Sociology of health & illness最新文献_第6页

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 2.6 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":2.6,"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 2.6 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":"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":2.6,"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

'Come on, Give Me the Pills Now': A Narrative Analysis of Reproductive Agency in Self-Managed Abortion in Argentina. “来吧，现在把药给我”：阿根廷自我管理堕胎中生殖代理的叙事分析。

IF 2.6 2区医学

Sociology of health & illness Pub Date : 2026-05-01 DOI: 10.1111/1467-9566.70181

Mercedes Vila Ortiz, Fiorella Guaglianone, Antonella Lavelanet, Vanessa Brizuela, Anna Thorson, Anna Kågesten, Mariana Romero, Amanda Cleeve

{"title":"'Come on, Give Me the Pills Now': A Narrative Analysis of Reproductive Agency in Self-Managed Abortion in Argentina.","authors":"Mercedes Vila Ortiz, Fiorella Guaglianone, Antonella Lavelanet, Vanessa Brizuela, Anna Thorson, Anna Kågesten, Mariana Romero, Amanda Cleeve","doi":"10.1111/1467-9566.70181","DOIUrl":"10.1111/1467-9566.70181","url":null,"abstract":"Recent discussions on self-managed abortion highlight its potential to reduce risks and delays while supporting reproductive rights. This qualitative paper analyses the stories of 12 women who self-managed their abortions in Argentina. In-depth interviews were conducted in April and May 2024. Using a framework of reproductive agency, the paper explores how legal, social, economic and personal circumstances shaped self-management experiences. We conducted a narrative analysis, resulting in four narrative types: self-managed abortion as empowerment, as navigating the unexpected, as moral hesitation and perceived health risk, and as a private experience. Some participants described their experience as empowering, while others expressed ambivalence, fear and concern about health risks while exercising reproductive choice. Access to sexual and reproductive health information emerged as a key enabler of agency, though it was unevenly distributed, reflecting broader structural inequalities. Emotional and physical challenges were common, even among those confident in their decision, highlighting the need for care models that acknowledge the complexity of abortion practices. The findings call for a person-centred approach that support diverse pathways to abortion care. Such flexibility is essential to advancing reproductive agency and equity.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":"48 4","pages":"e70181"},"PeriodicalIF":2.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13059537/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147634215","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 2.6 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":"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":2.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13156525/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Digital Futures in an Ageing Society: Frontline Perspectives on Sociotechnical Imaginaries in Swedish Eldercare. 老龄化社会中的数字未来：瑞典老年人护理中社会技术想象的前沿视角。

IF 2.6 2区医学

Sociology of health & illness Pub Date : 2026-03-01 DOI: 10.1111/1467-9566.70159

Freja Morris, Fredrika Thelandersson, Helena Sandberg

{"title":"Digital Futures in an Ageing Society: Frontline Perspectives on Sociotechnical Imaginaries in Swedish Eldercare.","authors":"Freja Morris, Fredrika Thelandersson, Helena Sandberg","doi":"10.1111/1467-9566.70159","DOIUrl":"10.1111/1467-9566.70159","url":null,"abstract":"This article investigates how care professionals working with older adults in Sweden encounter, reproduce, and challenge sociotechnical imaginaries of a digitalised health and social care system. Drawing on interviews with 20 care professionals, we explore how promissory discourses that frame digitalisation as a solution to demographic and economic crises are taken up at the frontline of care. Despite regular experiences of technological malfunction and implementation challenges, care professionals maintain a persistent techno-optimism and techno-determinism in their narratives. We introduce the analytical concepts tech love goggles and the magic leap to explain how faith in digital futures is preserved amid present digital shortcomings and failures. Tech love goggles describes a tendency to idealise technology and deflect blame for its failures onto external factors, whereas the magic leap captures a future-oriented logic in which present obstacles are expected to dissolve over time. Our findings highlight the performative power of sociotechnical imaginaries and suggest that optimism towards digital technologies can obscure the immediate needs and constraints of both workers and older care recipients. We argue for greater attention to the ethical and practical implications of deferring care solutions to an idealised digital future, especially for those whose time horizons are limited by age.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":"48 3","pages":"e70159"},"PeriodicalIF":2.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12930120/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147277071","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 Dis-Engaged Patient? Chronic Interfacing in a Regime of Digital Health Convenience. 不敬业的病人？数字健康便利体制下的慢性接口。

IF 2.6 2区医学

Sociology of health & illness Pub Date : 2026-03-01 DOI: 10.1111/1467-9566.70166

Benjamin Lipp

{"title":"The Dis-Engaged Patient? Chronic Interfacing in a Regime of Digital Health Convenience.","authors":"Benjamin Lipp","doi":"10.1111/1467-9566.70166","DOIUrl":"10.1111/1467-9566.70166","url":null,"abstract":"Digital health technologies increasingly promise to alleviate the burden of chronic illness work by automating aspects of care. Rather than demanding constant self-monitoring, automated devices claim to deliver therapy with minimal involvement by patients. This article critically examines such claims through a study of Quell, a wearable neurostimulation device marketed for chronic pain relief in the United States. Drawing on interviews, user diaries and company documents, the article shows that rather than replacing illness work, automation reconfigures it. Patients remain deeply engaged in maintaining, tuning, deciphering and tracking their pain care, all while the device actively participates in it. This reflects a distinctly interfacial relationship between technology and people living with chronic pain. By conceptualising this relationship as chronic interfacing, the article argues that smart health technologies portend a shift away from neoliberal forms of governance. What emerges is a regime of digital health convenience, which partly dis-engages the patient from the chore of chronic living all while re-engaging them in managing the technological milieu required for this very delegation.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":"48 3","pages":"e70166"},"PeriodicalIF":2.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13005169/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147491441","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

Participation Beyond Compliance: Who Tried to Influence Other People's Vaccination Behaviour During the COVID-19 Crisis? 超越合规的参与：在COVID-19危机期间，谁试图影响他人的疫苗接种行为？

IF 2.6 2区医学

Sociology of health & illness Pub Date : 2026-03-01 DOI: 10.1111/1467-9566.70170

Hugo Touzet, Benoît Giry, Jeremy K Ward

{"title":"Participation Beyond Compliance: Who Tried to Influence Other People's Vaccination Behaviour During the COVID-19 Crisis?","authors":"Hugo Touzet, Benoît Giry, Jeremy K Ward","doi":"10.1111/1467-9566.70170","DOIUrl":"10.1111/1467-9566.70170","url":null,"abstract":"In this paper, we call for more attention to be paid to what we call ordinary contributions to public health policies: the propensity of ordinary citizens to actively influence others to follow or reject a health policy. Shifting the focus from personal compliance to active participation (i.e., ordinary contribution) raises distinct questions pertaining to self-empowerment, personal network composition and the public denunciation of antivaccinationism. We draw on a survey conducted during the summer of 2022 among a representative sample of the French public (n = 4004) to understand what made some people try to bear on other people's behaviours regarding COVID-19 vaccination. We asked respondents whether they tried to convince people in their various social circles to get vaccinated or to not get vaccinated. We found that a significant share of French people-especially the most vaccine-hesitant-kept their opinions to themselves. Controlling for vaccine hesitancy and concern regarding COVID-19, the propensity to engage in ordinary contributions was heavily influenced by relationship to politics. We discuss the overlapping between political competence and health literacy and the tensions that can arise in everyday discussions of issues at the interface of health and politics.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":"48 3","pages":"e70170"},"PeriodicalIF":2.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12967758/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147378456","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 Folk Sociological Imagination: Manufacturing Agency Through Smoking Among Chinese Adolescents. 民间社会学想象：中国青少年吸烟的制造代理。

IF 2.6 2区医学

Sociology of health & illness Pub Date : 2026-03-01 DOI: 10.1111/1467-9566.70173

Bo Li

{"title":"The Folk Sociological Imagination: Manufacturing Agency Through Smoking Among Chinese Adolescents.","authors":"Bo Li","doi":"10.1111/1467-9566.70173","DOIUrl":"10.1111/1467-9566.70173","url":null,"abstract":"Persistent adolescent smoking in China presents a paradox within the context of advancing nicotine control. Moving beyond social-environmental explanations, this study employs Mills' sociological imagination to conceptualise this persistence as an agentive response to constrained realities and futures, enacted through peer-curated lay epidemiology. Its core argument is that adolescents cultivate a folk sociological imagination-a vernacular system of sense-making-to manufacture agency and reframe smoking risk. Qualitative data from 21 adolescent smokers in Shenzhen, including 208 health diaries and 17 interviews, reveal how this is achieved through three practices: the selective valorisation of healthy smoker exemplars; folk attribution of causality to external or individual factors; and prevalence-as-safety normalisation. This folk process reconfigured the public issue of smoking risk into a series of manageable private troubles, transforming statistical harm into a matter of individual circumstance. Findings highlight three gaps in current efforts: an epistemic gap in policy, which dismisses peer-validated evidence; an intervention gap in health education, which fails to engage with lay reasoning and a structural hope gap, which generates a form of cruel optimism that overlooks the need for alternative avenues for agency and belonging.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":"48 3","pages":"e70173"},"PeriodicalIF":2.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13005054/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147491583","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

(Re)considering Discourses of Risk and Responsibility Through the Lens of Healthism: Interpreting the International Response to a Global Health Strategy for Noncommunicable Diseases. （重新）从健康主义的角度考虑风险和责任的论述：解释对非传染性疾病全球卫生战略的国际反应。

IF 2.6 2区医学

Sociology of health & illness Pub Date : 2026-03-01 DOI: 10.1111/1467-9566.70169

Tim Brown

{"title":"(Re)considering Discourses of Risk and Responsibility Through the Lens of Healthism: Interpreting the International Response to a Global Health Strategy for Noncommunicable Diseases.","authors":"Tim Brown","doi":"10.1111/1467-9566.70169","DOIUrl":"10.1111/1467-9566.70169","url":null,"abstract":"Public health crises such as the global epidemic of so-called 'lifestyle diseases' are often framed as the failure of individuals to make the right health-related choices or to take responsibility for managing their bodies in ways that promote the health of present and future selves. Through his early writings on healthism, Robert Crawford was one amongst a number of scholars who documented the emergence of neoliberal logics of self-care in response to these perceived failings. Although these debates are well covered in the critical literature, less attention has been paid to the ways in which the central tenets of healthism were and are received as ideology travels from place to place. This paper seeks to address this lacuna through a detailed analysis of the discourse surrounding the World Health Organization's 'Global Strategy on Diet, Physical Activity and Health'. Chosen for its framing of lifestyle diseases as a global public health problem whose causes are rooted in the spread of the 'western lifestyle', the paper argues that a focus on the strategy and the international response to it is revealing for what it tells us about what happens when ideas and theories travel.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":"48 3","pages":"e70169"},"PeriodicalIF":2.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12980289/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147435325","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

Commercial and Corporate Provision of Healthcare, Capitalism and the State. 商业和公司提供的医疗保健、资本主义和国家。

IF 2.6 2区医学

Sociology of health & illness Pub Date : 2026-03-01 DOI: 10.1111/1467-9566.70155

Nick J Fox

引用次数: 0