Sociology of health & illness最新文献_第8页

Extending Fundamental Cause Theory to Holistic Health. 将根本原因理论扩展到整体健康。

IF 2.7 2区医学

Sociology of health & illness Pub Date : 2025-01-01 DOI: 10.1111/1467-9566.13875

Samantha Nousak

引用次数: 0

From Straight Lines to Twists and Turns: Finding Patterns Between Socio-Economics and Unequal Health Outcomes in the Life Course. 从直线到曲折：寻找生命历程中社会经济与不平等健康结果之间的模式。

IF 2.7 2区医学

Sociology of health & illness Pub Date : 2025-01-01 DOI: 10.1111/1467-9566.13879

Janna Goijaerts, Natascha van der Zwan, Jet Bussemaker

{"title":"From Straight Lines to Twists and Turns: Finding Patterns Between Socio-Economics and Unequal Health Outcomes in the Life Course.","authors":"Janna Goijaerts, Natascha van der Zwan, Jet Bussemaker","doi":"10.1111/1467-9566.13879","DOIUrl":"10.1111/1467-9566.13879","url":null,"abstract":"Despite welfare state expansion in liberal democracies during the 20th century, health inequalities between socio-economic groups persist. Understanding individuals' lived experiences can inform policy for reducing unequal health outcomes in these lives. We build on Fundamental Cause Theory (FCT), which posits that low socio-economic status is the fundamental cause of health problems in (later) life. We argue that this theory is incomplete in developing policy interventions to tackle unequal health outcomes, because it assumes the relationship between socio-economic status and health to be linear and unidirectional. Based on our findings from biographic interviews of 15 disadvantaged individuals in the Netherlands, we propose a refinement of FCT by taking into account the complex life trajectories of individuals experiencing unequal health outcomes. Specifically, we argue that these individuals' trajectories can be broken down into at least five distinct patterns (ping-pong, snowball, escalator, quicksand and lever) between socio-economic and health issues. These patterns provide a theoretical addition to the existing FCT on the dynamics of life trajectories, the intensity with which problems develop and the importance of external factors. This helps not only to understand the emergence of health problems, but also to imagine more suitable policy responses.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":"47 1","pages":"e13879"},"PeriodicalIF":2.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11696486/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142922811","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 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 : 2025-01-01 Epub 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":"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":" ","pages":"e13840"},"PeriodicalIF":2.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11694777/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Role of Boundary Spanning in Building Trust: A Place-Based Study on Engaging Hardly Reached Groups in Community Healthcare Settings. 边界跨越在建立信任中的作用：社区医疗环境中难以接触到的群体参与的基于地点的研究。

IF 2.7 2区医学

Sociology of health & illness Pub Date : 2025-01-01 DOI: 10.1111/1467-9566.13870

Lara Bianchi, Mihaela Kelemen, Alysha Kate Shivji, Jonathan Tallant, Stephen Timmons

{"title":"The Role of Boundary Spanning in Building Trust: A Place-Based Study on Engaging Hardly Reached Groups in Community Healthcare Settings.","authors":"Lara Bianchi, Mihaela Kelemen, Alysha Kate Shivji, Jonathan Tallant, Stephen Timmons","doi":"10.1111/1467-9566.13870","DOIUrl":"10.1111/1467-9566.13870","url":null,"abstract":"This paper investigates the impact of boundary spanning activities on building trust as a means of tackling health inequalities in hardly reached communities. Lack of trust has been identified as a barrier to engagement with healthcare services, resulting in poorer health outcomes. Engaging with hardly reached communities is challenging due to the social and symbolic boundaries prevalent in community healthcare settings. Drawing on empirical data from a recent year-long collaborative research project with communities from seven economically deprived areas in the City of Nottingham, we identify two boundary spanning activities that facilitate the development of trust: communication across boundaries and intergroup relationship building. By cross fertilising sociological accounts on trust with insights derived from philosophy, the study finds that for hardly reached communities, trusting relevant individuals is more potent and widespread than the trust they have in healthcare institutions. By developing individual trust, hardly reached communities are more likely to consequently perceive the existence of institutional goodwill and competence. This counter-intuitive finding invites us to regard trust as context specific and relational rather than as a binary choice between trusting individuals or institutions and to situate cross boundary activities focused on trust development within the power asymmetries in which they unfold.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":"47 1","pages":"e13870"},"PeriodicalIF":2.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11667093/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142882799","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

Privileges, and Permissions: Theorising Intersectionality and Cultures of Control in the Care of People Living With Dementia in Acute Hospital Settings. 特权，和许可：理论交叉和控制文化在急性医院环境中痴呆症患者的护理。

IF 2.7 2区医学

Sociology of health & illness Pub Date : 2025-01-01 DOI: 10.1111/1467-9566.13869

Shadreck Mwale, Andy Northcott, Katie Featherstone

{"title":"Privileges, and Permissions: Theorising Intersectionality and Cultures of Control in the Care of People Living With Dementia in Acute Hospital Settings.","authors":"Shadreck Mwale, Andy Northcott, Katie Featherstone","doi":"10.1111/1467-9566.13869","DOIUrl":"10.1111/1467-9566.13869","url":null,"abstract":"A longstanding body of public enquiries and research identifies people living with dementia experience systemic inequalities within hospital settings, concluding a focus on improving care cultures is required. Drawing on a 3-year multi-sited hospital ethnography, this paper examines everyday cultures of care in NHS acute hospital wards to interrogate how ethnicity, gender and social class intersects to shape the care of people living with dementia. Drawing on Collins' concept of intersectionality and the relational nature of power, the analysis reveals that while cared for by diverse teams of healthcare professionals, a patients' age, ethnicity, gender and social class, as interconnected categories, influences the tightening of ward rules for some people living with dementia and the granting of significant privileges for others. Focussing on walking within the ward, with a large number of people living with dementia classified as 'wandering', we explore ways in which intersectional identities informed who was granted privileges to leave the bedside and 'wander' the ward, and who experienced further control. The paper concludes that institutional racism and attitudes to gender, social class and ageing permeate the routine organisation and delivery of care within NHS acute hospital wards to significantly impact people living with dementia, and in turn, increases the consideration of care pathways that emphasise their discharge to institutional settings.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":"47 1","pages":"e13869"},"PeriodicalIF":2.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11697222/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142922813","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

Crafting the unsayable: Making meaning out of racialised maternal health-care encounters. 创造不可言说的东西：让种族化的孕产妇医疗保健遭遇具有意义。

IF 2.7 2区医学

Sociology of health & illness Pub Date : 2025-01-01 Epub Date: 2024-08-27 DOI: 10.1111/1467-9566.13830

Sarah Milton, Ulla McKnight

{"title":"Crafting the unsayable: Making meaning out of racialised maternal health-care encounters.","authors":"Sarah Milton, Ulla McKnight","doi":"10.1111/1467-9566.13830","DOIUrl":"10.1111/1467-9566.13830","url":null,"abstract":"There are persistent and profound racialised inequalities in maternal and reproductive health in the UK. Yet in multiple settings, these disparities have been blamed on class or ethnicity, individuals and communities rather than the structures within which they live. In this study, we draw on narratives told within a 'slow-stitch' craft workshop, organised in southern England for racialised women with reproductive trauma, to show how processes of racialisation and racism shape experiences of maternal and reproductive healthcare. Experiences of reproductive trauma were multiple and cumulative. The burden of knowledge of racialised disparities was carried into health-care spaces, with plans made in advance to self-manage in risky spaces. The constant management of racialised stereotypes and subsequent strategies of bodily and emotional containment ultimately was not protective and there was little agency over levels of care received in health-care spaces. Perceptions surrounding racialised bodies shaped treatment, whilst proximities to whiteness afforded alternative realities. Taking a phenomenological approach we analyse race as a sensory, spatial and relational constellation haunted by long-standing histories of fraught inequality. Bringing together in the crafting circle a group of women racialised in different ways enabled the sharing of \"unspeakable\" stories surrounding racism and reproductive trauma, and allowed race to be brought into being as a form of solidarity and connection.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":" ","pages":"e13830"},"PeriodicalIF":2.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142081458","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 : 2025-01-01 Epub Date: 2024-09-26 DOI: 10.1111/1467-9566.13844

Liina Sointu

引用次数: 0

A qualitative exploration of the impact of educational social fields on mental health help-seeking in post-primary schools in Northern Ireland. 教育社会领域对北爱尔兰小学后阶段心理健康求助影响的定性探索。

IF 2.7 2区医学

Sociology of health & illness Pub Date : 2025-01-01 Epub Date: 2024-07-29 DOI: 10.1111/1467-9566.13825

Bethany Waterhouse-Bradley, Dagmar Corry, Gerard Leavey

{"title":"A qualitative exploration of the impact of educational social fields on mental health help-seeking in post-primary schools in Northern Ireland.","authors":"Bethany Waterhouse-Bradley, Dagmar Corry, Gerard Leavey","doi":"10.1111/1467-9566.13825","DOIUrl":"10.1111/1467-9566.13825","url":null,"abstract":"In a study of post-primary students in Northern Ireland, Bourdieu's concepts of cultural capital, habitus and fields are used to explore attitudes towards help-seeking from general practitioners (GPs). Findings from Grammar and Secondary Modern School students are compared using the role of educational fields in influencing help-seeking behaviours for mental health problems. Focus groups were conducted of 54 students at 10 post-primary schools in Northern Ireland, each consisting of 5-7 pupils, stratified by age (13-17 years) and gender. The data were analysed thematically to assess attitudinal and belief patterns within school environments. Participants from both types of schools expressed reluctance to seek help from GPs for mental health concerns. However, the attitudes towards help seeking differ between grammar schools (GSs) and secondary modern schools with regards to (a) the act of help-seeking; (b) service knowledge and medical professionalism; and (c) trust and disclosure. The field of GSs appears to produce students who feel more able and, importantly, more entitled to mental health support from health professionals. While this apparent conference of cultural norms increases some individuals' access to services, work is required to build help-seeking pathways which are responsive to diverse young people.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":" ","pages":"e13825"},"PeriodicalIF":2.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11684506/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141793387","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

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 : 2025-01-01 Epub 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":"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":" ","pages":"e13842"},"PeriodicalIF":2.7,"publicationDate":"2025-01-01","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

Let 'Pregnant Women Choose the Destiny for Themselves and Their Child'. How Fertility Clinic Digital Platforms Frame Preimplantation Genetic Testing (PGT) in Spain. 让“孕妇为自己和孩子选择命运”。如何生育诊所数字平台框架植入前基因检测（PGT）在西班牙。

IF 2.7 2区医学

Sociology of health & illness Pub Date : 2025-01-01 DOI: 10.1111/1467-9566.13876

Mauro Turrini, Jorge Otín-Gavín

{"title":"Let 'Pregnant Women Choose the Destiny for Themselves and Their Child'. How Fertility Clinic Digital Platforms Frame Preimplantation Genetic Testing (PGT) in Spain.","authors":"Mauro Turrini, Jorge Otín-Gavín","doi":"10.1111/1467-9566.13876","DOIUrl":"10.1111/1467-9566.13876","url":null,"abstract":"Preimplantation Genetic Testing (PGT) is used to select in vitro embryos for distinct clinical contexts and purposes. PGT for monogenic conditions (PGT-M), also known as Preimplantation Genetic Diagnosis (PGD), enables the prevention of passing on a known genetic disorder to one's offspring. Conversely, PGT for aneuploidies (PGT-A), or Preimplantation Genetic Screening (PGS), is used to improve IVF success rates in fertility patients and increase confidence about the health outcomes of potential offspring. Using discourse analysis, we examine how Spanish fertility clinic digital platforms frame these techniques and their associated subjectivity processes. We find: first, an excessively unproblematic portrayal of experimental innovations such as PGT; second, a linguistic, semantic and clinical overlap between 'diagnosis' and 'screening', which increases the genetic responsibility of couples or women without known genetic conditions regarding their prospective children; and third, the use of genomics as a modulator of female fertility and as a means to control maternal age-related decline. Ultimately, this discourse positions PGT as a routine IVF component, serving as an assurance tool for both treatment success and the health of the potential baby. This narrative reflects the speculative turn in assisted reproduction, emphasising new forms of responsibility and choice of would-be mothers.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":"47 1","pages":"e13876"},"PeriodicalIF":2.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11715153/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142954404","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