Sociology of health & illness最新文献_第2页

The Choreography of Familial Bargaining: A Qualitative Study of In Vitro Fertilisation (IVF) Negotiation in China.

IF 2.7 2区医学

Sociology of health & illness Pub Date : 2025-02-01 DOI: 10.1111/1467-9566.70010

Tianqi Huang

{"title":"The Choreography of Familial Bargaining: A Qualitative Study of In Vitro Fertilisation (IVF) Negotiation in China.","authors":"Tianqi Huang","doi":"10.1111/1467-9566.70010","DOIUrl":"https://doi.org/10.1111/1467-9566.70010","url":null,"abstract":"This article provides an analysis of the negotiation process surrounding in vitro fertilisation (IVF) decisions in contemporary China, based on an ethnography conducted in Beijing. Building on the theoretical framework of applying a 'reprolens' and scholarly debates on the transforming family landscape in contemporary China, I delineate the complex dynamics through which women negotiate their choice of IVF with their families, documenting the ways in which power is distributed. I highlight not only individual-family power dynamics but also the intricate gendered ones within the family. I argue that family relationships shape the desire for IVF and the decision to pursue it; this journey, in turn, can reshape family dynamics. I propose the term familial bargaining to suggest a relational and dynamic perspective for examining how IVF negotiation is bound up with family relationships. At the intersection of biology and technology, IVF also affects the choreography of familial bargaining, as its different aspects serve as bargaining chips. Further, familial bargaining offers a nuanced perspective that helps to unveil the tensions and micro-politics between the gendered individual and the family in a broader sense.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":"47 2","pages":"e70010"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190525","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

Bringing the group back in: Social class and resistance in adolescent smoking. 让群体回归：青少年吸烟的社会阶层和阻力。

IF 2.7 2区医学

Sociology of health & illness Pub Date : 2025-02-01 Epub Date: 2024-10-22 DOI: 10.1111/1467-9566.13858

Olivia McEvoy, Richard Layte

{"title":"Bringing the group back in: Social class and resistance in adolescent smoking.","authors":"Olivia McEvoy, Richard Layte","doi":"10.1111/1467-9566.13858","DOIUrl":"10.1111/1467-9566.13858","url":null,"abstract":"Absolute prevalence of tobacco smoking has fallen in recent decades but inequalities by socioeconomic position (SEP) persist. Adolescence is a critical period for smoking initiation and habits formed during this period likely continue into adulthood. Explanations for inequalities in adolescent smoking have tended to focus on individualistic theories based on differentials in knowledge and psychology. These have been criticised for their blindness to processes of social stratification and social context that influence smoking behaviours. Based on previous social theories, we put forward, and test empirically, two potential structural explanations for inequalities in smoking, using nationally representative longitudinal cohort data on 6039 Irish young people aged 9-18 years. Descriptive analyses confirmed the adverse SEP gradient in smoking prevalence as well as SEP gradients in variables representing individual-level characteristics and structural-level explanations. Despite lower self-esteem being associated with a higher likelihood of smoking, there was no significant indirect pathway between SEP and smoking via self-esteem. Path analyses found that differentials in exposure to parental smoking and levels of oppositional values mediate the relationship between SEP and smoking. Our results favour structural and group-based explanations for inequalities, that is, the 'smoking exposure' and 'social resistance' models, over explanations based on individual psychology.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":" ","pages":"e13858"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11849772/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142507135","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

Mapping the Social Organisation of Neglect in the Case of Fibromyalgia: Using Smith's Sociology for People to Inform a Systems-Focused Literature Review.

IF 2.7 2区医学

Sociology of health & illness Pub Date : 2025-02-01 DOI: 10.1111/1467-9566.70008

Caroline Cupit, Teresa Finlay, Catherine Pope

{"title":"Mapping the Social Organisation of Neglect in the Case of Fibromyalgia: Using Smith's Sociology for People to Inform a Systems-Focused Literature Review.","authors":"Caroline Cupit, Teresa Finlay, Catherine Pope","doi":"10.1111/1467-9566.70008","DOIUrl":"10.1111/1467-9566.70008","url":null,"abstract":"Fibromyalgia is a syndrome characterised by persistent unexplained pain and fatigue. People with fibromyalgia report receiving little support to manage symptoms, difficult interactions with healthcare practitioners and stigma associated with this contested condition. In this article, we employ Dorothy E Smith's Sociology for People to undertake a systems-focused literature review from the standpoint of people with fibromyalgia, moving beyond individual subjectivities to map how problems are socially organised. This is a novel application of a Sociology for People which, although previously used to structure research projects, has not previously been reported as a framework for literature review. Our findings highlight how, within a biomedically orientated healthcare system, practitioners' activities are organised to withdraw support from people with fibromyalgia and characterise problems as \"psychological\". Those looking to make service improvements for this patient group need to specifically challenge biomedical systems and ideology, in order to promote alternative models of care. We highlight a Sociology for People as a powerful lens for systems-focused literature review that links frontline experiences with dominant power relations, and provides an alternative to traditional qualitative evidence syntheses. Additionally, the theoretically-grounded and creative use of published literatures is an ethical approach adding value to extant research.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":"47 2","pages":"e70008"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11784928/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143067820","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

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 : 2025-02-01 Epub 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":"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":" ","pages":"e13853"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11851051/pdf/","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":"OA","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 : 2025-02-01 Epub 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":"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":" ","pages":"e13856"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11849771/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Iatrogenic Consequences of Medicalising Grief: Resetting the Research Agenda. 悲伤医学化的先天性后果：重新设定研究议程。

IF 2.7 2区医学

Sociology of health & illness Pub Date : 2025-02-01 Epub Date: 2024-11-28 DOI: 10.1111/1467-9566.13866

Sarah Gurley-Green, Lisa Cosgrove, Milutin Kostic, Lauren Koa, Susan McPherson

{"title":"The Iatrogenic Consequences of Medicalising Grief: Resetting the Research Agenda.","authors":"Sarah Gurley-Green, Lisa Cosgrove, Milutin Kostic, Lauren Koa, Susan McPherson","doi":"10.1111/1467-9566.13866","DOIUrl":"10.1111/1467-9566.13866","url":null,"abstract":"When the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) was published in 2013, there was a firestorm of controversy about the elimination of the bereavement exclusion. Proponents of this change and of the proposed \"complicated grief\" designation believed that this change would help clinicians recognise major depression in the context of recent bereavement. Other researchers and clinicians have raised concerns about medicalising grief. In 2022 \"prolonged grief disorder\" (PGD) was officially included in the DSM-5-TR in the trauma- and stressor-related disorders section. Not surprisingly, there has been a push to identify biomarkers and to use neuroimaging to identify the neurobiological basis of PGD. Some researchers have even suggested that PGD is a 'reward circuit disorder' akin to addiction and that naltrexone, an opioid antagonist, may be a promising treatment. The purpose of this paper is to show how medicalising grief reinforces a research agenda dedicated to the search for pharmaceutical and psychological 'magic bullets.' Following George and Whitehouse (2021), we propose that an ecopsychosocial approach-one that incorporates environmental and contextual factors-is needed.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":" ","pages":"e13866"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11849443/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740425","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 Golden Ticket? Widening Access in UK Medicine and the Making of an Emotional Proletariat. 金奖券？英国医学的普及与情感无产阶级的形成》。

IF 2.7 2区医学

Sociology of health & illness Pub Date : 2025-02-01 Epub Date: 2024-11-21 DOI: 10.1111/1467-9566.13860

Louise Ashley

{"title":"The Golden Ticket? Widening Access in UK Medicine and the Making of an Emotional Proletariat.","authors":"Louise Ashley","doi":"10.1111/1467-9566.13860","DOIUrl":"10.1111/1467-9566.13860","url":null,"abstract":"'Widening Access' in UK medicine seeks to improve access on the basis of socioeconomic background (SEB). However, evidence has emerged of 'socially stratified' careers, as doctors from less advantaged backgrounds are more likely to train in less competitive specialties, such as psychiatry or primary care. These patterns have been welcomed to date as this improves access to care, yet less positive consequences have been overlooked. Based on in-depth interviews (n = 54) with medical students, qualified doctors and medical educators from less advantaged backgrounds (n = 38), this article asks how values influence medical careers, for what this can tell us about the causes of social stratification and how this informs status hierarchies within the profession. Using the work of Bourdieu, we find that while participants value empathy and compassionate care they believe both are less valuable when securing more competitive careers, and may signal less skill. This helps explain why doctors from less advantaged careers may prefer more community orientated roles, which are often less competitive, and why these specialties may also attract less status and respect. A related risk is that doctors from less advantaged backgrounds are over-represented in areas imposing the highest emotional demands to become the profession's 'emotional proletariat'.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":" ","pages":"e13860"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11849440/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142688624","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

COVID time: Temporal imaginaries and pandemic materialities. COVID 时间：时间想象与大流行病的物质性。

IF 2.7 2区医学

Sociology of health & illness Pub Date : 2025-02-01 Epub Date: 2024-10-30 DOI: 10.1111/1467-9566.13857

Ella Butler, Deborah Lupton

{"title":"COVID time: Temporal imaginaries and pandemic materialities.","authors":"Ella Butler, Deborah Lupton","doi":"10.1111/1467-9566.13857","DOIUrl":"10.1111/1467-9566.13857","url":null,"abstract":"Since the advent of the COVID-19 pandemic, several ways of understanding time have emerged: what we may call 'COVID time'. Based on 40 qualitative online interviews in 2022 with Australians living across the continent, this article examines how people situated themselves and COVID-19 in historical time. It further explores how material aspects, place and space (or \"pandemic materialities\") factored into lived experiences and temporal imaginaries. We focus on how time-related concepts such as synchronisation and the definition of crises and events are interrelated in the participants' understandings of COVID as either over or a continuing crisis. The sociomaterial dimensions that served to alert people to risk and encourage them to engage in preventive action are identified as ways in which COVID time was experienced, remembered, understood and imagined. While some respondents claimed that the present moment was 'post-COVID', for others, the pandemic was far from over in 2022 and indeed stretched into the future. We use a sociomaterial lens to show how respondents portray the 'temporal technologies' and 'objectifications' of the event of COVID-19-the tangible materialisations of its temporal status as either relegated to the past or continuing as a mode of present and future crisis.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":" ","pages":"e13857"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142547225","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

Navigating the Lay Referral System for Treatment-Seeking Decisions During Illness in the Digital Age: A Qualitative Study of Adults Living in Slums in Nigeria. 在数字时代的疾病中，为寻求治疗决策导航非专业转诊系统：对尼日利亚贫民窟成年人的定性研究。

IF 2.7 2区医学

Sociology of health & illness Pub Date : 2025-02-01 Epub Date: 2024-11-30 DOI: 10.1111/1467-9566.13863

Chinwe Onuegbu, Jenny Harlock, Frances Griffiths

{"title":"Navigating the Lay Referral System for Treatment-Seeking Decisions During Illness in the Digital Age: A Qualitative Study of Adults Living in Slums in Nigeria.","authors":"Chinwe Onuegbu, Jenny Harlock, Frances Griffiths","doi":"10.1111/1467-9566.13863","DOIUrl":"10.1111/1467-9566.13863","url":null,"abstract":"Interaction with a lay referral system (informal networks that provide health advice during illness) influences the treatment-seeking decisions of individuals with perceived healthcare needs. We examined how this occurred in urban slums in Nigeria with scarce formal healthcare and unstable social networks. Using existing theories of social networks and lay referral, we examined the use of these systems for treatment-seeking decisions in slums, including the use of digital technologies. We interviewed 30 adults (aged 18-64) of diverse age, gender, network size and use of digital technologies for health advice in two Nigerian slums. We analysed the data using a thematic inductive-deductive approach. Lay referral was multidimensional: discussion of illness during daily bonding, social demonstration of self and purposeful exchange of support. People limited lay referrals to a few family members and friends, avoiding wider interactions due to mistrust. Use of online sources was scarce due to limited access to smart devices and low digital health literacy. Lay referral motivated timely care seeking but also facilitated unhelpful advice. Slum residents were agentic in their use of their lay referral system. The effectiveness of their agency may be improved if trusted and reliable health advice sources are available in addition to their social network.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":" ","pages":"e13863"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11851050/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142771773","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

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 : 2025-02-01 Epub 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":"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":" ","pages":"e13854"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11849768/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0