Sociology of health & illness最新文献_第8页

Attending to Gyn-Ecology: Managing the 'Mess' of Recurrent Vulvovaginal Thrush. 参加妇科生态学：管理“混乱”复发外阴阴道鹅口疮。

IF 2.6 2区医学

Sociology of health & illness Pub Date : 2026-01-01 DOI: 10.1111/1467-9566.70121

Tori Ford, Sue Ziebland, Sarah Tonkin-Crine, Gail Hayward, Abigail McNiven

{"title":"Attending to Gyn-Ecology: Managing the 'Mess' of Recurrent Vulvovaginal Thrush.","authors":"Tori Ford, Sue Ziebland, Sarah Tonkin-Crine, Gail Hayward, Abigail McNiven","doi":"10.1111/1467-9566.70121","DOIUrl":"10.1111/1467-9566.70121","url":null,"abstract":"Previous social science research on gendered experiences of thrush and vulvovaginal health has overlooked, or inadvertently sanitised, the materiality of having a body. Therefore, this study aims to return attention to the material, sensorial, and corporeal dimensions of living with recurrent thrush and use this to broaden our understandings of gendered embodiment. We present findings from a qualitative study of interviews with 32 people including women, trans, nonbinary and gender diverse people. This paper examines the bodily experiences of recurrent vulvovaginal thrush through a feminist materiality lens, drawing on concepts of 'leaky bodies' and microbiological relationships with the 'not-me'/'not-not-me'. We present the multidimensional experiences of managing recurrent vulvovaginal thrush, examining the 'mess' it creates, the vigilance required to monitor microbial imbalances, the negotiation of gendered perceptions of 'grossness' and the compromises individuals make between physical and emotional dis/comfort. Through attending to the material, microbial, and gendered imaginaries and realities involved in managing the 'mess' of recurrent thrush, we explore the additional considerations and challenges experienced by those with lived experience currently missing from research.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":"48 1","pages":"e70121"},"PeriodicalIF":2.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12717482/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145794999","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

Transitions in and out of Loneliness During the COVID-19 Pandemic: A Latent Class Analysis of Older Adults in England. 2019冠状病毒病大流行期间孤独的过渡：英国老年人的潜在类别分析

IF 2.6 2区医学

Sociology of health & illness Pub Date : 2026-01-01 DOI: 10.1111/1467-9566.70138

Mengxing Joshi, Daniela Weber, Anne Goujon

{"title":"Transitions in and out of Loneliness During the COVID-19 Pandemic: A Latent Class Analysis of Older Adults in England.","authors":"Mengxing Joshi, Daniela Weber, Anne Goujon","doi":"10.1111/1467-9566.70138","DOIUrl":"10.1111/1467-9566.70138","url":null,"abstract":"Disease control measures during the COVID-19 pandemic may have intensified loneliness among older adults, though experiences varied based on individual vulnerabilities and resources. This study examines loneliness trajectories among older adults using the English Longitudinal Study of Ageing, spanning four waves: two pre-pandemic (Wave 8: 2016-2017; Wave 9: 2018-2019) and two COVID-19 substudies (June-July and November-December 2020). The sample included 4492 respondents (17,968 observations). Latent class growth analysis identified four loneliness trajectories: 'not lonely' (73.5%), 'pandemic loneliness' (12.7%), 'transitioned out of loneliness' (6.9%) and 'enduring loneliness' (6.8%). Multinomial regression analysis explored predictors of trajectory membership. Younger age (50-74), being female, depression, COVID-related worries and disrupted daily routines increased the likelihood of belonging to 'pandemic loneliness' rather than 'not lonely'. Optimism and strong partner support increased the likelihood of remaining 'not lonely' or transitioning out of loneliness. The pandemic's unintended effects, including routine disruptions and financial concerns, heightened loneliness risks, whereas psychosocial resources provided critical resilience. To prepare for future public health crises, policies should strengthen mental health support, promote social and economic stability and enhance social connection and resilience. Addressing psychosocial factors is essential to reducing loneliness and protecting older adults' well-being during and beyond periods of crisis.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":"48 1","pages":"e70138"},"PeriodicalIF":2.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12718619/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145805495","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

Building and Boosting Capitals for Health Care Access: A Qualitative Study of Homeless Health Peer Advocacy in London, UK. 建立和促进医疗保健获取资本：英国伦敦无家可归者健康同伴倡导的定性研究。

IF 2.6 2区医学

Sociology of health & illness Pub Date : 2026-01-01 DOI: 10.1111/1467-9566.70136

Andy Guise, P J Annand, Paniz Hosseini, Spike Hudson, Sujit D Rathod, Lucy Platt

{"title":"Building and Boosting Capitals for Health Care Access: A Qualitative Study of Homeless Health Peer Advocacy in London, UK.","authors":"Andy Guise, P J Annand, Paniz Hosseini, Spike Hudson, Sujit D Rathod, Lucy Platt","doi":"10.1111/1467-9566.70136","DOIUrl":"10.1111/1467-9566.70136","url":null,"abstract":"Peer support is widely promoted as enabling health care access with people experiencing homelessness, including through enabling independence, empowering individuals and managing stigma. However, there is little understanding of these processes, including how they relate to the wide range of potential activities involved in peer support. We studied peer support within a peer advocacy service at a charity run by and for people experiencing homelessness in London, UK. We report analysis from a sub-set of qualitative interviews and focus groups gathered for a qualitative study of peer advocacy. We include interviews that offered insight to particular cases of peer advocacy. These interviews came from 23 clients of the service, 6 peer advocates, 1 staff member and 2 stakeholders. We drew on Bourdieu's theory of capitals to develop a typology of different ways peer support works. The findings focus on reporting three types of experiences: where peer support builds cultural health capital amongst service clients, boosts cultural health capital, social and economic capital, and third, where boosting social and economic capital are priorities. The discussion considers how the analysis helps conceptualise processes of peer support with respect to empowerment, independence and stigma management.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":"48 1","pages":"e70136"},"PeriodicalIF":2.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12683470/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145701562","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

Artificial Intelligence and the Clinical Gaze: Visual Practices of AI-Assisted Colonoscopy. 人工智能与临床凝视：人工智能辅助结肠镜检查的视觉实践。

IF 2.6 2区医学

Sociology of health & illness Pub Date : 2026-01-01 DOI: 10.1111/1467-9566.70144

Michael Heinlein

{"title":"Artificial Intelligence and the Clinical Gaze: Visual Practices of AI-Assisted Colonoscopy.","authors":"Michael Heinlein","doi":"10.1111/1467-9566.70144","DOIUrl":"10.1111/1467-9566.70144","url":null,"abstract":"This article examines how commercial artificial intelligence (AI) systems are integrated into the visual practice of colonoscopy and how they reshape the clinical gaze as a sociotechnical and situated mode of perception. Based on ethnographic observations of colonoscopies and in-depth interviews with gastroenterologists, this study analyses the real-time use of AI-based pattern recognition systems during diagnostic procedures. Unlike retrospective image analysis in radiology, AI in colonoscopy operates in vivo and in real time, requiring practitioners to engage with algorithmic markings within the unfolding process of examination. The clinical gaze emerges here as a form of professional vision constituted through embodied routines, tacit knowledge, technological infrastructures and institutionalised practices. This article identifies three modes of integrating AI-technology-driven, experience-driven and interrupted-that reveal the contingency and multiplicity of human-machine relations in clinical imaging work. Rather than displacing the clinical gaze, AI alters the conditions under which it can be enacted, bringing with it shifting forms of visual selectivity, epistemic authority and new uncertainties. This study contributes to sociological debates on algorithmic medicine and digital automation by showing how AI systems intervene in the practical organisation of medical seeing, highlighting the tensions and adjustments through which contemporary visual practices in healthcare are reconfigured.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":"48 1","pages":"e70144"},"PeriodicalIF":2.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12813511/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145998963","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

Misunderstood, Minimised, Misrepresented: Autistic Young Adults' Experiences of Epistemic Injustices in Healthcare Interactions Around Autism. 误解，最小化，歪曲：自闭症年轻人在自闭症周围的医疗保健互动中认识不公正的经历。

IF 2.6 2区医学

Sociology of health & illness Pub Date : 2026-01-01 DOI: 10.1111/1467-9566.70124

Aino-Mari Uisma, Tuija Virkki, Minna Ylilahti

{"title":"Misunderstood, Minimised, Misrepresented: Autistic Young Adults' Experiences of Epistemic Injustices in Healthcare Interactions Around Autism.","authors":"Aino-Mari Uisma, Tuija Virkki, Minna Ylilahti","doi":"10.1111/1467-9566.70124","DOIUrl":"10.1111/1467-9566.70124","url":null,"abstract":"This article explores autistic young adults' experiences of epistemic injustice in healthcare interactions where autism is invoked and a subject of misaligned sensemakings. We take a particular focus on hermeneutical injustice, which refers to the difficulty of understanding and communicating one's experiences due to gaps and biases in sensemaking resources. Earlier research concerning autistic individuals from this perspective is sparse and mostly theoretical. Our study addresses this gap by conducting abductive thematic analysis on interview and questionnaire data from Finnish autistic young adults. This approach enabled us to recognise biases and hierarchies, such as neuronormativity and epistemic hierarchies, while also describing a new, paradoxical kind of hermeneutical injustice not covered by earlier research. Our results indicate how the often-intertwined forms of epistemic injustices are related to a lack of representativeness in how autism is understood as well as to how the exclusion of certain kinds of knowledge and knowers, along with the devaluations of expressive styles, impact autistic people's epistemic agency, identities and access to care. We argue for more inclusive epistemic approaches in healthcare that appreciate autistic contributions, recognise the diversity of autistic experience and expression, and challenge the reductive assumptions embedded in diagnostic and professional practices.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":"48 1","pages":"e70124"},"PeriodicalIF":2.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12665047/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145638199","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

Disentangling Responsibility: Perspectives on Dementia Prevention From Stakeholders in Canada, Germany and Switzerland. 责任分离：加拿大、德国和瑞士利益相关者对痴呆症预防的看法。

IF 2.6 2区医学

Sociology of health & illness Pub Date : 2026-01-01 DOI: 10.1111/1467-9566.70126

Niklas Petersen, Mattia Andreoletti, Alessandro Blasimme, Cynthia Lazzaroni, Annette Leibing, Silke Schicktanz

{"title":"Disentangling Responsibility: Perspectives on Dementia Prevention From Stakeholders in Canada, Germany and Switzerland.","authors":"Niklas Petersen, Mattia Andreoletti, Alessandro Blasimme, Cynthia Lazzaroni, Annette Leibing, Silke Schicktanz","doi":"10.1111/1467-9566.70126","DOIUrl":"10.1111/1467-9566.70126","url":null,"abstract":"Dementia prevention has become a priority in medical research and public health. Various medical, social and environmental risk factors have been identified; however, medical studies, media discourses and health policies predominantly centre on individual-level prevention and promote personal responsibility for maintaining cognitive health. This emphasis on individual preventive efforts faces increasing criticism for being ethically problematic, medically insufficient and reflective of a neoliberal responsibilisation of (cognitive) ageing. Our study, based on 60 semi-structured qualitative interviews with stakeholders involved in dementia research, care and health policy from Canada, Germany and Switzerland, situates the preventive turn within contemporary ageing cultures and welfare policies. By examining the epistemic and normative arguments underlying current debates on dementia prevention, we illustrate how stakeholders justify both personal and governmental responsibilities in preventing dementia. Although managing and mitigating various risk factors throughout life is often framed as a matter of personal responsibility, many stakeholders advocate combining individual-level prevention with population-level efforts to address social inequalities that affect the risk of developing dementia. Drawing on the interview study, we highlight the importance of recognising the political and normative foundations and implications of dementia prevention strategies.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":"48 1","pages":"e70126"},"PeriodicalIF":2.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12686603/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145709253","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

Mediated Urgency: Exploring GBTQ+ Perceptions of Antibiotic-Resistant Sexually Transmitted Infections. 介导的紧迫性：探索GBTQ+对耐抗生素性传播感染的看法。

IF 2.6 2区医学

Sociology of health & illness Pub Date : 2026-01-01 DOI: 10.1111/1467-9566.70137

Shiva Chandra, Alex Broom, Damien Ridge, Bridget Haire, Michelle Peterie, Catriona Bradshaw, Jennifer Broom, Lise Lafferty, Carla Treloar, Tanya Applegate, Rebecca Guy

{"title":"Mediated Urgency: Exploring GBTQ+ Perceptions of Antibiotic-Resistant Sexually Transmitted Infections.","authors":"Shiva Chandra, Alex Broom, Damien Ridge, Bridget Haire, Michelle Peterie, Catriona Bradshaw, Jennifer Broom, Lise Lafferty, Carla Treloar, Tanya Applegate, Rebecca Guy","doi":"10.1111/1467-9566.70137","DOIUrl":"10.1111/1467-9566.70137","url":null,"abstract":"Often, research takes place once a health issue is already at 'crisis' point. However, health professionals and populations can have different understandings of 'urgency'. At present, health authorities, scientists and other medical professionals are increasingly concerned about escalating antimicrobial resistance (AMR) in the context of STIs. Clinicians worry about Neisseria gonorrhoeae becoming progressively resistant to last-line treatment, as well as the very limited treatment options for resistant Mycoplasma genitalium. This paper explores how states of 'urgency' and 'crisis' are socially produced within people's everyday contexts. Drawing on semi-structured interviews with 49 gay and bisexual cisgender men and trans and gender diverse people, we explore contemporary GBTQ+ (gay, bisexual, trans and queer+) understandings of antibiotic-resistant STIs and people's perceptions of urgency. Findings reveal that urgency is shaped by pre-existing understandings of resistance, spatial-temporal dimensions, histories and experiences of pleasure. We conceptualise this as a relation of mediated urgency, which centres the multidimensional production and reception of crisis rather than making a priori assumptions that 'crisis' has already arrived. This theoretically and empirically recentres the everyday, relational and contextualised manifestations of how people relate to 'crisis', critical to working with communities to address it/them.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":"48 1","pages":"e70137"},"PeriodicalIF":2.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145687915","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

Stigma, Scarcity and the Price of Legitimacy: Chronic Pain Advocacy and the Politics of Pharmaceutical Partnerships in Canada. 耻辱，稀缺和合法性的价格：慢性疼痛倡导和加拿大制药合作伙伴关系的政治。

IF 2.6 2区医学

Sociology of health & illness Pub Date : 2026-01-01 DOI: 10.1111/1467-9566.70139

Daniel Eisenkraft Klein, Benjamin Hawkins, Quinn Grundy, Robert Schwartz

{"title":"Stigma, Scarcity and the Price of Legitimacy: Chronic Pain Advocacy and the Politics of Pharmaceutical Partnerships in Canada.","authors":"Daniel Eisenkraft Klein, Benjamin Hawkins, Quinn Grundy, Robert Schwartz","doi":"10.1111/1467-9566.70139","DOIUrl":"10.1111/1467-9566.70139","url":null,"abstract":"This study examines how chronic pain advocates in Canada navigated fraught relationships with pharmaceutical companies amid escalating concerns about the adverse public health impacts of opioids. Drawing on 22 qualitative interviews with professional chronic pain advocates, it examines how advocates navigated their complex relationships with pharmaceutical companies amid structural constraints and limited institutional support. Findings reveal that advocates viewed pharmaceutical funding not primarily as an ethical compromise, but as a pragmatic necessity driven by pervasive stigma, institutional neglect and inadequate public funding. Credibility that advocacy groups once gained through association with opioid manufacturers became a reputational liability as industry involvement in widespread harms came into focus and the field shifted toward pharmacovigilance and accountability. In this way, chronic pain advocacy has become entangled in a process that both legitimises the condition and embeds the institutionalisation of pharmaceutical treatment as its dominant response. By situating advocates' decisions within broader organisational arrangements, this study contributes to sociological understandings of pharmaceuticalisation and disease-based advocacy as processes shaped by strategic action under constraint.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":"48 1","pages":"e70139"},"PeriodicalIF":2.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12779089/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145916987","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

Constrained Choices: Navigating Agency and Social Structures in Sperm Donor Selection. 约束选择：精子捐献者选择中的导航代理和社会结构。

IF 2.6 2区医学

Sociology of health & illness Pub Date : 2026-01-01 DOI: 10.1111/1467-9566.70135

Sabrina Zeghiche, Isabel Côté, Kévin Lavoie

{"title":"Constrained Choices: Navigating Agency and Social Structures in Sperm Donor Selection.","authors":"Sabrina Zeghiche, Isabel Côté, Kévin Lavoie","doi":"10.1111/1467-9566.70135","DOIUrl":"10.1111/1467-9566.70135","url":null,"abstract":"This study examines how intended parents in Canada navigate the process of sperm donor selection under institutional, interpersonal and material constraints. Drawing on qualitative interviews with parents (N = 40) from diverse family configurations (heteroparental, lesboparental and soloparental), it explores how donor selection is not a purely autonomous decision but a negotiated practice shaped by regulatory ambiguity, limited donor availability, emotional investments and intracouple dynamics. Grounded in negotiated order theory, the analysis emphasises the provisional, iterative nature of decision-making within fertility clinics and donor databases-understood as intersecting social worlds within a broader reproductive arena. Findings show that initial parental preferences (e.g., donor resemblance, identity disclosure and medical history) are shaped by normative kinship ideals and are often compromised over time due to structural constraints or evolving priorities. This study contributes to the sociology of health and illness by reconceptualising donor selection as a situated negotiation, where choice is exercised relationally and within unequal institutional landscapes. It also identifies avenues for future research and policy reform, including clearer clinical guidance, improved access to donor information and stronger alignment with donor-conceived persons' rights.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":"48 1","pages":"e70135"},"PeriodicalIF":2.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145757633","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

Reverse Healthism and Antiscience Healthism: New Modes of Healthism in the Misinformation and COVID-19 Era. 逆健康主义与反科学健康主义：误传与新冠时代的健康主义新模式

IF 2.6 2区医学

Sociology of health & illness Pub Date : 2026-01-01 DOI: 10.1111/1467-9566.70119

Deborah Lupton

引用次数: 0