecurity and receiving free meals in soup kitchens in the Prefecture of Attica, Greece. Data were collected from the same six soup kitchens in 2012, 2017 and 2021, resulting in a dataset of 1533 observations. The study revealed that periods characterised by an economic recession are associated with deteriorated physical health of food-insecure people. Moreover, the study found that physical health deteriorations among food-insecure people are associated with older age, female gender, immigration status, disability and/or long-term health conditions, LGBT status, unemployment, economic inactivity, homelessness, living below the poverty threshold, long-term food dependency, illicit drug consumption and residing in lower- and middle-class areas. The study proposes the Intersectional Model of Health Inequalities, which integrates multiple factors involved in shaping the health inequalities of people experiencing food insecurity, from macro-level factors such as a country's economic performance to individual-level factors like education, employment status and demographic characteristics. The model emphasises that low-income populations should not be treated as a homogeneous entity. Its goal is to inform policymakers about the diverse health inequalities experienced by people with low incomes.</p>","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":" ","pages":"867-886"},"PeriodicalIF":2.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138885941","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
Gendering the beginning of life: Taiwanese gay fathers' navigation of preimplantation genetic diagnosis-assisted sex selection in transnational third-party reproduction. 生命之初的性别化:台湾男同性恋父亲在跨国第三方生殖中对植入前遗传学诊断辅助性别选择的引导。
IF 2.7 2区 医学
Sociology of health & illness Pub Date : 2024-06-01 Epub Date: 2023-12-27 DOI: 10.1111/1467-9566.13747
Jung Chen
{"title":"Gendering the beginning of life: Taiwanese gay fathers' navigation of preimplantation genetic diagnosis-assisted sex selection in transnational third-party reproduction.","authors":"Jung Chen","doi":"10.1111/1467-9566.13747","DOIUrl":"10.1111/1467-9566.13747","url":null,"abstract":"<p><p>Preimplantation genetic diagnosis (PGD) has been used not only to avoid genetic diseases and increase conception success rates but also to perform non-medical sex selection, particularly in the surging cross-border reproductive care (CBRC). In the context of commercialised biomedicine, assisted reproductive technologies, such as lifestyle sex selection, have been tailored to meet intended parents' preferences. However, there is a lack of analysis on how individuals' reproductive decisions on PGD-assisted sex selection were shaped within the sociocultural norms and CBRC. This article explores Taiwanese gay fathers' navigations on sex selection while seeking third-party reproduction overseas because of local legal constraints. Drawing on in-depth interviews with 53 gay fathers (to-be), I analysed how 'individual preferences' were dynamically shaped by local sociocultural norms and embedded within transnational settings of routinising PGD in chosen repro-destinations. The findings showed that gay fathers mobilised strategic discourses on non-medical sex selection from both the local and the global to negotiate their decisions in coherence with their LGBTQ+ identity and their role as sons carrying familial responsibility to procreate male heirs. This article proposed a nuanced understanding of gay fathers' reproductive practices of 'gendering the beginning of life' through PGD-assisted sex selection.</p>","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":" ","pages":"907-925"},"PeriodicalIF":2.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139040386","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
'Staying in the lane' of public health? Boundary-work in the roles of state health officials and experts in COVID-19 policymaking. 坚守公共卫生的 "本位"?州卫生官员和专家在 COVID-19 决策中的角色分工。
IF 2.7 2区 医学
Sociology of health & illness Pub Date : 2024-06-01 Epub Date: 2024-01-17 DOI: 10.1111/1467-9566.13751
Katelyn Esmonde, Jeff Jones, Michaela Johns, Brian Hutler, Ruth Faden, Anne Barnhill
{"title":"'Staying in the lane' of public health? Boundary-work in the roles of state health officials and experts in COVID-19 policymaking.","authors":"Katelyn Esmonde, Jeff Jones, Michaela Johns, Brian Hutler, Ruth Faden, Anne Barnhill","doi":"10.1111/1467-9566.13751","DOIUrl":"10.1111/1467-9566.13751","url":null,"abstract":"<p><p>The state-level COVID-19 response in the United States necessitated collaboration between governor' offices, health departments and numerous other departments and outside experts. To gain insight into how health officials and experts contributed to advising on COVID-19 policies, we conducted semi-structured interviews with 25 individuals with a health specialisation who were involved in COVID-19 policymaking, taking place between February and December 2022. We found two diverging understandings of the role of health officials and experts in COVID-19 policymaking: the role of 'staying in the lane' of public health in terms of the information that they collected, their advocacy for policies and their area of expertise and the role of engaging in the balancing of multiple considerations, such as public health, feasibility and competing objectives (such as the economy) in the crafting of pandemic policy. We draw on the concept of boundary-work to examine how these roles were constructed. We conclude by considering the appropriateness as well as the ethical implications of these two approaches to public health policymaking.</p>","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":" ","pages":"1004-1022"},"PeriodicalIF":2.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139486324","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
SATISFICING DEATH: Ageing and end-of-life preparation among transgender older Americans. 满足死亡:变性老年美国人的老龄化和临终准备。
IF 2.7 2区 医学
Sociology of health & illness Pub Date : 2024-06-01 Epub Date: 2023-12-27 DOI: 10.1111/1467-9566.13741
Nik M Lampe
{"title":"SATISFICING DEATH: Ageing and end-of-life preparation among transgender older Americans.","authors":"Nik M Lampe","doi":"10.1111/1467-9566.13741","DOIUrl":"10.1111/1467-9566.13741","url":null,"abstract":"<p><p>A good death-a normative ideology of living and dying well that may allow an individual to gain awareness, acceptance, and preparation for death-has captured the attention of researchers, clinicians, and policymakers in recent years. Prior sociological research has uncovered nuanced perspectives of a good death, yet there has been minimal exploration into how marginalised communities reconstruct their own ideals of a good death in response to structural and institutional inequities. Utilising data from 47 in-depth interviews, I examine how transgender older adults perceive and plan for ageing and end-of-life experiences through advance care planning. My analysis reveals transgender older adults' reevaluated notions of a normatively desirable good death for themselves due to existing inequities. Consequently, they actively reconstruct a personalised ideology of death that is adequate enough to meet their end-of-life needs. I further offer the conceptualisation of SATISFICING DEATH, as a process of individuals from marginalised communities reevaluating and reconstructing their own ideologies of a good death that is adequate enough while using resourceful strategies to improve existing social conditions for themselves. These findings highlight the critical need to provide affirming end-of-life care, support, and resources to transgender communities.</p>","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":" ","pages":"887-906"},"PeriodicalIF":2.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11189757/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139040387","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 shame-blame complex of parents with cognitively disabled children in Italy. 意大利有认知障碍儿童的父母的羞愧自责情结。
IF 2.7 2区 医学
Sociology of health & illness Pub Date : 2024-06-01 Epub Date: 2024-01-02 DOI: 10.1111/1467-9566.13742
Alice Scavarda
{"title":"The shame-blame complex of parents with cognitively disabled children in Italy.","authors":"Alice Scavarda","doi":"10.1111/1467-9566.13742","DOIUrl":"10.1111/1467-9566.13742","url":null,"abstract":"<p><p>This article aims to advance knowledge related to the concept of the 'shame-blame complex' by analysing the accounts and experiences of parents with cognitively disabled children. It draws on 29 interviews with parents of children with Down syndrome and shadowing sessions with one family, carried out in Italy. Results show how the feeling of shame as a consequence of being associated with a disabled child is turned into blame for bad parenting. The sources of this blaming process are twofold: firstly, neoliberalism has disseminated an intensive parenting model based on the imperative of individual responsibility and risk avoidance. Secondly, ableism acts as a network of processes and beliefs that produce a particular kind of self and body as the perfect and complete human being. Participants have been held responsible for their children's condition because they avoided prenatal screening or continued a pregnancy after receiving a positive result. Consequently, parents' moral culpability for their children's diversity and their social marginalisation were enhanced. Although the interviewees resist the shame of being associated with a cognitively disabled child and the blame for bad parenting, they seem unable to escape from the grips of the shame-blame complex. The latter has structural and cultural underpinnings. In an age of 'neoliberal-ableism', this complex is indeed a powerful weapon to erode the rights of families with cognitively disabled members.</p>","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":" ","pages":"966-983"},"PeriodicalIF":2.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139080926","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
Changes of heart: Debating the role of cardiology and cardiac surgery in India, 1948-1968. 心脏的变化:讨论 1948-1968 年印度心脏病学和心脏外科的作用。
IF 2.7 2区 医学
Sociology of health & illness Pub Date : 2024-06-01 Epub Date: 2023-08-01 DOI: 10.1111/1467-9566.13696
David S Jones, Kavita Sivaramakrishnan
{"title":"Changes of heart: Debating the role of cardiology and cardiac surgery in India, 1948-1968.","authors":"David S Jones, Kavita Sivaramakrishnan","doi":"10.1111/1467-9566.13696","DOIUrl":"10.1111/1467-9566.13696","url":null,"abstract":"<p><p>In 1950, the leaders of independent India celebrated the contributions that surgeons could make to modernising India. Surgeons, however, faced a difficult choice. Some wanted to invest in generalist surgeons to make basic surgical care available to all Indians. Others wanted to invest in specialists to ensure that India participated in cutting-edge surgical research and care. These debates shaped the emergence of cardiac surgery at two centres: the Christian Medical College in Vellore and the King Edward Memorial Hospital in Bombay. CMC invested in thoracic surgery in the 1940s to offer new treatments for tuberculosis. This gave surgeons the opportunity to explore new techniques of cardiac surgery. Debate quickly emerged about whether investments in cardiology and cardiac surgery made sense. In the end, the specialities were supported in order to attract paying patients. A parallel controversy took place at KEM, where the dean debated the Bombay Municipal Corporation about the role of surgical research at a public hospital. The Rockefeller Foundation influenced both sites, offering financial support if they adopted an American model of full-time faculty clinician-researchers. The two case studies reveal how unusual dynamics could contribute to the establishment of new medical specialities in India.</p>","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":" ","pages":"831-848"},"PeriodicalIF":2.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9908821","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
Talking cervixes: How times materialise during the first stage of labour. 会说话的子宫颈分娩第一阶段的时间是如何确定的?
IF 2.7 2区 医学
Sociology of health & illness Pub Date : 2024-06-01 Epub Date: 2023-12-22 DOI: 10.1111/1467-9566.13735
Siân M Beynon-Jones, Clare Jackson
{"title":"Talking cervixes: How times materialise during the first stage of labour.","authors":"Siân M Beynon-Jones, Clare Jackson","doi":"10.1111/1467-9566.13735","DOIUrl":"10.1111/1467-9566.13735","url":null,"abstract":"<p><p>The clock occupies a prominent position in many feminist and midwifery critiques of the medicalisation of labour and birth. Concern has long focused on the production of standardised 'progress' during labour via the expectation that once in 'established' labour, birthing people's cervixes should dilate at a particular rate, measurable in centimetres and clock time. In this article we draw on 37 audio- or video-recordings of women labouring in two UK midwife-led units in NHS hospital settings to develop a more nuanced critique of the way in which times materialise during labour. Mobilising insights from literature that approaches time as relational we suggest that it is helpful to explore the making of times during labour as multiple, uncertain and open-ended. This moves analysis of time during labour and birth beyond concern with particular forms of time (such as the clock or the body) towards understanding how times are constituted through interactions (for example, between midwives, cervixes, clocks, people in labour and their birth partners), and what they do.</p>","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":" ","pages":"849-866"},"PeriodicalIF":2.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138831408","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
Doctor sahab: Doctors and the public in the 'golden era' of the Indian medical profession. 医生萨哈布印度医学界 "黄金时代 "的医生与公众。
IF 2.7 2区 医学
Sociology of health & illness Pub Date : 2024-06-01 Epub Date: 2023-03-10 DOI: 10.1111/1467-9566.13630
Kiran Kumbhar
{"title":"Doctor sahab: Doctors and the public in the 'golden era' of the Indian medical profession.","authors":"Kiran Kumbhar","doi":"10.1111/1467-9566.13630","DOIUrl":"10.1111/1467-9566.13630","url":null,"abstract":"<p><p>This essay analyses and historicises a contemporary dominant narrative among India's biomedical doctors, that the early post-independence period (1940s-1970s) was characterised by immense public trust and confidence in the biomedical profession, with the patient-doctor relationship experiencing a 'golden era'. By exploring people's experiences with and perceptions of doctors during these decades, I show that contrary to contemporary understanding, public dissatisfaction with doctors was substantial even in the early post-independence period. I argue that the dominance of privileged-caste and -class Indians in the medical profession nurtured a caste privilege-based elitist outlook within the mainstream profession and its leadership and created an insurmountable socioeconomic distance between doctors and the large majority of the public. What doctors deemed as people's 'trust' in them and their profession was often simply a manifestation of people's general deference towards the elites of the society. This incorrect interpretation of patient-doctor dynamics in the past has been a constant feature of mainstream narratives around the doctor-society relationship in post-independence India and has remained largely under-explored and under-historicised in the medical, scholarly and public discourses.</p>","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":" ","pages":"815-830"},"PeriodicalIF":2.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9435203","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
Ethico-racial positioning in campaigns for COVID-19 research and vaccination featuring public figures. 以公众人物为主角的 COVID-19 研究和疫苗接种活动中的种族定位。
IF 2.7 2区 医学
Sociology of health & illness Pub Date : 2024-06-01 Epub Date: 2024-01-17 DOI: 10.1111/1467-9566.13748
Andrew Smart, Ros Williams, Kate Weiner, Lijiaozi Cheng, Francesca Sobande
{"title":"Ethico-racial positioning in campaigns for COVID-19 research and vaccination featuring public figures.","authors":"Andrew Smart, Ros Williams, Kate Weiner, Lijiaozi Cheng, Francesca Sobande","doi":"10.1111/1467-9566.13748","DOIUrl":"10.1111/1467-9566.13748","url":null,"abstract":"<p><p>This article analyses a set of videos which featured public figures encouraging racially minoritised people in the UK to take the COVID-19 vaccine or get involved in related research. As racially targeted health communication has both potentially beneficial and problematic consequences, it is important to examine this uniquely high-profile case. Using a purposive sample of 10 videos, our thematic content analysis aimed to reveal how racially minoritised people were represented and the types of concerns about the vaccine that were expressed. We found representations of racialised difference that centred on 'community' and invoked shared social experiences. The expressed concerns centred on whether ethnic difference was accounted for in the vaccine's design and development, plus the overarching issue of trust. Our analysis adopts and develops the concept of 'racialisation'; we explore how 'mutuality' underpinned normative calls to action ('ethico-racial imperatives') and how the videos 'responsibilised' racially minoritised people. We discuss two points of tension in this case: the limitations for addressing the causes of mistrust and the risks of reductivism that accompanied the ambiguous notion of community. Our analysis develops scholarship on racialisation in health contexts and provides public health practitioners with insights into the socio-political considerations of racially targeted communications.</p>","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":" ","pages":"984-1003"},"PeriodicalIF":2.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139486322","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
The NHS at 75: The state of UK health policy. By M.Exworthy, R.Mannion, and M.Powell, Bristol: Policy Press. 2023. pp. 294. £27.99. ISBN: 978‐1447368601 75 岁的英国国家医疗服务体系:英国医疗政策现状》。作者:M.Exworthy、R.Mannion 和 M.Powell,布里斯托尔:政策出版社。第 294 页。£27.99.ISBN: 978-1447368601
IF 2.9 2区 医学
Sociology of health & illness Pub Date : 2024-05-27 DOI: 10.1111/1467-9566.13794
Gemma Hughes
{"title":"The NHS at 75: The state of UK health policy. By M.Exworthy, R.Mannion, and M.Powell, Bristol: Policy Press. 2023. pp. 294. £27.99. ISBN: 978‐1447368601","authors":"Gemma Hughes","doi":"10.1111/1467-9566.13794","DOIUrl":"https://doi.org/10.1111/1467-9566.13794","url":null,"abstract":"","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":"31 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141197132","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
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