Health Sociology Review最新文献

{"title":"‘We’re not monsters … we’re just really sad sometimes:’ hidden self-injury, stigma and help-seeking","authors":"M. Long","doi":"10.1080/14461242.2017.1375862","DOIUrl":"https://doi.org/10.1080/14461242.2017.1375862","url":null,"abstract":"ABSTRACT The aim of this article is to provide an insider perspective on experiences of stigmatisation for people who engage in hidden self-injury. The vast majority of self-injury is recognised to be hidden, whereby most people who self-injure do not present to formal health services. By drawing on the data from 20 face-to-face interviews, conducted in community settings, with counselling clients with a history of self-injury and counsellors experienced in working with self-injury, I sought to provide insights into hidden self-injury, stigma and help-seeking. Through a Grounded Theory analysis, three categories were identified: (1) stigma and rejection; (2) fear and the need to rescue; and, (3) secret shame and self-stigma. Each category inter-relates to form the core category, ‘stigma permeates the lives of people who self-injure.’ My research demonstrates that social stigma surrounding self-injury interacts with self-stigma and compounds existent feelings of shame, thus restricting help-seeking and recovery. There is a need for service-providers and policy-makers to become aware of the multifarious manifestations of stigma, which reinforce the devastating impact of self-injury on people’s lives.","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"27 1","pages":"103 - 89"},"PeriodicalIF":3.6,"publicationDate":"2018-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14461242.2017.1375862","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43612280","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}

{"title":"‘Being defined’: large-bodied women’s experiences as healthcare consumers","authors":"Danielle Williams","doi":"10.1080/14461242.2017.1375861","DOIUrl":"https://doi.org/10.1080/14461242.2017.1375861","url":null,"abstract":"ABSTRACT Despite an increasingly pathologised discourse on overweight and obesity, the clinical experiences of large bodied individuals remain relatively unexplored. In addition, interventions targeting overweight and obesity have generally failed to recognise the role that weight related discrimination and stigma play in both the uptake of interventions and the experience of healthcare consumers. This Australian research used a grounded theory approach, informed by constructivism, to further understanding and generate dialogue about the experiences of large bodied female healthcare consumers. Participants included 22 women, who were purposively sampled, all of whom identified as overweight or obese. Data was collected from two major sources: intensive interviews with participants and literature. For the participants in this study, being overweight or obese created a significant barrier to positive clinical interactions with their medical professionals. Women described their interactions with medical professionals, particularly general practitioners (GPs) as the most challenging to manage. Participants believed that when they became patients, they were defined by their body size, which worked to create a one-dimensional identity – that of a fat patient. These findings suggest that weight-related discrimination and stigma has a significant impact on both the clinical interaction, and the health and wellbeing of large bodied, female healthcare consumers.","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"27 1","pages":"60 - 74"},"PeriodicalIF":3.6,"publicationDate":"2018-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14461242.2017.1375861","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43568417","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}

{"title":"Does educational attainment influence the relationship between political orientation and opinions toward the Affordable Care Act?","authors":"Elizabeth M. Legerski, J. Berg","doi":"10.1080/14461242.2017.1395289","DOIUrl":"https://doi.org/10.1080/14461242.2017.1395289","url":null,"abstract":"ABSTRACT Research shows political orientation and educational attainment play important roles in shaping attitudes toward many social issues. While political differences in attitudes toward the 2010 Patient Protection and Affordable Care Act (ACA) have been observed, few have explored the effects of education on this relationship. Conventional wisdom suggests education has a liberalising effect on attitudes, yet empirical research does not always support this assumption. We examine the relationship between education, political orientation (including attitudes toward former President Obama), and attitudes toward the ACA using a sample of U.S. adults from four 2014 Pew Research Center surveys. We find that when education is considered independently, individuals with more education have lower odds of disapproving of the ACA, suggesting that educational attainment has the effect of liberalising public opinion toward the legislation. Nevertheless, when an interaction effect between educational attainment and political orientation is considered, we find that with more education, Republicans, conservatives, and those with negative perceptions of former President Obama actually have greater odds of disapproving of the ACA compared to their political peers with less education. Thus, overall, greater educational attainment appears to reinforce the effects of political orientation on attitudes toward the ACA.","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"27 1","pages":"75 - 88"},"PeriodicalIF":3.6,"publicationDate":"2018-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14461242.2017.1395289","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59797392","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}

{"title":"Healthcare workers mobilising cultural health capital to assist socially marginalised patients","authors":"E. Madden","doi":"10.1080/14461242.2017.1387069","DOIUrl":"https://doi.org/10.1080/14461242.2017.1387069","url":null,"abstract":"ABSTRACT Research on cultural capital mobilised in healthcare largely focuses on how patients of low-socioeconomic status or ethnic minority groups struggle in the healthcare field. This study examines how providers, care coordinators, and administrators use their own cultural capital resources to bolster equity in health services, and explores the limitations of such efforts. Thirty-five hours of interviews with Hispanic and non-Hispanic White personnel at U.S. community health centres are used to explore how individuals on the ‘supply-side’ of healthcare may exhibit flexible expectations of patient cultural capital. Participants acknowledge how factors such as immigration status and family roles affect patient ability to exhibit traditionally high-value cultural capital in clinical interactions. Yet, providers’ flexible expectations and cultural knowledge alone cannot deliver comprehensive care to indigent patients of colour. Persistent systemic barriers like high costs and limited public programs require healthcare workers to navigate care outside of interactions with patients. Participants describe the precarious process of drawing favours from professional social networks to coordinate access for patients facing multiple forms of social marginalisation. While acknowledging the importance of cross-cultural skills, this research explains processes impeding professional cultural training interventions in their ability to correct health service inequities on a broad scale.","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"27 1","pages":"214 - 228"},"PeriodicalIF":3.6,"publicationDate":"2017-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14461242.2017.1387069","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44903526","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}

{"title":"Self-responsibility, fatality, and heroism: a discourse analysis of ovarian cancer in women’s magazines","authors":"Meridith Burles","doi":"10.1080/14461242.2017.1383856","DOIUrl":"https://doi.org/10.1080/14461242.2017.1383856","url":null,"abstract":"ABSTRACT Ovarian cancer affects many women globally, having numerous physical and psychosocial implications. However, misconceptions abound, symptoms are often overlooked, and diagnosis frequently occurs in advanced stages. As one step to addressing these issues, this research explores the social construction of ovarian cancer in women’s magazines to identify the ideas and discourses surrounding this illness and interpret their explicit and implicit meanings. A constructivist discourse analytic approach guided analysis of 62 print and online articles from 8 women’s magazines available in Canada over a 20-year period. Analysis resulted in identification of three discourses pertaining to: self-responsibility for health, ovarian cancer as uncertain and inevitably fatal, and ovarian cancer as a heroic endeavour. Critical interpretation highlights misinformation, contradictory beliefs, and unrealistic expectations surrounding this illness, which have implications for healthy and affected women. The findings emphasise the importance of identifying and challenging these discursive constructions to expose inconsistencies, minimise harm to women’s well-being, and promote authentic portrayals of ovarian cancer.","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"27 1","pages":"168 - 183"},"PeriodicalIF":3.6,"publicationDate":"2017-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14461242.2017.1383856","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48356065","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}

{"title":"Doctor–patient relationships amid changes in contemporary society: a view from the health communication field","authors":"M. Petracci, Patricia K. N. Schwarz, Victoria Sánchez Antelo, A. M. Mendes Diz","doi":"10.1080/14461242.2017.1373031","DOIUrl":"https://doi.org/10.1080/14461242.2017.1373031","url":null,"abstract":"ABSTRACT Synopsis: In this article, we propose to understand the doctor–patient relationship (DPR) using a health communications perspective, as it is located in the sociohistorical framework of modernising processes. The paper analyses the academic literature about the doctor-patient relationship (DPR) during the period of 1980–2015, gathered from key words in digital collections and indexed magazines available in three electronic databases (SISBI, SciELO and DIALNET). Eighty-four articles were selected from the initial search. The results suggest three axes of thematisation of the DPR over the period analysed: patient satisfaction, models of relationship between professionals and patients, and eHealth. The latter, eHealth, demonstrates the current transformation of social and communication order and is the main axis of reflection and investigation.","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"26 1","pages":"266 - 279"},"PeriodicalIF":3.6,"publicationDate":"2017-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14461242.2017.1373031","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45487008","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}

{"title":"Introduction – special issue, Latin American health sociology","authors":"F. De Maio, Ignacio Llovet, Graciela Dinardi","doi":"10.1080/14461242.2017.1373470","DOIUrl":"https://doi.org/10.1080/14461242.2017.1373470","url":null,"abstract":"The health sociology literature, like other sub-disciplines of sociology, is very fractured. One division is clearly methodological – with specialists in high-end quantitative and qualitative techniques developing parallel discussions and rarely crossing over, despite very interesting contributions from mixed methods scholars (see De Maio, 2010). To its credit, Health Sociology Review has a rich history of publishing both quantitative and qualitative work. But another critical division – and one which has not been sufficiently acknowledged – is the divide between scholars in the global north and the global south. The sociology of health, for the most part, has not been global in its thinking – being late to enter debates in global health and failing to learn lessons from work in the global south (Cockerham & Cockerham, 2010; De Maio, 2014). It is our argument that Latin American health sociology has much to offer the larger field – both for what it can teach us about Latin America in and of itself, but also for what this field of scholarship can teach us about health and illness broadly defined. Mirroring Raewyn Connell’s argument in Southern Theory (2007), we believe that Latin American health sociology offers us lessons that we should learn from, and not just learn about. Latin American health sociology developed under an array of historical, contextual, and intellectual factors (Montagner, 2008). Like in other areas of the world, Latin American health sociology was influenced by medical anthropology, public health, and medicine, among other disciplines – with each perspective helping to shape the identification of problems, the collection of data, and the definition of research agendas. Perhaps most importantly, the Latin American tradition of social medicine – focused on the study of social inequality and the way in which it determines health-illness processes – influenced health sociology in the region (Barreto, 2004; Castro, 2001). This interest in the issue of social inequality has had a lasting impact on this field. Latin American health sociology has also been influenced by the general epidemiological profiles of countries in the region. Briceño-León (2003) has underlined that since the epidemiological transition in the region has not been completed, the sociology of health has had to deal with both the new and the old epidemiological patterns. In his words, ‘the sociology of health in Latin America is at the same time a sociology of the living conditions of poverty and of the lifestyles of the abundance’ (Briceño-León, 2003). The region","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"26 1","pages":"221 - 223"},"PeriodicalIF":3.6,"publicationDate":"2017-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14461242.2017.1373470","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44893307","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}

{"title":"Prayer and health-seeking beliefs in Ghana: understanding the ‘religious space’ of the urban forest","authors":"M. Okyerefo, D. Fiaveh","doi":"10.1080/14461242.2016.1257360","DOIUrl":"https://doi.org/10.1080/14461242.2016.1257360","url":null,"abstract":"ABSTRACT Few studies have examined the relationship between religiosity and health-seeking belief outcomes in Ghana. Drawing on in-depth interviews and group discussions with informal prayer group members and leaders in Accra, Ghana, the study explores participants’ conceptions of illnesses and the significance of the forest as a place of gathering and healing. There are several reasons why prayer group members in this study make their way to the forest, including finding a serene sacred space in a crowded city to confront the vicissitudes of life. Disease, for the prayer group members, is seen to hold both spiritual and physical origins, inspiring them to seek both biomedical and spiritual forms of care. Interviewees believed hospitals could help with physical diseases, but saw spiritual diseases as requiring spiritual solutions. There was a salient differentiation expressed between treatment and healing, however: doctors can treat certain conditions, but only God heals. While there is a need for public health practitioners to better engage spiritual/religious leaders and their followers with mainstream biomedicine, and to challenge some of their misconceptions and mistrust, attending to and understanding the role of religious beliefs, and religious spaces, in everyday conceptions of health, would strengthen the promotion of both men’s and women’s health in this context.","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"26 1","pages":"308 - 320"},"PeriodicalIF":3.6,"publicationDate":"2017-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14461242.2016.1257360","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49028662","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}

{"title":"Socio/Ethno-epidemiologies: proposals and possibilities from the Latin American production","authors":"A. Sy","doi":"10.1080/14461242.2017.1368402","DOIUrl":"https://doi.org/10.1080/14461242.2017.1368402","url":null,"abstract":"ABSTRACT This article presents an approach to understanding health that acquires an original and autonomous development across different Latin American countries, despite being the result of reading and analysing national and international theoretical contributions from social sciences. The proposal seeks to integrate the epidemiologic perspective with those from the social sciences, sociology, and medical anthropology in particular, raising the need to place health problems in their socio-historic, cultural, political and economic context. From this framework, such aspects must be treated not only as epidemiological variables but, above all, as sociocultural and bio-ecological processes. It suggests to conceptually work from a perspective that investigates health-disease as a social process, an area of life in which most of the meanings, representations and practices that allow the reproduction of daily life are articulated. For that, we place the contributions in the field of Collective Health, present the main criticisms and limitations that have been raised to modern epidemiology and, from there, we develop theoretic-methodological proposals of ethno-epidemiology and sociocultural epidemiology directing the analysis towards the development of a superseding episteme.","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"26 1","pages":"293 - 307"},"PeriodicalIF":3.6,"publicationDate":"2017-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14461242.2017.1368402","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43143121","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}

{"title":"Sexual and reproductive health: perceptions of indigenous migrant women in northwestern Mexico","authors":"Lourdes Camarena Ojinaga, Christine Alysse von Glascoe, Evarista Arellano García, Concepción Martínez Valdés","doi":"10.1080/14461242.2017.1370386","DOIUrl":"https://doi.org/10.1080/14461242.2017.1370386","url":null,"abstract":"ABSTRACT This article presents a preliminary view of perceptions of the sexual and reproductive health of indigenous migrant women in an agricultural valley in Northwestern Mexico. A qualitative design was implemented with individual interviews and participatory workshops. The objective was to learn about indigenous migrant women’s experiences with health services and their understanding of their sexual and reproductive rights. It was found that family was not a sufficient source of sexual information or education; that for women participating in this study, talking about sexual and reproductive health meant talking about reproduction; that the education system participates little in this aspect and that the health sector fails to respond in a timely and sufficient manner to this segment of the population. It is necessary to develop a more comprehensive view of the socio-cultural components of sexual and reproductive health in order to carry out a medical practice that considers the needs and perceptions of indigenous women. For women themselves, the challenge is to appropriate their body, to re-signify their sexual and reproductive rights and to exercise these rights.","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"26 1","pages":"239 - 253"},"PeriodicalIF":3.6,"publicationDate":"2017-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14461242.2017.1370386","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41936282","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}