Health Sociology Review最新文献_第7页

The healthy immigrant effect: a test of competing explanations in a low income population 健康移民效应：低收入人群中竞争解释的检验

IF 3.6 2区医学

Health Sociology Review Pub Date : 2018-11-30 DOI: 10.1080/14461242.2018.1553568

R. Schutt, M. Nayak, Mathew J. Creighton

{"title":"The healthy immigrant effect: a test of competing explanations in a low income population","authors":"R. Schutt, M. Nayak, Mathew J. Creighton","doi":"10.1080/14461242.2018.1553568","DOIUrl":"https://doi.org/10.1080/14461242.2018.1553568","url":null,"abstract":"ABSTRACT Evidence in support of the healthy immigrant effect (HIE) has been mixed and explanations for it divergent. Research on the HIE is reviewed and seven explanatory hypotheses are presented. Support for these hypotheses is evaluated with data collected in a phone survey of patients in a Massachusetts public health program for economically disadvantaged persons. Variation in physical health, depression, and smoking reflect the HIE, but the explanations for this pattern vary across these health indicators. The Spanish translation of one response choice obscures the healthy immigrant pattern for SRH – which is apparent after taking language into account, while variation in perceived change in health – another self-report measure with different response choices – comports with the HIE. There is no support for a unique effect of ethnic identity – a key aspect of acculturation, nor for a unique effect of social status in this low income sample. The findings help explain the bases for discrepancies in prior research and suggest new research directions when investigating the healthy immigrant effect, including considering the comparison group and the distribution of social status in the population studied, using an alternative to the standard SRH question with Spanish and Portuguese speakers, and distinguishing physical and mental health and health-related behaviours.","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"28 1","pages":"1 - 19"},"PeriodicalIF":3.6,"publicationDate":"2018-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14461242.2018.1553568","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43440593","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: 2

The dietetics and naturopathy professions: perceptions of role boundaries 营养学和自然疗法专业:角色界限的认知

IF 3.6 2区医学

Health Sociology Review Pub Date : 2018-11-19 DOI: 10.1080/14461242.2018.1539916

Larisa Barnes, S. Grace

{"title":"The dietetics and naturopathy professions: perceptions of role boundaries","authors":"Larisa Barnes, S. Grace","doi":"10.1080/14461242.2018.1539916","DOIUrl":"https://doi.org/10.1080/14461242.2018.1539916","url":null,"abstract":"ABSTRACT Dietary counselling and management form core parts of both dietetic and naturopathic practice. However, each profession is unique with its own philosophies and requirements for membership. The neo-Weberian ‘sociology of professions’ provided the framework for the thematic analysis of in-depth interviews with ten leading clinicians. This study aimed to explore the perception of roles and role boundaries between practising naturopaths and dietitians using a specific example: food intolerances expressing as functional bowel disorders (FBDs). The similarities and differences in the ways dietitians and naturopaths diagnose and treat FBDs were examined. Three main themes were apparent (i) patient-centred care, (ii) evidence-based practice, and (iii) perceptions of the ‘other’ profession. Far more similarities than differences between the two professions were evident: individualised, holistic treatments, use of referral networks and evidence-based medicine formed core components of both. The main difference centred on naturopaths’ use of both traditional knowledge and scientific evidence during diagnosis and the formulation of treatment plans, including prescribing ingested medicines. Both groups deployed marked exclusionary strategies to protect their professional boundaries, including the use of discursive strategies to discredit each other, reinforced by commonly held misconceptions about the ‘other’ profession. Dietitians also used a credentialist strategy to elevate and protect their status.","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"28 1","pages":"102 - 85"},"PeriodicalIF":3.6,"publicationDate":"2018-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14461242.2018.1539916","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42578718","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: 4

Race and Sexuality 种族与性别

IF 3.6 2区医学

Health Sociology Review Pub Date : 2018-10-22 DOI: 10.1080/14461242.2018.1537133

Sujith Kumar Prankumar

引用次数: 0

(Dis)entangling medicine and media: a qualitative analysis of the relationship between the fields of healthcare and journalism （Dis）纠缠医学和媒体：医疗保健和新闻领域关系的定性分析

IF 3.6 2区医学

Health Sociology Review Pub Date : 2018-10-22 DOI: 10.1080/14461242.2018.1537131

Sarah Van den Bogaert, J. Stroobant, P. Bracke

{"title":"(Dis)entangling medicine and media: a qualitative analysis of the relationship between the fields of healthcare and journalism","authors":"Sarah Van den Bogaert, J. Stroobant, P. Bracke","doi":"10.1080/14461242.2018.1537131","DOIUrl":"https://doi.org/10.1080/14461242.2018.1537131","url":null,"abstract":"ABSTRACT Previous research has illustrated that journalists play an active role in the production of health news. The current study explores the relationship between the fields of healthcare and journalism from a healthcare perspective. Drawing on Bourdieu’s theory of fields and Gieryn’s concept of boundary-work, this study employed elite interviewing to analyse how the relations between these two fields were reflected and negotiated in the discourses of Belgian health-policy stakeholders. Our analysis illustrated that health-policy stakeholders perceived medicine and the news media as two different cultures and, therefore, discursively positioned news media actors as outsiders. Additionally, we showed that the nature of the relationship between health-policy stakeholders and the news media was linked to health-policy stakeholders’ position within the healthcare field. Through this analysis, we illustrate the value of using the concept of boundary-work as an analytical instrument to study the relationships between fields.","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"28 1","pages":"69 - 84"},"PeriodicalIF":3.6,"publicationDate":"2018-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14461242.2018.1537131","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46997806","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: 3

The association between income, wealth, economic security perception, and health: a longitudinal Australian study 收入、财富、经济安全感和健康之间的关系:一项澳大利亚纵向研究

IF 3.6 2区医学

Health Sociology Review Pub Date : 2018-10-15 DOI: 10.1080/14461242.2018.1530574

G. Kendall, H. Nguyen, R. Ong

{"title":"The association between income, wealth, economic security perception, and health: a longitudinal Australian study","authors":"G. Kendall, H. Nguyen, R. Ong","doi":"10.1080/14461242.2018.1530574","DOIUrl":"https://doi.org/10.1080/14461242.2018.1530574","url":null,"abstract":"ABSTRACT The study used data from the Household, Income and Labour Dynamics in Australia (HILDA) Survey to explore three hypotheses: (1) that income and wealth both predict economic security perception, mental health, and physical health; (2) that gradients in health outcomes are better explained by wealth than income; and (3) that economic security perception is better explained by wealth than income. We conducted fixed effects regression analysis. After controlling for other variables in our model, both income and wealth appeared to have positive and significant associations with economic security perception and a range of mental health outcomes, but not physical health. There was also some evidence to support our second hypothesis, that gradients in health outcomes are better explained by wealth than income, however only for mental health. Our third hypothesis was not supported by the data. While both income and wealth were strongly related to economic security perception, it was better explained by income than wealth. We recommend that future studies are designed to evaluate the role of economic security as a mediating variable in the relationship between income, wealth and health, because the implications are substantial.","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"28 1","pages":"20 - 38"},"PeriodicalIF":3.6,"publicationDate":"2018-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14461242.2018.1530574","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44977050","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: 17

Australian women’s experiences of smoking, cessation and ‘cutting down’ during pregnancy 澳大利亚妇女在怀孕期间吸烟、戒烟和“减少”的经历

IF 3.6 2区医学

Health Sociology Review Pub Date : 2018-09-29 DOI: 10.1080/14461242.2018.1526100

E. Hansen, M. Frandsen, Danielle Williams, S. G. Ferguson

{"title":"Australian women’s experiences of smoking, cessation and ‘cutting down’ during pregnancy","authors":"E. Hansen, M. Frandsen, Danielle Williams, S. G. Ferguson","doi":"10.1080/14461242.2018.1526100","DOIUrl":"https://doi.org/10.1080/14461242.2018.1526100","url":null,"abstract":"ABSTRACT This article presents an analysis of interviews with Australian women who had smoked or were currently smoking during pregnancy. It explores how they spoke about their experiences of smoking, cessation and harm minimisation during pregnancy. Eighteen women underwent a single in-depth interview, these were analysed using an iterative thematic method. We found that smoking, cessation and harm minimisation by pregnant women are complex social practices. Participants viewed smoking as a potential risk to fetal health and as an actual risk to their own health and described feeling embarrassed and ashamed of smoking when pregnant. Their opinions about the relative seriousness of health risks posed by smoking when pregnant were often informed by their own personal observations and experiences. Participants used this knowledge to engage in lay epidemiological processes as they rationalised and made sense of the relative risks of smoking, quitting or cutting down. They also sought legitimacy for their claims about the safety of quitting or cutting down in two potentially contradictory ways. These were personal experience/observations and medical advice. Our findings contribute to sociological understanding about lay responses to medical advice on smoking in pregnancy and will be of value to healthcare professionals who work with pregnant women.","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"28 1","pages":"39 - 53"},"PeriodicalIF":3.6,"publicationDate":"2018-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14461242.2018.1526100","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45391288","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: 3

The gendered effects of substance use on employment stability in transitional China 转型期中国物质使用对就业稳定性的性别影响

IF 3.6 2区医学

Health Sociology Review Pub Date : 2018-07-11 DOI: 10.1080/14461242.2018.1495572

X. Yang, A. Hendley

{"title":"The gendered effects of substance use on employment stability in transitional China","authors":"X. Yang, A. Hendley","doi":"10.1080/14461242.2018.1495572","DOIUrl":"https://doi.org/10.1080/14461242.2018.1495572","url":null,"abstract":"ABSTRACT Substance use is often thought to harm employment prospects, an assumption challenged by the anomaly that people who use licit substances such as alcohol and tobacco are sometimes at a lower risk of unemployment. We argue that employment stability may benefit from the socialisation afforded through using licit substances, particularly in a context where licit substance use is encouraged. Furthermore, because the norms associated with substance use often reflect the gender hierarchy in a society, the impact of substance use on employment stability may be contingent on an individual's gender. Applying Cox proportional hazard modelling to a panel dataset during the critical two decades of China's market-based transition (1991–2011), we found that the impact of substance use on unemployment hazards varies depending on the dosage of the use and the gender of the users. Compared to abstinence, moderate alcohol-drinking reduces the risk of unemployment, and the reduction benefits especially men. The standalone effect of tobacco-smoking is to elevate unemployment hazards; however, this effect is heavily moderated by gender so that female smokers were penalised while male smokers were rewarded in the labour market. Such patterns cannot be explained by community-level modernisation progress and individual-level covariates.","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"27 1","pages":"312 - 329"},"PeriodicalIF":3.6,"publicationDate":"2018-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14461242.2018.1495572","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46631954","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: 8

Collaborative mental health care in the bureaucratic field of post-apartheid South Africa 种族隔离后南非官僚领域的协作精神保健

IF 3.6 2区医学

Health Sociology Review Pub Date : 2018-05-30 DOI: 10.1080/14461242.2018.1479651

André Janse van Rensburg, E. Wouters, P. Fourie, Dingie Hcj van Rensburg, P. Bracke

{"title":"Collaborative mental health care in the bureaucratic field of post-apartheid South Africa","authors":"André Janse van Rensburg, E. Wouters, P. Fourie, Dingie Hcj van Rensburg, P. Bracke","doi":"10.1080/14461242.2018.1479651","DOIUrl":"https://doi.org/10.1080/14461242.2018.1479651","url":null,"abstract":"ABSTRACT South Africa's long and arduous journey from colonial and apartheid-era care for people with mental illness to more comprehensive, equitable mental health care is well-described. Deeper engagement with the structural power dynamics involved in providing collaborative mental health services are less-well described, especially in its post-apartheid era. This conceptual article positions state and non-state mental health service providers – along with their relationships and conflicts – within Bourdieu's bureaucratic field. It is suggested that key internecine struggles in South Africa's post-apartheid socio-political arena have influenced the ways in which collaborative mental health care is provided. Drawing from two recent examples of conflict within the bureaucratic field, the article illustrates the ways in which neoliberal forces play out in contemporary South Africa's mental health service delivery. Struggles between the state and private healthcare in the Life Esidimeni tragedy receive focus, as well as the shifting of responsibility onto civil society. A court case between the state and a coalition of non-profit organisations provides further evidence that neoliberal rationalities significantly influences the position and power of non-state service providers. Unless serious consideration is given to these dynamics, collaborative mental health care in South Africa will remain out of reach.","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"27 1","pages":"279 - 293"},"PeriodicalIF":3.6,"publicationDate":"2018-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14461242.2018.1479651","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49150271","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: 3

Prioritising the cultural inclusivity of a rural mainstream health service for First Nation Australians: an analysis of discourse and power 优先考虑澳大利亚原住民农村主流医疗服务的文化包容性：话语和权力分析

IF 3.6 2区医学

Health Sociology Review Pub Date : 2018-05-18 DOI: 10.1080/14461242.2018.1474720

C. Malatzky, R. Nixon, Olivia Mitchell, L. Bourke

{"title":"Prioritising the cultural inclusivity of a rural mainstream health service for First Nation Australians: an analysis of discourse and power","authors":"C. Malatzky, R. Nixon, Olivia Mitchell, L. Bourke","doi":"10.1080/14461242.2018.1474720","DOIUrl":"https://doi.org/10.1080/14461242.2018.1474720","url":null,"abstract":"ABSTRACT In the context of persisting health inequities within many multicultural and socially diverse countries like Australia, there is a call for health services to implement culturally inclusive systems and practices. Nowhere is this more important than in regional, rural and remote Australia where consumers are diverse, health services are scarce, and services designed for particular groups of the population are lacking. Drawing on interviews with 20 staff of a rurally-based, mainstream community health service, this article examines the role of discourse in the transition to a culturally inclusive health centre. In doing so, the power struggles inherent in such a process are highlighted. The article contends that improvements in the health outcomes of First Nation and culturally Other groups within the Australian population is contingent upon systematic resistances that disrupt and re-arrange existing dominant discourses. This calls for a disruption of current race relations in both broader social fields as well as those supporting biomedical assumptions about the delivery of healthcare in the mainstream health sector. Alternative discourses must be promoted in both these fields.","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"27 1","pages":"248 - 262"},"PeriodicalIF":3.6,"publicationDate":"2018-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14461242.2018.1474720","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43020344","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: 11

Individual and collective strategies in nurses’ struggle for professional identity 护士职业认同斗争中的个体与集体策略

IF 3.6 2区医学

Health Sociology Review Pub Date : 2018-05-17 DOI: 10.1080/14461242.2018.1469096

N. Bochatay

{"title":"Individual and collective strategies in nurses’ struggle for professional identity","authors":"N. Bochatay","doi":"10.1080/14461242.2018.1469096","DOIUrl":"https://doi.org/10.1080/14461242.2018.1469096","url":null,"abstract":"ABSTRACT Individuals’ perception of their work as meaningful contributes to their sense of identity. While individual processes of identity development through work have been studied extensively, we know little about how social processes may contribute to this development. This article seeks to better understand social processes of professional identity development through work by examining nurses’ reactions to changes in their end of shift reports. Field observations were conducted with two healthcare teams on the internal medicine ward of a Swiss teaching hospital. During the observation period, organisational changes in end of shift reports, a crucial time in nurses’ shift, were introduced to the teams and then implemented. Before the changes, nurses used individual and collective strategies to make their work meaningful and to affirm their professional identity. Individually, nurses sought recognition from their co-workers during end of shift reports. Collectively, nurses resorted to professional values and discourses that set them apart from other professional groups. However, changes in shift reports threatened these strategies. This article shows how nurses make their work meaningful in the eyes of others and how others’ recognition contributes to nurses’ sense of professional identity.","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"27 1","pages":"263 - 278"},"PeriodicalIF":3.6,"publicationDate":"2018-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14461242.2018.1469096","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48593401","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: 9