Sociology of health & illness最新文献_第9页

Treatment 'cultures', sexually transmitted infections and the rise of antimicrobial resistance. 治疗 "文化"、性传播感染和抗菌药耐药性的增加。

IF 2.7 2区医学

Sociology of health & illness Pub Date : 2025-01-01 Epub Date: 2024-09-02 DOI: 10.1111/1467-9566.13832

Shiva Chandra, Alex Broom, Damien Ridge, Michelle Peterie, Lise Lafferty, Jennifer Broom, Katherine Kenny, Carla Treloar, Tanya Applegate

{"title":"Treatment 'cultures', sexually transmitted infections and the rise of antimicrobial resistance.","authors":"Shiva Chandra, Alex Broom, Damien Ridge, Michelle Peterie, Lise Lafferty, Jennifer Broom, Katherine Kenny, Carla Treloar, Tanya Applegate","doi":"10.1111/1467-9566.13832","DOIUrl":"10.1111/1467-9566.13832","url":null,"abstract":"In this article, we examine the current management of sexually transmitted infections (STIs), in the context of rising antimicrobial resistance (AMR), through the lens of 'treatment cultures'. Prevailing treatment cultures-including the prominence of syndromic care for STIs-foster certain possibilities and foreclose others, with important consequences for countering AMR. Drawing on qualitative interviews with STI professionals, experts and industry representatives, we unpack these stakeholders' accounts of STI treatment cultures, drawing out the importance of socio-historical (i.e. taboo and stigma), political-economic (i.e. perceptions of significance, profit-making and prioritisation) and subjective (i.e. patient contexts and reflexivity) dimensions therein. In developing this critical account of how treatment cultures are formed, reproduced and indeed resisted, we reveal how such discourses and practices render the reining in of AMR and shifting antibiotic use difficult, and yet, how productive engagement remains key to any proposed solutions. As such, the article contributes to our understanding of AMR as a highly diversified field, through our exploration of the bio-social dimensions of resistance as they relate to the case of STIs.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":" ","pages":"e13832"},"PeriodicalIF":2.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11733835/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142111622","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

Stigma and the Inverse Care Law: Experiences of 'Care' for People Living in Marginalised Conditions. 污名和反护理法：生活在边缘化条件下的人的“护理”经验。

IF 2.7 2区医学

Sociology of health & illness Pub Date : 2025-01-01 DOI: 10.1111/1467-9566.70000

Michelle Addison, Steph Scott, Clare Bambra, Monique Lhussier

{"title":"Stigma and the Inverse Care Law: Experiences of 'Care' for People Living in Marginalised Conditions.","authors":"Michelle Addison, Steph Scott, Clare Bambra, Monique Lhussier","doi":"10.1111/1467-9566.70000","DOIUrl":"10.1111/1467-9566.70000","url":null,"abstract":"This paper explores the connection between stigma and the Inverse Care Law (ICL) by focussing on the idea that people who have the greatest needs often have the least support from healthcare services. Twenty-four semi-structured interviews were undertaken with people who used class A & B illicit drugs, in the northeast of England. Many of the people in this study who used illicit drugs were not able to access quality healthcare in a timely way to meet their needs because of structural and relational stigma. We discuss four themes: (i) pressure on health services and long waiting lists, (ii) sensitivity to compassion fatigue from staff and impacts on engagement, (iii) complex systems that are difficult to navigate and (iv) stigma and drug use. These themes illuminate the harms of stigma and support Tudor Hart's ICL. Stigma is a key contributor to the inverse experience of good quality healthcare and requires greater attention from policymakers and practitioners. The structural and relational aspects of stigma embedded in healthcare are central to the ICL and reproduce inequities in access to and experience of good quality healthcare, which in turn impacts health inequalities.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":"47 1","pages":"e70000"},"PeriodicalIF":2.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11744054/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143011059","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

Medicalising agents? Teachers' uncertainty and emerging expertise in the age of inclusion policy and medicalisation in Israel. 医疗代理？以色列全纳政策和医疗化时代教师的不确定性和新兴专业知识。

IF 2.7 2区医学

Sociology of health & illness Pub Date : 2024-11-01 Epub Date: 2024-09-27 DOI: 10.1111/1467-9566.13849

Galia Plotkin-Amrami, Yariv Feniger, Yam Umansky

{"title":"Medicalising agents? Teachers' uncertainty and emerging expertise in the age of inclusion policy and medicalisation in Israel.","authors":"Galia Plotkin-Amrami, Yariv Feniger, Yam Umansky","doi":"10.1111/1467-9566.13849","DOIUrl":"10.1111/1467-9566.13849","url":null,"abstract":"Attention deficit hyperactivity disorder (ADHD) is a paradigmatic case for childhood medicalisation. Critical studies of medicalisation have pointed to the increasing clinical role of schools, with teachers tending to rely on medical treatment of students with ADHD and are perceived as a primary source of diagnostic information. Based on 27 semi-structured interviews with teachers working in two Israeli elementary and middle schools, this research explored how teachers mediate the medicalisation process and understand their responsibilities in the classroom amidst the emphasis on inclusion in contemporary Israel. We found that teachers offer a wide range of explanations of the disorder and its prevalence, and their attitudes to medication are ambivalent. We argue that teachers develop pedagogical (lay) expertise in the field of ADHD in parallel with and in opposition to medical solutions. Such expertise is based on practical experience and close interaction with students. A top-down ideological imperative of inclusion, combined with uncertainty about ADHD, has generated a bottom-up set of preformative practices of 'containment' of troubled students. Teachers' emerging knowledge and practices raise questions about the relationship between medicalisation, policy, expertise and the pragmatic value of medical categories when applied outside the medical establishment.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":" ","pages":"1962-1982"},"PeriodicalIF":2.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142353086","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

COVID companions: Exploring pets as social support. COVID 伴侣：探索作为社会支持的宠物

IF 2.7 2区医学

Sociology of health & illness Pub Date : 2024-11-01 Epub Date: 2024-07-28 DOI: 10.1111/1467-9566.13820

Lynn Sudbury-Riley

引用次数: 0

'Becoming restrained': Conceptualising restrictive practices in the care of people living with dementia in acute hospital settings. 成为限制"：对急症医院中痴呆症患者护理中的限制性做法进行概念化。

IF 2.7 2区医学

Sociology of health & illness Pub Date : 2024-11-01 Epub Date: 2024-07-04 DOI: 10.1111/1467-9566.13812

Shadreck Mwale, Andy Northcott, Imogen Lambert, Katie Featherstone

{"title":"'Becoming restrained': Conceptualising restrictive practices in the care of people living with dementia in acute hospital settings.","authors":"Shadreck Mwale, Andy Northcott, Imogen Lambert, Katie Featherstone","doi":"10.1111/1467-9566.13812","DOIUrl":"10.1111/1467-9566.13812","url":null,"abstract":"The use of restrictive practices within health and social care has attracted policy and practice attention, predominantly focusing on children and young people with mental health conditions, learning disabilities and autism. However, despite growing appreciation of the need to improve care quality for people living with dementia (PLWD), the potentially routine use of restrictive practices in their care has received little attention. PLWD are at significant risk of experiencing restrictive practices during unscheduled acute hospital admissions. In everyday routine hospital care of PLWD, concerns about subtle and less visible forms of restrictive practices and their impacts remain. This article draws on Deleuze's concepts of 'assemblage' and 'event' to conceptualise restrictive practices as institutional, interconnection social and political attitudes and organisational cultural practices. We argue that this approach illuminates the diverse ways restrictive practices are used, legitimatised and perpetuated in the care of PLWD. We examine restrictive practices in acute care contexts, understanding their use requires examining the wider socio-political, organisational cultures and professional practice contexts in which clinical practices occurs. Whereas 'events' and 'assemblages' have predominantly been used to examine embodied entanglements in diverse health contexts, examining restrictive practices as a structural assemblage extends the application of this theoretical framework.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":" ","pages":"1730-1748"},"PeriodicalIF":2.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141535237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Talking about borderline personality disorder, shaping care: The multiple doings of narratives. 谈论边缘型人格障碍，塑造关怀：叙事的多重作用。

IF 2.7 2区医学

Sociology of health & illness Pub Date : 2024-11-01 Epub Date: 2024-06-05 DOI: 10.1111/1467-9566.13804

Emma-Louise Seal, Renata Kokanović, Jacinthe Flore, Tamara Borovica, Jillian H Broadbear, Louise McCutcheon, Sharon Lawn

{"title":"Talking about borderline personality disorder, shaping care: The multiple doings of narratives.","authors":"Emma-Louise Seal, Renata Kokanović, Jacinthe Flore, Tamara Borovica, Jillian H Broadbear, Louise McCutcheon, Sharon Lawn","doi":"10.1111/1467-9566.13804","DOIUrl":"10.1111/1467-9566.13804","url":null,"abstract":"This article focuses on the narratives that circulate about borderline personality disorder (BPD) in health-care settings in Australia and the effects such narratives can have on how people practice and seek out care. People with a BPD diagnosis frequently access health-care services, often encountering stigma and discrimination. Drawing on narrative theory, we critically unpack the circulation and capacities of BPD narratives and the ways they can often contribute to poor and troubling experiences. This article is based on qualitative interviews with people living with a BPD diagnosis, as well as health practitioners who work with people with a BPD diagnosis. Our findings identified insidious and powerful BPD narratives that circulate in health-care settings, particularly in short-term, acute, or non-specialist contexts, such as emergency departments and in-patient units. These narratives influenced the ways that participants both practiced and sought out care. To improve health service quality for people with a BPD diagnosis, or those experiencing mental distress, it is important to challenge the sociocultural-political norms and relations that can influence approaches to care and practice. Disrupting and reframing negative BPD narratives and raising awareness about the impact of stories that are told about BPD have the potential to generate social change.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":" ","pages":"1709-1729"},"PeriodicalIF":2.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141262879","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

Parental illness work across the attention deficit hyperactivity disorder diagnostic journey. 注意力缺陷多动障碍诊断过程中的父母疾病工作。

IF 2.7 2区医学

Sociology of health & illness Pub Date : 2024-11-01 Epub Date: 2024-07-18 DOI: 10.1111/1467-9566.13817

Tom Nicholson, Richard Lee

{"title":"Parental illness work across the attention deficit hyperactivity disorder diagnostic journey.","authors":"Tom Nicholson, Richard Lee","doi":"10.1111/1467-9566.13817","DOIUrl":"10.1111/1467-9566.13817","url":null,"abstract":"The process of referral, assessment, and diagnosis of attention deficit hyperactivity disorder (ADHD) within the UK is often protracted. Given that parents are frequently the instigators of the diagnostic process, understanding the experience of parents is important. Drawing on findings from a longitudinal study, this article explores how the parental experience of the ADHD diagnostic journey includes three significant and distinct forms of 'illness work'. Twenty-one semi-structured serial interviews were conducted over a 2-year period with seven parents of children on the ADHD diagnostic journey in North East England. We present three significant forms of parental illness work: (1) The 'diagnostic quest', parental work recognising and fighting for their children's needs and selfhood, seeking diagnosis and engaging with systems, (2) 'self-biographical illness work', the personal parental biographical response to the diagnostic journey and (3) 'child biographical illness work and recontextualizing the child', parental biographical adjustment and recontextualisation of their children. We advance Rasmussen et al.'s (2021) model by demonstrating its usefulness in understanding how parents with a personal ADHD diagnosis experience biographical disruption or cohesion in response to their children's diagnosis. That a child's diagnosis leads parents with ADHD to experience a self-biographical cohesive or disruptive response is a unique and significant finding.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":" ","pages":"1647-1667"},"PeriodicalIF":2.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141634484","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

'When all you have is a hammer, everything has to be a nail': Managing diagnostic uncertainty in urinary tract infection. 当你只有一把锤子时，一切都会变成钉子"：处理尿路感染诊断的不确定性。

IF 2.7 2区医学

Sociology of health & illness Pub Date : 2024-11-01 Epub Date: 2024-06-03 DOI: 10.1111/1467-9566.13803

Eleanor Kashouris

{"title":"'When all you have is a hammer, everything has to be a nail': Managing diagnostic uncertainty in urinary tract infection.","authors":"Eleanor Kashouris","doi":"10.1111/1467-9566.13803","DOIUrl":"10.1111/1467-9566.13803","url":null,"abstract":"Diagnosis of urinary tract infections (UTI) is a routine part of medical work and yet is well recognised to be an area of high clinical uncertainty. Meanwhile, diagnosis of UTI is becoming increasingly important to policymakers globally due to concerns about antibiotic over-prescription. Drawing on Mol's concept of ontological multiplicity in clinical work, I explore how diagnostic uncertainty is co-ordinated into certainty by a UK national diagnostic algorithm for UTI. The diagnosis of UTI is produced or withheld as a post hoc rationalisation of a prior decision whether to prescribe antibiotics or not. Work in the sociology of diagnosis has already noted that diagnostic steps are often re-ordered by health-care professionals taking diverse actions in the best interest of their patients. This article contributes an argument that ordering diagnostic work around antimicrobial stewardship agendas has the effect of narrowing possible actions. Exploring the consequences and effects of doing diagnosis in this way for different groups, I argue that a greater creativity about what could be done to care for painful bladders could be found in a return to more clinical ways of working.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":" ","pages":"1668-1685"},"PeriodicalIF":2.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141236930","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

'You're just a Guinea pig': Exploring the barriers and impacts of living with long COVID-19: A view from the undiagnosed. 你只是一只几内亚猪"：探索长期患有 COVID-19 的障碍和影响：来自未确诊患者的观点。

IF 2.7 2区医学

Sociology of health & illness Pub Date : 2024-11-01 Epub Date: 2024-06-08 DOI: 10.1111/1467-9566.13795

Jordan Mullard, Ghazala Mir, Chantal Herbert, Sophie Evans

{"title":"'You're just a Guinea pig': Exploring the barriers and impacts of living with long COVID-19: A view from the undiagnosed.","authors":"Jordan Mullard, Ghazala Mir, Chantal Herbert, Sophie Evans","doi":"10.1111/1467-9566.13795","DOIUrl":"10.1111/1467-9566.13795","url":null,"abstract":"The COVID-19 pandemic had a disproportionate impact on ethnically minoritised and other marginalised communities, yet little is known about the impacts of long COVID-19 (LC) on this group. Living with LC takes its toll both physically, emotionally and financially and even more so when a diagnosis is hard to come by. By using qualitative interviews centring the view of undiagnosed and marginalised communities already classed as 'underserved' in the medical literature, we show the range of barriers and impacts faced by these groups in the UK, and the strategies of resilience they use. Whether trapped on a 'diagnostic odyssey' at the level of primary care, struggling to maintain employment and businesses, or managing family commitments, we argue many minoritised communities are caught in a liminal space of misrecognition, invalidation and ambiguity. We show how these impacts are generated by tensions and challenges in the process and categorisation of diagnosis, and how this effects the daily lives of many individuals already on the receiving end of health inequity. We also offer some examples and suggestions for best practices.","PeriodicalId":21685,"journal":{"name":"Sociology of health & illness","volume":" ","pages":"1602-1625"},"PeriodicalIF":2.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141293685","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

A third indeterminacy of labour power: Worker health investment and the indeterminacy of labour health. 劳动能力的第三种不确定性：工人健康投资与劳动健康的不确定性。

IF 2.7 2区医学

Sociology of health & illness Pub Date : 2024-11-01 Epub Date: 2024-06-30 DOI: 10.1111/1467-9566.13807

Geraint Harvey, James Wallace

引用次数: 0