Health Sociology Review最新文献_第9页

Cultural capital and gender differences in health behaviours: a study on eating, smoking and drinking patterns 健康行为中的文化资本和性别差异:关于饮食、吸烟和饮酒模式的研究

IF 3.6 2区医学

Health Sociology Review Pub Date : 2018-01-02 DOI: 10.1080/14461242.2017.1321493

Filippo Oncini, Raffaele Guetto

{"title":"Cultural capital and gender differences in health behaviours: a study on eating, smoking and drinking patterns","authors":"Filippo Oncini, Raffaele Guetto","doi":"10.1080/14461242.2017.1321493","DOIUrl":"https://doi.org/10.1080/14461242.2017.1321493","url":null,"abstract":"ABSTRACT It is widely acknowledged that people with higher socioeconomic positions and women smoke less, avoid alcohol abuse, and eat more healthily. Yet far less is known about the interaction of socioeconomic status with gender, especially in the Italian context. Here we address this issue by employing Abel’s adaptation of Bourdieu’s cultural capital theory and Courtenay’s theory of gender construction and health. Using 2012 data from the Multipurpose survey on Daily Life, we first show that cultural capital is better than social class in predicting an adult’s compliance with health recommendations, although this does not hold true for alcohol intake. We then look at the interaction of gender with cultural capital measures in order to determine how gendered forms of consumption change with increasing levels of cultural capital. The results show that the gender gap diminishes at higher levels of cultural capital following a twofold pattern: most often men’s marginal benefit increases at a higher rate than that of women; however, we also find evidence that the gap diminishes because women start adopting unhealthy behaviours as their level of cultural resources increases. Overall, these findings indicate that cultural capital plays an important role in reconstructing gender role models.","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"27 1","pages":"15 - 30"},"PeriodicalIF":3.6,"publicationDate":"2018-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14461242.2017.1321493","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45205578","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: 28

Relational approaches to fostering health equity for Indigenous children through early childhood intervention* 通过幼儿干预促进土著儿童健康公平的关系方法*

IF 3.6 2区医学

Health Sociology Review Pub Date : 2018-01-02 DOI: 10.1080/14461242.2016.1231582

A. Gerlach, A. Browne, M. Suto

{"title":"Relational approaches to fostering health equity for Indigenous children through early childhood intervention*","authors":"A. Gerlach, A. Browne, M. Suto","doi":"10.1080/14461242.2016.1231582","DOIUrl":"https://doi.org/10.1080/14461242.2016.1231582","url":null,"abstract":"ABSTRACT This paper reports on key findings of a critical qualitative inquiry undertaken with an Indigenous early child development (ECD) program in Canada, known as the Aboriginal Infant Development Program (AIDP). In depth, semi-structured interviews were used to obtain the perspectives of: Indigenous caregivers and Elders, AIDP workers, and administrative leaders. The findings centre on: (1) a relational perspective of family wellbeing that emphasises the inseparability between child health inequities and the impact of structural social factors on families’ lives, and (2) how AIDP workers’ enact relational accountability to families by: (a) fostering cultural connections; (b) creating networks of belonging and support; (c) responding to caregivers’ self-identified priorities; (d) mitigating racism in healthcare encounters, and (e) deferring an ‘ECD agenda’. Rather than a one-size-fits-all model, these findings illustrate relational approaches to early intervention, characterised by a broader and socially responsive scope of practice and the deferral of a normative ‘ECD agenda’. This study has relevance in a variety of international contexts and to a broad range of disciplines and programs that serve families and children impacted by structural inequities.","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"27 1","pages":"104 - 119"},"PeriodicalIF":3.6,"publicationDate":"2018-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14461242.2016.1231582","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43782979","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: 20

Conflicted hope: social egg freezing and clinical conflicts of interest 冲突的希望:社会卵子冷冻和临床利益冲突

IF 3.6 2区医学

Health Sociology Review Pub Date : 2018-01-02 DOI: 10.1080/14461242.2017.1349545

C. Mayes, Jane H Williams, W. Lipworth

引用次数: 14

Negotiating trust and struggling for control: everyday narratives of unwanted disclosure of HIV status among people with HIV in Australia 协商信任和为控制而斗争:澳大利亚艾滋病毒感染者中不受欢迎的艾滋病毒状况披露的日常叙述

IF 3.6 2区医学

Health Sociology Review Pub Date : 2018-01-02 DOI: 10.1080/14461242.2016.1271282

S. Bell, P. Aggleton, S. Slavin

{"title":"Negotiating trust and struggling for control: everyday narratives of unwanted disclosure of HIV status among people with HIV in Australia","authors":"S. Bell, P. Aggleton, S. Slavin","doi":"10.1080/14461242.2016.1271282","DOIUrl":"https://doi.org/10.1080/14461242.2016.1271282","url":null,"abstract":"ABSTRACT Despite the frequent occurrence of unwanted disclosure of HIV status in Australia, there is little understanding of its determinants and consequences. This paper offers an analysis of lived experiences of unwanted disclosure amongst 28 people with HIV in urban settings in Australia. Of the 28 individuals interviewed, 17 men and 8 women had experienced unwanted disclosure of their HIV status by other people in work, health, social and other settings. Through the lenses provided by the concepts of habitus and agentic practice, this paper focuses on unintentional and deliberate practices of unwanted disclosure, and the consequences that may arise from this. Findings reveal how unwanted disclosure may lead to reflexive and agentic action among people with HIV as they struggle to reclaim control over their lives and how they are perceived. Despite what is sometimes assumed, the negative social responses the HIV epidemic has given rise to persist in Australia. Some 30 years into the epidemic, findings highlight the need to establish a social climate that is intolerant of unwanted disclosure, and which recognises the damage it may cause.","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"27 1","pages":"1 - 14"},"PeriodicalIF":3.6,"publicationDate":"2018-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14461242.2016.1271282","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47112211","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: 13

Cutting through the discussion on caesarean delivery: birth practices as social practices 切入剖宫产的讨论:作为社会实践的生育实践

IF 3.6 2区医学

Health Sociology Review Pub Date : 2018-01-02 DOI: 10.1080/14461242.2017.1411206

Natalie Jolly

{"title":"Cutting through the discussion on caesarean delivery: birth practices as social practices","authors":"Natalie Jolly","doi":"10.1080/14461242.2017.1411206","DOIUrl":"https://doi.org/10.1080/14461242.2017.1411206","url":null,"abstract":"ABSTRACT Women are finding appeal in (or, at minimum, a lower level of resistance to) caesarean delivery despite the health risks that it poses, and I investigate how this decision figures into a broader pattern of women's gender socialisation within a culture that is deeply anxious about women's bodies. I review scholarship on caesarean delivery, and use social practice theory to map possible contact points between theories of embodiment, a sociology of gender, and the specific practice of caesarean section. I consider caesarean delivery as a component of a social practice, and adopt a practice framework to analyze women's motivation for selecting (or consenting to) caesarean delivery. I detail the materiality of the hospital, the medicalisation of women's bodies, and women's antagonistic body relationship to reveal some of the less immediately apparent reasons why caesarean delivery has been normalised and rendered invisible as part of the pattern of modern childbirth. Interventions to address the further escalation of caesarean delivery might consider how this decision aligns with other social practices. I conclude that activism addressing the social conditions that make caesarean delivery so attractive may radiate out to other aspects of women's lives where the practices of normative femininity have proven equally restrictive.","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"27 1","pages":"31 - 44"},"PeriodicalIF":3.6,"publicationDate":"2018-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14461242.2017.1411206","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46135148","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: 5

‘We’re not monsters … we’re just really sad sometimes:’ hidden self-injury, stigma and help-seeking 我们不是怪物 … 有时候我们真的很难过：隐藏的自我伤害、耻辱和寻求帮助

IF 3.6 2区医学

Health Sociology Review Pub Date : 2018-01-02 DOI: 10.1080/14461242.2017.1375862

M. Long

{"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}

引用次数: 35

‘Being defined’: large-bodied women’s experiences as healthcare consumers “被定义”:体型较大的女性作为医疗保健消费者的体验

IF 3.6 2区医学

Health Sociology Review Pub Date : 2018-01-02 DOI: 10.1080/14461242.2017.1375861

Danielle Williams

{"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}

引用次数: 4

Does educational attainment influence the relationship between political orientation and opinions toward the Affordable Care Act? 受教育程度是否会影响政治倾向与对《平价医疗法案》的看法之间的关系?

IF 3.6 2区医学

Health Sociology Review Pub Date : 2018-01-02 DOI: 10.1080/14461242.2017.1395289

Elizabeth M. Legerski, J. Berg

{"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}

引用次数: 0

Healthcare workers mobilising cultural health capital to assist socially marginalised patients 卫生保健工作者调动文化卫生资本，帮助社会边缘化患者

IF 3.6 2区医学

Health Sociology Review Pub Date : 2017-10-10 DOI: 10.1080/14461242.2017.1387069

E. Madden

{"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}

引用次数: 10

Self-responsibility, fatality, and heroism: a discourse analysis of ovarian cancer in women’s magazines 自我责任、死亡与英雄主义：女性杂志对卵巢癌症的话语分析

IF 3.6 2区医学

Health Sociology Review Pub Date : 2017-10-04 DOI: 10.1080/14461242.2017.1383856

Meridith Burles

{"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}

引用次数: 2